Chapter 26: oral infection control. Toothbrush and toothbrushing Flashcards
he described many aspects of oral health. He was critical of the toothbrush made of horse’s hair because it was too soft and advised the use of sponges to vigorously rub the teeth.
pierre fauchard
Characteristics of an Effective Manual Toothbrush
-Conforms to individual patient requirements in size, shape, and texture.
-Easily and efficiently manipulated.
Readily cleaned and aerated; impervious to moisture.
-Durable and inexpensive.
-Soft bristles.
-End-rounded filaments free of sharp or jagged edges.
-Designed for utility, efficiency, and cleanliness.
different shapes of brush head
- flat
- rippled
- tapered filament
- multilevel
- angled
- bilevel-orthodontic
There is moderate evidence that power toothbrushes result in a __%–__% reduction in plaque and about a 10% reduction in gingivitis whe
10-20%
compared to manual toothbrushes, why are power toothbrushes less damaging to gingival tissues?
they have mechanisms to alert the patient when they apply excessive force.
Indications for Use of Power Toothbrush
- Those with a history of failed attempts at more traditional biofilm removal methods.
- Those undergoing orthodontic treatment.
- Those undergoing complex restorative and prosthodontic treatment.
- Aggressive brushers
- Patients with disabilities
- For caregivers that must brush for the patient.
in what motion do power toothbrushes move
- Rotation oscillation.
- Counter oscillation.
- Sonic or ultrasonic motion.
- Side to side.
- Circular.
Some research suggests angled tufted designs of manual toothbrush heads and rotating, oscillating round power brush heads are most effective.
t or f
true
Toothbrush bristles are typically classified as ___ , ____ , ____ , or _____ .
hard
medium
soft
extra soft
An extra soft toothbrush may be indicated in conditions such as :
necrotizing ulcerative
or
following periodontal surgery
Manual toothbrushing methods include the following:
Sulcular: modified Bass.
Roll: rolling stroke, modified Stillman.
Vibratory: Stillman, Charters, Bass.
Horizontal (or scrub).
Circular: Fones.
Vertical: Leonard.
what method of brushing is this
Dental biofilm removal adjacent to and directly beneath the gingival margin.
Open embrasures, cervical areas beneath the height of contour of the enamel, and exposed root surfaces.
Adaptation to abutment teeth or implants, under the gingival border of a fixed partial denture.
Filament tips are directed into the gingival sulcus at approximately 45° to the long axis of the tooth.
modified bass
this method is designed for massage and stimulation, as well as for cleaning the cervical areas. This method adds a rolling stroke to the vibratory stroke to clean the crown of the tooth
THE STILLMAN AND MODIFIED STILLMAN METHODS
Removing biofilm, materia alba, and food debris from the teeth WITHOUT emphasis on GINGIVAL SULCUS.
Used in conjunction with a vibratory technique such as modified Bass, Charters, and Stillman methods.
Can be particularly helpful when there is a question about the patient’s ability to master and practice a more complex method.
roll or rolling stroke method
Loosen debris and dental biofilm.
Stimulate marginal and INTERDENTAL gingiva.
Aid in biofilm removal from proximal tooth surfaces when interproximal tissue is missing creating open embrasures, for example, following periodontal surgery.
Remove dental biofilm from abutment teeth and under the gingival border of a fixed partial denture (bridge) or implant-supported bridge or partial denture.
charters method