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DENTAL HYGIENE EDUCATION

NC STUDENTS DENTAL HYGIENE PROGRAM 2014
by

cesar hernandez

on 3 June 2015

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Transcript of DENTAL HYGIENE EDUCATION

What Do They Wear for Surgery?
When working you must wear many protective items such as safety shoes, glasses, gloves, hearing protection, a hard hat or personal flotation devices. You must also wear scrubs when you are performing surgery.
Did You Know?
An Oral Surgeon's salary is calculated by the US Government Bureau of Labor Statistics.

An Oral Surgeon works an average of 40 hours per week. Which is 2080 per year.

The top 5 states to earn an Oral Surgeon's salary are Washington, South Dakota, Maine, Kentucky and Kansas.
Tumor in the Mouth
Dental Hygiene Education
By: Brittany, Chrysanthe, Gina and Sophia

QUESTIONS?
A Dental Hygienist...
Personal Qualities
Plaque Facts
Gingivitis
Treatment for Gingivitis
Periodontitis
Step 2: Flossing
Step 3: Usage of Fluoride products
Inflammation of the gums
Rarely causes pain
Gums can appear relatively normal, but will bleed when brushing
Primary cause is poor oral hygiene
Secondary causes:
Overhanging fillings, implants, ill fitting crowns, bridges, and dentures
Orthodontic appliances
Calculus
Hormone changes: pregnancy, puberty, menopause
Drug induced: Beta blockers(HBP), Phenytoin (epilepsy)
Mouth breathing
Symptoms: bleeding on brushing, halitosis, pain (rarely)
The inflammation and gradual destruction of the periodontium (supporting structures if the tooth)
Periodontal diseases arises from a complex interaction between microbial factors and a susceptible host
Often, but not always, a progression of chronic gingivitis which break down the periodontium
Microbial biofilms are common in the human body and in the environment.
Dental plaque has been identified as a biofilm
Biofilm affects host defense system and antimicrobials
If not removed regularly, the biofilm undergoes maturation, and can lead to dental caries gingivitis, and periodontitis
Dental biofilm, especially subgingival plaque in patients with periodontitis, has been associated with various systemic diseases and disorders
Although dental biofilm cannot be eliminated, it can be reduced and controlled through daily oral care.
Antimocrobial mouthrinses help to control biofilm not reached by brushing and flossing alone.
Oral hygiene instruction, encouragement and motivation
Removal of plaque
Chlorhexidine mouthwash
Regular monitoring, including professional scaling, polishing and oral hygiene education
Using Fluoride products benefit you because it helps to strengthen your teeth, prevent enamel erosion, and tooth decay (specially in children)
Usage of toothpaste or mouth rinse with Fluoride in it
Professional application of fluoride blocks the enzyme systems of plaque bacteria, inhibiting their ability to turn sugars into acids
Protection of exposed roots for people with periodontitis and reduction on sensitivity

But how?
MAINTENANCE!

Maintaining good oral hygiene is essential for overall health. Good oral care will benefit you in many ways such as preventing formation of plaque and calculus, prevention of gingivitis, caries, periodontal disease, and halitosis
Excessive dryness of the mouth caused by insufficient oral secretions
Reduced saliva flow upsets the balance in the mouth and contributes to dental diseases

Xerostomia
Plaque is found in occlusal pits and fissures, cervical margins of the teeth, and in periodontal pockets
Saliva plays a large part in the formation of plaque
A few hours after brushing, the salivary coat is colonized by millions of microorganisms
In a healthy mouth, the "good" bacteria kill the "bad" bacteria, however the presence of illness or antibiotics alter the balance of flora in the mouth
When teeth are not cleaned properly, the "bad" bacteria can also get the upper hand

Step 1: Brushing

Plays an important role in clients oral care
Educates the clients on optimal oral hygiene
Works with the dentist to treat clients
Examines overall health of oral cavity
Scales and root planes
Takes radiographs
Applies cavity-deterring agents
Performs oral cancer screen
Takes impressions
Dental Biofilm= Dental plaque

