Theory II

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Theory II
2011-02-02 02:33:44
Chapter twenty seven

week three
Show Answers:

  1. What are 4 things that dentifrices can do to prevent or reduce; that aid in the selection of dentifrice?
    • dental caries (fluoride)
    • dentin hypersensitivity
    • inflammation
    • calculus formation
  2. What are 2 things about dentifrices that aid in personal preference of selection?
    • flavor
    • cleansing and refreshing
  3. When mechanical aids are not sufficient enough, what else can be used to supplement in maintaining optimum oral health?
    chemotherapeutic mouth rinse
  4. What type of rinse helps prevent caries for children and adults?
    fluoride (preventive)
  5. What type of rinse has active ingredients to reduce inflammation or prevent periodontal diseases and dental caries?
  6. What are 7 general functions of chemotherapeutic agents? (mouth rinses)
    • remineralization
    • antimicrobial
    • astringent
    • anodyne
    • buffering
    • deodorizing
    • oxygenating
  7. Remineralization function of mouth rinse
    restore mineral elements
  8. antimicrobial function of mouth rinse
    • bactericidal or bacteriostatic
    • biofilm control
    • reduce gingivitis
  9. astringent function of mouth rinse
    shrink tissues
  10. anodyne function of mouth rinse
    alleviate pain
  11. buffering function of mouth rinse
    reduce oral acidity
  12. deoderizing function of mouth rinse
    neutralize odor
  13. oxygenating function of mouth rinse
  14. What are 2 purposes/uses of mouth rinses in the dental clinic or office prior to treatment?
    • to reduce intraoral microorganisms
    • to reduce aerosol contamination during use of scalers
  15. What are 3 purposes/uses of mouth rinse during self care?
    • as a part of personal oral self-care for specific needs
    • as a part of malodor control
    • posttreatment therapy
  16. What type of fluoride in mouth rinse deposits fluoride on enamel or in a carious lesion as its mechanism of action?
  17. What type of fluoride in mouth rinses, deposits fluoride on enamel of carious lesion, and has a tin ion that interferes with cell metabolism for antimicrobial effect?
  18. What type of fluoride in mouth rinses, inhibits demineralization and enhances remineralization?
  19. What are 3 types of concentrations that fluorides are available in?
    • dentifrice
    • gel
    • rinse
  20. What are 3 general uses of fluoride?
    • prevent caries
    • reduce hypersensitivity
    • reduce gingivitis
  21. Which agent of mouth rinse is efficient in the reduction of biofilm or caries when used topically, and the stannous type leads to modest reduction in gingivitis?
  22. What are 2 considerations with fluoride?
    • stannous type may stain teeth
    • avoid swallowing
  23. What agent of mouth rinse has a cationic bisbiguanide with antibacterial activity that binds to hard and soft tissue?
    chlorhexidine (CHX)
  24. What agent of mouth rinse damages cytoplasm of cell membrane (bacterocidal); and binds to pellicle to prevent biofilm accumulation?
  25. What agent of mouth rinse is bacteriicidal and bacteriostatic depending on concentration, and when bacteriostatic interferes with the cell wall transport system?
  26. What agent of mouth rinse lasts 8-12 hours?
  27. What is the most effective therapeutic/preventive agent available for clinical use (RX 0.12% in US)
  28. What are 3 ways CHX comes in?
    • mouth rinse
    • varnish
    • controlled delivery
  29. What agent is typically used for a pre-procedural rinse, perio-debridement, dental caries, immunocompromised, post-surgery, and temporary use for poor OH?
  30. What agent is efficient in prevention and control of biofilm formation, reduces viability of existing biofilm, inhibits and reduces gingivitis, reduces mutans streptococci, and when used in varnish, reduces caries in children and those with xerostomia?
  31. true or false. CHX varnish is available in the US
    FALSE! It is NOT available here
  32. low tioxicity, staining of teeth in restoration areas, increase in supra calc formation, altered taste perception, minor soft tissue irritation with desquamation of oral mucosa, and can be inactivated by sodium lauryl sulfate if rinsing right after brushing are all considerations for what agent?
  33. How long must you wait after you brush to rinse with CHX?
    30 minutes
  34. What agent has a bisphenol and antimicrobial agent, and an antigingivitis agent?
  35. What type of agent is effective atainst gram-negative and gram-positive bacteria; and can cause baceriolysis by acting on microbial cyctoplasmic membranes, and has low toxicity?
  36. What agent has mouthrinses and dentrifices available in other countries, dentrificdes available in the US, and reduces gingivitis and biofilm accumulation?
  37. What agent is efficient in reducing biofilm and bleeding on probing?
  38. when this agent is combined with PVM/MA it increases substantivity and efficacy; and it is easily released from oral tissue binding sites such as tooth surface and soft tissue. What agent are those considerations for?
  39. What type of agent disrupts cell walls and inhibits bacterial enzymes, has poor substantivity, and decreases pathogenicity of biofilm?
    phenolic related essential oils
  40. a combination of thymo, eucalyptol, menthol, and methyl salicylate are available as brand and generic name products in what agent?
    phenolic relate essential oils
  41. What agent is used for pts with OH difficulty, helps improve OH, adjunct for home care, and as a pre-procedural mouth rinse?
    phenolic related essential oils
  42. What agent is efficient in reducing biofilm and gingivitis?
    phenolic related essential oils
  43. burning sensation, bitter taste, must follow manufacturer instructions for use, and has a high alcohol content so must not be used by alcoholics, are considerations for what agent?
    phenolic related essential oils
  44. What agent has cationic agents that bind to oral tissue, ruptures cell walls and alters cytoplasm, has a strong initial attachment, decreases bacterial attachment to pellicles, and has low substantivity?
    quaternary ammonium compounds
  45. The most commonly used of this type of agent is CPC (cetylpyridinium chloride) 0.05%-0.07%; it reduces biofilm and is an adjunct for self care. What type of agent?
    quaternary ammonium compounds
  46. What type of agent is efficient in reducing biofilm and has a limit reduction in gingivitis?
    quaternary ammonium compounds
  47. Considerations for what agent include; stains teeth, increases supragingival calc formation, andn has a burning sensation with occasional desquamation?
    quaternary ammonium compounds
  48. What type of agent has oxygen that acts to debride the area, alters bacterial cell membrane and has a lower substantivity?
    oxygenating agents
  49. What type of agent is available in 10% carbamide peroxide, and 1.5% hydrogen peroxide, and has a short term use for symptoms of pericornitis and NUG?
    oxygenating agents
  50. What agent is efficient in negligible antimicrobial effect and debriding agent?
    oxygenating agents
  51. prolonged use in 3% hydrogen peroxide may result in gingival irritation and delayed tissue healing is a consideration for what agent?
    oxygenating agents