Sensitivity
Patient A - Has multiple areas of recession and states that when consuming hot and cold foods/drinks she experiences sensitivity. She has a v-shaped wedge above #5.
Ortho
Patient B - A 14-year-old boy, just got his braces a month ago and has noticed there has been more of that "white stuff" stuck in between his teeth. He is having a hard time flossing.
Whitening
Patient C - Wants to know what's the best whitening toothpaste to remove coffee stains from his teeth.
Dexterity issues
Patient D - Has arthritis and can’t wrap her fingers around the floss.
Bridge Care
Patient E has a fixed bridge and struggles to clean under it.
100

She asks what ingredient in toothpaste does she need to look for when trying to select the right toothpaste for her? What ingredient should you recommend this patient to look for when selecting a toothpaste?

Potassium nitrate.

100

What type of flossing aid would help aid him with flossing under and in-between his teeth?

Floss threader. 

100

What ingredient in toothpaste works as an abrasive agent to remove stains and debris. 

Silica and calcium carbonate.

100

Patient D has arthritis and can’t wrap her fingers around the floss. What’s an easier option?

Floss pick. 

100

What tool can help her reach under the bridge and assist with string floss. 

Floss threader.

200

Why would using a highly abrasive whitening toothpaste not work for this patient?

Could cause further damage to her teeth and sensitivity.

200

True or False: Taking the time to show the patient how to thread the floss under his wires and in between the contact areas would not be beneficial for this patient?

False: He would benefit from being shown the proper technique.

200

What helps the ingredients in toothpaste from drying out. 

Humectants.

200

This patient also has limited hand control due to a stroke. What device can help clean between the teeth?

Water flosser. 

200

Small brush that can clean under a bridge where floss can not reach.

Interdental brush or proxy brush.

300

Potassium Nitrate works by?

Calming the nerve fibers in the teeth.

300

Patient B states that "It takes too long to floss with a floss threader, and he does not think he will keep up with it." What other device could be recommended for this patient to try?

A water flosser.

300

This polishing agent, often made with aluminum or magnesium compounds increases tooth luster. 

Polishing agents.

300

Patient D also has tremors related to Parkinson’s. What can make flossing easier for her? 

Floss holder or air flosser. 

300

Main area where plaque accumulates on bridges?

Under the pontic.

400

She has a v-shaped wedge above #5. This could be indicative of? 

Heavy brushing with abrasives. 

400

The patient recently noticed that he has white spots on his upper front teeth and asks what type of toothpaste he should use to prevent them. 

Anticavity: One that has fluoride to aid in remineralization of the enamel.  

400

These ingredients— sodium benzoate or alcohols, help prevent mold and bacterial growth in toothpaste. 

Preservatives.

400

True or False: Electric flossers are ineffective compared to manual flossing.

False.

400

Most widely used to help clean beneath a bridge to assist with string floss.

Floss threader.

500

What is a potential factor that has caused her recession?

Periodontal disease.

500

True or False: Hormonal changes can be a factor in this patient's oral health.

True.

500

Overusing abrasives or brushing too hard can lead to this type of enamel wear or gum damage. 

V-shaped wedge or tooth abrasion.

500

True or False: This patient would not benefit from a wider handle to grip for flossing/brushing.

False.

500

What instrument can also be used to lightly swipe around the pontic to remove debris?

Explorer.

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