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Oral Care Products

Presentation · May 2020

DOI: 10.13140/RG.2.2.24812.80001

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 Oral
OralHygiene Products
Care Products

Nasir Al-Hamlan BDS, MPH, MSc, FDS RCSEd, FDS RCSEd, MOrth RCSEd, FICD
Consultant and Assistant Professor, Orthodontics
King Saud bin Abdulaziz University for Health Sciences

Riyadh, Saudi Arabia

@nhalhamlan
@saudibraces

nasiralhamlan

@nasiralhamlan
Toothbrush
 Toothbrush

The function of toothbrush is to remove dental plaque from the surface of

teeth and massage the gum.
Toothbrush

History

• The toothbrush as we know it today was not invented until 1938. However, early forms of the
toothbrush have been in existence since 3000 BC. Ancient civilizations used a "chew stick,"
which was a thin twig with a frayed end. These 'chew sticks' were rubbed against the teeth.

• The bristle toothbrush, similar to the type used today, was not invented until 1498 in China.
The bristles were actually the stiff, coarse hairs taken from the back of a hog's neck and
attached to handles made of bone or bamboo.

• Boar bristles were used until 1938, when nylon bristles were introduced by Dupont de
Nemours.

• The first nylon toothbrush was called Doctor West's Miracle Toothbrush. Later, Americans
were influenced by the disciplined hygiene habits of soldiers from World War II. They became
increasingly concerned with the practice of good oral hygiene and quickly adopted the nylon
toothbrush.
Toothbrush

History

• Some other interesting toothbrush facts:

• The first mass-produced toothbrush was made by William Addis of Clerkenwald, England,
around 1780.

• The first American to patent a toothbrush was H. N. Wadsworth, (patent number 18,653,) on
Nov. 7, 1857.

• Mass production of toothbrushes began in America around 1885.

• One of the first electric toothbrushes to hit the American market was in 1960. It was marketed
by the Squibb company under the name Broxodent.

• General Electric introduced a rechargeable cordless toothbrush in 1961.

• Introduced in 1987, Interplak was the first rotary action electrical toothbrush for home use,
Toothbrush

Manual Toothbrush

Shape of Toothbrush

Conventional
All conventional toothbrush head designs are effective in
cleansing every tooth surface.

Diamond shape
The tips of these brush heads are narrower than those of the
conventional ones. These tips are designed for an easy
access to posterior teeth.

A toothbrush with any kind of toothbrush head cleans teeth

effectively. However, the size of the toothbrush head should
be considered according to the size of the oral cavity.
Toothbrush
Manual toothbrush
Shape of Toothbrush

Block pattern
The bristles are of the same length and are
arranged neatly like a block.

Wavy or V-shape pattern

The bristles form a V-shape or wavy pattern.
According to the manufacturer, this is intended to
give the bristles a better contact with the areas
around the adjacent tooth surfaces.

Advantage
If these toothbrushes are used correctly, it is claimed by the manufacturer that
their bristles will naturally be pointing at the gum line at a 45 degree angle. It is
also suggested that since the bristles at the brush tip are longer, it enables the
brush to reach the difficult to clean areas.

In fact, any of the above brush head design can effectively clean the teeth. Nonetheless, the
bristles must be soft. Thus, you can choose according to your personal preference.
Toothbrush

Manual toothbrush
Handle design

Straight handle
All conventional toothbrushes have straight handles that are
easier to control.

Contra-angle handle
This handle design is similar to a dental instrument, intending to
access to the difficult to clean areas.
Toothbrush

Manual toothbrush
Flexible handle
Handle design
This kind of handle intends to reduce gum injury caused by
excessive brushing force.

Slip prevention grip handle

This handle intends to prevent the toothbrush from slipping
away during toothbrushing.

None of the handle design possesses special tooth cleansing effect. You may
make your choices according to your personal preference.
Toothbrush
Powered Toothbrush

• Mechanical motions of different brush heads

• Brush head oscillates sideways, forwards and backwards.
• Each tuft of bristles rotates individually.
• The entire brush head rotates in clockwise and anti-clockwise direction.

Is it suitable for you?

