Download Types of toothbrush

PREVENTION OF PERIODONTAL
DISEASES
Department of Therapeutic Dentistry
TSMU
4th year of study
Preventive dentistry
This is the area of dentistry that focuses on
those procedures and life practices that help
people to prevent the beginning or progression
of oral disease.
It includes:
• at-home dental care performed by patients,
• dental care and education by professional
dental staff in the office or clinic.
Purpose of
Preventive dentistry
Preventive dentistry includes two aspects of dental
care to help patients avoid dental disease or to
catch it in its early, more treatable stages.
It is the oral hygiene care performed
• by the patient at home
• by the dental staff in their offices to help patients
maintain healthy teeth and gums. Dental health
professionals can stop the development of oral
disease or to find it at an early stage
Preventive care in a dental office
includes:
• Prophylaxis-cleaning of the teeth, which removes
accumulation of calculus
• Examination of the teeth and soft tissue, using
visual and tactile exams, x-rays, oral cancer
screening
• Newer techniques to diagnose periodontal or
gum disease, include computerized measurement
devices that measure the bacterial content in the
mouth
• Prescribing medications (anti-inflammatory
mouthwashes) to help prevent dental disease
Products of oral hygiene
Individual oral care products
The brushing techniqueshould be gentle and in a
rolling back-and-forth motion, with two to three
teeth being brushed at a time.
Patients should:
• use a soft nylon toothbrush with roundended bristles
• place the bristles along the gum line at a 45degree angle to cover the tooth surface and
gum line.
• use a back-and-forth motion to brush the
biting surface of the teeth and the tongue.
Types of
toothbrush
Fundamental to the
use of electric or
manual toothbrushes
is the consistency,
quality and duration
of your efforts. Soft
bristle brushes are
best to avoid
unnecessary abrasion
of the periodontal
tissues and teeth.
Position of toothbrush in oral cavity
Movements of toothbrush
Position of the toothbrush in oral cavity
. Two minutes of brushing twice daily with gentle
strokes is better than aggressive brushing for a shorter
duration.
Electric toothbrushes
Tips of electric toothbrushes
Waterpik water flosser
Flossing removes plaque from
between teeth and at the gum line.
• It should be done with an 18-inch strip of floss
wrapped around the middle fingers of each hand
• The remaining one to two inches of floss that is
inserted between the teeth should be directed by the
thumbs
• By keeping the floss taut, use index fingers to guide
the floss between the lower teeth with a gentle zig-zag
motion, while contouring the floss around the sides of
the teeth
• Need floss each tooth with a clean section of the floss
and ensure that the floss goes under the gum line.
Flossing techniques
Steps of flossing
BASS METHOD
Importance
•1) Most effective in cleaning cervical 1/3 &
beneath gingival margins
•2) Suitable for everyone – Periodontally healthy
& periodontally disease
•3) Periodontal maintenance
•4) Cleanses sulcus (space between tooth and
gums)
BASS METHOD
• Direct bristles apically to sulcus at 45° to the long axis of the
tooth. Use gentle force to insert bristles into sulcus.
• Apply firm but gentle 10 back-and-forth strokes of vibratory motion
without removing bristle ends from sulcus. Move brush head to the
next group of teeth by overlapping with the completed area.
• On the lingual surfaces of front teeth, brush is placed vertically and
apply gentle vibratory motion of up-and-down strokes.
• On the chewing surface apply a motion of back-and-forth brushing
strokes.
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•
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STILLMAN’S METHOD
Importance
1) Provides gingival stimulation (vibratory motion)
2) Suitable for gingival recession (Toothbrush bristle
ends not directed into sulcus)
• 3) Less traumatic to the gingiva
• 4) Who should use this?
• People with continuous gingival recession
STILLMAN’S METHOD
• Direct bristles apically to sulcus at 45° to the long axis of
the tooth . Place bristles partly on the cervical part and on
the gingiva. Apply vibratory motion with slight pressure to
stimulate gingiva.
• Repeat for the lingual surface of the tooth
• Use short back-and-forth strokes on the occlusal surfaces
gently. Place toothbrush perpendicular to the tooth
surface.
• CHARTER’S METHOD Importance 1) Efficiently
cleans interproximal areas 2) Able to clean areas
between fixed appliances (prosthetic and
orthodontic) and gingival margins 3) Who should
use this? People with orthodontic and fixed
prosthetic appliances People who have just
undergone periodontal surgery (temporary
cleaning of surgical wounds)
CHARTER’S METHOD
• Place bristles horizontally and parallel to the arch
at 45°at the gingival margin. Direct bristles
toward the crown of the tooth rather than the
root.
• Bristles are directed occlusally and vibrate into
the interdental spaces. Use short back-and-forth
strokes for activation. Repeat for other parts of
the mouth until all areas are cleaned.
Products for flossing
Types of toothpaste
•
•
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•
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fluoride toothpaste
desensitizing toothpaste
anti-calculus toothpaste
anti-plaque toothpaste
whitening toothpaste.
Their various functions depend on the active
ingredients they contain.
Ingredients contained in toothpastes
may include:
----------Fluoride:
1. strengthens tooth enamel against decay and enhances remineralization
of the enamel
2. inhibits acid-loving bacteria, especially after eating, when the mouth is
more acidic. This antibacterial activity may help control plaque.
----------Triclosan is an anti-bacterial substance that may help reduce mild
gingivitis.
----------Metal salts such as stannous and zinc, serve as anti-bacterial
substances in toothpastes do not reduce plaque, even though they have some
effect against the bacteria that cause it, but slightly reduce gingivitis
----------Peroxide and baking soda have a whitening action, but while they may
help remove stains there is little evidence they whiten the actual color of the
teeth. In addition, these substances appear to offer no benefits against gum
disease.
----------Antibacterial sugar substitutes (xylitol), and detergents (delmopinol)
Oral Rinses
• Mouth rinses do not replace brushing or
flossing. Certain brands have more scientific
support and may be a helpful adjunct in
maintaining good oral health. Please ask us
about the best product for your individual
care.
Types of oral mouthwash
An important part
of preventive
dentistry
performed by
dental
professionals is
educating patients
about
• at-home care
• nutrition
• smoking cessation.
Regular dental check up-important
part of prevention
Thank you for your attention