Motivation
Internal and external driving forces that prompt an individual to act.

When is learning most effective?
When an individual is physiologically and psychologically ready to lean.
The Learning Ladder steps are
Unawareness--- concern of new informationAwareness---- patient have a good knowledgeSelf-interest----realization and initial motivationInvolvement----application to self,response to actionAction----beginning of change in behaviorHabit---become part of a daily routine
Disclosing agent
For identifies soft deposit, self assessment, conduct a plaque index. Its preparation in liquid, tablet, or lozenge.Typically used Erythrosin and it is available for tablet and liquid.Does not rinse off immediatelyApplication methods are painting, rinsing and chewing.

Pellicle stains as a thin, dental biofilm appears darker, thicker, and more opaque.Two -tone---Red: newly formed, thin, supragingival Blue: thicker, older more tenacious

Contraindication for disclosing agent
-Tooth colored restoration such as resin, filling, porcelain-Before placing a sealant-Keeping the solution for no longer than 2-3 months
Xerostomia
Lack of saliva ,dry mouth. It is symptom not disease.Caused by radiation to head and neck for cancer therapy, surgical removal of glands, Sjogeren's syndrome, and Phramacologicaly induced xerostomia.

Management of Xerostomia
-Pilocarpine acts to increase salivary output-Fluoride therapy-Personal care program as use of dentifrice, rinse, and brush-on gel (or tray)-Avoid tobacco and alcohol-Use of saliva substitute that contain minerals calcium and phosphorous fluoride
Function of Saliva
-Lubrication of membranes, gingiva, teeth.-Tasting, digestion, -Protection against diseases; antibacterial, antifungal, antiviral-Buffering pH-Remineralization, protection against demineralization-Speech-Carrier of antibodies, enzymes
Halitosis
-Is unpleasant odor of exhaled air-90% originated in the oral cavity/ 10% has systemic or non-oral causes
Assessment of Halitosis
Normal breath is mildly sweet smell. Histories review; side effects of dry mouthExtraoral/Intraoral examination; tongue coating, dry mucosa Complete periodontal examination; periodontal status