Why Is It Better To Start Instructions Prior To Rather Than After Oral Prophylaxis

Submitted By mariekeo
Words: 1156
Pages: 5
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Den 102 Final Test
1. Personal History, health history, dental history, oral inspection, gingival evaluation, probing chart/bleeding points, restorative exam/dental chart, patient classifications, disease risk factors, CAMBRA, conversation with the patient, PHP scores, radiographs
2. Five Principles of Instruction
a. Present small amounts of info at one time
b. Supervise the pt. practice/get them involved (VIP) anterior/posteriors
c. Let the pt. set his/her own pace
d. Use positive reinforcement
e. Provide other feedback (direct/honest)
Be considerate, tactful, and enthusiastic (no authoritarian, scolding, preaching, etc.) make adjustments as necessary
3. Teaching Aids- most important criteria to evaluate is = CONTENT, scientifically sound/evidence based info-used during pt. ed, take home, displayed in office, other criteria, simplicity, level of pt., cost and durability
4. Most important guideline to follow when teaching home care instructions is to adapt them to =individual needs.
5. Why is it better to start instructions prior to rather than after oral prophylaxis? =
a. Might not have enough time afterwards
b. Show pt. how important/priority it is
c. Gingiva may be sensitive at end of appt. after scaling
d. Pt. is tired at end of appt.
e. Much debris/plaque would be removed via scaling/polishing
f. Clots from scaling would be disturbed
6. Plaque control can be considered effective only if the pt. does what? = recognizes idea/concept
7. What is the ultimate purpose of pt. Ed? =To change behavior to prevent/control disease
8. Important aspects of verbal and nonverbal communication? =VERBAL-clarity, organization, tone, and volume. NONVERBAL-facial expressions, gestures/postures, eye contact, touch/proximity
9. Cosmetic VS Therapeutics:
a. Cosmetic-cleaning, polishing/breath freshening effects
b. Therapeutics-decreases incidence of disease via a biologically active substance delivered to hard and/or soft tissue
c. ALL therapeutics dentifrices are also cosmetic but not all cosmetic dentifrices are therapeutic
10. Basic components of dentifrices and mouth rinses know what the purpose of each is and relative percentages.
Detergents
1-2%
Surfactant to decrease tension (loosen surface deposits)
Abrasive System
20-40%
Cleaning and polishing agent: goal is max clean w/min. abrasivity
Binders
1-2%
Thickeners stabilize the formulation-prevent separation
Humectants
20-40%
Retain moisture/prevent hardening
Flavoring
1-1.5% sweeteners Preservatives

Alcohols, benzoates, phenols
Other
2-3%
Coloring agents, titanium dioxide-keeps gels/paste opaque not clear, mica-sparkles
Therapeutic substance
Up to 2%
Decrease incidence of disease (active components) fluoride(anticaries) desensitizing agents, chemical agents-pyrophosphates-inhibits calculus
Water
20-40%

11. Know factors RDH need to consider when recommending a dentifrice to a pt. and be able to discuss them:
Caries Control
Fluoride, stannous fluoride SnF kills bacteria
Abrasiveness
Hardness size shape of particles
Desensitization
How teeth become hypersensitive: recession of abrasion, thin enamel, frequent ingestion of acidic foods, coffee, soda, acid reflux/vomiting habits-brux grinding, bleaching: Dentifrices: Colgate MFP-sodium monofluoriphospate, sensodyne-strontium chloride
Acceptance by the ADA Council on Dental Therapeutic CDT for Safety and Effectiveness
Function, gather, & disseminate recent reliable info to help dental professional accepted, provisionally accepted, unaccepted
Cleaning-plaque removing ability/antigingivitis
Mechanical: check-up &dentaguard all dentifrice have mechanical if they contain abrasives. Chemical: inhibit plaque formation kill bacteria enzymes, disinfectant
Calculus Control-supragingival not subgingival
Soluble pyrophosphate-tartar control side effect-sloughing of buccal mucosa, irritation of gingiva/ burn soft tissue, mucocile
Whitening dentifrice
H2O2 carbonide peroxide side
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