TOOTH BRUSHING - PowerPoint Presentation

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TOOTH BRUSHING

Dr.Rai

Tariq

MasoodSlide2

Tooth Brush

The

toothbrush

is an instrument consisting of a small brush on a handle used to clean teeth through tooth brushingAct of cleaning your teeth with the tooth brush is called Tooth BrushingSlide3

Tooth paste

Toothpaste

is a paste or gel dentifrice used with a toothbrush to clean and maintain the aesthetics and health of teethSlide4

Functions

Used to promote oral hygiene

Aid in the removal of dental plaque and food from the teeth on all the surfaces

Elimination and/or masking of halitosisDeliver active ingredients such as fluoride or xylitol to prevent tooth and gum disease (gingivitis)To clean the tongueSlide5

Amount of paste applied?Slide6

Tooth brush designSlide7

Introduction

The bristle tooth brush appeared 1

st

in china in 1600 They vary in size, design, length, hardness and arrangement of bristlesHence recommending a particular tooth brush, the ease of use by a patient as well as the perception that the brush works well are important

Each brush has a Handle, a Shank and a Working endSlide8

Components of a Toothbrush

Shank

Handle

Working endSlide9

Ideal Properties of a Tooth Brush

Should remove all the calculus and plaque

Should access all the surfaces of the tooth

Should not injure the GingivaThe bristles should be softThe bristles should not deteriorate/ or should have long working lifeSlide10

Tooth Brush Design

The bristles are grouped in Tufts

Usually 3 or 4 rows of tufts

Bristles are obtained from Hogs or artificially from the NylonTwo major types : manual & ElectricSlide11

Manual & ElectricSlide12

Soft and Hard Bristles

Which is the better one?Slide13

Force for Brushing

The amount of force used is not critical for effective

vigorous brushing can lead to

-Gingival recession -Bacteremia -Wedge shaped defects in the cervical

area of the root surfaceSlide14

Tooth brush TraumaSlide15

TOOTH BRUSHING TECHNIQUESSlide16

Techniques

Stillman , Charters & Bass

Modified Stillman & Bass technique

Fones techniqueLeonard techniqueScrub techniqueSlide17

Stillman Method

A toothbrushing technique that incorporates gingival stimulation and dental cleansing, in which the toothbrush is

held against both the gingival and the dental surfaces

and manually vibratedSlide18

Continued……

The bristles ends are placed at 45 degree with the bristles

directed apically

on the gingiva and partly on the cervical portion of the toothwhen the bristles are in position a gentle but firm vibratory motion is applied to the brush with the

bristles remaining in the same positionSlide19

Stillman’sSlide20

Modified Stillman’s Technique

A

occlusal

stroke is also added in the movementsThe occlusal stroke is used after every vibratory movement.For Cleaning areas with progressing gingival recession and root exposure to minimize abrasive tissue destruction.Slide21

Charter’s Method

A method of toothbrushing utilizing a

restricted vibratory motion

with the bristles inclined coronally at a 45 degree angle.Used when the interdental gingiva does not fill the embrasure spacesSlide22

Continued……

The bristles are placed at 45 degree

towards the occlusal surface

The bristles are placed interproximally and then vibratory movement is used while keeping the bristles in the positionSlide23

Charter’s Slide24

Bass Method (intrasulcular)

Toothbrushing technique for controlling plaque

involving placement of the bristles in the sulcus at an angle of 45° to the tooth's long axis

and vibrating the bristles in a quick manner from side to sideMost widely accepted method for removal of plaqueSlide25

Continued……

The head of the tooth brush is placed parallel with the occlusal surfaces of the teeth and the bristles are directed apically into the gingival sulcus at 45 degree angle along the long axis of the tooth

A firm pressure is applied in apical direction and by making short vibratory strokes

.The short back-and-forth motion is easy

to

master.

It concentrates the cleaning action on the cervical and inter-proximal portions of the teeth, where microbial plaque is most likely to have accumulated.Slide26

Bass MethodSlide27
Slide28

Modified Bass Method

The modification consists of sweeping the bristles downward over the tooth surface occlusallySlide29

Fone’s Technique (circular Method)

A toothbrushing technique in which,

with the teeth occluded and with the brush at more or less right angles to the teeth

, large sweeping, scrubbing circles are described. With the jaws parted, the palatal and lingual surfaces of the teeth are scrubbed using smaller circles. Occlusal surfaces are brushed in an anteroposterior direction.Slide30

Continued……

Brush is placed perpendicular to the tooth

Teeth are clenched and large circular movements are given with the toothbrush

Not recommended now because injury to gingiva usually occursSlide31

Leonard’s Technique

A method of teeth cleaning that advocates a vigorous

drawing of the toothbrush up and down

across the teeth. The teeth are held apart, so that each section is brushed separately. Also known as vertical toothbrushing.Slide32

Roll Method

Brush is placed

over the gingiva

with the bristles placed apicallyThe jaws are separatedThe bristles are pressed against the gingiva and with continued pressure the brush is slowly rolled down over the surface of gingiva and tooth by rotating the wristSlide33

Continued……

Most easy method

But the gingival sulcus may not be cleaned by thisSlide34

Horizontal scrub Method

The bristles are placed 90⁰ to the tooth and move horizontally.

Most widely used method but not recommended.

Can cause gingival recession.Slide35

Brushing the Occlusal Surface

The bristles are placed at right angle on the occlusal surface with the ends of the bristles deep into the pits and fissures

Vibrate the brush while keeping in the same area

Next give it the circular movementsSlide36

Occlusal BrushingSlide37

Brushing the Tongue

Place the bristles at a right angle to the tongue

Apply pressure on the tongue and give to and fro movementsSlide38

Mouth Rinsing

Very important

Done to flush away the debris that was loosened but not removed

Water or Mouth washSlide39

ADJUNCTS TO TOOTHBRUSHINGSlide40

Introduction

Simple toothbrushing cannot clean all the surfaces

For ideal plaque removal certain aids must be supplemented which assist in cleaning the remaining portions

Dental flossInterdental toothbrushesMouth washes

Disclosing tablets and solutions

DentifricesSlide41

Dental FlossSlide42

Continued……

Slowly push the floss interdentally, Don’t force it otherwise gingival trauma may occur

Start from the base of gingival sulcus

Move in up & down motionMove along the tooth surfaceDo it slowly to avoid traumaSlide43

Flossing techniqueSlide44

Interdental BrushSlide45

UsageSlide46

Disclosing tablets & SolutionsSlide47

Disclosed plaqueSlide48
Slide49

Thank you