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Toothbrushing Assignment for Maya
- 1. MAYA PATEL: TOOTHBRUSHING TECHNIQUE BY: KAYLA ROBINSON
- 2. PATIENT HISTORY • Age: 9 years old • Gender: Female • Height: 4’ 5” • Weight: 70 lbs.
- 3. VITAL SIGNS • Blood Pressure: 100/60 mm Hg • Pulse Rate: 110 bpm • Respirations: 20 rpm ** Pulse is high, normal range for children is 70-100 bpm
- 4. MEDICAL HISTORY • Maya is under the care of a physician for her asthma • Has had several emergency room visits for difficulty breathing, but she has not been hospitalized in the last 5 years. • Her current medications are: • Montelukast sodium (Singulair®)- leukotriene receptor • Antagonist albuterol (Proventil HFA®)- bronchodilator inhaler **Medications cause xerostomia, sore throat, taste changes, and increased anxiety. Inhaler needs to be out and ready for use at all times during appointment.
- 5. DENTAL HISTORY • Maya keeps on track with her 6 month recall appointments for oral prophylaxis, where she receives professionally applied fluoride treatments • Uses a fluoride toothpaste on a regular basis • Impressions for study cast have been indicated to evaluate occlusion • Exaggerated gag reflex and mouth breathing
- 6. CURRENT ORAL HYGIENE STATUS • Generalized marginal plaque with slight bleeding on probing • Slight supragingival calculus lingual surfaces of the mandibular anterior teeth • Slight generalized brown stain • Flosses occasionally • Probing Depths: Range from 1-3 mm
- 7. ORAL EXAMINATION FINDINGS • Slight tongue thrust • Slight gingival sensitivity distal to the mandibular left permanent canine • Maxillary left primary first molar is mobile
- 10. WHICH TOOTHBRUSH FOR MAYA?? MANUAL OR POWER?
- 11. POWER BRUSH • Oral-B Pro Health Vitality Power Toothbrush • Reasoning includes: • It has a distinct shape that will allow the brush head to surround each tooth individually. • Can be used with app by Oral-B to insure an efficient two minute brush. The app can also create a fun and engaging learning environment for Maya. • A soft bristle head can be paired with the brush to accommodate her mobile tooth, as well as upcoming mobile teeth, and sensitive gums.
- 12. BRUSH HEAD • Inform Maya that each brush head needs to be replaced every 3 months. • The soft bristles are designed with different angles to ensure the best coverage and cleaning of the mouth possible.
- 13. METHOD OF BRUSHING • Tooth-to-tooth movement with oscillating motion of the brush head, this is recommended by Oral-B (manufacturer of the power brush). • When the head is applied to the tooth it flares out reaching underneath the gingiva, into the interproximal spaces, and the entire tooth surface. • The app will guide her to brush a quadrant at a time, alert her if she is applying too much pressure, and if she has missed any areas.
- 14. AT HOME ORAL INSTRUCTIONS • I will tell Maya… • How the tooth brush works and show a video from the Oral-B website to make sure she completely understands the process. If there is an available power brush in the clinic I will demonstrate the process on a model and then test her on the motions, to ensure best cleaning possible. • I would tell her the importance of flossing everyday and make sure she is doing it correctly, buy see-sawing into the contacts and then using an up & down motion under the gingiva on each tooth surface, by hugging each tooth surface on each side.
- 15. RESOURCES • Thomson, E. M. (2013). Case studies in dental hygiene. Boston: Pearson. • Wilkins, E. M., Wyche, C. J., & Boyd, L. D. (2017). Clinical practice of the dental hygienist. Philadelphia: Wolters Kluwer. • Proctor and Gamble. (2018). Retrieved from https://oralb.com/en-us