Biofilm Disclosing
and
PHP
Presented by:
Michelle R. Mould, RDH, MSDH
Attaches to biofilm
Rinses off biofilm-free surfaces
Disclosing Agents
Erythrosin
Most widely used
F.D. & C. #3 or #28
Solutions contain alcohol
Stains gingiva
Fluorescein
Two-tone
F.D.&C. Green #3 and Red #3
Iodine Solutions
Less desirable due to unpleasant flavor of iodine
Skinners solution, diluted tincture of iodine
Avoid iodine if patient has shellfish allergy
Mercurochrome Preparations
p
Mercurochrome Solution
Flavored Mercurochrome Disclosing Solution
Bismarck Brown
Merbromin
Application
Rinsing Agents
Examination
Clean tooth surfaces will not retain disclosing agent
Two-tone agent
Tablet
Important Points..
Patient Education
PHP-modified
Patient Hygiene Performance Index (modified)
Index
Descriptions
Teeth
Localized
Generalized
L, M, H
cervical
mesial
middle
distal
incisal
F + L = 10 surfaces/tooth
PHP (modified)
Calculate score
Report as percent
10 surfaces/tooth
6 teeth
Max = 60