SUPPLEMENTARY OUTCOME

APPENDIX T

Complete the sections below to describe the oral hygiene instruction you would give to a thirteen
year old child who has just had an upper fixed orthodontic appliance fitted. Use the headings
provided to structure your advice

Cleaning around brackets and under arch wire

Use a toothbrush with soft bristles and small strip of fluoride toothpaste. When you brush your
teeth, move the brush in small, circular motions to reach food particles that may be under your
gum line. Hold the toothbrush at an angle and brush slowly and carefully, covering all areas
between teeth, between the braces and the surface of each tooth. It will take you several minutes
to thoroughly brush your teeth.

Brush up on the lower teeth, down on the upper teeth and the outside, inside and chewing
surface of your front and back teeth. Brush your tongue and the roof of your mouth before you
rinse.

- In the morning after breakfast

- After lunch or right after school
- After dinner
- At bedtime

You will need to replace your toothbrush more often due to your appliances. As soon as the
bristles start to wear down or fray, replace your toothbrush with a new one. It may be difficult for
your toothbrush to reach some areas under your archwire. Do not swallow any toothpaste; rinse
your mouth thoroughly with water after you finish brushing. It is important to floss, use an
antibacterial mouthwash and use a fluoride treatment for optimal oral hygiene.

Dietary advice
try to avoid :
- Chewy foods – bagels, licorice, pizza crust, French breads
- Crunchy foods – popcorn, chips, ice, hard candies including lollipops, thick pretzels
- Sticky foods – caramel candies, chewing gum, gummy candies
- Hard foods – nuts, hard candies
- Foods that require biting into – corn on the cob, apples, carrots, ribs and chicken
wings
better options would be:
- Dairy – soft cheese, pudding, milk-based drinks, yogurts, cottage cheese, eggs
- Breads – soft tortillas, pancakes, muffins without nuts
- Grains – pasta, soft cooked rice
- Meats/poultry tender meats, meatballs, lunch meats
- Seafood
- Vegetables – mashed potatoes, steamed veggies, beans

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 - Fruits – applesauce, bananas, fruit juice, smoothies, berries
- Treats – ice cream without nuts, milkshakes, Jell-O, plain chocolates, peanut
butter cups, brownies, soft cookies. But remember to always limit your intake on
sugar!

General tooth cleaning

- Brush the brace with a toothbrush and fluoride toothpaste to remove all food and debris.
Be careful not to damage the wires. Once it's clean, put the brace back in the mouth.
Interdental brushes once a day

6. Tutor feedback
This section should be completed by the GDC registrant who is assessing all sections of the completed PER
and is normally based at the Training Centre. Constructive feedback will help the student to develop their
performance in the workplace.

Satisfactory ☐ Not Yet Satisfactory ☐

Tutor Name:
Date: Click here to enter a date.

GDC Number:

Internal Moderation

Internal Moderator Name:

Date Sampled: Click here to enter a date.

GDC Number:
Meets NEBDN Requirements: Yes ☐ No ☐

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