Oral Hygiene Coaching Year 1

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Questions and Answers

What is the purpose of gathering new information during a patient assessment?

To determine financial constraints

To understand the presence and severity of disease (correct)

To assess previous diets

To identify the patient's occupation

Which method is NOT recommended when providing coaching for self-care?

Keeping the message simple

Asking the patient to demonstrate techniques

Giving too much information at once (correct)

Adjusting techniques as required

When evaluating changes in oral health, what should be compared to gauge improvement?

Patient's occupation

Type of dental insurance

New indices to previous findings (correct)

Financial costs of treatments

What aspect should be checked before concluding an oral health evaluation?

ID brush sizes which may have changed Signup and view all the answers

What should be identified in the current oral hygiene routine?

What needs correcting Signup and view all the answers

Which statement about manual and electric toothbrushes is true?

Both types are effective if used appropriately. Signup and view all the answers

What is an important step to enhance patient motivation during self-care coaching?

Building motivation and assessing readiness for change Signup and view all the answers

What role does patient perception play in their oral health needs?

It helps identify if it is a current priority. Signup and view all the answers

Which preventive measure should be selected during a self-care assessment?

Appropriate preventative measures Signup and view all the answers

During a follow-up, what should be discussed with the patient?

Treatment progression and next goals Signup and view all the answers

What is the correct way to floss around the contact points of teeth?

Wipe the floss up and down approximately 3 times. Signup and view all the answers

Which cleaning device is specifically designed for cleaning under bridges and around implants?

Superfloss Signup and view all the answers

What is the recommended frequency for using interdental brushes?

Daily Signup and view all the answers

When using a single tufted brush, which area is NOT typically addressed?

Between tightly spaced teeth Signup and view all the answers

What is a key consideration when sizing interdental brushes?

They need to fit snugly without causing trauma. Signup and view all the answers

What should a patient do after using an interdental brush to clean their teeth?

Rinse the brush before reusing. Signup and view all the answers

What is the primary aim of Oral Hygiene Coaching?

To enable patients to effectively remove plaque through self-care Signup and view all the answers

Where should the stiffened end of superfloss be pushed through?

From the buccal side. Signup and view all the answers

What should be done if gums bleed or feel sore after cleaning?

Reassure the patient that bleeding can occur. Signup and view all the answers

Which of the following is a key component of a Preventative Programme?

Providing coaching for self-care Signup and view all the answers

Why is the effective removal of dental biofilm crucial?

It helps prevent and manage dental caries and periodontal disease Signup and view all the answers

In which case is a single tufted brush especially beneficial?

Around implants and areas of recession. Signup and view all the answers

What is the first step in a Preventative Program?

Gather all relevant information Signup and view all the answers

What is one of the main uses of superfloss?

To clean around orthodontic appliances. Signup and view all the answers

Which approach is emphasized in the delivery of Oral Hygiene Coaching?

Behavior change approach Signup and view all the answers

What should be tailored to adapt to diverse patients' needs?

Techniques and oral hygiene advice Signup and view all the answers

What is one of the key tasks in delivering effective Oral Hygiene advice?

Demonstrating tooth brushing techniques Signup and view all the answers

What is the role of evaluating changes in oral health in a Preventative Program?

To determine the effectiveness of coaching and tailor future advice Signup and view all the answers

Which aspect is included in both formative and summative assessments in Oral Hygiene Coaching?

Demonstrations in activities Signup and view all the answers

What phase of prevention focuses on enabling patients to take proactive steps for their oral health?

Primary prevention Signup and view all the answers

What method should NOT be used to clean an orthodontic appliance?

Toothpaste Signup and view all the answers

What is a necessary step before brushing an orthodontic appliance?

Soaking with an appliance cleaning tablet Signup and view all the answers

Why is it important to clean the fitting surface of an appliance?

To remove bacteria and biofilm Signup and view all the answers

What is emphasized as necessary for effective oral health coaching?

Adaptation based on individual needs Signup and view all the answers

What is a potential risk of dropping an orthodontic appliance during cleaning?

It could break or get damaged Signup and view all the answers

What defines preventive dentistry?

Promoting and maintaining oral health through prevention Signup and view all the answers

In a preventive program for oral health, what is vital to consider?

Collaboration between patient and operator Signup and view all the answers

What should be the condition of the work area when cleaning an orthodontic appliance?

