Cаse # AL -Addie Lessent is а 14 yeаr-оld female. She has cоme in fоr her six-month recall appointment. Medical history indicates seasonal allergies and mild exercise-induced asthma. She is taking Zyrtec (antihistamine) daily and uses her inhaler only before strenuous physical activity. VS are BP 112/76, P 78, R 16. EIE reveals mild enamel hypoplasia of the permanent first molars and a composite restoration in the mesial pit of the occlusal of #14. She has orthodontic brackets on #4 - #13, orthodontic bands on #3 and #14 with an arch wire on the facials. There is generalized erythema and edema of the free gingival margin and heavy plaque on the cervical thirds of all teeth and surrounding the bands and brackets. Probe readings on permanent first molars and permanent incisors range from 1-3 mm with generalized bleeding and localized hemorrhaging. Moderate supragingival calculus is present on the lower anterior lingual surfaces. Permanent molars have deep fissures; #19 has a gray shadow underneath the enamel on the mesial aspect. Bitewing radiographs reveal decay on the mesial of #19. The dentist recommends dental sealants be done at this visit on all permanent molars except #19.QUESTION: Addie’s mother asks you if an oral irrigator (WaterPik) would be helpful around the braces. What is your response?
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