1. Applying topical fluoride gel or foam (efda): Selecting the tray
1) Select a disposable tray that is of the appropriate size for the patient's mouth. The tray must be long and sufficiently deep to cover all erupted teeth completely without extending beyond the distal surface of the most posteri...
NJXDG EXAM 2023 STUDY GUIDE WITH COMPLETE
SOLUTION
.Applying topical fluoride gel or foam (efda): Selecting the tray
1)Select a disposable tray that is of the appropriate size for the patient's mouth. The tray must be long and sufficiently deep to cover all erupted teeth completely without extending beyond the distal surface of the most posterior tooth. Trays are available in sizes to fit primary, mixed, and adult dentition. If the patient's mouth can accommodate it, you may use a double-arch tray. This saves time by treating both arches at the same time. Remember, trays are discarded
after a single use & if you try a tray in the mouth but do not use it that
tray must be discarded.
Preparing the teeth
2)Check to see whether calculus is present; if it is not, no preparation is required. Fluoride diffuses easily through the acquired pellicle and bacterial plaque.
3)If calculus is present, request that the dentist or dental hygienist remove it. The presence of plaque will not affect the uptake of fluoride.
Applying the topical fluoride
4)Seat the patient in an upright position and explain the procedure. Having the pt upright prevents gel from going into the throat.
5)Instruct the pt not to swallow the fluoride.
6)Select the appropriate tray, and load it with a minimal amount of fluoride, following guidelines according to the patient's age.
7)Dry the teeth using air from the air water syringe. For fluoride to be
maximally effective, the teeth must be dry when the fluoride is applied.
8)Insert the tray, and place cotton rolls between the arches. Ask the patient to bite up and down gently on the cotton rolls, to squeeze the fluoride over all tooth surfaces.
9)promptly place the saliva ejector, and tilt the patient's head forward.
10)Set the timer for the appropriate amount of time in accordance with the manufacturer's instructions. During this time, do not leave the
patient unattended.
11)On completion, remove the tray, but do not allow the pt to rinse or swallow. Promptly use the saliva ejector or the high-volume oral evaluator tip to close the lips tightly around the saliva ejector. Removing excess saliva and fluoride solution will make the pt more NJXDG EXAM 2023 STUDY GUIDE WITH COMPLETE
SOLUTION
comfortable and less likely to rinse with water.
12)Instruct and the pt not to rinse, eat, drink, or brush the teeth for at least 30 minutes. These activities could disturb the action of the fluoride.
Documentation
-date NJXDG EXAM 2023 STUDY GUIDE WITH COMPLETE
SOLUTION
-"applied APF fluoride get. Instructed pt not to eat for 30 min.)
-operator
2.Applying fluoride varnish (EFDA): 1) Obtain informed consent from the pt, or parent/legal guardian in the case of a minor patient. Informed consent is a legal requirement for the provision of any dental
treatment.
2)Gather supplies and single-unit dose for application. Once you begin
the proce- dure, you will not be able to stop in your the middle to get something you forgot.
3)Recline the pt to an ergonomically correct position for better access to the oral cavity & be in a comfortable position.
4)Wipe the teeth to be varnished with the gauze or cotton roll &
insert the saliva ejector. The varnish is not moisture sensitive and can
be applied in the presence of saliva, the saliva ejector is for pt
comfort only.
5)Using a cotton tip applicator, brush or syringe applicator, apply 0.3
to 0.5 ml of varnish (unit dose) to clinical crown of teeth; application
time is 1-3 minutes. Refer to manufacturer's instructions for specific
application time.
6)Dental floss may be used to draw the varnish inter-proximally.
7)allow pt to rinse after the procedure has been completed to remove
any residual taste.
8)Remind the pt to avoid eating hard foods, drinking hot or alcoholic
beverages, brushing, and flossing for at least 4-6 hours, or preferably
until the next day after the application. Drink through a straw for the
first few hours after application.
Documentation
-date
-"applied 0.3 ml of 5% sodium fluoride varnish (insert brand name) on
facial and lingual surfaces of teeth #s 6-14, and 19-30.
-operator
3.Assisting patient with dental floss (EFDA): Preparing the floss
1)Cut a piece of floss about 18 inches long. Wrap the excess floss around the middle or index fingers of both of your hands, leaving 2-3 inches of working space exposed.
2)Stretch the floss tightly between your fingers, and use your thumb
and index finger to guide the floss into place.
3)Hold the floss tightly between the thumb and forefinger of each NJXDG EXAM 2023 STUDY GUIDE WITH COMPLETE
SOLUTION
hand. These fingers control the floss and they should be no farther away than 1/2 inch apart.
Flossing the teeth
4)Pass the floss gently between the patient's teeth, using a sawing
motion. Guide the floss to the gumline. Do not force or snap the floss
past the contact area. The
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