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Oral Irrigator

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Norman Tri Kusumo
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193 views30 pages

Oral Irrigator

Uploaded by

Norman Tri Kusumo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Oral Irrigator

Drg. RM. Norman tri kusumo indro


Resident Periodonsia FKG UGM

Source : waterpick.com
This is not branding
purpose
In office /
Indonesia Dental use
Dentist use

Works,
Definition Difference Works,
Mechanisme of
,History OI and AD Mechanisme of
action
action

Type Oral Types n Parts Indication and


Irrigator works solution
In Indonesia
Common dentist often used it water jet techno

https://www.instagram.com/p/BPc1QH
JhCl7/?taken-by=ivanhdr&hl=en
In Indonesia
Common dentist often used it water jet techno
Oral irrigator and Abbrasive Dental
Difference ?
Different use
Using powder
history
Oral Irrigation
Also known as hydrotherapy/ lavage
-Oral irrigating devices force a steady or pulsating stream of water over the gingival
tissue and teeth with the goal of removing unattached debris, loosely attached
biofilm and reducing the concentration of bacteria, periodontal pathogens,

and cellular end products that may be present.


history

dentist Gerald Moyer Engineer John Mattingly

1962
Types of Oral irrigator

Power driven device

Generates an intermittent or pulsating jet of

fluid.

An adjustable dial for regulation of pressure is

provided along with a held interchangeable tip

that rotates 360 degree for application at the

gingival margin.
Types of Oral irrigator

Non-power driven device

Its attached to a household water supply


and delivered through a hand held
interchangeable tip that can be used for
application at the gingival margin.

(Personal use)
Part of Oral irrigator
WaterpikPlaque SeekerTip

Waterpik handle motor

Waterpik reservoir tank

Waterpik leveling meter and use


Waterpik steam generator engine
In Office or Dental
Proffesional use

supragingival irrigation
to diminish gingival inflammation by disturbing biofilms coronal the gingival margin.

subgingival irrigation
goal is to reduce the number of bacteria in the periodontal pocket space.

Disruption and dilution of the bacteria and their products from within periodontal
Supragingival Irrigation

Most commonly, a device with a built-in pump generates the


pressure but other devices attach to the water faucet.
Oral irrigators clean nonadherent bacteria and debris from the
oral cavity more effectively than toothbrushes and
mouthrinses.
Supragingival Irrigation

Supragingival irrigation is irrigation with a jet tip


placed above the gingival margin resulting in
penetration of a solution into the subgingival sulcus
to approximately 50%.
Supragingival irrigation used in combination with
toothbrushing and other interdental cleaning aids is
acceptable and can result in improved clinical health.
Subgingival Irrigation
Proffesional dentisiant only

Irrigation with the soft, site-specific tip is called subgingival


irrigation.
This refers to the placement of the tip, which is placed slightly
below the gingival margin.
The subgingival tip is used for the localized irrigation of a specific
site such as a deep pocket, furcation, implant, or crown and bridge.
Subgingival irrigation performed both in the dental office
Subgingival Irrigation
Subgingival irrigation performed with an oral
irrigator using chlorhexidine diluted to one-
third strength, performed regularly after
scaling, root planing, and in-office irrigation
therapy, has produced significant gingival
improvement with controls.
subgingival irrigation
Currently, two types of irrigator tips are useful for
subgingival irrigation.

the cannula type tip recommended for office use, and


the other is a soft rubber tip for patient use at home.
The subgingival irrigation tip should be gently
inserted into pockets or furcation areas, 3mm if
possible, and each pocket shoud be flushed for a few
seconds.

Orthodontic irrigation, tip is placed 90 degree angle


at neck of tooth near gingival margin, direct tip
towards brackets. Use light contact.
Delivers pulsating fluid that incorporates a
compression and decompression phase.This
creates two zones of fluid movement called
hydrokinetic activity

Dental water jet mechanism of action


Dental water jet mechanism of action

Toothbrush : 1-2mm

Rinsing : 2 mm
Floss : 3 mm
Dental water jet : 6mm

Toothpick/wooden wedge,
interdental brush: Depends on the
size of the .
embrasure
Indications for recommendation of oral irrigation

Individuals:
on periodontal maintenance.

who are noncompliant with dental floss.

with special needs

Ex: dental implants, diabetes, ortho appliances,


prosthetic, bridgework and crowns.
Solutions can be used
with the DWJ (Dental water Jet)

The most effective one is the one that is acceptable to the patient.
* Water is highly effective and readily available
* Chlorhexidine- In home should be diluted with water and its better for IP and
subgingival penetration that rinsed. The dilution can help minimize stainining.
Irrigant solutions

1) Chx
2) Providone Iodine (1:9 water)- bacteriostatic activity
3) Water
4) Stannous fluoride (1:1)
5) Tetracycline 6) Listerine
Conclusion
oral irrigation is safe and effective for a wide variety of patients,

including those in periodontal maintenance; those with calculus


buildup, gingivitis, orthodontic appliances, maxillary fixation,
crown and bridge, implants, and diabetes; and those who are
noncompliant with floss.
Clinical outcomes include the reduction of plaque, calculus,

gingivitis, bleeding on probing, probing depth, periodontal


pathogens, and inflammatory mediators.
terimakasih

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