DH Care I Quiz 4

What is the area immediately under the contact point of adjacent teeth?

Interproximal/ Interdental

Describe floss holder.

Flossing aid

Handle with two prongs in Y or C shape

Describe the hydrokinetic activity of a water jet?

Produces a compression and decompression action that allows the irrigant to reach subgingivally

What are toothpick holders designed for?

To allow use from the facial or lingual aspect and adapt better interproximally and posteriorly when compared with toothpicks alone.

Removal of plaque biofilm from interdental areas where toothbrushing does not reach is ___ to preventing periodontal disease and oral malodor.

Vital

What are some common problems from misusing an interdental tip with soft rubber bristles?

Ineffective if space is too large

Describe tufted dental floss.

Regular diameter floss, wider tufted potion looks like yard, and threader combination.

What are some parameters used to assess the effectiveness of plaque biofilm removal in terms of clinical outcomes?

Disclosing solution and the presence of plaque biofilm, gingival bleeding, and periodontal indices

What age group prefers the spool method?

Teenagers and adults

What are some common problems from misusing an interproximal brush?

Trauma to tooth surface or gingiva from sharp wire center of some designs

What are some common problems from misusing a rubber tip stimulator?

Tissue trauma

What are the three continuous segments of tufted floss?

Length of waxed or unwaxed floss, a shorter segment of cylindric, nylon meshwork; and a relatively rigid nylon needle capable of being threaded beneath the contact or under fixed bridges.

What are the indications for using a toothpick?

Type II and III embrasures from facial aspect only

Accessible furcations

Small root concavities

Describe a wooden wedge.

Triangular wooden wedge

What are some common problems from misusing a dental brush?

Use with nonabrasive denture paste to avoid scratching

What are some common problems for misusing tufted dental floss?

Trauma from forcing threader in tissues

Yarnlike portion may catch on dental work

What are some common problems from misusing an interdental tip?

Trauma caused by forcing into too small a space

What are the indications for using a tooth towelette?

Remove plaque from teeth and freshen breath in absence of toothbrush

What are some common problems for misusing a floss holder?

Unable to maintain tension of floss against tooth and fully wrap around proximal area

Translocation of bacteria from one site to another

Need fulcrum to avoid floss cuts

What type of patient is dental floss recommended to?

Individuals with a type I embrasures with normal gingival contour

What is an indication of inflammation?

Gingival bleeding during flossing

What has the ability to reach deeper into periodontal pocket than a toothbrush, interdental aid, or rinsing?

Dental water jet

What are the indications for using an interproximal brush?

Type II and III embrasures

Exposed root furcations

Orthodontic and fixed appliances

Describe toothpick holder.

Plastic handle with opening at the tip to place a toothpick

What are the indications for using a wooden wedge?

Type II and III embrasures from facial aspect

Accessible furcations

What are the indications for using a rubber tip stimulator?

Type II and III embrasures

Margins of tissue after periodontal surgery

Exposed furcations

Massaging the gingiva with a rubber tip or other device can lead to?

Improved circulation, increased keratinization, and epithelial thickening.

Describe interdental tip

Handle with soft absorbent tip or plastic filament.

What is the key difference between a wooden wedge and toothpick?

The triangular design, which prevents tissue damage and fits the interdental area more snugly, thereby covering a larger surface area and allowing for the removal of plaque biofilm

What some common problems for misusing a wooden wedge?

Wearing down of papilla and marginal tissues form incorrect use

Splaying of wood ends may cause tissue trauma

What are some common problems from misusing a denture clasp brush?

Use with nonabrasive denture paste to avoid scratching.

True or False. Clients who have an increased risk, special needs, or periodontal disease may need alternative devices.

True

What type of floss may be easier for a patient with tight contacts?

Waxed dental floss

What is the advantage of a toothpick or wooden wedge over floss?

No need for a mirror and use requires only one hand.

What is dental tape?

A waxed floss product that is wider and flatter than conventional dental floss

True or False. A dental water jet can be as effective or more effective when compared with manual floss for the reduction of interdental plaque biofilm, bleeding, and gingivitis.

