Dental Health Education - my toothy

Document Sample
Dental Health Education - my toothy Powered By Docstoc
					Dental Health Education

         Dr. Haider Alwaeli
Why DHE is deficient?!!

 u   No education

 u   Unclear message

 u   Improperly trained persons

     (Good knowledge is not good enough to
              make a good teacher)
Prevention of periodontal
diseases & caries depend on

      Behavior Change
Behavior Change

 u   Motivation

 u Factual   education

 u Practical   demonstration

 u Reinforcement

 u Provoking interest
 u Provoking enthusiasm
 u Interest & care by educator
 u Low level of anxiety in patients
 u Explaining importance of plaque control
 u Letting patient participate
 u Demonstrating disease
 u praise
Factual Education

 u   Understand by people

 u   Amount of education suitable for patient

     (Type & amount of education varies
     according to age, sex, race & cultural
        & socioeconomic background &
       Practical Demonstration
         (Tell – Show – Do)

u Always   demonstrate intraorally

u Disclosing,  brushing, interdental
  cleaning, cleaning of dentures &

u Do   not overload patient with information

 u Reinforcing new oral hygiene behavior
 u Regular visit tailored for each patient

 u Not always 3-6 months

 u Encourage patient
Preparing for DHE

 u Good background information (location, group
   & time)
 u Aims & objectives
 u Select teaching method
 u Prepare visual aids
 u Plan evaluation
 u Rehearse
 u Deliver
     Should we persevere with OHI?

  Knowing that periodontitis
 has a bacterial etiology that
in most cases is preventable

      Oral Hygiene Procedures

1.     Toothbrushing
           Manual brushes (MTB)
           Electic (powered) brushes (PTB)
           Dentifrices (toothpasts)
2.     Interdental cleaning devices
           Dental floss
           Interdental brushes (IDB)
3.     Oral irrigation
     –     Supragingival irrigation
     –     Subgingival irrigation
4.     Tongue cleaning
5.     Food & drinks
FAQ by Patients

 u Manual or powered tooth brushes?

 u What is the best toothbrush design?

 u How many times/day should I clean my
 u How should I brush my teeth (method)?

 u For how long should I clean my teeth?

 u Should I brush my teeth forcefully?

 u Should I use auxiliaries?
 Recommendation of using PTB

1. Access to areas that are hard to reach

2. Dexterity/physical ability to remove plaque manually

3. Rotating & oscillating brushes the ones to recommend
4. Not more likely to cause gingival trauma
5. Time poor
Frequency of Tooth Brushing
u Meticulous tooth brushing once a day is sufficient to
  maintain an oral health

u But it’s sometimes not possible for all patients

u That’s why it’s recommended to brush twice daily
Duration of Toothbrushing

                Dahl & Muhler 1955
                Pinkham 1975
Toothbrushing Methods
Toothbrushing Methods

 u   Charters: bristles on cervical crown
     obliquely pointing coronally, horizontal
     motion with rotations

 u   Bass: bristles in sulcus 45° pointing
     apically, horizontal back & forward motion

 u   Modified Bass: bristles in sulcus 45°
     pointing apically, horizontal motion with
     rotations to occlusal
Toothbrushing Methods

u   Leonard: bristles 90 ° to tooth surface, up & down

u   Stillman: bristles in gingival margin obliquely towards
    the apex. Vibratory movements without moving the

u   Modified Stillman: bristles in gingival margin
    obliquely towards the apex. Vibratory movements
    with rotations towards occlusal
             Bass Method

Place the toothbrush so that the     Start at the most distal
bristles are angled approximately    tooth in the arch and use
45° from the tooth surfaces, which   a vibrating, back-and-
could permit slight subgingival      forth motion
penetration of                       to brush
          Bass Method

The correct palatal      Adjusting the palatal
position on molars and   position of the
premolars is with the    toothbrush on incisors
bristle tips at the
gingival margin
             Modified Stillman Method

Requires placement of the sides of    This brush position on
the bristles against the teeth and    occlusal surfaces of the teeth
gingiva                               is
while moving the brush with short,    used with any technique,
back-and-forth strokes in a coronal   including the Bass, Stillman,
direction                             or Charters
            Charters Method
The Charters method
requires that
the bristles be pressed
against the sides of the teeth
and gingiva.
The brush is moved with
short circular or back-and-
forth strokes
Methods of Cleaning with
Powered Toothbrushes
Brushing & Force

 u Force applied to gingival tissues vary with
   type of brush used
 u PTB required less force to maintain/improve
   plaque control

 u   Using PTB, forces in excess of 150 g, didn’t
     significantly increase plaque removal (at 120
New vs. Old toothbrushes
Interproximal Cleaning
Interproximal Cleaning
Interproximal Cleaning

 u The use of inter-dental tooth brushes
   improved plaque removal & pocket
   depth & were more acceptable to
   patients than dental floss
Influence of Tooth Irregularities

  u Tilting, rotation, displacement &
    crowding had low but statistically
    significant correlation with plaque,
    calculus & gingival inflammation
Chlorhexidine (CHX)
Thank You ( find 11 faces)

Shared By: