Tooth Brushing: Ms. Zain Malkawi, MSDH

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Tooth Brushing

By

Ms. Zain Malkawi, MSDH


Tooth Brushing
• Tooth brush: the principle
instrument for bacterial plaque
removal

• Many different designs of


toothbrushes and adjunctive oral
hygiene devices have been
manufactured and promoted

• Variety in shapes, sizes, and


textures
Manual Toothbrushes
• Characteristics of an effective toothbrush:

Conform to individual patient requirements in


size, shape, and texture
Easily and efficiently manipulated
Readily cleaned and aerated
Durable and inexpensive
Has end rounded filaments or bristles
General Description of Manual
Toothbrush
• Parts:

Handle: the part grasped in the hand


during tooth brushing
Head: working end
Shank: the par that connects the head and
the handle
Tooth Brush Parts
Power Driven Toothbrush
‫فرشاه اسنان لألطفال يتم وضعها في أصبع‬
‫األم لسهوله غسيل اسنان الطفل‬
Toothbrush Selection for the Patient

• Influencing Factors:

 Patient: ability of patient to use the dental tooth


brush and remove bacterial plaque

 Gingiva: status of gingival or periodontal health

 Position of teeth: crowded teeth or open contact


When I should Change My Toothbrush??
How you Treat Your Tooth Brush..!!
How you Treat Your Tooth Brush..!!
Guidelines For Toothbrushing
Grasp of brush: grasp toothbrush handle
in the palm of the hand with thumb against
the shank
Sequence: complete coverage for each
tooth surface
Amount of brushing: the account system:
count 6 strokes in each area
Frequency of brushing.
Toothbrush with Camera??!!
Assisting people with special needs to brush
Methods For Toothbrushing

Bass Method Technique


Modified Bass Method Technique
Stillmans Method Technique
Modified Stillmans Method Technique
Charters Method Technique
Roll Method Technique
Bass Method Technique

• Toothbrush head parallel to occlusal


surface of the teeth
• Bristles are directed apically into the
gingival sulcus 45 degree angle to the long
axis of the teeth
• Applying gentle press in an apical direction
by making short vibratory stroke
Modified Bass Method

– The same as the Bass Method technique

– The modification consists of sweeping the


bristles downward over the tooth surface
occlusally after the vibratory motion in the
gingival sulcus
Stillmans Method Technique

– Bristles directed apically and compressed


laterally against the gingiva (45 degree angle)

– A vibratory rotary motion is applied to the


brush with the bristles remaining the same
positioning
Modified Stillmans Method Technique

• The same as Stillmans Method Technique

• The modification consists in the brush


moved occlusally in a rolling stroke after
the vibratory motion
Charters Method Technique:

• The bristles are directed occlusally and the


sides of the bristles are firmly flexed
against the gingiva with a vibratory motion.
Roll Method Technique

– Bristles are directed


apically

– Swept in an occlusal
direction with a rolling
motion

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