Shared Flashcard Set

Details

preventive Dentistry
toothpaste and rinse
51
Dentistry
Undergraduate 3
12/11/2013

Additional Dentistry Flashcards

 


 

Cards

Term
what must a mouthrinse be to have ADA seal
Definition
therapuetic properties
Term
can mouthrinse be cosmetic only
Definition
yes
Term
why use pretreatment rinses
Definition

to reduce microbial load

 

reduce aerosols during handpiece use

 

rinse and refresh

Term
what are 2 recommended pretreat rinses
Definition

-chlorhexidine

 

-listerine

Term
when do you use a flouride rinse
Definition
after scaling, as part of caries prevention
Term
Home care rinsing is using water between meals and snacks, why is this ineffective
Definition
does not get subgingival flora
Term
what is irrigation
Definition

use of waterpick or other appliance that uses liquid under pressure

 

a pulsating stream is more effective than solid stream

Term
who might benefit from irrigation
Definition

restorative or ortho work

 

patients wired shut after surgury

 

removes free floating biofilm

 

only irrigates 3mm

 

reduces proinflammatory cytokines

Term
what is the angle you should use with irrigation
Definition

right angles not at JE

 

only for patients with good dexterity

Term
if someone is on premed do they irrigate 1st or medicate
Definition
medicate before irrigate
Term
what is the power in a dental professional irrigation system
Definition
80-90 psi
Term
what is a normal physiological salt solution
Definition

isontonic sodium chloride

1/2 teaspoon to 8 ounces of water

Term
how much sodium bicarbonate is used
Definition
1/2 teaspoon to 8 ounces
Term
what is the prime area of tongue that collects debris
Definition
dorsum
Term
what is the main ingredient in commercial mouth rinses
Definition

water

alcohol too 15-30% (it dries)

 

then flavor

color

sweetening agent non cariogenic

Term
what are oxygenating agents
Definition

cleansing agents

-effective in debridement

-antimicrobial as long as oxygen is released

 

Term
what are active ingredients in oxygenating agents
Definition

-hydrogen peroxide

-sodium perborate

-urea peroxide

-carbamine peroxide

Term
what can hydrogen peroxide cause
Definition

sponginess

black hairy tongue

sensitive roots

demineralization

Term
what do asstringents do
Definition

shrink tissues/cause demineralization

 

used during impressions

 

zinc chloride, zinc acetate, tannic acetic

 

 

Term
what do anodynes do
Definition

alleviate pain

phenol derivatives

Term
what do buffering agents do
Definition

reduce acidity

relieve sore soft tissue

active ingredients: sodium borate, sodium bicarbonate

Term
what does deodorizing agent do
Definition

nuetralize odors

decrease halitosis

 

ingredient: chlorophyl

Term
what do chemotheraputics do
Definition

decrease inflammation

 

reduce spread of oral pathogens

Term
what do antimicrobial agents do
Definition

reduce oral mo 

inhibit bacterial activity

 

active ingredients are Chlorhexidine, iodine, flouride, phenol, listerine

Term
what does stannous flouride do
Definition
stains and interferes with metabolism of biofilm
Term
what does sodium flouride do
Definition

deposits flouride

cariostatic inhibits demineralization and enhances remineralization

Term
what is the most effective anti plaque and anti gingivitis chemotheraputic agent available
Definition
chlorhexidine
Term
should you use chlorhexidine long term
Definition
no short term
Term
what is the function of chlorhexidine
Definition

bactericidal (cell wall) gram + and gram -

 

substantivity-adsorbed to teeth and pellicle and released slowly

 

used preprocedurally

inhibits gingivitis

decrease plaque

disinfectant

nug/anug

suppresses S. mutans

Term
what is a recommended dose of chlorhexidine
Definition
15ml for 30 seconds 2x/day
Term
what inactivates chlorhexidine
Definition
sodium laurel sulfate
Term
if a patient uses both chlorhexidine and sodium laurel sulfate how should they use these products together
Definition
time them 30 min apart
Term
what are side effects of chlorhexidine
Definition

-temporary loss of taste

-bitter taste

-burning mucusa

-dry or soreness of mucosa

-epithelial desquamation

-discoloration of teeth, tongue, restorations

-increase calculus

 

Term
what are phenolic related essential oils? what do they do
Definition

-thymol

-eucalyptol

-menthol

-methylsaclicylate

-listerine

 

all get ADA seal

-disrupts the bacterial cell wall and inhibits bacterial enzyme production

Term
how much alcohol does listerine contain
Definition
26.9%
Term
what is tetracycline
Definition

bacteriostatic

 

can be used as irrigant

 

periostat, arestin

Term
what are quaternary ammonium compounds
Definition

ex) cetylpyridinium chloride

 

not as effective as chlorhexidine

 

ruptures cell walls and alters cytoplasm of bacteria

Term
sanguinarine
Definition

viadent toothpast and mouthwash

 

alkaloid extract fro bloodroot plant 

 

no benefits if used alone, but with used together decreases plaque and gingivitis

Term
what are the contents in dentrifices
Definition

detergent

cleaning/polishing (abrasive)

humectant

binder

flavor

water

theraputic agent

preservative, sweetener, color

Term

1-2%foaming agents

low surface tension

loosens debris

must be nontoxic, nuetral 

 

sodium laural sulfate, sodium n laural sarcosinate

Definition
detergent
Term
cleaning/polishing/abrasives
Definition

20-40%

no damage to tooth

calcium carbonate, silica

Term
what do binders do
Definition

prevent separation

 

stable nontoxic

 

alginates organic colloids

Term
humectants
Definition

20-40%

retain moisture and prevent hardening

stable nontoxic

 

glycerin, sorbitol

Term

less than 1% 

prevents bacterial growth, 

prolongs shelf life

compatible with other ingredients

 

alcohols, benzoates, formaldehyde

Definition
preservatives
Term
what are some factors that affect abrasives
Definition

stiff toothbrush

force or pressure while brushing

concentration of dentrifice

exposure of cementum/dentin

Term
what are the benefits of whitening
Definition

mild abrasives

removes surface stain

Term
what is an abrasive that can be used for whitening
Definition
sodium bicarbonate (baking soda)
Term
what is triclosan
Definition

antimicrobial in colgate toothpaste

used in soaps and anitperspirants

can cause sensitivity and sloughing

Term
what is used for desensitizing
Definition

flourides

 

potassium nitrate

Term
what is keyes technique
Definition

baking soda and hydrogen perixide as dentrifice and salt solution irrigation

 

phase microscope and tetracyline used

Term
what are theraputic actions that earn ADA seal
Definition

caries prevention

sensitivity reduction

calculus reduction

biofilm formation reduction

gingivitis reduction

tooth whitening

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