TOOTH BRUSHING TECHNIQUES

Chinthamani Laser Dental Clinic

INTRODUCTION• A number of toothbrushing technique have

achieved acceptance by the dental profession.

• Each technique has been designed to achieve a definite goal.

• Depending on the individual cases,the techniques of toothbrusing may have to be altered to achieve the maximum beneficial effects.

TYPES OF TOOTH BRUSHING TECHNIQUE

• The bass or sulcus cleaning method.• Modified bass technique.• Modified STILLMANN’s technique.• Fones or circular or scrub method.• Vertical or LEONARDS method.• CHARTER’S method.• Scrub brush method.• The roll technique.• Physiologic or SMITH method

BASS OR SULCUS CLEANING METHOD

Mostly accepted and effective method for the removal of dental plaque present adjacent to and underneath the gingival margin.

• INDICATIONS adaptable for interproximal areass cervical areas beneath the

height of contour of enamel. exposed root surfaces.

TECHNIQUES• The bristles are placed at a 45 angle to the

gingiva and moved in small circular motions.

• Strokes are repeated around 20 times,3 teeth at a time.

• On the lingual aspect of the anterior teeth,the brush is pressed into the gingival sulci and proximal surfaces at a 45 angle.

• The britles are then activated.• Occlusal surfaces are cleaned by pressing

the bristles firmly and then activating the bristles.

ADVANTAGES• Effective method for removing plaque.• Provides good gingival stimulation.

DISADVANTAGES cause injury to the gingival margin. Time consuming. Dexerity.

MODIFIED BASS TECHNIQUE

• INDICATION:• As a routine oral hygiene measure

intrasulcular cleansing.

TECHINIQUE• Vibratary and circular movements with

sweeping motion• Bristles are at 45 to the gingiva• Bristles are swept over the sides of the

teeth towards their occlusal surfaces in a single stroke.

ADVANTAGES• EXCELLENT SULCUS CLEANING.• GOOD INTER PROXIMAL AND GINGIVAL

CLEANING.• GOOD GINGIVAL STIMULATION

• DISADVATAGES• DEXTERITY

MODIFIED STILLMAN’S TECHNIQUE

• INDICATIONS• DENTAL PLAQUE REMOVAL• CLEANING TOOTH SURFACES AND GINGIVAL

MASSAGE .

TECHNIQUES

• Bristles are pointed apically with an oblique angle to the long axis of the tooth

• Bristles placed on the cervical aspect of the teeth

• Short back and forth motion moved in a coronal direction.

DISADVANTAGES• TIME CONSUMING• DAMAGE EPITHELIAL ATTACHMENT.

CHARTER’S METHOD

• INDICATIONS:• Persons having :-• Missing papilla and exposed root surfaces.• FPD and Orthodontic appliances.• Periodontal surgery.• Interproximal gingival recession.

TECHNIQUE

• A soft/medium multi-tufted tooth brush taken

• Bristles are placed 45 to the gingiva with bristles directed coronally.

• Mild vibratory strokes required with bristles ends lying interproximally.

ADVANTAGES• Massage and stimulation of gingiva.• DISADVANTAGES :-• Poor removal of subgingival bacterial

accumulations.• Limited brush placement.• Requirements in digital dexterity are high.

Email.Id :chinthamanidental@gmail.comContact us: 044-43800059 ,9283786776

Website:www.chinthamanilasedentalclinic.com

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