Podcast
Questions and Answers
What technique should be avoided when using dental floss?
What technique should be avoided when using dental floss?
Interdental brushes should fit snugly without causing what?
Interdental brushes should fit snugly without causing what?
Which method involves placing dental floss in a C shape around the tooth?
Which method involves placing dental floss in a C shape around the tooth?
When should interdental cleaning ideally be performed?
When should interdental cleaning ideally be performed?
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What is a common misconception about using toothbrushes for plaque removal?
What is a common misconception about using toothbrushes for plaque removal?
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How should patients be instructed to demonstrate their flossing technique?
How should patients be instructed to demonstrate their flossing technique?
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What should be the approach when a patient experiences bleeding while using interdental cleaning tools?
What should be the approach when a patient experiences bleeding while using interdental cleaning tools?
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What is the primary focus of Oral Hygiene Coaching according to the intended learning outcomes?
What is the primary focus of Oral Hygiene Coaching according to the intended learning outcomes?
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Why is effective removal of dental biofilm considered crucial?
Why is effective removal of dental biofilm considered crucial?
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Which of the following is NOT one of the intended learning outcomes for the session?
Which of the following is NOT one of the intended learning outcomes for the session?
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What aspect of patient interaction is emphasized in the Oral Hygiene Coaching sessions?
What aspect of patient interaction is emphasized in the Oral Hygiene Coaching sessions?
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What is the significance of regular oral hygiene advice delivery?
What is the significance of regular oral hygiene advice delivery?
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In the context of the provided content, what role does demonstration play in Oral Hygiene Coaching?
In the context of the provided content, what role does demonstration play in Oral Hygiene Coaching?
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What can effective Oral Hygiene Coaching lead to in a student's future career as a dental hygienist?
What can effective Oral Hygiene Coaching lead to in a student's future career as a dental hygienist?
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Which method is NOT typically covered under Oral Hygiene Coaching?
Which method is NOT typically covered under Oral Hygiene Coaching?
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What is the first step in providing self-care coaching?
What is the first step in providing self-care coaching?
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What is a key consideration when coaching patients?
What is a key consideration when coaching patients?
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What should be adjusted based on the patient's feedback during coaching?
What should be adjusted based on the patient's feedback during coaching?
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Which of the following is NOT recommended for evaluating oral health changes?
Which of the following is NOT recommended for evaluating oral health changes?
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When demonstrating manual tooth brushing, which technique is advised?
When demonstrating manual tooth brushing, which technique is advised?
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What angle should the toothbrush be held at when brushing according to best practices?
What angle should the toothbrush be held at when brushing according to best practices?
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Which type of toothbrush is specifically NOT recommended?
Which type of toothbrush is specifically NOT recommended?
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How should electric brushing be performed for optimal results?
How should electric brushing be performed for optimal results?
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Which statement is true about manual versus electric toothbrushes?
Which statement is true about manual versus electric toothbrushes?
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What is an important step in setting treatment goals?
What is an important step in setting treatment goals?
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What is the recommended target for plaque/bleeding score?
What is the recommended target for plaque/bleeding score?
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How should a patient's plaque score be reduced if it is initially 80%?
How should a patient's plaque score be reduced if it is initially 80%?
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Which type of prevention involves early diagnosis and treatment of oral diseases?
Which type of prevention involves early diagnosis and treatment of oral diseases?
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What is the primary focus of primary prevention in oral health?
What is the primary focus of primary prevention in oral health?
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What action is NOT typically part of tertiary prevention in oral health?
What action is NOT typically part of tertiary prevention in oral health?
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What should be done when calculus is present in the mouth?
What should be done when calculus is present in the mouth?
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When addressing oral health, what is a goal of secondary prevention?
When addressing oral health, what is a goal of secondary prevention?
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What is a characteristic of tertiary prevention?
What is a characteristic of tertiary prevention?
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Which strategy is best for making it easier for patients to maintain oral hygiene?
Which strategy is best for making it easier for patients to maintain oral hygiene?
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What is the desired outcome of educating patients about plaque control?
What is the desired outcome of educating patients about plaque control?
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What is one reason why oral health advice might not be effective for a patient?
What is one reason why oral health advice might not be effective for a patient?
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Which step is NOT part of a preventive program in oral health?
Which step is NOT part of a preventive program in oral health?
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What should be prioritized when addressing a patient's understanding during a consultation?
What should be prioritized when addressing a patient's understanding during a consultation?
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How can a dental professional best support patients in changing their behavior with respect to oral health?
How can a dental professional best support patients in changing their behavior with respect to oral health?
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What does the presence of disabilities or medical conditions imply for patient care in oral health?
What does the presence of disabilities or medical conditions imply for patient care in oral health?
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What step is essential for understanding a patient’s pre-existing oral health conditions?
What step is essential for understanding a patient’s pre-existing oral health conditions?
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What is a crucial aspect to consider when a patient is not ready or wanting to change their behavior?
What is a crucial aspect to consider when a patient is not ready or wanting to change their behavior?
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What should be included when gathering information about a patient's history?
