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TOOTHBRUSHING
FLOSSING
RINSING
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Characteristics of an effective
toothbrush: Conforms to individual patient
requirements
Easily and efficiently manipulated
Is readily cleaned
Is durable and inexpensive
Flexible, soft, and of strength, rigidity and
lightness of the handle
Has end rounded filaments or bristles
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I. Influencing factors
Patient
Gingiva
Position of teeth
Shape of teeth and exposed roots
Personal preferences
Method selected
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II. Toothbrush size and shape
Must be able to adapt to all facial,
lingual, palatal, and occlusal
surfaces for bacterial plaqueremoval
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III. Soft nylon brush More effective in cleaning the cervical
area
Less traumatic to the gingival tissue
Can be directed into the sulcus and
interproximal areas
Applicable around fixed orthodonticappliances
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Complete tooth brushing instructionfor patients involves teaching:
What, when, where and how
The grasp of the brush
The sequence and amount of brushing
Supplementary brushing for occlusal
surfaces and the tongue Effect from improper brushing
Care of the tooth brushings
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The emphasis in patient education should
be placed on complete plaque control
rather than on number of brushing
At least two brushing with interdental
cleaning is recommended for control of
bacterial plaque and halitosis prevention
A night brushing before bed time should
be encouraged
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Toothbrushing Techniques
There are several different acceptable toothbrushing methods because each patient hasdifferent needs.
Not one method is perfect for all patients.Some patients may use more than onemethod.
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Toothbrushing Techniques
The Bass Method
The Rolling Stroke
The Stillman Method
The Charters Method
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The Bass Method
Position the
filaments up toward
the root at a 45angle to the teeth.
Place the brush with
the filament tipsdirected into the
gingival sulcus.
Bass Method
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Bass Method cont.
Using a vibratory stroke brush back and
forth with very short strokes for the count
of ten.
Reposition the brush to the next group of
teeth.
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The Roll Method
Direct the filaments
toward the root of the
tooth. Place side of the
brush on the gingiva
and have the plastic
part of the brusheven with the tooth.
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Roll Method cont.
When the plastic portion is even with the
tooth press the filaments against the
gingiva and roll the brush over the teeth.
The wrist is turned slightly and the
filaments follow the contours of the teeth.
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The Stillmans Method
Like the Bass Method
the filaments are
placed at a 45 angle
to the tooth. Unlike the Bass
Method the filaments
are placed half in the
sulcus and half on the
gingiva.
The same stroke is
used as the Bass.
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The Charters Method
Position the filaments
toward the chewing
surface of the tooth Place the sides of the
filaments against the
enamel and angle
them at a 45 to thetooth.
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Charters Method cont.
Vibrate the filaments gently but firmly,
keeping the filaments against the tooth.
Reposition on the next set of teeth.
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Loosen plaque microorganisms packedin pits and fissures
Removes plaque deposit from occlusalsurfaces of teeth out of occlusion or notused during mastication
Remove plaque from margins of
restorations Clean pits and fissures to prepare for
sealants
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Total mouth cleanliness includes tonguecare
Microorganisms of the tongue
Effects of cleaning the tongue
Brushing procedures Tongue scraper
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Two brushes for home use and a third in aportable container for use at work
Frequent replacement recommended
Brushes should be replaced beforefilaments become splayed, frayed or loseresiliency
Clean thoroughly after each use Brushes should be kept in open air with
head in an upright position, apart fromcontact with other brushes.
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Floss Your Teeth
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Flossing is not just supposed to remove foodparticles like meat from between your teeth. The
primary function of dental floss is to remove the
invisible film of bacteria that constantly formsbetween
your teeth called plaque. Flossing should be
performed between each tooth.
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How to Floss:
Using 18 inches of dental floss, wrap it lightly around
your middle fingers.
Firmly grasp the dental floss with your index fingers.
Forming a C-shape, carefully slide the floss up anddown between your tooth and gum line.
Gently slide the floss in between both sides of your teeth
and repeat until finished.
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Mistakes people make:
Not placing the floss under the gum line
Rushing when flossing the teeth
Not flossing at all Not flossing daily
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rinsing
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Pros of using mouthwashes:
improved health of gums
germ killing effects
fresh taste cavity prevention
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1.Before using a mouth rinse, brush and floss
teeth.
2.Measure the proper amount of rinserecommended on the container or by a
dentist.3.Close lips and, keeping teeth slightly apart,
swish liquid around the mouth.
Proper steps:
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4.Thirty seconds is the suggested rinsing time.
5.Finally, spit liquid from mouth thoroughly.
6.Do not rinse, eat, or smoke for thirty minutesafter using a mouthwash. Doing so willdiminish the effects of the mouthwash
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Cons of using mouthwashes:
-altered taste
- tooth staining
-drying of oral tissues in the mouth-burning sensation
-ulcers
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Proper way to rinse:1.First, take the proper amount of liquid asspecified on the container or as instructed by
your dentist into your mouth.
2.Next, with the lips closed and the teeth kept
slightly apart, swish the liquid around with as
much force as possible using the tongue, lips,and sucking action of the cheeks.
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3.Be sure to swish the front and sides
of the mouth equally. Many rinsessuggest swishing for 30 seconds (one
minute for the fluoride rinses)
4.Finally, rinse the liquid from your
mouth thoroughly.
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5.Choose one that is based on your
individual needs. For example, if theyhave a dry mouth, but want a nice taste,
they should look for a non-alcohol
mouthwash so their tissues stay moist. Ifyou often have cavities, you should use a
fluoride rinse.
6.It is best to consult your dentist about
the best mouth rinse to meet the needs of
your mouth.
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Thank you