To understand the key trends thatmust be followed during the hygienic measures in the oral cavity, consider the following situation: the presence of single crowns (metal, plastic, ceramic-metal); bridges; partial and complete dentures.
When it comes to a single, free-standingbits, almost no difference in holding hygiene in the oral cavity with healthy teeth and gums, with no single crown, except some of the nuances. Firstly, if a metal crown, steel or gold, it must go into the periodontal sulcus 1 mm. This is the theory.
In practice, we often see, especially indistal sections that the contact surfaces of the molars are not completely processed and as a result, the contact sides of the crowns hang over the gum or cut into the remaining protrusion of the root, which leads to the fact that the crown hangs over the gum. Ideally, this work should be redone, as this is an open marriage, but does it often happen. The fact is that there are such situations, they also overlap with situations arising from periodontal diseases, when, due to pathological resorption of the alveolar process, the gum settles and the crown hangs over it from all sides.
In these cases, food, liquids particularly intenseaccumulated under the artificial crown, which contributes to more rapid destruction of the tooth beneath it, especially as his most solid tissues have been removed. In these cases, you should resort to a particularly intensive cleansing interdental spaces and under the overhanging edges of the crown. If we consider that we flossing and so use all the time, then they need to add superfloss, ultrafposs, satinfloss and brush.
When using dental floss, entered underoverhanging edge of the crown, it is necessary to do circular motion thread, which contributes to the elimination of food residues. Only need to be careful not to cut the thread. Much better use superfloss and brushes.
It is mandatory after this should be done with the rinse bath. Good help cleanse podkoronkovyh spaces irrigators in jet mode.
When PFM crown when seamcrown to the tooth stump is due to a specially formed step, the transition from natural to artificial crown root becomes smoother, but this does not mean that you can ignore this fact.
On the contrary, any accumulation of plaque at the interfaceIt leads to a rapid breakdown of the fixing material to a more intense background of plaque formation. Therefore, you must carefully use superfloss, circling it around the root with the artificial crown and do stretching-return movement. Then, due to the loosened part of the thread can be cleaned all the gingival surface of a tooth and the artificial crown.
The next option - the presence of intermediatedefect when a defect is limited with missing teeth healthy natural teeth on both ends. In these cases, use non-removable dentures bridges.
No significant difference in the conduct of persons with IGPRbridges non-removable dentures (MNZP), metal, composite, metal-ceramic, having any particular a prosthesis design will not.
In any case, it will consist of the following stages:
Cleansing the outside of the MNZP
- cleanse itself MNZP crowns;
- purification of bridge body.
Cleansing the inner part MNZP
- cleansing the internal (hidden) spaces around crowns MNZP and closed soft tissue hidden parts of the actual artificial crowns MNZP;
- cleanse the inner surface of the bridge body, washing space, in order to avoid pressure sores underneath.
Table 1. Basic personal oral hygiene used in the presence of oral non-removable bridges and dentures features of their application (SB Ulitovsky)
|Individual means of oral hygiene||Indications and application features|
|Preventive manual toothbrush||The most effective and expedient in its application brush with multilevel brush field, force projection, the bristles of medium hardness and wear indication|
|Therapeutic and prophylactic toothpastes||The most suitable paste is a paste middleabrasiveness having mild anti-inflammatory and astringent properties (due to the extracts and / or oils of herbs and / or plant) and moderate antimicrobial properties (due to the fluoride, the effect of which is directed exclusively pathogenic microflora, saprophytic not).|
|Hygienic mouth rinses||Use is possible, but they are ineffective|
|Therapeutic and prophylactic dental elixirs||Can be used, their effectiveness is somewhat higher than the previous position|
|Hygienic mouthwashes||Use can be, not much different from elixirs|
|Therapeutic and prophylactic conditioners||The best option, especiallynonalcoholic containing extracts and / or oils of herbs and / or plants and having anti-caries, anti-inflammatory, antibacterial, astringent, deodorizing action. Used at the end of the sanitary treatment.|
