Toothbrushing Techniques

Question 1

The toothbrush bristles are at a 45-degree angle apically, with the bristle tips gently directed into the sulcus. Using short, vibratory strokes to brush, the bristles should remain directed toward the sulci without bending the bristles

Answer 1

Bass Method: Sulcular Brushing

Question 2

45-degree angle, bristles are partially on the tooth and partially on the adjacent gingiva. Short back-and-forth vibratory, rotary, or zig-zag strokes are employed, and the brush head is moved occlusally with light pressure. Upon placing the bristles on the gingiva, pressure should be enough to cause blanching.

Answer 2

The Stillman Method

Question 3

Rather than angling the toothbrush head 45 degrees apically, the bristles are directed away from the gingiva toward the occlusal or incisal edge of the tooth. Short back-and-forth vibratory strokes are used to remove biofilm.

Answer 3

Charters Method

Question 4

Used in conjunction with vibratory techniques, 45-degree apically, followed by a rolling motion by turning the wrist vertically towards the occlusal/incisal surfaces. After proper placement, use enough pressure to make the gingiva blanch before rolling the brush slowly over the teeth.

Answer 4

Rolling Stroke Method: Modified Bass, Stillman, and Charters Methods

Question 5

While slightly closing the mouth, place the toothbrush at a 90-degree angle to the long access of the teeth while pressing the bristles gently against the teeth. Bristles are then moved in a circular motion several times in each area before moving the brush to a new area to cleanse. Horizontal strokes can be used on occlusal and lingual surfaces, as the circular motion is difficult to accomplish in these areas. For primary teeth only.

Answer 5

Fones Method