Oral Hygiene Coaching 1 PDF

Oral Hygiene Coaching 1 Julie Watson and Rhona Mann Foundations in Clinical Skills and Practice Year 1 GDC Learning Outcomes 1.1.1 1.7.1 1.11.2 1.1.2 1.7.3 1.11.3 1.1.4 1.7.8 1.11.4 1.1.11 1.9.1 1.11.5 1.2.1 1.10.2 3.2 1.2.2 1.10.3 6.3 1....

Oral Hygiene Coaching 1 Julie Watson and Rhona Mann Foundations in Clinical Skills and Practice Year 1 GDC Learning Outcomes 1.1.1 1.7.1 1.11.2 1.1.2 1.7.3 1.11.3 1.1.4 1.7.8 1.11.4 1.1.11 1.9.1 1.11.5 1.2.1 1.10.2 3.2 1.2.2 1.10.3 6.3 1.2.3 1.10.4 10.1 1.2.4 1.10.5 1.5.3 1.11.1 Intended Learning Outcomes By the end of this session, you will be able to: 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: To give an overview of why Oral hygiene coaching is important within our role Review what products are available to use to do this, how do we use them and what advice we need to give to our patients. Session 2: Practical Case studies reviewing how to adapt approach? Assessment Formative Summative Demonstrations in activities Year 1 OSCE Year 1, 2, 3 Clinical placements Future career: Effectiveness as dental hygienist and therapist. Why? Flaticon.com It is recognised that dental biofilm is directly involved in the pathogenicity of both dental caries and periodontal disease, increasing the risk of both. Therefore, its effective and regular removal is of the upmost importance in the prevention of these diseases and maintenance of oral health. Castleandcosta.co.uk Researchgate.net Kmod.iheart.com  Primary Three phases Prevention of prevention Tertiary Secondary Link to Prevention Prevention Chapter 8 Delivering Better Oral Health Toolkit Steps in a Preventive Program Purpose: Enable patient to remove plaque effectively through self-care 1. Gather all information to prevent and reduce risk of oral disease. 2. Gather new information Apply behaviour change approach: Raise the issue, build motivation 3. Provide coaching for self-care Assess readiness for change 4. Evaluate changes in oral Support patients next steps health Steps in a preventative programme 1. Gather all information 2. Gather new information Referred from which department? Identify presence and severity of Previous treatment and outcomes disease Patient perception of needs – is it Identify risk factors a priority right now? Carry out baseline charting; BPE, 6PPC, Verbal history from the patient BS% PS% Radiographic evidence 3. Provide coaching for self care Identify current OH routine Don’t give too much information at any one time Ask patient to demonstrate current techniques Keep message simple Identify what/if anything needs Ask patient to demonstrate what correcting – raise the issue, build they have just learnt motivation, assess readiness for Adjust as required change Show patient how to self evaluate Select appropriate preventative – support next steps measures 4. Evaluate Changes in Oral health Ask the patient how they feel Complete new indices & compare things have gone to previous findings Support and correct Evaluate gingival condition Provide further advice Set down new goals Add further OH devices if Set new review date necessary Discuss treatment progression Check ID brush sizes (may well have changed) How? Flaticon.com  Tooth Brushing Nytimes.com Wired.co.uk Manual VS Electric? Both are effective if used appropriately (Grender et al 2020) Adapt to patients’ needs. Interdental Cleaning Flossing Used interdentally Place as subgingivally as possible Use 1xdaily Wipe up and down approx. 3 Place small piece of tightened times floss between contact points Remove from contact point Wrap round tooth in a C shape Reassure patient about bleeding Slide down between tooth and gum Superfloss Grasp on lingual/palatal side Single units- pull 1 piece out Work towards gingivae Daily use Wipe under pontic Used under Bridges Once back & forth Around Implants Pull out Around Orthodontic appliances Reassure if gums bleed/feel sore Push stiffened end through Normally from buccal side Interdental Brushes Gently back & forth approx. 3 Used interdentally times Use 1xdaily Reassure patient if gums bleed Used in larger gaps Inform need to rinse brush Need to be sized correctly Can re use Need snug fit without causing Explain sizing trauma Explain where to buy Push between teeth at gum level Explain different manufactures Usually from buccal side have different colour coding  Partially erupted teeth Single Tufted Brush After surgery Patients with gag reflex Very versatile Inexpensive to buy Use around implants Long lasting Distal to last molar May need to run under hot tap to Around Orthodontic appliances soften Single standing teeth Inclined teeth Tooth with recession Into pockets  How not to floss! Colgate.com Other devices patients might use  Removable Retainers & Appliances Do we need to keep these clean? The answer is yes, they can harbour bacteria, food & bio film https://www.polident.com/en-gb/products/proguard-anti- bacterial-daily-cleanser/ https://www.polident.com/en-gb/removables/living-with-a- removable-appliance/how-to-care-for-retainer-aligner- nightguard/ https://www.gskhealthpartner.com/en-hk/oral-health/ conditions/guard-and-retainer-care/overview/ Theorthodonticclinc.co.uk How To Do It: Use a soft toothbrush, denture Clean over a basin of water, or brush or similar brush to clean place a clean facecloth or towel in the appliance. Make sure that the the bottom of the sink in case the bristles can reach every surface. appliance is dropped You can use an appliance cleaning DO NOT use toothpaste to clean tablet to soak the appliance in your appliance – too abrasive first. This will loosen debris. Rinse Clean the fitting surface that goes (follow manufacturer’s against the teeth and soft tissues instructions). Then brush. of your mouth thoroughly – When to adapt advice? Will the same method be used for children as adults? When to adapt advice? Additional needs? Co-morbidities? Carer involvement? Adapt to patients’ needs Summary Why OH coaching is necessary Steps involved in a preventive program How to demonstrate for different products The need to adapt techniques to tailor to patients’ diverse needs  Final Thoughts Preventative dentistry is the effort to promote, restore and maintain the oral health of the individual. A programme of prevention is composed of the collaborative steps taken by the patient and operator, in order to preserve the natural dentition and supporting structures by preventing the onset, progression and reoccurrence of the disease Good Luck! NEXT TIME…… Please bring your tooth brushes with you! Please be dressed for a clinical session  Thank You for your attention! Theteenagertoday.com References Grender J, Adam R, Zou Y. The effects of oscillating-rotating powered toothbrushes on plaque and gingival health: A meta- analysis. American Journal of Dentistry. 2020;33(1):3-11. Essential reading: Chapter 8: Oral Hygiene in Delivering better oral health: an evidence-based toolkit for prevention 4th Edition​ https://www.gov.uk/government/publications/deliveri ng-better-oral-health-an-evidence-based-toolkit-for-pr evention/chapter-3-behaviour-change ​ Essential reading: Chapter 8: Oral Hygiene in Delivering better oral health: an evidence-based toolkit for prevention 4th Edition​ https://www.gov.uk/government/publications/delivering-better-oral-health-an-evid ence-based-toolkit-for-prevention/chapter-3-behaviour-change