Virtual perio-clinic

Clinical scenario-based questions

CASE 4

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(virtual clinic)

Oral hygiene – interdental spaces

The video shows the use of Interproximal access probe IAP (Curaprox®) in screening the access to interdental (ID) space between 14 & 15.

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Pink size with effective cleaning diameter of 3.2mm, to avoid damage to gingiva

Yellow size with effective cleaning diameter of 4.0mm, to achieve efficacy

Yellow size with effective cleaning diameter of 5.0 mm, to reach proximal concavities

Blue size with effective cleaning diameter of 2.2mm, it is mandatory to start with smallest size

Yellow size with effective cleaning diameter of 3.5mm to be able to access from buccal to palatal

Embrasures type I

Embrasures type II

Embrasures type III

Embrasures type IV

Combined embrasures type II and IV

ID brushes are less accepted but more effective than dental floss in biofilm removal

ID brushes should be used only in open interdental spaces, type II and III embrasures

ID brushes can be used in all type embrasures as long as they can be inserted without causing trauma

ID brushes should be the first choice for maintenance of ID hygiene

3 and 4 are correct

In short term, it can cause recession of the gingiva, in longer term it can cause bone resorption

In short term, it can cause gingival hyperplasia, in long term it can cause external root cervical root resorption

In short term, it can cause trauma (cuts) to the gingiva, in longer term it can cause clefts

In short term, it can cause gingival hyperkeratosis, in long term it can cause cervical abrasions

None of above

ID cleaning prior to TB will enable clean proximal surfaces to be exposed to active surfaces from toothpaste

ID cleaning prior to TB will not have any effect, therefore can be performed after TB

ID cleaning prior to TB will reduce incidence of mechanical trauma to soft tissue

ID cleaning prior to TB will dislodge dental plaque from ID spaces and render TB more efficient

1 and 4 are correct

Finish