Over a basin of water or on a clean cloth Signup and view all the answers

What is the significance of adapting techniques in oral health care?

To ensure inclusivity and accessibility Signup and view all the answers

What is one common misconception about using toothpaste on orthodontic appliances?

It can cause scratches due to abrasiveness Signup and view all the answers

Study Notes

Oral Hygiene Coaching 1

This session is for Year 1 Clinical Skills and Practice students
Led by Julie Watson and Rhona Mann
At Eastman Dental Hospital, LSBU Education Centre

GDC Learning Outcomes

List of GDC learning outcomes are provided (1.1.1, 1.1.2, 1.1.4, 1.1.11, 1.2.1, 1.2.2, 1.2.3, 1.2.4, 1.5.3, 1.7.1, 1.7.3, 1.7.8, 1.9.1, 1.10.2, 1.10.3, 1.10.4, 1.10.5, 1.11.1, 1.11.2, 1.11.3, 1.11.4, 1.11.5, 3.2, 6.3, 10.1)

Intended Learning Outcomes

Explain why Oral Hygiene Coaching is needed
Explain the principles of a preventative programme
Demonstrate the delivery of appropriate Oral Hygiene advice, including tooth brushing and interdental cleaning techniques
Tailor techniques and advice to adapt to diverse patients' needs

Outline

Session 1: Overview of why oral hygiene coaching is crucial in their role, review available products, usage, and advice for patients.
Session 2: Practical session involving case studies to adapt approaches.

Assessment

Formative: Demonstrations in activities
Summative: Year 1 OSCE, Year 1, 2, and 3 clinical placements
Future career: Effectiveness as a dental hygienist and therapist.

Why?

Emphasizes the direct role of dental biofilm in dental caries and periodontal disease, increasing the risk of both.
Effective and regular removal of biofilm is critical for preventing these diseases.

Steps in a Preventative Program

Purpose: Enable patients to effectively remove plaque through self-care to prevent and reduce oral disease risk.
Steps:
- Gather all information (e.g., referral, previous treatment, patient perception, medical history, radiographic evidence)
- Gather new information (e.g., identify presence/severity of disease, and risk factors, baseline charting: BPE, 6PPC, BS%)
- Provide coaching for self-care (e.g., identify current routines, techniques, correct any issues, build motivation, assess readiness, select appropriate measures).
- Evaluate changes in oral health (e.g., patient feedback, assessing condition improvement, setting new goals, review dates and discussing treatment progression).

Tooth Brushing

Manual vs Electric brushes: Both effective with appropriate usage; adapt to patient's needs (Grender et al 2020).

Interdental Cleaning

Various tools like floss, interdental brushes, and super floss are discussed.

Flossing

Used interdentally, place subgingivally as possible. 1x daily with wrapped floss through the contact point and down between tooth and gums, and correct any issues noticed.

Superfloss

Single units, used under bridges, around implants, and orthodontic appliances. Push stiffened end through, typically from the buccal side when needed.

Interdental Brushes

Used interdentally, sizing, 1x daily use in all gaps, with correct placement and avoiding gum tissue trauma.

Single Tufted Brush

Very versatile, used around implants, distal teeth, and Orthodontic appliances, single standing teeth, inclined teeth, and with tooth recession, getting into pockets that are needed.

How not to floss

Demonstrates incorrect flossing technique

Other devices patients might use

Examples: tongue scrapers, water flossers

Removable Retainers & Appliances

Need to be kept clean to avoid bacterial and food buildup.

How To Do It:

Appliance cleaning methods (soft toothbrushes, denture brushes, and cleaning tablets)
Avoiding toothpaste for cleaning appliance, emphasizing care for soft tissues.

When to adapt advice?

The need to adapt methods for children, adjust for patients with additional needs (e.g., cognitive disorders or physical impairments), co-morbidities, and involvement of carers.

Summary

Importance of oral hygiene coaching.
Steps in a preventative program.
Demonstrating different cleaning methods and tools.
Adapting techniques to meet patients' specific needs.

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Description

This quiz covers the essential elements of Oral Hygiene Coaching for Year 1 Clinical Skills and Practice students. Participants will learn about the importance of oral hygiene, preventative strategies, and how to tailor advice for diverse patient needs. The sessions will include both theoretical and practical components to enhance the learning experience.