Com Dent Brushing

7/29/2019 Com Dent Brushing

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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

Com Dent Brushing

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