People with special needs, such as the physically and mentally disabled people,
may choose to use powered toothbrushes but:

-The high oscillation/rotation speed of the powered toothbrush may cause injury to
the teeth if it is not used correctly,
-The technique in using powered toothbrush is different from that of the manual
toothbrush,
-You should consult your dentist to achieve an optimal cleansing effect with your
powered toothbrush,
-As powered toothbrushes are more expensive than manual toothbrushes, you may
consider using it according to your financial capability.
Toothbrush

Superbrush

Function
It is designed to simultaneously clean the outer, inner and chewing surfaces of
teeth.

Head design
Three brush heads are combined together in the Superbrush. When the brush is
placed on the chewing surface, all the three surfaces of the tooth are cleaned
simultaneously. It shortens the brushing time.

Is Superbrush suitable for you?

- User should have well aligned teeth,

- It is suitable for parents and health care workers who have to brush the teeth
for the children or disabled, or for those whose manual dexterity is inadequate,
- The choice of toothbrush is a matter of personal preference. If you are
interested in using the superbrush, you can try it.
Toothbrush Toothbrush

Single-Tuft Toothbrush
What is a Single-tuft toothbrush?
It is a toothbrush with a very small head which can be used to clean
wisdom teeth and crooked teeth effectively. There are various shapes
of the brush head. The cleansing effectiveness of different shapes of
the brush head is the same.

Function and method of use

It is used to clean the areas which are unreachable by conventional
toothbrush such as:
- Wisdom teeth
Method of use:
Hold the brush in a pen grip, and place the bristles at the gum margin
of the wisdom tooth and brush gently to clean every tooth surface.
- Crooked teeth
Method of use:
Hold the brush in a pen grip, and place the bristles over the tooth area
where conventional toothbrush cannot reach and brush gently.
Interdental Brush

Function and method of use

- Cleaning the adjacent tooth surfaces with a wide interdental
space.
- In case of gingival recession due to Periodontal Disease, the
gap between the roots of the neighbouring teeth is wide. Under
this situation, an interdental brush may be used instead of
dental floss.
- Insert the interdental brush into the gap between the roots of
the teeth, brush forward and backward to clean the adjacent
tooth surfaces.
- Cleaning tooth surfaces underneath fixed orthodontic
appliances.
It is rather difficult to clean the teeth with fixed orthodontic
appliances in place.

Therefore, people wearing fixed orthodontic appliances should pay

special attention to their oral hygiene in order to reduce the chance of
Dental Caries development. The teeth and the appliance should be
cleaned in the morning and before bed at night everyday as well as
after each meal.
Interdental Brush

Suggested cleansing method:

Firstly, brush the area between the orthodontic appliance and gingivae
(gums). Then, brush the area between the appliance and the crown of
the teeth. Finally, insert an interdental brush into the area between the
teeth and the appliance to clean.
Interdental brush

Designs of Interdental Brush

Head design
Different sizes of brush head suit different
widths of the interdental spaces.

Handle design
Long handle is suitable for home use, short
handle (travel pack) is convenient to be carried
around.

Replacement pack
When the brush head is worn out, it can be replaced. It is economical.
Interdental brush

Designs of Interdental Brush

Which kind is suitable for you?

All kinds of interdental brush have the same cleansing
effect. You can choose whatever you like. For
example, a travel pack will be used when traveling and
a replacement pack will be more economical.
How to choose a Toothbrush?
How to choose a Toothbrush?

-It is essential that the toothbrush can move freely in your mouth to clean every
tooth surface,

-The bristles should be soft so that it does not injure the gums,

-The size of the toothbrush head should be appropriate to the size of the oral
cavity,

-In general, the size of a toothbrush head which is the same as the diameter of a
one-dollar coin will be suitable for adults,

-The bristle pattern and handle design should be determined by personal

preference and habit,

-Both manual and powered toothbrushes clean the teeth effectively as long as they
are used correctly,

-If you choose to use an interdental brush or a powered toothbrush, you should
consult your dentist first.
Tongue Cleaner
 Tongue Cleaner

Do you know?
The tongue is filled with tiny grooves and pockets which collect plaque and
the bacteria that can cause malodor, gingivitis and tooth decay.

Dental professionals believe a combination of scraping and brushing is an

effective way of cleaning the tongue surface
Dental Floss
Dental Floss

Dental floss is composed of many nylon filaments which are bounded together to
form a thread.

