Brushing guidelines o After mealstwice daily for 2 minutes o Pea size amount of

Brushing guidelines o after mealstwice daily for 2

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Brushing guidelines o After meals/twice daily for 2 minutes o Pea-size amount of toothpaste o Brush at 45 degree angle o Brush upper tongue, cheeks, and teeth surfaces o Rinse mouth and spit out all water b. Dental floss and floss-like devices Preferred interdental plaque removal from proximal tooth surface o Polishes tooth, decreases gingival inflammation, and prevents periodontal disease and dental caries Selection: based on preference Floss is multifilament nylon yarn Improper use injuries gingival tissue and causes cervical wear Guidelines: o Use 18 inches of floss once daily o Technique Wrap around 1 finger of both hands with 1 inch between thumbs and forefingers Use gentle sawing motion to guide to gum line At gum line, curve floss in a C-shape against one tooth and slide floss into space Hold floss tightly against tooth; scrape up and down tooth Curve around adjoining tooth and repeat Use new floss section for each tooth surface Devices: o Floss threaders – needle-like device or think plastic loop Ideal for braces o Electric flossers – cleans interproximal debris o Floss holders – keep floss taut and quickly rethreads Ideal for poor dexterity or assist disable or hospitalized patients
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c. Oral irrigation devices Adjunct therapy to toothbrush and floss for good oral hygiene Higher-pressure water stream to remove plaque and loosen debris from tooth surface Contraindicated if predisposed to bacterial endocarditis d. Anti-plaque removing agents Fluoride o Reduces solubility of dental enamel and helps remineralize early carious lesions o Interferes with bacterial cariogenic process o 75% of US water sources contain fluoride At optimal level to prevent tooth decay o Not in bottled water o Benefits children to prevent dental carries and adults to help fewer decayed, missing, filled teeth or root caries Dentifrices Mouth rinses e. Topical fluoride Clears interproximal o Orthodontic appliances, poor salivary flow, root caries, or poor oral hygiene Usage guidelines o Use only once daily o Brush with fluoride dentifrice before fluoride o Rinse: measure dose and vigorously switch between teeth for 1 minute o Gel: brush on teeth and remain for 1 minute After 1 minute, spit out fluoride; don’t swallow Supervise < 12 years until able to use on own Consult dentist or PCP before use in children < 6 years Do not eat or drink for 30 minutes after use f. Mouth rinses Adjunct to brushing and flossing Dentifrice without abrasives Breath freshener Discourage use o Cause burning sensation and irritation Cosmetic rinses freshen breath and clean debris
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