Most of the patients think the main responsibillity has the dentist. Based on informed consent the patient hs the right to choose the most atractive treatment for him. But if the patient is a child...
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Oral health problems, such as caries and periodontal disease, may be associated with an inadequate oral hygiene regime. Patients often present with concerns owing to periodontal disease, caries, staining of their teeth and halitosis, that are consequences of poor oral hygiene. Poor oral hygiene may also pose a threat to general health in medically compromised individuals, such as diabetics or individuals who have an increased risk of bacterial endocarditis. Oral hygiene is the responsibility of both the patient and the dental professional and a sensible approach to the maintenance of good oral hygiene is a systematic preventive programme. Oral hygiene advice needs to be effective and appropriate for the individual. For example, advice needs to be tailored for patients with orthodontic appliances, reduced manual dexterity, or the medically compromised.
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ULRICH KRITZLER
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