Function and method of use

Dental floss is used to remove dental plaque from the adjacent surfaces of the
teeth. Please refer to “Oral Care Tips” for using method.
Dental Floss

History

Dental floss is an ancient invention. Researchers have found dental floss and
toothpick grooves in the teeth of prehistoric humans. Levi Spear Parmly
(1790-1859), a New Orleans dentist is credited as being the inventor of modern
dental floss (or maybe the term re-inventor would be more accurate). Parmly
promoted teeth flossing with a piece of silk thread in 1815.

In 1882, the Codman and Shurtleft Company of Randolph, Massachusetts started

to mass-produce unwaxed silk floss for commercial home use. The Johnson and
Johnson Company of New Brunswick, New Jersey were the first to patent dental
floss in 1898. Dr. Charles C. Bass developed nylon floss as a replacement for silk
floss during WW II. Dr. Bass was also responsible for making teeth flossing an
important part of dental hygiene.
Dental Floss

Floss Coating

- Waxed floss is coated with wax which makes it easier for the floss to slide into the
tooth adjacent surface.

- Mint flavoured floss gives a feeling of freshness.

- Fluoride coated floss is intended to prevent dental caries from occurring on the
adjacent tooth surfaces, but its effectiveness has not yet been proven.
Dental Floss

Shape of Floss

Flattened Floss is designed to increase the contact surface with the tooth.

Ultra Floss is spongy and soft.

Round Floss is relatively thinner.

Superfloss contains segments of stiff-end threader, spongy floss and

regular floss. Stiff-end threader can make it easier for us to slide the
Superfloss through the gap between the teeth and fixed orthodontic
appliances. Spongy floss cleans around the appliances and between
wide spaces or to floss underneath the bridge. Regular floss removes
plaque from the adjacent tooth surfaces.
Dental Floss

Floss Holder / Dental Floss Stick

Floss holder/dental floss stick is a supplementary tool for flossing. It is suitable for
parents or caregivers in helping children or individuals with special needs to clean
the adjacent surfaces of their teeth.

There are many different types of floss holder/dental floss sticks in the market.
Parents are advised to choose the appropriate type according to:

- Durability
- Shape
- Handle length
Dental Floss

Floss Holder / Dental Floss Stick

Floss holder and dental floss sticks come in either a 'knife'

shape or a 'Y' shape. They are similarly effective in cleaning
teeth. A new thread of dental floss can be reattached to the
floss holder every time after use.
Dental Floss

Floss Holder / Dental Floss Stick

When cleaning the back teeth using a 'knife' shaped dental floss
stick, one will need to stretch his lips to facilitate the access of
the floss stick. Handles of floss holder/dental floss sticks differ in
length. Those with shorter handles are more difficult to use.
Therefore, parents and caregivers should choose the one with a
longer handle to floss for their children.
Dental Floss

Floss Holder / Dental Floss Stick

To effectively clean adjacent surfaces of teeth, the floss on the

floss holder/dental floss stick must be taut. Therefore, we need
to pay attention to the tautness of the floss when buying
disposable dental floss sticks

Toothpick….!
In 1872, Silas Noble and J. P. Cooley patented the first toothpick-manufacturing machine.
Dental Floss

Which Dental Floss is suitable for you?

•
You can choose a kind of dental floss or dental floss stick that is suitable for you
according to your personal need or preference.

• Those who are wearing fixed orthodontic appliance or fixed bridge can use
Superfloss.

• If used correctly, any kind of dental floss will effectively remove dental plaque.

• The use of dental floss will not widen the gaps between your teeth. There is no
need to worry about it.
Toothpaste
Toothpaste

Toothpaste can help remove dental plaque, their various functions depend
on the active ingredients they contain.

There are many different types of toothpaste available in the market. The
followings are the common types of toothpaste:

• Fluoride toothpaste,
• Desensitizing toothpaste,
• Anti-calculus toothpaste,
• Anti-plaque toothpaste, and whitening toothpaste.

Their various functions depend on the active ingredients they contain.

 Toothpaste
Toothpaste

History

• Toothpaste was used as long ago as 500 BC in both China and India; however, modern
toothpastes were developed in the 1800s.

• In 1824, a dentist named Peabody was the first person to add soap to toothpaste.

• John Harris first added chalk as an ingredient to toothpaste in the 1850s.

• In 1873, Colgate mass-produced the first toothpaste in a jar.

• In 1892, Dr. Washington Sheffield of Connecticut manufactured toothpaste into a collapsible

tube. Sheffield's toothpaste was called Dr. Sheffield's Creme Dentifrice.

