24. Cleaning of the gingival sulcus.

Question 1

1. the gingival sulcus
   a/ Definition of the gingival sulcus

Answer 1

gingival sulcus is the natural space found between the tooth and the gum tissue that surrounds the tooth, known as the free gingiva

Question 2

1. the gingival sulcus
   a/ Definition of the gingival sulcus

Answer 2

gingival sulcus is the natural space found between the tooth and the gum tissue that surrounds the tooth, known as the free gingiva

Question 3

2. Cleaning of the gingival sulcus
   a/ What are the 6 methods of cleaning?

Answer 3

1/ Bass Technique
2/ Modified Bass Technique
3/ Stillmans Technique
4/ Modified Stillmans Technique
5/ Charters Technique
6/ Roll Technique

Question 4

2. Cleaning of the gingival sulcus
   b/ Bass technique

Answer 4

1/ Toothbrush head parallel to occlusal surface of the teeth
2/ Bristles are directed apically into the gingival sulcus 45 degree angle to the long axis of the teeth
3/ Applying gentle press in an apical direction by making short vibratory stroke

Question 5

2. Cleaning of the gingival sulcus
   c/ Modified Bass technique

Answer 5

The modification consists of sweeping the bristles downward over the tooth surface occlusally after the vibratory motion in the gingival sulcus

Question 6

2. Cleaning of the gingival sulcus
   d/ Stillmanns Method

Answer 6

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

Question 7

2. Cleaning of the gingival sulcus
   e/ Modified Stillmanns Method

Answer 7

The modification consists in the brush moved occlusally in a rolling stroke after the vibratory motion

Question 8

2. Cleaning of the gingival sulcus
   f/ Charters Method

Answer 8

The bristles are directed occlusally and the sides of the bristles are firmly flexed against the gingiva with a vibratory motion.

Question 9

2. Cleaning of the gingival sulcus
   f/ Roll Method

Answer 9

Bristles are directed apically – Swept in an occlusal direction with a rolling motion

Question 10

3. Disadvantages of excessive toothbrushing

Answer 10

1/ Abrasion
- At the area of the cemento-enamel
junction
- At areas of eroded surfaces
+) After drinking of acidic liquids (30 minutes!) - Ice tea, coke, citrus foods or liquids (especially if carbonated!)
- GERD disease

2/ Do not push the brush!