Mechanical control of the supragingival plaque. Flashcards
1
Q
Purpose of mechanical plaque control
A
Remove plaque so it doesnt mature and cause periodontal disease
2
Q
Good mechanical plaque control depends on
A
- Design of brush
- Brushing technique
- Frequency and duration of brushing
3
Q
Ideal features for toothbrush
A
- Handle size appropriate to age and dexterity
- Appropriate head size
- Rounded nylon/polyester filaments no larger than 0.23mm in diameter
- Soft filaments
3
Q
Brushing methods
A
- Horizontal
- Vertical(Leonard)
- Circular(Fones)
- Bass(Sulcular)
- Stillman(vibratory
- Charters
- Roll technique
- Scrubbing
- Modified bass/stillman
4
Q
Horizontal brushing technique
A
- Most common
- Brush perpendicular to tooth surface
- Horizontal back and forth motion
- Occlusal, lingual and palatal surfaces-open mouth
- Vestibular surfaces-closed mouth
- Traumatic to hard and soft tissues
Wrong technique
5
Q
Vertical brushing technique
A
- Vertical up and down motion
- Insufficient brushing action
- Accumulation of plaque persists especially in pockets
6
Q
Circular(fones) brushing technique
A
- Teeth in contact
- Circular movement from maxillary to mandibular gingiva
- Back and forth strokes for lingual and palatal surfaces
7
Q
Bass(circular) brushing technique
A
- Effective for subgingival plaque removal
- Brush oblique towards apex
- Filament tips directed into sulcus at 45 degree angle
- Short strokes w/ back and forth motion keeping brush filaments in sulcus
- On lingual surfaces of anteriors-brush vertical
8
Q
Stillman(vibratory) brushing technique
A
- Massaging, stimulating gingiva and cleaning cervical areas
- Recession
- Brush head oblique towards apex
- Filaments partly on gingival margin and on tooth surface
- Light pressure w/rotary movements
Maintain contact of filaments w/ tooth surface
9
Q
Charters brushing technique
A
- Cases w/ receded interdental papillae->Filaments penetrate area
- Brush oblique w/ filaments towards occlusal and insicsal surfaces
- Light pressure to force filaments into interproximal embrassure
10
Q
Roll brushing technique
A
- Brush head in oblique direction towards apex
- Filaments partly at gingival margin and on tooth surface
- Sides of filaments pressed lightly against ginigva
- brush head rolled over gingiva and teeth in occlusal direction
11
Q
Scrubbing brushing technique
A
Combination of horizontal, vertical and circular movements
12
Q
Modified bass/stillman brushing technique
A
- After activation of brush in back and forth direction-> rolled over gingiva and teeth in occlusal direction
- Filaments can then penetrate interdentally
13
Q
Interdental adjuncts used for intact narrow interdental spaces
A
- Floss
- Wood stick
14
Q
Interdental adjuncts used for moderate papillary recession and slightly open interdental space
A
- Floss
- Wood stick
- Interdental brush
