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Questionnaire on Dental Hygienist Skills Usage - British Society of ...

Questionnaire on Dental Hygienist Skills Usage - British Society of ...

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Skill Been Taught (a) Currently Use (b) Frequency <strong>of</strong> Use (c)Daily Weekly M<strong>on</strong>thly Annually Never32. Stress Counselling Yes 1 No 2 Yes 1 No 2 1 2 3 4 5Use <strong>of</strong> Fluorides in:33. Toothpaste Yes 1 No 2 Yes 1 No 2 1 2 3 4 534. Mouthwashes Yes 1 No 2 Yes 1 No 2 1 2 3 4 535. Varnish Yes 1 No 2 Yes 1 No 2 1 2 3 4 536. Other forms Yes 1 No 2 Yes 1 No 2 1 2 3 4 537. Anti-plaque Mouthwashes Yes 1 No 2 Yes 1 No 2 1 2 3 4 538. Other Preventi<strong>on</strong> <strong>Skills</strong> Yes 1 No 2 Yes 1 No 2 1 2 3 4 5(please specify)……………………………………….................................................................................................................39. When you provide instructi<strong>on</strong> in Oral Hygiene do you recommend specific products?Always 1 Never 2 Depends <strong>on</strong> Patient 3Please specify indicati<strong>on</strong> :………………………………………................................................................................................Which <strong>on</strong>es? As a general recommendati<strong>on</strong> A particular make Which make (brand)40. Power Toothbrush Yes 1 No 2 Yes 1 No 2 .............................................41. Battery Toothbrush Yes 1 No 2 Yes 1 No 2 .............................................42. Power Refill Yes 1 No 2 Yes 1 No 2 .............................................43. Manual Toothbrush Yes 1 No 2 Yes 1 No 2 .............................................44. Interdental brushes Yes 1 No 2 Yes 1 No 2 .............................................45. Toothpaste Yes 1 No 2 Yes 1 No 2 .............................................46. Rinse Yes 1 No 2Yes 1 No 2 .............................................47. Floss Yes 1 No 2Yes 1 No 2 .............................................48. Others Yes 1 No 2Yes 1 No 2 .............................................49. If you recommend specific products, how do you provide this recommendati<strong>on</strong>?Verbally 1 Written (prescripti<strong>on</strong>) 2 Depends <strong>on</strong> Patient 3Operative ProceduresWhen answering the questi<strong>on</strong> <strong>on</strong> frequency <strong>of</strong> use please tick <strong>on</strong>e <strong>of</strong> the following boxes:Daily (at least <strong>on</strong>ce per day), Weekly (at least <strong>on</strong>ce per week), M<strong>on</strong>thly (at least <strong>on</strong>ce per m<strong>on</strong>th),Annually (at least <strong>on</strong>ce per year), Never.Skill Been Taught (a) Currently Use (b) Frequency <strong>of</strong> Use (c)Daily Weekly M<strong>on</strong>thly Annually Never50. Topical FluorideApplicati<strong>on</strong> Yes 1 No 2 Yes 1 No 2 1 2 3 4 551. Treatment <strong>of</strong> SensitiveDentine Yes 1 No 2 Yes 1 No 2 1 2 3 4 5PAGE 3

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