True

Describe interdental tip with soft rubber bristles.

Small interdental, soft pick with narrow conical shape.

Describe a tongue cleaner.

Flat vs. ridged

Plastic strip or handle with scraper on end

What are the two primary methods of dental flossing?

Spool and loop method

What are the indications for using a toothpick holder?

Type II and III embrasures from facial or lingual aspect

Accessible furcations

Concave interporximal surfaces

Fixed prosthetic and orthodontic appliances

Sulcular cleansing in shallow pockets.

What is the most frequently recommended product for cleaning proximal tooth surfaces with normal gingival contour and embrasure spaces?

Dental floss

_______ therapy has more impact on interproximal caries and studies combining the two interventions show no additional benefit from flossing.

Fluoride

What are the type of dental floss?

Unwaxed, waxed, tape, braided, and tufted.

What are some common problems for misusing a floss threader?

Trauma from forcing threaded into tissues

What are some common problems from misusing an end-tuft or single-tuft brush?

Tissue trauma

Similar to problems associated with improper toothbrushing methods

What are the indications for using a floss holder?

Type I embrasures

Clients lacking manual dexterity, who are physically challenged, or who have a strong gag reflex.

Caregivers

Why is it important to remove plaque from the interdental areas?

To prevent periodontal disease and malodor

Describe floss threader.

Designs resemble a needle with a large opening to thread floss

Floss is pulled through the interproximal space to allow cleaning of the proximal surface

What are some common problems from misusing a tongue cleaner?

If clients press to hard they can traumatize papilla

What are the indications for using tufted dental floss?

Type II and III embrasures

Interporximal surfaces of abutment teeth

Under pontics of fixed partial dentures

What reduces plaque biogilm, bleeding, gingivitis, pocket depth, pathogenic microorganisms, and calculus in clients with fixed ortho, implants, crowns and bridges, and gingivitis?

Water jets.

What are the indications for using an interdental tip?

Type II and II embrasures

Fixed dental appliances

Application of fluoride, antimicrobial agent, or desensitizing agent.

Describe denture brush.

Flat, trim, firm nylon design, stiffer than manual toothbrushes

Some have double-end, flat side for tooth side of denture, pointed bristle end for tissue side.

Describe an end-tuft brush and a single-tuft brush.

Flat or tapered end

straight or angled handle

What are the indications for using a floss threader?

Type I embrasures

Floss between and under abutment teeth and pontics, orthodontic appliances, implants, and lingual bars

What are the indications for using an end-tuft brush and a single-tuft brush?

Type II embrasures

Fixed dental prosthesis

Difficult-to-reach areas

What is the most common shape of an interdental brushes?

Conical or tapered

What are the indications for using a denture brush?

Tooth and tissue sides of dentures

Describe interproximal brush.

Bristle inserts: tapered (conical) or straight

Variety of sizes

Attached to reusable handle or single disposable units

What are the indications for using a denture clasp brush?

Metal clasp of removable partial dentures

Describe tooth towelettes

Gauze treated with mouthwash

Describe toothpick (wooden or plastic)

Round

Triangular

What type of floss may be preferred for the patient with a larger surface area?

Dental tape

What is the rubber tip stimulator used for?

To remove the plaque biofilm b rubbing it against

Describe denture clasp brush.

Cylindric brush

What age group prefers the loop method?

Children

What are the indications for using an interdental tip with soft rubber bristles?

Food and biofilm removal interdentally, around crown, bridges, implants, and orthodontic appliances.

Describe rubber tip stimulator

Conical rubber tip on the end of a metal or plastic handle

Is there any difference in the effectiveness of unwaxed and waxed dental floss.

No

What are some common problems for misusing a toothpick?

Blunting of papilla from incorrect usage

Splaying of wood ends may cause tissue trauma, cuts, or abrasions.

What are some common problems from misusing a tooth towelette?

