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90% chewing efficiency occurs here
Premolar and first molar region
Vertical component of chewing cycle
16-20 mm
Horizontal component of chewing cycle
3-5 mm
Contact gliding
Opening and closing movements of chewing. Amount is due to toughness of food
Salivary amylase
Enzyme in saliva that breaks down carbohydrates
Lipase
Enzyme in saliva that breaks down fat
Hydrochloric acid
Activation of taste receptors send neural signals to gastrointestinal system that increase production of this to help breakdown protein
How often should you chew each morsel of food?
15-30 times
Considered a reasonable perception of chewing ability
20 or more teeth or 9/10 pairs of functional teeth
Chewing and weight loss
eating slowly can make you feel full and eat less
Oral health problems related to weight loss by inability to each fibrous foods
Diabetes can cause perio disease and perio disease can increase risk of diabetes
Oral health and heart disease
Poor oral health linked to heart disease and stroke
Oral bacteria can travel to heart and cause inflammation
Inflammation can lead to atherosclerosis, endocarditis, arterial construction
Oral health and respiratory disease
aspiration of anaerobic periodontal pathogens can increase risk of COPD and pneumonia
Elderly at higher risk
Canine function
Tearing
Molar function
Grinding food
Premolar function
Tearing and grinding
Incisor function
Cutting and biting
S in SOAP method
Subjective: patients point of view
O in SOAP method
Objective: examining patient, tests, etc (what you see that day)
A in SOAP method
Assessment: diagnosis, any risks
P in SOAP method
Plan/Procedure: what you did today and plan for future
vital signs written in this part of note
O- Objective
Asepsis checklist
wash hands
Dry hands
Gown, mask, glasses
Gloves over jacket cuffs
Disinfect, dry, disinfect again
Remove gloves
Wash hands
unit set up/barrier control
Bag chairs, switch light handle covers
Clean air water and suction
How long to wash hands
15 seconds
Order for PPE
Gown
Mask
Glasses
Gloves