Chapter 20- Oral Hygiene for the Periodontal Patient: Beyond the Basic
Oral hygiene self-care- also known as oral physiotherapy or oral home care, defined as physical therapy for the mouth or oral cavity
Patient Education provides the patient with the necessary information and skills for the prevention of dental caries and periodontal disease
Primary prevention- describes preventive measures taken to prevent disease from occuring
Secondary prevention- if PD is already present in an individual, the goal of treatment changes from preventing the occurrence of disease to preventing the disease from progressing further or preventing the recurrence of the disease after treatment
Mechanical Plaque control- involves the regular removal of oral biofilm from the teeth and adjacent oral tissues and the prevention of its accumulation
Toothbrushes
Manual toothbrushes
Power toothbrush
Interdental Care
Dental Floss
Dental Tape
Single-Tuft Brushes
Exposed furcations, root concavities and Type II and III gingival embrasures are best used with a single tuft brush
Rubber-Tip Stimulator
Wooden Toothpick
Dentifrices
Considered to be either cosmetic or therapeutic
Cosmetically, they function in cleaning and polishing teeth, removing extrinsic stain, and freshening the oral cavity
Therapeutic agents are used to reduce caries, reduce gingivitis, plaque and calculus
Dentifrice components
Reducing or eliminating tooth sensitivity: Potassium Nitrate, Strontium Chloride
Sodium pyrophosphate for calculus inhibition
Triclosan for plaque and gingivits control
Humectants (20-40%) are vehicle into which agents are incorporated to prevent hardening
Binder(1-2%) prevent the separation of the solids and liquids in the dentifrice
Flavorings include essential oils
Colorants (1%) are dyes added to the dentifrice to enhance its attractiveness without staining or discoloring teeth or oral tissues or causing harm on ingestion