picture are copyright of waterpick, and for education use only

1. Oral Irrigator
Drg. RM. Norman tri kusumo indro
Resident Periodonsia FKG UGM
Source : waterpick.com

2. • This is not branding purpose
• #1 brand because the inventor

3. Indonesia
Definition
,History
Difference
OI and AD
Type Oral
Irrigator
Type’s n Parts
works
Dental use
In office / Dentist
use
Works, Mechanisme
of action
Indication and
solution
Works, Mechanisme
of action

4. In Indonesia
Common dentist often used it “water jet technology”
https://www.instagram.com/p/BPc1QHJhCl7/?
taken-by=ivanhdr&hl=en

5. In Indonesia
Common dentist often used it “water jet technology”

6. Oral irrigator and Abbrasive Dental

7. • Different use
• Using powder
Difference ?

8. Oral Irrigation
Also known as hydrotherapy/ lavage
-Oral irrigating devices force a steady or pulsating stream of water over the gingival
tissue and teeth with the goal of removing unattached debris, loosely attached
biofilm and reducing the concentration of bacteria, periodontal pathogens,
and cellular end products that may be present.
history

9. 1962
dentist Gerald Moyer Engineer John Mattingly
history

13. Types of Oral irrigator
Power driven device
Generates an intermittent or pulsating jet of
fluid.
An adjustable dial for regulation of pressure is
provided along with a held interchangeable tip
that rotates 360 degree for application at the
gingival margin.

14. Non-power driven device
It’s attached to a household water supply
and delivered through a hand held
interchangeable tip that can be used for
application at the gingival margin.
(Personal use)
Types of Oral irrigator

15. Part of Oral irrigator
Waterpik® Plaque Seeker® Tip
Waterpik® handle motor
Waterpik® reservoir tank
Waterpik® leveling meter and use
Waterpik® steam generator engine

17. In Office or Dental Proffesional use
supragingival irrigation
• to diminish gingival inflammation by disturbing biofilms coronal the gingival margin.
subgingival irrigation
• goal is to reduce the number of bacteria in the periodontal pocket space.
• Disruption and dilution of the bacteria and their products from within periodontal pockets.

18. Supragingival Irrigation
• Most commonly, a device with a built-in pump generates the
pressure but other devices attach to the water faucet.
• Oral irrigators clean nonadherent bacteria and debris from the
oral cavity more effectively than toothbrushes and
mouthrinses.

19. • Supragingival irrigation is irrigation with a jet tip
placed above the gingival margin resulting in
penetration of a solution into the subgingival sulcus to
approximately 50%.
• Supragingival irrigation used in combination with
toothbrushing and other interdental cleaning aids is
acceptable and can result in improved clinical health.
Supragingival Irrigation

20. Subgingival Irrigation
• Proffesional dentisiant only
• Irrigation with the soft, site-specific tip is called subgingival
irrigation.
• This refers to the placement of the tip, which is placed slightly
below the gingival margin.
• The subgingival tip is used for the localized irrigation of a specific
site such as a deep pocket, furcation, implant, or crown and bridge.
• Subgingival irrigation performed both in the dental office

21. Subgingival Irrigation
• Subgingival irrigation performed with an oral
irrigator using chlorhexidine diluted to one-
third strength, performed regularly after
scaling, root planing, and in-office irrigation
therapy, has produced significant gingival
improvement with controls.

22. subgingival irrigation
Currently, two types of irrigator tips are useful for
subgingival irrigation.
the cannula type tip recommended for office use, and
the other is a soft rubber tip for patient use at home.
The subgingival irrigation tip should be gently
inserted into pockets or furcation areas, 3mm if
possible, and each pocket shoud be flushed for a few
seconds.
Orthodontic irrigation, tip is placed 90 degree angle
at neck of tooth near gingival margin, direct tip
towards brackets. Use light contact.

23. Dental water jet mechanism of action
Delivers pulsating fluid that incorporates a
compression and decompression phase.This
creates two zones of fluid movement called
hydrokinetic activity

26. • Toothbrush : 1-2mm
• Rinsing : 2 mm
• Floss : 3 mm
• Dental water jet : 6mm
• Toothpick/wooden wedge,
interdental brush: Depends
on the size of the .
embrasure
Dental water jet mechanism of action

27. Individuals:
• on periodontal maintenance.
• who are noncompliant with dental floss.
• with special needs
– Ex: dental implants, diabetes, ortho appliances,
prosthetic, bridgework and crowns.
Indications for recommendation of oral irrigation

28. Solutions can be used
with the DWJ (Dental water Jet)
• The most effective one is the one that is acceptable to the patient.
* Water is highly effective and readily available
* Chlorhexidine- In home should be diluted with water and its better for IP and
subgingival penetration that rinsed. The dilution can help minimize stainining.
• Irrigant solutions
1) Chx
2) Providone Iodine (1:9 water)- bacteriostatic activity
3) Water
4) Stannous fluoride (1:1)
5) Tetracycline 6) Listerine

29. Conclusion
 oral irrigation is safe and effective for a wide variety of patients,
including those in periodontal maintenance; those with calculus
buildup, gingivitis, orthodontic appliances, maxillary fixation,
crown and bridge, implants, and diabetes; and those who are
noncompliant with floss.
 Clinical outcomes include the reduction of plaque, calculus,
gingivitis, bleeding on probing, probing depth, periodontal
pathogens, and inflammatory mediators.

30. terimakasih