Prevention

• What is the age of the patient discussed?

  14 years old
• What dental issue is present on the patient's molars?

  Occasional caries
• What is the BPE score of the patient?

  2s
• What should be assessed regarding the patient?

  Cooperation, motivation, and education
• What are the four pillars of prevention in dental care?

  • Oral hygiene instruction (OHI)
  • Diet management
  • Topical fluoride application
  • Fissure sealants
• What is the patient's risk level for caries and gingivitis?

  High risk
• What is the modified Bass technique for brushing teeth?

  • Tell-show-do method
  • Brush systematically
  • Small circular motions
  • Angle brush at 45 degrees to gumline
• What is the purpose of an electric toothbrush (ETB)?

  Bluetooth, timer, pressure sensor
• What is the advantage of a manual toothbrush (MTB)?

  Cheaper and available
• How much fluoride toothpaste should be used for brushing?

  Pea-sized amount
• What is the fluoride concentration in the recommended toothpaste?

  1350-1500 ppm
• What toothpaste should be considered for high caries risk patients?

  2800 ppm Duraphat toothpaste
• How often should fluoride toothpaste be used?

  2 minutes, twice daily
• When should the second brushing occur during the day?

  At night and one other time
• What should be done after brushing teeth?

  Spit, don’t rinse
• What should be used for cleaning interdentally?

  Tepes or floss daily
• When should fluoride mouthwash be used?

  At a different time than brushing
• What is the concentration of fluoride in the mouthwash?

  1000 ppm Fluoriguard
• How long should one wait after brushing to eat or drink?

  30 minutes
• What should be done after consuming high sugar snacks?

  Rinse mouth to neutralize pH
• What is the maximum sugar intake frequency recommended?

  No more than 4 times daily
• Why should carbonated drinks be avoided?

  They cause enamel demineralization
• What should be the sugar content of daily intake?

  Should not exceed 5%
• What are the types of sugars to educate patients about?

  • Free sugars
  • Added sugars
  • Hidden sugars
• How often should topical fluoride be applied?

  Every 4 months
• How should topical fluoride be applied?

  Dry tooth and apply, no food/drink for 30 mins
• What are fissure sealants used for?

  • Protect against decay
  • Applied to pits/fissures
  • Indicated for high caries risk
• When are fissure sealants indicated according to SDCEP?

  When caries in one permanent molar
• What is the purpose of PMPR?

  To remove sub and supra calculus
• What advice should be given regarding smoking and drinking?

  Provide smoking/drinking advice
• How often should the patient be monitored or recalled?

  Every 3 months
• What factors should be considered in the patient's dental care plan?

  Cooperation, motivation, education, and risk factors
• What type of history should be taken from the patient?

  Medical, social, family, and dental history
• What is the purpose of completing a caries risk analysis?

  To identify areas that increase caries risk
• How can a 24-hour diet recall help in preventive oral care?

  It identifies dietary habits affecting oral health
• What dietary changes can be recommended to a patient with a sugary diet?

  Reduce sugar intake frequency and replace sugary drinks
• What should be recorded as baseline records for the patient?

  Plaque and bleeding indices
• What technique should be demonstrated to the patient for brushing teeth?

  Modified Bass brushing technique
• What angle should the toothbrush be held at during brushing?

  45 degrees
• What does the oscillating motion of an electric toothbrush allow?

  Head can be held on teeth to clean