• In 1896, Colgate Dental Cream was packaged in collapsible tubes imitating Sheffield.

• Advancements in synthetic detergents made after WW II allowed for the replacement of the
soap used in toothpaste with emulsifying agents such as Sodium Lauryl Sulphate and Sodium
Ricinoleate.

• A few years later, Colgate started to add fluoride to toothpaste.

Toothpaste

Fluoride Toothpaste

They contain Sodium Fluoride (NaF), Stannous Fluoride (SnF2), or

Monofluorophosphate (MFP2). The fluoride content is about 1,000 parts per million
(ppm). They are all effective in preventing dental caries. Children toothpaste contains
500ppm fluoride and is usually fruit flavoured, which is suitable for children.
Toothpaste

Desensitizing Toothpaste

The active ingredients help seal off the microtubules inside the exposed dentine (such as
exposed root surface due to toothbrush abrasion) to reduce tooth sensitivity. Active
ingredients such as Potassium Nitrate are used by different product manufacturers. There
are many different types of desensitizing toothpastes marketed by different brand names.
Their various functions depend on different active ingredients they contain.
Therefore, you are advised to consult the dentist and undergo a thorough check-up to
explore the cause of tooth sensitivity before using desensitizing toothpaste. You should
consult the dentist if the symptoms of tooth sensitivity persist after using desensitizing
toothpaste. Desensitizing toothpaste is not suitable for children.
Toothpaste

Anti-calculus Toothpaste

The manufacturer claims that the calcification of dental plaque could be retarded
by this kind of toothpaste, thus it reduces the rate of calculus formation. The
active ingredient is Pyrophosphate or Zinc Citrate. .

Anti-plaque Toothpaste

This kind of toothpaste inhibits plaque accumulation, reduces the toxic effects
of the bacterial toxin on the periodontal tissues, thereby reduces the chances
of getting periodontal disease. In the market, different anti- plaque toothpastes
contain different active ingredients. For example Triclosan or Zinc Citrate.

Whitening Toothpaste

This kind of toothpaste contains relatively coarse abrasives which function by

abrading the stains on the tooth surface, giving a whitening effect. However, long
term use will result in roughened tooth surfaces, which makes stains deposit more
readily.
Mouthrinses
Mouthrinses

Depending on the active ingredients they contain

different types of mouth rinse can be used to prevent
dental caries, periodontal disease or reduce tooth
sensitivity.
Mouthrinses

Fluoride Mouthrinse
Most of the Fluoride Mouthrinse on the market contains 0.05% Sodium
Fluoride (NaF), which provides extra Fluoride to the people who need it.
Using it once daily will give additional protection against dental caries.

Anti-plaque Mouthrinse
It inhibits plaque accumulation, thus reducing the chance of gingivitis
(inflammation of the gums). The active ingredients include Triclosan,
Thymol, Cetylpyridinium Chloride (CPC), etc. However, none of them
have been proven to be very effective in preventing periodontal disease.
Mouthrinses

Plaque-control Mouthrinse
Chlorhexidine Gluconate has been proven to have an
antimicrobial effect, hence the prevention of periodontal disease.
However, long term use of Chlorhexidine will stain the teeth,
alter the taste sensation and may cause recurrent ulceration of
the Oral Mucosa.

Desensitizing Mouthrinse
This kind of mouthrinse contains active ingredients such as
Potassium Nitrate which seals the dentinal tubules at the sensitive
site, thus reduces tooth sensitivity. However, desensitizing
mouthrinse is not intended for long term use. You should always
consult your dentist whether you need the desensitizing
mouthrinse and follow his instruction on how to use it.
Teeth Whitening Agents
Teeth Whitening Agents
Function

It is used to lighten the tooth stain or tooth colour.

Active ingredients

Oxidizing agents such as Hydrogen Peroxide or Carbamide Peroxide.

Is it suitable for you?

The effectiveness of teeth whitening agents depends on the type and severity of the
stain or the tooth colour. Thus, you should consult your dentist before purchasing
these whitening agents.

Tooth whitening agents contain highly concentrated peroxide which, if used

carelessly, will lead to gingival inflammation, swelling and bleeding. If swallowed
accidentally, it may cause serious injury to the body. Therefore, tooth whitening
agents must be used under the dentist's supervision, and the instructions should be
followed to ensure safety.
 THANK YOU

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