Chapter 15 Preventive Dentistry

EDDA program
Goal of preventive dentistry
Help people of all ages attain optimal oral health throughout their lives
Two most common dental disease
Dental caries and periodontal disease
Must be formed between the patient and the dental healthcare team to prevent dental disease
1st step to help patient
help patients understand what causes dental disease and how to prevent it
2nd step to help patient
is to motivate the patient to change their behaviors and become partners in recognizing and preventing dental disease in themselves and their families
Preventive dentistry program includes:
Patient education, use of fluorides, application of dental sealants, proper nutrition, plaque control program
Disclosing agent
coloring agent that makes plaque visible when applied to teeth
Dental sealant
plastic-like coating that covers the occlusal pits and fissures of teeth
Artificial tooth that replaces a missing natural tooth
Systemic fluoride
Fluoride that is ingested and then circulated throughout the body. Excretes excess fluoride through skin, kidneys, and feces.
Topical fluoride
Fluoride that is applied directly to the tooth
Early childhood caries
Also know as "baby bottle tooth decay"
Since 1950's Fluoride
has been the primary weapon used to combat dental caries
"natures cavity fighter" is a mineral that occurs naturally in food and water
3 ways of fluoride therapy
1. prescription-strength fluorides that are applied in the dental office
2. nonprescription-strength, over the counter products for home use
3. consumption of fluoridated bottled water or community water
chronic over-exposure to fluoride, even at low concentration in children younger that 6 years with developing teeth
Fluoride needs assessment
1.saves time by identifying risk factors communication between the dental professional and the patient
3. helps individualize patient fluoride therapies
4. allows the dentist to more accurately select the appropriate fluoride therapy
Dietary analysis
is performed to determine whether the patient's current food intake is affecting his or her dental health. It maintains patient's food diary eaten each day for 1 week
Dental floss
is circular in shape
Dental tape
is flat
when to floss
floss should be used before tooth brushing
End-Tuft Brushes
interdental brushes, made from nylon filaments formed into a narrow cone shape. useful for cleaning areas that are diffult to reach with a regular tooth brush
Bridge threaders
used to pass dental floss under the pontic(false tooth) of a fixed bridge
Automatic flosses
designed for patients who have difficulty manipulating dental floss. have one use, replaceable, thin rubber filament tips. Tip is inserted into the interproximal space.
handle with holes in the end designed to hold toothpicks. Especially useful in interproximal areas of gingival recession or after periodontal surgery.
nonabrasive cleanser such as commercial denture cleanser, a mild soap, dish washing liquid, or a mild tooth paste should be used on the brush
*should be brushed with with short strokes
(dentifrice) contains ingredients designed to remove food residue and includes abrasives to remove stain
Oral irrigation device
deliver a pulsating stream of water or chemical agent through a nozzle to the teeth and gingivae. helps to reduce bacterial levels in subgingival and interproximal areas
Tartar control toothpaste
may be useful for those individuals who accumulate excessive calculus between refular cleaning appointments
Modified Stillman's toothbrushing method
good coronal and interproximal cleaning, limited sulcural cleaning. The most frequently recommended.
Charters toothbrushing method
useful around orthodontic bands, fixed prostheses