Toothbrushing

Question 1

When should interdental brushes be used

Answer 1

In open interdental spaces without papillae

Question 2

What are the types of toothbrushes

Answer 2

Manual

Electric
-oscillating-rotary
-sonic
-ultrasonic
-ionic

Question 3

How many teeth does the head of a manual toothbrush cover

Answer 3

3 neighbouring teeth

Question 4

How often should you replace your toothbrush

Answer 4

every 2-3 months or when the bristles start to spread

Question 5

What are the types of bristle patterns

Answer 5

Equal length bristles​

Pyramidal bristles – for occlusal surfaces​

Reversed-V/Reversed pyramid bristles – for fixed orthodontic appliances​

Cross-action bristles​

Question 6

What is the Bass toothbrushing technique

Answer 6

PROPER TOOTHBRUSH– multi-tufted, with equal length of the bristles, with soft bristles (0,17 mm diameter)​

Toothbrush placed under 45° angle, with bristle tips pointing towards the gingival sulcus​

Slight pressure in a way that allows the bristles to enter the gingival sulcus and go slightly below the gum line​

The bristles should make short and delicate back and forth movements with minimal displacement of the bushes’ head ​

20-30 vibrations (minimum 10) in one series, around 4-5 series for each teeth group​

Question 7

What is a proper toothbrush

Answer 7

Multi-tufted, with equal length of the bristles, with soft bristles (0,17 mm diameter)

Question 8

What is the brushing method for children called

Answer 8

Fone’s method

Question 9

How should children be taught to brush

Answer 9

Toothbrush positioned perpendicular to teeth (at a 90° angle) with bristles facing the tooth​

Slight pressure​

The head of the brush makes round motions cleaning teeth from both dental arches at the same time​

5 circular motions for each group ​

Palatal and lingual surfaces are cleaned in complete disclusion, one dental arch at a time​

Question 10

What is the most damaging brushing technique to periodontium

Answer 10

Horizontal brushing
Vertical brushing - Leonard’s method

Question 11

What is surface cleaning

Answer 11

Clean each type of surface (buccal, palatal/lingual, occlusal) in each tooth one by one

Question 12

What is the solo method cleaning

Answer 12

Clean each of the 3 surfaces of a single tooth and then move on to the next one

Question 13

How long should each surface be cleaned for

Answer 13

Min 3 secs

Question 14

What are the recommended flouride toothpaste measurements for children

Answer 14

6 months – 3 yrs – 1000 ppm, grain of rice ​

3 yrs – 6 yrs – 1000 or 1450 ppm, grain of pea​

> 6 yrs – 1450 ppm, half of the length of toothbrush head covered​

Question 15

What symptoms should you contact your dentist about when flossing

Answer 15

Difficulty inserting/removing the floss​

Shredding of the floss while pulling it out​

Bleeding on flossing​

Question 16

What is the most effective antiplaque agent

Answer 16

Chlorhexicine

Question 17

What does flouride do

Answer 17

strengthens the structure of the enamel - fluoroapatite​

obliterates dentinal tubules - fight against hypersensitivity​

inhibits the deposition of dental plaque (amine fluorides)​

Question 18

What does TIPPS stand for

Answer 18

Talk – talk about the causes of dental disease and discuss any barriers to effective plaque removal

Instruct – instruct the patient on the best ways to perform effective plaque removal

Practise – ask the patient to clean his/her teeth and to use the interdental cleaning aids whilst in the dental office

Plan – put in place a plan which specifies how the patient will incorporate oral hygiene into daily life

Support – provide support to the patient by following up at subsequent visits and giving her/him feedback​