Tooth-brushing Methods

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The bass method is AKA ___.

Sulcular brushing

This method is widely accepted as an effective method for dental biofilm removal adjacent to and directly beneath the gingival margin.

Bass method

Open embrasures, exposed roots, pts who had periodontal surgery, adaptation to abutment teeth, fixed partial bridges and orthodontic appliences are all indications for _____ method.

Bass

When using the bass stroke, one must place the brush head towards the gingival margin to approximately ___degrees.

45

When doing the bass stroke method one must count at least ____ vibrations while brush is in the sulcus.

10

An over eager brusher may convert short stroke into vigorous scrubs while using this stroke and this is considered a limitation of the stroke. T/F

True

With the Bass method the dextertity requirement is low because of the 45 degree angle. T/F

False. It is high because of the angle

Other limitations of the bass method is the brush is hastily and carelessly replaced into the sulcus, and patients tend to roll brush down and over crown prematurely. T/F

True

This method was designed for massage and stimulation as well as for cleaning the cervical areas; brush ends are placed partly on the gingiva and partly on the cervical areas.

The Stillman Method

In the _____ method one will direct filaments apically, place side of brush on the attached gingiva, and make sure plastic portion of brush head is level with occlusal or incisal plane.

Stillman

A ______ stillman method incorporates a rolling stroke after a virbratory or rotary phase.

Modified

The modification minimizes the possibility of gingival trauma and increase the biofilm removal effects. T/F

True

The ______ method emphasizes on the importance of prevention. This method's objective is cleanliness through removal of the "film and mucin" from proximal surfaces and gingival massage through mechanical stimuli.

Charter

With the _____ method you want to:
- Press lightly to flex the filaments and force tip between teeth.
-Press the sides of filaments against gingival margin.
-Vibrate brush slowly but firmly.

Charter

This method emphasizes on cleaning the gingiva and removing biofilm, materia alba, and food debris from teeth without concentration on the gingival sulcus.

Roll stroke method

The ______ method is meant for children with healthy gingiva.

Roll stroke

The Roll stroke method is meant for general cleansing in conjunction with the use of virbratory technique (Stillman, Charter, Bass). T/F

True

What are some limitations for the roll method?

-Brushing too high during initial placement can lacerate the alveolar mucosa
-Tendency to use quick sweeping stroke results n missing the cervical third
-Improper brushing can cause punctuated lesions.

To modify any stroke, one must incorporate a rolling stroke after a vibratory or rotary phase. T/F

True

The Fones method is AKA ____.

Circular Method

It was advocated by _____, founder of first course for dental hygienist.

Alfred C. Fones

The fones method is recommended for children with primary teeth. T/F

True

When using the Fones method teeth are open and toothbrush placed inside the cheeks. T/F

False. Teeth are clenched.

Tooth brush is moved in a triangular motion over both maxillary and mandibular gingiva when using the circular method. T/F

False. Tooth brush is moved in a circular motion.

A disadvantage of the Fones method is that in adults it can be detrimental to the gingiva especially those who brush vigorously. T/F

True

The Fones method is an easy method for children to learn. T/F

True

The Leonard method is AKA ____.

Vertical Method

______ and American Dentist describes this method as the up and down stroke.

Hirschfield

With the Vertical stroke the maxillary and mandibular teeth are to be brushed seperately. T/F

True

When using the Leonard method, teeth are edge-to-edge, toothbrush is placed against the teeth at a wrong angle to the long axis of the tooth. T/F

False. At a right angle

With the vertical method the occlusal or incisal surfaces are avoided in this technique. T/F

True

An advantage of the Leonard method is that is most convenient for children with deciduous teeth. T/F

True

A disadvantage of the Leonard method is that interdental spaces of permanent teeth are not properly cleaned. T/F

True

The _____ method uses an unlimited sweep with a horizantal scrubbing motion with pressure on teeth that are most facially inclined or prominent.

Horizontal

Teeth are clenched together when using the Horizontal method. T/F

True

Excessive toothbrush abrasion, interdental areas are not touched by this method, dental plaque biofilm can remain undisturbed, these are all _____ of the horizontal method.

Disadvantages

An advantage of the horizontal method, is that it provides supragingival cleansing and gingival stimulation. T/F

True

The _____ method is based on the principle that the toothbrush follows the pattern that food follows when it is in the mouth during mastication.

Smith

With the ____ method the bristles are positioned directly onto the occlusal surface, and brush is moved back and forth with the bristles reaching from the occlusal surface to the gingiva.

Smith

Two _____ of the smith method is that is a natural self cleansing mechanism, and it is good for supragingival plaque removal.

Advantages

A ____ of the smith method is that the interdental spaces and sulcus are not properly cleaned.

Disadvantage

This method is a combination of horizontal, vertical, and circular strokes, incorporates vibration movements in certain areas, uses light to moderate pressure, and care should be taken with this technique to avoid excessive pressure.

The Scrub method

Gingival recession is a disadvantage of the scrub method. T/F

True

The scrub method in addition to toothpaste cannot create areas of tooth abrasion. T/F

False. Toothpaste can create areas of tooth abrasion

An _____ of the scrub method is that you can access a variety of surfaces.

Advantage

The Smith method is considered to be a ______ technique

Physiologic

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