OHI

most effective and widely used to device to remove dental plaque

toothbrush

poor oral hygiene leads to…

• inc caries risk

• inc periodontal disease risk

how to assess oral hygiene effectiveness

• visual inspection

• periodontal probe

• disclosing solutions

plaque indices

• O’Leary Index

• Silness and Loe index

prt assessment

• attitude

• dental anatomy

• disease state

• site specific difficulty

• dexterity issues

hard bristles

.014” (.4 mm)

medium bristles

.012” (.3 mm)

soft bristles

.007” (.2 mm)

ultrasoft bristles

.006”

softer bristles clean further…

interproximally and further subgingivally

techniques of manual toothbrush

• roll

• vibratory

• circular

• vertical horizontal

roll technique

modified stillman’s

vibratory techniques

• charters

• stillman’s

• bass

circular technique

fone’s

vertical technique

leonard

horizontal technique

scrub

what is the modified bass technique

• 45 degrees to long axis of tooth at gingival margin

• gentle vibratory pressure without dislodging bristles

• continue for 20 strokes

• sweep bristles towards occlusal edge

• lift brush and move to adjacent teeth

• brush occlusal surface

modified stillman’s technique

• sides of bristles placed partly on teeth and gingiva

• vibratory strokes at gingival margin

• rolled stroke to clean coronal surface

advantages of modified stillman’s technique

• gingival stimulation

• coronal/interproximal cleansing

cons of modified stillman’s technique

• limited sulcular cleaning

• dexterity required

charters method

• brush bristles placed parallel long axis of the tooth

• bristles points incisally

• pressed into margin/proximal area and vibrated

advantages for charters method

• good interproximal cleaning

• good fro ortho brackets

disadvantages for charters method

limited sulcular cleaning

fones method

• teeth closed

• tip of bristles gently placed against side of posteriors

• Brush swept vigorously over the tooth surface in a circular motion

• over both upper and lower teeth and work your way forward

disadvantage of fones method

can cause damage to firm brushers

what is the most effective brushing method

modified bass technique

electric toothbrish technique

• very light pressure

• adaptation along gingival margin

• 45 degree angle

• move vibratory head in circular motion

where should pressure be when flossing

against lateral surface of tooth

in tongue cleaning, what papillae collect bacteria

filiform papillae

criteria for ADA approval

• names

• composition, nature and funx

• evidence of safety and efficacy

• government regulation

• biodegradable/recyclable material

• labeling, package inserts, advertising

how to motivate pt OHI

• show pt oral health status in mirror

• use flip chats/picures of procedures

• tell-show-do

• written instructions

• disclosing solution

• send samples of products home w instruction on where to buy

• positive reinforcement