|They clean interdental spaces without teeth MNZP,as well as the interdental spaces, or any space in the teeth covered with artificial crowns, as well as the mesial surface of the front facing abutment crowns and distal surfaces of the back facing abutment crowns.|
|hygiene kits an integral componentPersons with MNZP. Due to the rigid guide is introduced into the flushing superfloss space and loosened part most effectively collected, and then removed from the inner surface coating MNZP body.|
|Brush-brush||If you allow the interdental spaces, that with it they are well cleaned, but even better to use it for cleaning the wash period.|
|Monopuchkovye, malopuchkovye toothbrushes for special purposes||It is used for cleaning the cervical area.|
|Electric Toothbrushes||They provide excellent quality of oral hygiene.|
|irrigators||Very effective for washing food residues in redzhime "jet" and the carrying out of massage gums in the "soul". Chip - before hygienic procedures; shower - in the end.|
Table 2. Basic personal oral hygiene, when used in oral availability of full and partial dentures, and especially their use (SB Ulitovsky)
|Individual means of oral hygiene||Indications and application features|
|Preventive manual toothbrush||If there is an incomplete set of teeth in the mouthdecreasing the number of teeth of the individual requiring hygienic care. However, this does not mean that it is possible, as in the past to ignore the conduct of individual hygiene measures in the oral cavity. The brush should be sized in accordance with the magnitude of the mouth and tooth size. Preference is given to the bristles moderate hardness. In any case, it should be polished and rounding the tips of the bristles brush multilevel field consisting of the active power and protrusion recess microtextural bristle indication of its degree of wear. These are the basic parameters that can significantly improve the cleaning efficiency of the toothbrush and transform it from the rank of preventive hygiene.|
|Therapeutic and prophylactic toothpastes||Primarily preferred "grassy"pastas. Fluoride components act as antimicrobial agents, and their presence in the paste for the persons belonging to this contingent, does not play a significant value.|
|Therapeutic and prophylactic mouthwashes||Previously, a person had no chanceto properly care for their own oral cavity, even if they lost much of the need to make every effort to preserve the remaining teeth. It should be understood that any, even the best dentures are not able to fully compensate and act as natural teeth. It is therefore necessary to use a fabric softener, has a mild anti-inflammatory, astringent and deodorant severe and mild antimicrobial properties.|
|Any of them should be used for cleaninggaps between the remaining teeth. Their choice is determined by the interval. Satinfloss significantly stronger tensile and so no fiber as other dental flosses.|
|If the interdental spaces allow, make sure you have to clean them with one of these types of interdental tools.|
|Preventive electric toothbrushes with a round head||They can be used as successfully asmanual'nye prevention, it is preferable that they had a two-level bristles, bristle wear level indication, two types of bristle stiffness, rounded and polished ends of the bristles.|
|Monopuchkovye, malopuchkovye toothbrushes for special purposes||One of the types of brushes must be used, since only they can be used as much as possible to remove the plaque from the cervical area, especially with the palatal and lingual surfaces of the teeth.|
|irrigators||When your own natural teeth leftso much is still to be overcome for them, and irrigators can be used an unlimited number of times per day. If after every meal to remove food debris jet and make a gentle massage of the surrounding gums, the mouth will acquire former youth and freshness.|
there was plenty of resources in recent years topartial and complete dentures, having antiseptic, deodorizing properties and is not intended only for the treatment of dentures, but also for their storage.
Therefore oral hygiene persons havingpartial dentures (CHSZP) and complete dentures (PSZP) should be viewed in two ways: for persons with CHSZP - an individual hygienic care of the remaining teeth and gums, tongue and mucous membranes of the oral cavity, and personal hygiene care CHSZP; Wheelchair PSZP - an individual hygienic care of the mucous membrane of the mouth and tongue, and personal hygiene care PSZP.
We have examined the main trends in theindividual oral hygiene. In each case, the dental prosthetist, in conjunction with the dental hygienist or, in its absence, a periodontist is an individual hygiene program for the care of the PR and dentures and periodically monitors its implementation. Therefore, it is so important to know which of the available personal oral hygiene can and should be used.