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This is a brief explanation on the training and roles of Oral Health Educators (OHE’s) and hygienists as there often appears to be a lot of confusion amongst patients as to which they are seeing and what to expect. OHE’s are Dental Nurses that have done a further course training them in provision of oral hygiene education to all age groups. This means they can provide hands on training in brushing, flossing and the use of interproximal cleaning aids such as Tepe’s, and provide practical advice to overcome any problems the patient may be having in this area.
They are also trained to analyse a patients diet ( often using a 3 or 5 day diet record sheet ) to look for the causes of increased decay incidence. Hygienists are also trained to do all of this, however, they are also extensively trained in the mechanical skills of getting teeth clean of all tartar/calculus and staining, even in the almost impossible areas to get at! Some have also been trained as Dental Therapists and are able to place fillings in adults & children. Patients could expect to see an OHE where we feel their oral hygiene needs work, or they are having higher than expected levels of new decay. A referral to a hygienist is called for when the teeth need debriding to improve the condition of the gums, and as part of long term maintenance where the patient has chronic gum disease. In some cases a patient might see our OHE first, and then the hygienist, where we feel this would lead to a better result. Oral bacteria in plaque cause the two main dental diseases of decay and gum disease, so thorough plaque removal is the cornerstone of prevention.
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