Oral Health Care Patient Education, 2005

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Clean and healthy environment

Of the oral cavity to function under

normal physiological conditions.

Dental HygieneIntroduction



Oral Hygiene

• Reduces possible sources of infection and

maintains integrity of teeth and gums

• Promotes a better appetite

• Identifies the correct use of topical and oralmedications



Mouth Care

• Involves the teeth, gums, palate and tongue

• Patients should be encouraged to:

• Brush teeth, at least twice/day or after meals

• Soft toothbrush, replace every 1 – 2 months

• Use toothpaste that contains fluoride

• Floss after meals (be cautious with low platelet

counts)• Regularly use of mouthwash

• Moisturize and lubricate lips and mucosa as

needed



Oral Care

• Brush 2 times/day with fluoride toothpaste

• Floss daily – (gently but thoroughly)

• Home fluoride program as appropriate• Avoid excessive snacking

• Avoid tobacco products

• Avoid alcohol





Prosthesis Care

• Patients should be instructed to clean dentures and ceramiccrown bridges as thoroughly and as often as natural teeth, atleast twice/day.

• A denture brush or toothbrush should be used and allsurfaces brushed with toothpaste.

• Patient should check the mouth and gums after removing

dentures for signs of irritation, redness or swelling.

• Dentures should be soaked (use 1.5 % H2O2) for severalminutes or overnight.



Nutritional Status

• Promote healing with a diet high in protein andcalories.

• The patient should eat multiple small amounts

each day.• Supplement meals with vitamins and minerals

• Avoid foods that are coarse, rough, acidic orspicy.

• Eat warm foods rather than hot.

• Cold or frozen foods such as pops, ice cream,and frozen yogurt are soothing and refreshing.



Proper Technique for Brushing

How do I brush my teeth? (Use a Soft to MediumBrush with an ADA recommendedtoothpaste)

• Place your toothbrush at a 45-degree angleagainst the gums.

• Move the brush back and forth gently in short(tooth-wide) strokes.

• Brush the outer tooth surfaces, the inner toothsurfaces, and the chewing surfaces of the teeth.

•Use the "toe" of the brush to clean the insidesurfaces of the front teeth, using a gentle up-and-down stroke.

• Brush your tongue to remove bacteria andfreshen your breath

• Patients should brush minimum 2x daily



Proper Technique for Flossing

How do I floss my teeth?• Break off about 18 inches of floss and wind most

of it around one of your middle fingers. Wind theremaining floss around the same finger of theopposite hand. This finger will take up the floss asit becomes dirty. Hold the floss tightly betweenyour thumbs and forefingers.

• Guide the floss between your teeth using a gentlerubbing motion. Never snap the floss into thegums.

• When the floss reaches the gum line, curve it intoa C shape against one tooth. Gently slide it intothe space between the gum and the tooth.

• Hold the floss tightly against the tooth. Gently rubthe side of the tooth, moving the floss away fromthe gum with up and down motions.

• Repeat this method on the rest of your teeth.

• Don't forget the back side of your last tooth.



Iportance of aBalanced Nutrition

• For people living with HIV, meals are a fundamental partof their care plan. Oral pain or discomfort, however, canlead to problems with eating; both reducing intake ofnutrients and impeding an important life activity.

•Because of the increased burden placed on the metabolismof HIV-positive people, caloric intake needs to be higher.

• What and when you eat affects the health of your teeth andrisk for tooth decay.

• Good nutrition also play a significant role on the body’simmune system which in turn helps in maintaining healthygums.

• Good Food habits are important in the development andcontrol of plaque.



NutritionalConsuption



Disad!antages of PoorOral Hygiene

Halitosis

GingivitisPeriodontitis



Halitosis "Bad Breath#

Bad breath can be the result of odor causing

bacteria and the following are contributors:

1) Particles of food that remain in the mouth

2) Dry mouth

3) Tobacco products

4) Sign of a medical disorder



$ingi!itis

• In gingivitis, the gums become red and swollen. They can

bleed easily. Most people can reverse this with daily

brushing and flossing and seeing their dentist regularly.

• Untreated gingivitis can lead to periodontitis.



Periodontitis

• At this stage, plaque spreads to the roots and infectionoccurs, damaging the supporting bone and fibers.

• Gums may separate from the teeth and start to recede.

•Pockets may form below the gumline trapping plaque andfood, and eventually causing teeth to shift or loosen. Whenthis happens, the teeth may have to be removed in order toprevent further damage.



Ten %arning Signs ofPeriodontal Disease

• 1) Do you have a bad taste in your mouth?

• 2) Do you have bad breath?

• 3) Do your gums look red or swollen?

• 4) Are your gums tender?

• 5) Do your gums bleed when you brush or floss?• 6) Are your teeth loose?

• 7) Are your teeth sensitive?

• 8) Do you have pain when you chew?

• 9) Do you see pus around your teeth and gums?

• 10)Do you have tartar formation-creamy, brown, hard masses on yourtooth surfaces?

ORA HYGIENE PROGRAMME



ORAL HYGIENE PROGRAMME

by No 4 Dental Unit

• Starting Dental Health Program at school / college level.

NO 4 DENTAL UNIT



• With proper homecare eg:brushing, flossing, abalance nutrition andregular cleanings/visits to

your Dentist/DentalHygienist, patients shouldsee a significant reductionin the accumulation ofplaque, tartar and caries.

This in turn will improveyour oral health andultimately produce ahealth smile.

Conclusion



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THANK YOUTHANK YOU

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Oral Health Care Patient Education, 2005