Exam (elaborations)
CNIH DH 130 FINAL FOR HEALTH PROMO Lo 7
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CNIH DH 130 FINAL FOR HEALTH PROMO Lo 7
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CNIH DH 130 FINAL FOR HEALTH PROMOLo 7 – 13 with Complete Solutions
Biofilm - ANSWER-A complex , three dimentional arrangement of bacteria living
together as a self-sufficient, secure, self-sustaining community that is resistant to
conventional antibiotics and antimicrobial agents.
Dental plaque is a biofilm; therefore the term oral biofilm is used.
Define:
Biofilm - ANSWER-Biofilm is a complex, highly organized, three-dimentional communal
arrangement of microorganisms adhering to a surface where moisture and nutrients are
available.
Define:
Locus of control - ANSWER-Believing that you can control what happens to you
Define:
Motivation - ANSWER-Drive to do something
Define:
Self-efficacy - ANSWER-Believing in your ability to do something
Dentifrice: Adverse Health Effects? - ANSWER-Debate the possible adverse health
effects of dentifrices
-some ingredients in toothpaste can affect the overall health of those who suffer from
allergies or intolerances
-fluoride: fluorosis when ingested during tooth develpment
Explain dentifrice pH: - ANSWER-The pH of a dentifrice can be beneficial or detrimental
to dental structures by interfering with or supporting the remineralization process
The majority of dentifrices of dentifrices have a neutral pH
How can the clinician evaluate effectiveness of the educational process? - ANSWER--
OBSERVATION & QUESTIONING CLIENT DIRECTLY
(Are you brushing, flossing & rinsing?)
(observing hard & soft deposits with location and amount, the extent & distribution
generalized or localized, BOP, clients knowledge, skill, attitude, motivation, bad
breath...)
By using our assessment tools: light, compressed air, mouth mirror, periodontal
explorer, gauze and disclosing solution.
, How do we select a toothbrush? - ANSWER--Age should NOT determine size of
toothbrush or technique
-dexterity, size or mouth, motivation and needs should be what determines selection
-choose a DH dx that would suit each toothbrush technique
Ex: client had a stroke recently & lost use of dominant hand, cannot afford a powered
toothbrush
How does locus of control relate to dental hygiene? - ANSWER-Someone with internal
locus of control will be able to help in doing the necessary work at home to overcome
oral health.
Someone with external lotus of control will have difficulty following the necessary at
home regiment to obtain good oral health.
How to clean implants? - ANSWER-NEVER USE METAL as this will cause microspic
scratches for the bacteria to stick to
(-proxabrush has a metal wire so no good!)
ALWAYS USE PLASTIC instruments specifically designed for implants (sulcabrush with
low abrasion toothpaste & floss/oral irrigators)
How to determine client's learning requirements to change existing self-care practices? -
ANSWER--Questioning client about oral care practices (what do you do to clean your
teeth)
-Direct observation (show me...what is their knowledge)
-Documenting client's oral hygiene status and dental history (re-evaluate orselves &
client)
Is Xylitol good for you? - ANSWER-YES
-non caloric
-natural sugar substitute derived from birch trees that has been found to reduce the
stickiness of plaque preventing it from building up
-cannot be metabolized by cavity causing bacteria, thus preventing the buildup of acids
that normally occurs with sugars
-mostly used as an alternative to fluoride
Name all 4 stages of oral biofilm: - ANSWER-1. Initial adherence
2. Lag phase
3. Rapid growth bacterial colonization
4. Steady state and detachment (clinical signs of inflammation are evident everywhere)
Name non-powered interdental self-care devices: - ANSWER--floss (braided,
unbraided, waxed, unwaxed, tape)
-tufted dental floss (is bigger)
-floss holder (stick with a "Y" or "U" shape)
-floss threader (to go under a lingual wire)
-toothpick (toothpick holder)
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