Journal of Dental Hygiene Science : eISSN 2233-7679

Table 2

Dental Hygiene Implementation

Client No. Dental signal Session Dental hygiene practice (dental prophlyaxis) Self-care Specific interventions
1 Black risk status 1   a i, j -
2   b, c, d i, j, k, m •Hepatitis B management •DFS survey conducted •Performing intervention based on anxiety categories  - Chairside: relaxation breathing  - Avoidance behaviour: building trust with medical staff  - Specific stimulus/response: distraction
3   b, c, d i, j, l, n, r •Hepatitis B management •Observation of caries area using Q-ray view
4   a, b, c, e i, j, n, o •Hepatitis B management
2 Black risk status 1   a i, j -
2   b, c, d i, j, o, l, m •Basic research to construct a smoking cessation program  - Nicotine dependence, interview about smoking cessation
3   a, c, d p, s •Discussion on the schedule and details of the smoking cessation program (correction supplement) •Non-smoking leaflets provided •Submission of tobacco products (kept by the practitioner)
4   a, c, d, f r, t, u •Write a non-smoking daily report •Maintenance confirmation
5   a, c, d, e q •Maintenance confirmation
6   a, c, d v -
3 Black risk status 1   a i, j •Client’s action stage for brushing (transtheoretical model): contemplation phase  - Confirming the degree of desire for change in behavior of the client, and the information needed to change
2   b, c, d i, j, m, n, o •Intervention of how to use brushing  - Establish a concrete plan with the client  - Training of how to use brushing
3   a, c, g, e i, j, n, v •Client’s action stage for brushing (transtheoretical model): action phase  - Confirming brushing method and additional training
4 Black risk status 1   a i, j •Client’s action stage for brushing (transtheoretical model): contemplation phase  - Confirming the degree of desire for change in behavior of the client, and the information needed to change
2   b, c, d i, j, n •Intervention of how to use brushing  - Establish a concrete plan with the client  - Training of how to use brushing
3   b, c, e i, j, p •Client’s action stage for brushing (transtheoretical model): action phase  - Confirming brushing method
5 Black risk status 1   a i, j •Client’s action stage for interdental brushing (transtheoretical model): preparation phase  - Confirming the degree of desire for change in behavior of the client, and the information needed to change
2   a, b, c, e i, j, n, r, v, k •Intervention of how to use interdental brushing  - Establish a concrete plan with the client  - Training of how to use interdental brushing
3   a, c, e i, j, m, n, p, q •Intervention of how to use interdental brushing  - Confirming interdental brushing method and additional training
4   a, c, e i, j, n, o, q •Intervention of how to use interdental brushing  - Confirming interdental brushing method and additional training
5   a, c, e i, j, p, q •Intervention of how to use interdental brushing  - Confirming interdental brushing method and additional training
6   a, c, e i, j, p, q •Intervention of how to use interdental brushing  - Confirming interdental brushing method and additional training
7   a, c, e i, j, p, q •Client’s action stage for interdental brushing (transtheoretical model): action phase  - Confirming interdental brushing method
6 Black risk status 1   a i, j •Client’s action stage for brushing and interdental brushing (transtheoretical model): preparation phase  - Confirming the degree of desire for change in behavior of the client, and the information needed to change
2   a, b, c, e i, j, n, o, r, w, x •Intervention of how to use brushing and interdental brushing  - Establish a concrete plan with the client - Training of how to use brushing and interdental brushing
3   a, c, e i, j, m, p, q •Intervention of how to use brushing and interdental brushing  - Confirming brushing/interdental brushing method and additional training  - Distribution of use practice table of toothbrushing and interdental brushes
4   a, c i, j, p, q •Intervention of how to use brushing and interdental brushing  - Confirming brushing/interdental brushing method and additional training  - Distribution of use practice table of toothbrushing and interdental brushes
5   a, c i, j, p, q •Client’s action stage for brushing and interdental brushing (transtheoretical model): action phase  - Confirming brushing and interdental brushing method
7 Black risk status 1   a i, j -
2   b, c, d i, j, m, n, o, y -
3   a, b, c, d i, j, p, r -
4   a, c, d, g s, p, v -
8 Black risk status 1   a i, j •Oral dryness examination conducted  - Providing oral gymnastics and oral massage for the relief of symptoms and training •Client’s action stage for brushing (transtheoretical model): preparation phase  - Confirming the degree of desire for change in behavior of the client, and the information needed to change
2   a, b, e, h i, j, m, o, x •Intervention to dry mouth  - Providing oral gymnastics and oral massage for the relief of symptoms and training •Intervention of how to use brushing  - Establish a concrete plan with the client  - Training of how to use brushing
3   a, b, c, e, h i, j, l, o, x •Intervention to dry mouth  - Providing oral gymnastics and oral massage for the relief of symptoms and training •Confirming brushing method and additional training
4   a, b, c, e, h i, j, l, m, o, x •Intervention to dry mouth  - Providing oral gymnastics and oral massage for the relief of symptoms and training •Client’s action stage for brushing (transtheoretical model): action phase  - Confirming brushing method
5   a, e, h i, j, o, p •Intervention to dry mouth  - Providing oral gymnastics and oral massage for the relief of symptoms and training
6   a, b, c, e, g i, j, o, q •Confirming brushing method

a: applying watanabe method, b: scaling, c: professional mechanical toothcleaning, d: use of chlorhexidine oral gargle, e: applying chlorhexidine gel for 4 mm or more of periodontal pocket, f: flouride application: flouride gel, g: flouride application: flouride varnish, h: oral massage to relieve dry mouth, i: oral microbiological test, j: modified O’Leary index measurement and education, k: education on nicotine staining due to smoking, l: education of the relationship between smoking and periodontal disease, m: education of relationship between general health and oral health (periodontal disease), n: training of how to use brushes; rolling method, o: training of how to use brushes; bass or modified bass method, p: identify and educate brushing methods, q: identify and educate interdental brushing methods, r: training of how to use interdental brushes, s: choosing interdental brush size and training, t: training of how to use floss, u: oral dryness education according to the drugs used for systemic diseases, v: recommendations of regular dental examination, w: dietary guidance, x: oral gymnastic training for relieving dry mouth, y: recommendation to reduce the frequency of use of oral gargle (inducing dry mouth).

J Dent Hyg Sci 2018;18:327-39 https://doi.org/10.17135/jdhs.2018.18.6.327
© 2018 J Dent Hyg Sci