BY JENNIFER HELLINGNOV 11 T H 2014

OHI Presentation

Patient Background

29 year old female, college student History of regular care (annual cleanings)

Patient using manual soft bristle tooth brush twice a day, and flosses on occasion.

1st appointment

46% plaque free Patient was missing large area on right side

while brushing. She stated she usually begins on the left side.

Most of her plaque was on the cervical 1/3 of the teeth, or interproximally.

Patient states she does not floss often. Completed adult prophy and fluoride varnish.Patient had generalized inflammation from

plaque

1st. Appointment Continued

Patient said she has never been shown how to properly brush (or may not remember), even though she has had regular cleanings for the past several years.

I focused on taking the time to make sure she understood the techniques, and had her demonstrate them in front of the mirror.

1St Plaque Index-46% Plaque Free

Interventions

Discussed sulcular brushing at 45 degree angle

“C” shaped flossing to contour the tooth anatomy

Advised patient to brush for equal amounts of time in all areas of the mouth, for a minimum of 2 minutes.

Recommended patient get a Sonicare toothbrush.

Used tell, show, do method to demonstrate techniques.

2nd Appointment

Patient brushed and flossed, and then I disclosed entire dentition.

Plaque index- 85% plaque free Patient states she has been using her new

Sonicare toothbrush twice a day for a longer duration (3 min) and is flossing daily as recommended.

Patients gingiva were less inflamed.

2nd. Plaque Index-85% Plaque Free

Revised Recommendations

Most of the remaining plaque was seen interproximally.

Reviewed with patient once again how to floss with a “C” shape technique.

She admitted she had forgotten this piece of the instructions.

Once again used the tell, show, do method with a mirror. Patient seems to understand well and is motivated to try this at home.

Other than that patient is doing a great job removing plaque!

Motivation

Patient told me that after our visit she was motivated to help others with their oral health, and handed out toothbrushes instead of candy on Halloween.

Reflections

This OHI patient made me realize that even though the patient may be seen regularly for cleanings, they may not be receiving or retaining thorough homecare instructions. This is an example of the importance of reiterating home care methods and instructions at each visit.This patient had great results and I feel like I was able to motivate her to change her behaviors long term.

Pictures cited

http://www.just4teeth.comhttp://www.smlhygiene.co.ukhttp://pastaskitchennyc.wordpress.com