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Delivered By Asst. Prof. Dr. Muhammad Nadeem B.D.

S (Karachi),DICSM (Sydney), MIPH (Sydney)

Oral Hygiene Maintenance

Definition
Oral hygiene is the practice of keeping the mouth clean and healthy by brushing and flossing to prevent tooth decay and gum disease.

A soft, thin film of food debris, mucin and dead epithelial cells deposited on the teeth, providing the growth of various bacteria. The main inorganic components are calcium and phosphorus with small amounts of magnesium, potassium and sodium, the organic matrix consists of polysaccharides, proteins, carbohydrates, lipids and other components.

Calculus or tartar refers to hardened plaque on the teeth, formed by the presence of saliva, debris, and minerals Its rough surface provides an ideal medium for bacterial growth, threatening the health of the gums and absorbing unaesthetic stains Calculus causes swelling, bleeding and weakening of gums, and can lead to gum recession. Calculus can even extend into pockets created between the tooth and gums

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Personal Oral Care consists of following methods * Tooth Brushing * Dental Flossing Professional Oral Care consists of following methods * Scaling And polishing * Root Planning ( Deep Scaling) * Periodontal Surgery
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There are many effective brushing techniques , best brushing techniques which sufficiently removes plaque , food remove in between teeth, makes all tooth surface clean. One effective, easy-to-remember technique involves using a circular or elliptical motion to brush a couple of teeth at a time, gradually covering the entire mouth.

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Ideal brushing time is 3 to 4 minute Toothbrush head should be small (1" by 1/2") for easy access It should have a long, wide handle for a firm grasp. It should have soft, nylon bristles with round ends. Some brushes are too abrasive and can wear down teeth. A soft, rounded bristles can clean teeth effectively.

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Press just firmly enough to reach the spaces between the teeth as well as the surface. Medium and hard bristles recommended. are not

The teeth should be brushed after every meal (which is by far the best protection) and at bedtime

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Flossing helps in minimizing the interdental food removal and prevents plaque, calculus accumulation Types of flosses are waxed, unwaxed, flat, round, ribbon, textured, spongy, flavored, fluoridated,

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Antiseptic and anti-plaque mouth rinse claims to kill the germs that cause plaque, gingivitis, and bad breath. Anti-cavity mouth rinse uses fluoride to protect against tooth decay Mouthwash does not eliminate the need for both brushing and flossing it is better to use rinses after flossing and brushing, not before

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20 ml of mouthwash two times a day after brushing Gargled for about half a minute and then spat out.

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Active ingredients in commercial brands of mouthwash may include Thymol, eucalyptol, methyl salicylate menthol, chlorhexidine gluconate, Benzalkonium chloride triclosan hexetidine, delmopinol cetylpyridinium chloride, hydrogen peroxide and sometimes fluoride, enzymes and calcium.

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Ingredients also include water, sweeteners such as sorbitol and sodium saccharine, and a significant amount of alcohol (around 20%). Many newer brands are alcohol-free A salt mouthwash is a home treatment for mouth infections and/or injuries, or post extraction, and is made by dissolving a teaspoon of salt in a cup of warm water. Plain (dilute) hydrogen peroxide is another common mouthwash.

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Manual Scaling and Polishing

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