Treatment for periodontitis
Encourage and help to quit smoking
Regular maintenance and monitoring of:
Effective plaque removal
Use of interdental brushes
Use of CHX
Scaling, debridement, and chemical chx
Antibiotics (systemic or local)
Surgery (removal of pockets and re-countouring of the gingiva
Treatment for Xerostomia
Advise sensodyne Pronamel
Biotene products
Diet high in fruit and vegetables stimulates flow
Reduce intake of sugary snacks
Chewing sugar-free gum (xylitol)
Oral disease prevention
Brushing daily will disturb the plaque that is seated on your teeth.
If I can do it you can too
use toothpaste
45 degrees
Circle motions
Systematic method
Watch demo
Cut a piece of floss the length of your fingers to your elbow
Wrap floss loosely around middle fingers
Guide floss with thumb and index fingers between the teeth
Adapt floss in a "C" shape around tooth to avoid cutting or traumatizing tissues
More than 75 percent of Americans over 35 have some form of gum disease. In its earliest stage, your gums might swell and bleed easily. At its worst, you might lose your teeth. The bottom line? If you want to keep your teeth, you must take care of your gums.
Hygienists and nurses share common qualities:
- Professional
- Creative thinkers
- Advocates
- Coordinator
- Health promoter
Cleaning:
Use denture brush
Apply same pressure as on own teeth
Remove dentures nightly

It is important to:
Ensure dentures fit client appropriately
Check for abnormal tissues in area of denture

Denture Care
What to Look for...
Denture Stomatitis
Epulis Fissuratum
Secondary factors:
Poor oral hygiene
Smoking
Plaque retention factors
Crowding- malocclusion
Carious cavities
High fraena insertion
Medically compromise clients (Diabetes, Kidney dialysis, or any inmmunological disorder)
Reasons:
Age (Saliva production and flow diminish with age)
hormonal level changes (females)
Prescription drugs for: allergies, asthma, depression, diabetes, epilepsy, HBP, inflammatory conditions, infertility, nausea, Parkinson's disease, rheumatoid arthritis among others (400)
Anxiety
Acute illness
Mouth breathing
Sjogren's syndrome
Radiotheraphy for cancer
Step 4: More mechanical Oral Aids
Using hand held floss may not always be the ideal form of interdental plaque removal for everyone
Some clients may have poor dexterity and therefore require the use of alternative oral aids
Step 4: Adjunctive Oral Aids
Proxibrush:
Used for plaque removal in large embrasure spaces as well as along gingival margins
Stimudents:
Used for plaque removal in large embrasure spaces as well as along gingival margins
Floss Picks:
Used for interdental plaque removal in clients with little to no embrasure spaces
Ideal for clients who struggle with effectively using the C-shape method
Sulca-brush:
Used for gentle plaque removal along gingival margins
Soft-picks:
Used for plaque removal in clients with open contacts and embrasure spaces
References

Wilkins, E. M. (2013). Clinical practice of the dental hygienist. (11th ed.). Philadelphia. PA: Lippincott Williams & Wilkins.

Darby, M. L., & Walsh, M. M. (2010). Dental hygiene theory and practice. (3rd ed.). St Louis, Missouri: Saunders Elseiver.

Forrest, J. L., Miller, S. A., Overman, P. R., & Newman, M. G. (2009). Evidence-based decision making a translational guide for dental professionals. (1st ed.). Philadelphia. PA: Lippincott Williams & Wilkins.

Felton, A., Chapman, A., & Felton, S. (2009). Basic guide to oral health education and promotion. (1st ed.). Oxford, United Kingdom: Wiley- Blackwell
Dental Caries
Risk Assessment:
Diet
Tooth anatomy
Oral care routine
Exposure during childhood
Socioeconomic status
Disability
Dental Caries
Cause:
Bacteria in the mouth ingest the food found on the teeth, especially sugar and starch, and produce acid
The acid, food, and saliva combine to form a sticky substance, plaque
Plaque forms on the teeth after only 20 minutes if it is not removed
Treatment:
Fillings
Crowns
Root canals
Full transcript