presentation1-150615215554-lva1-app6891

BRUSHING TECHNIQUES Jigyasha Timsina BRUSHING TECHNIQUES THE BASS OR SULCUS CLEANING METHOD MODIFIED BASS TECHNIQUE MODIFIED STILLMANN’S TECHNIQUE FONES OR CIRCULAR OR SCRUB METHOD VERTICAL OR LEONARD’S 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: I interproximal areas II cervical areas beneath the height of contour of enamel III exposed root surfaces TECHNIQUE: 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 ADVANTAGE: Effective method for removing plaque Provides good gingival stimulation DISADVANTAGE: cause injury to the gingival margin Time consuming MODIFIED BASS TECHNIQUE Differs from bass technique in that it has sweeping motion from cervical to incisal or occlusal surface INDICATION: As a routine oral hygiene measure intrasulcular cleansing ADAVANTAGE excellent sulcus cleaning good inter proximal and gingival cleaning good gingival stimulation DISADVANTAGE dexterity MODIFIED STILLMAN’S TECHNIQUE INDICATION: dental plaque removal cleaning tooth surfaces and gingival massage DISADVANTAGES time consuming damage epithelial attachment THE STILLMAN’S 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 CHARTER’S METHOD INDICATIONS: persons having : I II III IV missing papilla and exposed root surfaces FPD and orthodontic appliances periodontal surgery interproximal gingival recession THE CHARTER’S 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 the tooth Vibrate the filaments gently but firmly, keeping the filaments against the tooth Reposition on the next set of teeth ADVANTAGE: Massage and stimulation of gingiva DISADVANTAGES : Poor removal of subgingival bacterial accumulations Limited brush placement Requirements in digital dexterity are high 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 brush even with the tooth 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 SCRUB BRUSH METHOD Requires vigorous horizontal , vertical & circular motion DISADVANTAGES Not very effective at plaque control Tooth abrasion and gingival recession VERTICAL / LEONARD’S METHOD Vertical stroke is used Maxillary and mandibular teeth are brushed separately Bristles of brush are placed at 90° to the facial surface of teeth Brush vigorously without great pressure mostly up and down strokes ADVANTAGE most convenient and effective for small children with deciduous teeth DISADVANTAGES interdental space of permanent teeth of adult are not properly cleaned PHYSIOLOGIC/SMITH METHOD Based on the principle that toothbrush should follow the physiologic pathway that is followed by the food when it traverses over the tissue during mastication Bristles are pointed incisally or occlusally and then moved along and over the tooth surface and gingiva ADVANTAGE natural self cleansing mechanism supragingival cleaning is good DISADVANTAGE interdental spaces and sulcular areas of teeth are not properly cleaned FONES/CIRCULAR/SCRUB METHOD INDICATION Young children Physically or emotionally handicapped individuals Patients who lack dexterity METHOD: Place the toothbrush on a set of teeth, then activate the bristle by slightly pressing them over the teeth Give circular motion -5 times on each set of the teeth Move on to the next set of teeth ADVANTAGE: easy to learn shorter time required DISADVANTAGE: possible trauma to gingiva interdental areas not properly cleaned