engleza anul 2, sem2

8/12/2019 Engleza Anul 2, Sem2

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Universitatea de Vest Vasile Goldis

Facultatea Medicina, Farmacie si Medicina Dentara

Specialitatea: Medicina Dentara

REFERAT EG!E"A

Anul ##, semestrul ##

Student: Topciu Andreea $arina

Anul V# MD

%revention o& periodontal disease


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Mechanical plaque control

T'ere are so man( oral care products availa)le on t'e mar*et t'at it is eas( &or

consumers to &eel over+'elmed )( t'e c'oice on oer and not select t'e most

appropriate product &or t'eir o+n needs- #t is important &or dental pro&essionals to

consider t'e manual de.terit(, motivation and /nancial a)ilities o& t'e individual,and to also consider t'e availa)le researc' supportin0 an evidence )ase prior to

recommendin0 an( dental product- Re0ular toot' )rus'in0 +it' 1uoride

toot'paste is ar0ua)l( t'e most +idel( emplo(ed met'od o& 'ome dental care-

2o+ever, in t'e multicultural societ( in +'ic' +e live, not all people use a

toot')rus' and toot'paste and caution s'ould )e e.ercised as some people ma(

use more natural products suc' as a 3c'e+stic*4 or Mis+a*- T'ese products ma(

)e eective, alt'ou0' t'e evidence )ase is limited, )ut do not oer t'e additional

)ene/t o& t'e application o& topical 1uoride to t'e toot' sur&ace, so ma( )e less

eective at preventin0 caries-

Toot' )rus'in0

T'e /rst mass5produced toot')rus' +as made )( 6illiam Addis in En0land in

around 789- T'e toot')rus' as +e *no+ it toda( +as not invented until 7;uirements, t'e

&ollo+in0 aspects s'ould )e considered- T'e 3ideal4 toot')rus' s'ould 'ave:

A 'ead siBe t'at is small enou0' to meet t'e needs o& t'e individual &or +'om it

is recommended- A toot')rus' t'at is too lar0e to )e manoeuvred around t'e

mout' ma( cause 0a00in0 and +ill not remove pla>ue more eectivel(- Similarl(,

a toot')rus' t'at 'as too small a 'ead +ill also )e ineective as t'e individual

ma( tire o& )rus'in0 )ecause o& t'e e.cessive time re>uirement- #t is t'e

responsi)ilit( o& t'e dental pro&essional to recommend t'e )rus' to /t )est t'e

needs o& t'e individual, ta*in0 into account t'e mout' siBe, a)ilit( to 0ain access,

muscular con/0uration and de.terit(-


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Toot')rus' )ristles s'ould )e multitu&ted and 'ave a so&t or medium te.ture=

&ormerl(, 'ard, natural )ristles +ere recommended )ut it is no+ considered t'at a

so&ter )ristled, multitu&ted )rus' causes less dama0e to t'e 0in0ival tissues and

reduces toot')rus' a)rasion at t'e cervical mar0ins o& t'e teet'- Cristles s'ould

also )e o& n(lon te.ture and round ended- Cristles made &rom s(nt'etic rat'er

t'an natural materials are pre&era)le &or '(0ienic reasons as natural )ristles ma()e porous and t'ere&ore more li*el( to 'ar)our )acteria, and t'eir te.ture is less

predicta)le-

T'e 'andle s'ould 'ave t'e correct len0t' and t'ic*ness appropriate to t'e a0e

and de.terit( o& t'e individual- #t must )e eas( to use and provide &or a /rm )and

com&orta)le 0rip- Toot')rus' 'andles can easil( )e modi/ed i& dicult( is

e.perienced +it' a re0ular )rus' 'andle-

%atients need to )e reminded to c'an0e t'eir toot')rus'es re0ularl(= t'is s'ould

)e appro.imatel( ever( < mont's or +'en t'e )ristles 'ave )ecome spla(ed, as

t'e toot')rus' +ill t'en cease to )e eective in t'e removal o& pla>ue-

engleza anul 2, sem2

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