toothbrush selection influencing factors
position of teeth
shape of teeth and exposed root
method selected for patient needs
which type of brush works best
soft nylon brush
advantages of soft nylon brush
posterior to anterior along facial all the way around the arch and then move to lingual surface. Overlapping strokes.
Variance is important, so have patient switch sequence every so often.
amount of time for brushing
3-4 minutes with manual
ways of detecting time of brushing
frequency of brushing
at least 2 times per day
place filament tips at 45 degree angle and then push gently into sulcular area. Back and forth strokes.
which method is taught at SCC
difference between filament placement of Bass and Stillman method
Bass- placed in sulcus, lingual anteriors just the heel in sulcus
Stillman- placed higher on outer gingiva, lingual anteriors entire filament surface begins on roof of the mouth
placement for Charter's method
filaments perpendicular to tooth surface or 45 degrees toward occlusal.
methods considered detrimental (2)
advantages of power brush
remove more debris
movements are more effective than human hand can mimic.
aggressive brushing habits
elderly or disabled patients
categories of power brushes
supplemental brushing area
lingual-verted, recession areas, buccal-verted, distal of terminal molar, surfaces next to edentulous areas.
occlusal surface brushing method
slight pressure with brush head parallel to occlusal surface, back and forth strokes.
bacteremia is higher for which patients
patients with periodontitis