What should be included when gathering information about a patient's history?
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What should a dental practitioner assess to promote effective patient engagement?
What should a dental practitioner assess to promote effective patient engagement?
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What is a recommended approach if a patient exhibits signs of bad breath during consultation?
What is a recommended approach if a patient exhibits signs of bad breath during consultation?
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Study Notes
Oral Hygiene Coaching 1
- Presented by Julie Watson and Rhona Mann
- Part of Foundations in Clinical Skills and Practice Year 1
- At Eastman Dental Hospital, LSBU Education Centre
- GDC Learning Outcomes were listed
GDC Learning Outcomes
- 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 techniques and interdental cleaning
- Tailor techniques and advice to adapt to diverse patients' needs
Outline
- Session 1: Overview of why Oral hygiene coaching is important in the role, review of available products, use of products, and advice for patients.
- Session 2: Practical session with case studies of adapting the approach.
Assessment
- Formative: Demonstrations in activities
- Summative: Year 1 OSCE, Year 1, 2, & 3 Clinical placements
- Future career effectiveness as a dental hygienist and therapist.
Why?
- Dental biofilm is directly involved in dental caries and periodontal disease, increasing risk.
- Effective and regular removal of biofilm is crucial for prevention and maintaining oral health.
Steps in a Preventive Programme
- Gather all information: referred from which department, previous treatment and outcomes, patient perception, verbal history, radiographic evidence.
- Gather new information: identify presence and severity of disease, identify risk factors, carry out baseline charting (BPE, 6PPC, BS%, PS%)
- Provide coaching for self-care: identify current OH routine, ask patient to demonstrate current techniques, identify needs and build motivation and assess readiness, select appropriate measures.
- Evaluate changes in oral health: ask patient how they feel, support and correct, provide further advice, check if ID brush sizes need adjusting, complete new indices and compare to previous findings.
Tooth Brushing
- Manual: Lower 3-3 use circular and side-to-side motion. Recommended sensodyne 3.5 manual brush
- Electric: 1-2 teeth at a time, use in the mirror, slow technique, 45-degree angle to gingival margin, check size of head, consider battery brushes are not recommended.
Manual VS Electric
- Both are effective if used appropriately (Grender et al 2020)
- Adapt to patients' needs.
Interdental Cleaning
- Brushing alone is not sufficient for interproximal areas.
- Ensure brush fits snugly and provides resistance on medial and distal surfaces.
- Various tools and methods discussed, including floss, interdental brushes, and superfloss.
Flossing
- Use interdentally.
- Use 1x daily.
- Place small piece of tightened floss between contact points.
- Wrap round tooth in a C shape.
- Slide between tooth and gum.
- Place subgingivally as possible.
- Wipe up and down approximately 3 times.
- Remove from contact point.
- Reassure patient about bleeding.
Superfloss
- Single units.
- Daily use.
- Under bridges, implants, orthodontic appliances.
- Push stiffened end through normally from buccal side.
- Grasp on lingual/palatal side, work towards gingivae, wipe under pontic, once back and forth, pull out, and reassure if gums bleed.
Interdental Brushes
- Use interdentally.
- Use 1 x daily
- Used in larger gaps
- Need to be sized correctly.
- Need snug fit without causing trauma.
- Push between teeth at gum level.
- Usually from buccal side.
Single Tufted Brush
- Very versatile.
- Use around implants, distal to last molar, around orthodontic appliances.
- Partial erupted teeth, after surgery, patients with gag reflex.
- Inexpensive and long-lasting.
- May need to run under hot tap to soften.
- Single standing teeth, inclined teeth.
- Tooth with recession, into pockets.
- Awkward areas include: orthodontics, impacted wisdom teeth, single standing teeth, and gag reflex.
Removable Retainers & Appliances
- Need to be kept clean as they can harbor bacteria, food, and biofilm.
- Cleaning methods discussed.
How To Do It:
- Use a soft toothbrush or similar brush to clean appliance surfaces.
- Soaking in a cleaning tablet can loosen debris, rinsed, and then brush.
- Do NOT use toothpaste since it is abrasive.
- Clean fitting surfaces thoroughly.
When to Adapt Advice
- Consider additional needs, comorbidities, and carer involvement.
- Adapt to individual patients' needs (children vs adults).
Summary
- Why OH coaching is necessary
- Steps in a preventive program
- How to demonstrate techniques for different products
- Need to adapt techniques for patients' diverse needs
Final Thoughts
- Preventative dentistry is effort to promote, restore, and maintain oral health
- Program composed of preventative steps, patient and operator collaboration, preserving dentition and supporting structures by preventing onset, progression, and recurrence.
Next Time
- Bring toothbrushes
- Be dressed for a clinical session.
Thank You
- Thank you for your attention.
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Description
This quiz will assess your understanding of Oral Hygiene Coaching as a crucial component of clinical practice. You'll explore the principles of preventative programs and learn how to deliver tailored oral hygiene advice to diverse patients. Prepare to demonstrate your knowledge through practical case studies and guidelines.
