Teaching oral hygiene

The duties of a dentist and nurses dental medical institutions, especially at the precinct-based service is competent training of children, their parents, teachers and medical personnel of schools and kindergartens basic rules of care of teeth. It is an effective and popular way of modern prevention of dental caries and periodontal disease.
On this issue has gained interesting experience in the GDR. In schools GDR introduced a special hygienic hour, which takes place once a week. During this hour nurse teaches schoolchildren of 1 - 2 class a common methodology brushing your teeth in a specially equipped room (low sinks, shelves for glasses and tooth brushes, mirrors). While cleaning the children are in control of their actions in front of the mirror. Hygienic hours included in the curriculum and is required.
Studies of this kind are held up to 5th class, 1 - 2 classes once a week, 3-th class once in 2 weeks, 4-th class - once a month.
Often for conducting hygienic hour attract parents and teaching staff.
According to Professor Kunzle, this event is a good preventive effect, already after 3 to 3.5 years in children reduces the incidence of dental caries and diseases of parodont.
The expediency of regular, two-brushing is undeniable, but the real result of this action depends on the competent sanitary-educational propaganda, the right advice and recommendations on care of the oral cavity. It should know and implement the average health worker dental offices.
The quality of care for the oral cavity in the observed patients is checked using hygienic index Fedorov-volodkina. To do this, use the color of the labial surface of the bottom six front teeth iodine-iodide-potassium solution (Каlii jodati pulv. 2,0; Jodi puri crist. 1,0: Aquae destill. 40,0). Quantitative assessment is made of five points:
Normal hygienic index does not exceed 1.1 - 1.3 points. For a more detailed study of the oral cavity in one or a group of patients can be applied its quality score point system:
Using the recommended hygienic index, you can define not only the quality of cleaning of teeth by a particular pasta, but also cleansing action of various hygiene products, as well as individual level and quality of cleaning of teeth by one or another patient.
We offer hygienic index teeth cleaning is simple and accessible, as it is calculated very quickly. At the same time, it is quite objective criteria, on the basis of which one can judge about the degree and nature of hygienic care of teeth in different individuals and groups of people. This method can also serve to illustrate the quality of cleaning teeth when teaching dental hygiene.
A lesson on the hygiene of oral cavity it is advisable to start until the removal of dental calculus and soft dental Deposit.
The patient was given a hand mirror so he could watch the examination of the oral cavity. At first, he shows white plaque point of convincing some part thereof, and adults along the way to explain it the bacterial content and harmful effects on periodontal tissues and teeth enamel.
Build your conversation should depending on the patient's personality, his cultural level. However, in all cases in conversation it is necessary to emphasize that the white plaque almost not visible. Then as an illustration of the conduct staining plaque with iodine-iodide-potassium solution or 6% solution of the basic fuchsin. So, 4 drops 6% solution of the basic fuchsin add to the conversation with 10-12 ml of water and ask the patient vigorously for 30 to rinse the mouth. Then give the patient to rinse the mouth with plain water to remove excess dye. Plaque and Tartar painted in red and well marked.
Iodine-iodide-potassium the solution is used for painting of plaque with a small cotton swab, as well as to determine the standard of hygiene index. Colored plaque demonstrate sick again so that he could see in poor quality of care for your mouth.
During the first visit of the patient is asked to bring a toothbrush and paste, recommending the most appropriate design of a brush. During the next visit of the patient is asked to brush teeth usual method over usually spent for this time in order to later be able to point to obvious mistakes and shortcomings. Then the patient must be specified on the wrong actions and to show the layout and drawings of the most rational methods of brushing.
For the convenience of learning cleaning of the oral cavity each half of the dentition can be divided into three parts: front, middle and rear. To start clean with the rear part, with the brush at the level of occlusion (bite) surfaces of the teeth. Movement brush recommend axis teeth scraping movements or slightly turning it on type sweeper movements. Such movements in the field of the same teeth should be 6 - 8 Bucco side and 6 -8 with speaking. Brush move gradually toward the front from one section of the dentition to another. Front sphenopalatine and speaking areas it is advisable to brushing, keeping the brush in a vertical position. The first time they can be considered, and then the rhythm and duration of cleaning a habit and it all happens automatically. After cleaning, the student must rinse mouth thoroughly. At the end of the briefing, the patient is asked to use a toothbrush for instructions and release only when he is able to effectively perform the procedure.
Practice shows that it is necessary to repeat conversations and activities that will also conducts medical sister. To do this, the patient is asked to be in 2 weeks with a toothbrush for control examination. During this inspection the newly painted plaque. It is advisable that the patient was watching his result using a handheld mirror. If the cleaning efficiency is insufficient, the instruction should be repeated.
We must remember that most people do not possess hygiene after the first briefing or interview. Therefore, it is advisable that the patient follow-up visits were in possession of a toothbrush. Instruction should be carried out until, until you have achieved good results cleaning of the oral cavity. Training of patients with periodontal disease is expedient to carry out individually. Instruction in the class or group of people in the clinic may be only in the form of General guidelines and does not reach the goal that is possible with individual lessons.
As in the schooland the clinic to achieve good results in the care of oral cavity it from time to time should be monitored with special above indexes.