Difficult to remove all plaque from teeth; educate clients about limited use

What is the benefit of daily interdental cleaning such as flossing?

The reduction or prevention of inflammation caused by the immune response to toxins produced by interdental plaque biofilm.

What dos the hygienist need to keep in mind when assessing the patient for selecting the most appropriate interdental aid?

Contour and consistency of the gingival tissues

Probing depth

Gingival attachment levels

Size of the interproximal embrasures

Tooth position and alignment

Condition and types of restorative work present

Susceptibility of the client to disease

Level of dexterity and ability to use a device

Client motion

Cost, safety, and effectiveness of recommended device

Client preference

What are the indicates for using a tongue cleaner?

Dorsal surface of tongue to remove coating and reduce malodor.

True or False. Wooden wedges are recommended for use only from the facial aspect.

True

What are some causes of gingival trauma?

Using too long a piece of floss between fingers when inserting between teeth

Snapping the floss in the contact area

Failing to wrap the floss around the tooth before moving it subgingivally between the tooth and the papilla

Failing to use a finger rest to prevent undue pressure and to provide control.

What are some common problems for misusing a toothpick holder?

Blunting of papilla and tissues from incorrect use

Splaying of wood ends may cause trauma

Possible damage of epithelial attachment if used incorrectly subgingivally

What is braided floss intended for?

Cleaning dental implants

What must a patient have before developing periodontitis?

A patient must have gingivitis before developing periodontitis.

What is the relationship between immune response and periodontitis?

Patients develop periodontitis according to their immune response to bacteria in their mouth.

What is the primary focus of Chapter 27 in Darby and Walsh's Dental Hygiene Theory and Practice?

The chapter focuses on antimicrobial agents for the control of periodontal disease.

What is the prerequisite condition for periodontitis?

Gingivitis is a prerequisite condition for periodontitis.

What is periodontitis?

Periodontitis is a serious gum infection that damages the soft tissue and can destroy the bone that supports your teeth.

What is the etiology of periodontal disease?

The etiology is an immune response to the presence of plaque biofilm.

What factors are involved in the initiation and progression of periodontal disease?

A susceptible host, a pathogenic agent, and environmental factors.

What role do dental hygienists play in controlling periodontal disease?

They provide preventative and therapeutic care.

What are adjunctive antimicrobial therapeutics used for in periodontal care?

They reduce the number of pathogenic organisms and alter the pathogenic potential of organisms.

What does 'product safety and efficacy' refer to in the context of periodontal treatments?

It evaluates whether a product does exactly what it claims, ensuring it is safe and effective.

What is the 'net benefit' in evaluating dental products?

It assesses the benefits of a product against its adverse effects.

What is the ADA Seal of Acceptance?

It is awarded to products with research data supporting their safety and efficacy.

What must chemotherapeutics do to be effective?

They must reach sites of disease activity, be delivered at bacteriostatic or bactericidal concentrations, and remain in place long enough to be effective.

What is the difference between bactericidal and bacteriostatic antimicrobials?

Bactericidal antimicrobials directly kill microbes, while bacteriostatic antimicrobials inhibit or prevent their growth.

What is systemic delivery of antimicrobials?

It involves ingesting an antimicrobial agent that is delivered via the bloodstream.

What is an example of a condition that may require systemic antibiotics?

Osteomyelitis.

What are local delivery methods of antimicrobials?

They involve placing antimicrobial agents directly in the oral cavity or specific locations.

What are some examples of local delivery methods?

Mouth rinses, dentifrices, controlled release delivery devices, and subgingival irrigation.

What characteristics define an ideal mouth rinse?

It should be bacteriostatic or bactericidal, stable at room temperature, have substantivity, and be safe.

What is Chlorhexidine Gluconate (CHX) known for?

It is the gold standard of therapeutic mouth rinses, requiring a prescription and being bactericidal.

What are the negative side effects of CHX?

Staining, taste alteration, and increased calculus formation.

What is the recommended use for CHX mouth rinse?

15 mL for 60 seconds twice daily, with specific waiting times for toothpaste.