Why not admit that most patients do not attach great importance to dental brushing and many times it is done on the run before leaving the house the morning or the evening before sleep, with the eyes closed, barely pressing on the dental surface. Let’s not talk about rinsing with mouthwash or using dental floss that he discovers only through cabinets or pharmacies. With a little ambition and attention, we can prevent many of the dental problems. All we need to do is to teach our teeth properly.
Therefore, training the patient to perform an effective gingival-dental brushing is done by prophylactic nurse or physician on a model where the toothbrush movement directions are reproduced. The patient will continue brushing with a wet brush in front of the mirror, being corrected in his efforts to acquire an effective brushing technique. Prior emphasizing of the microbial stain by staining makes it easy for and guides these patient attempts to perform a proper brushing.
For proper brushing, the brush is set at 45 degrees to the vertical surface of the teeth, and vertical movements are made from the gum to the tooth (from red to white). The brush does not press excessively, the bacterial plate is removed especially by the toothbrush tips.
With repeated movements (minimum 5 for each surface) , the outer faces (facing the image) and the internal ones (to the tongue) are cut. With the go-go moves only the occlusal surfaces are brushed. Brushing should take at least 3-4 minutes . There are systems that help you perform the correct brushing – the Smart Guide that comes with the Oral B Triumph electric toothbrush. It is also advisable to brush your tongue to have a fresh breath. Also, for inter-dental spaces where there is hard to clean, there are solutions – the Oral B Floss Action electric brush heads have inter-dental ends removing the bacterial plaque. Plus, both handheld and electric brushes have blue bristles that indicate when to replace.
There are some brushing methods out of which we will briefly illustrate the most important:
1. The BASS method (gingival trench brush). Follows the removal of the bacterial plaque from the free gingival edge and from the gingival trench, at a depth of 0.5-1 mm. Use 0.2 mm fiberglass brushes with a rounded end. All Oral B Bikers, whether manual or electric, use brush technology rounded to the end to prevent gum damage. The brush is applied at an angle of 45 degrees to the long axis of the teeth with the end of the filaments facing the gingival trench and a slight pressure is exerted on the yarn spindle and the vibration before and afterwards in the direction of the gingival trench. It is performed for each group of teeth, vestibular and oral, approx. 20 vibratory races for 10 seconds.
2. The STILLMAN method . It uses toothbrushes with medium-to-hard consistency filaments, which are applied at an angle of 45 degrees to the longitudinal axis of the tooth in the parcel part on both the tooth and the adjacent gum. The brushing is performed by short vibrational movements in the interdisciplinary sense, along with the movement of the brush from the fixed gum to the free gingival edge and the tooth surface to the occlusal or incisal level. The method performs a very good gingival massage. The Oral B Triumph has a special brushing method called massage that is delicate with the gum and prevents it from getting injured.
3. CHARTERS method (interdental brushing).The medium-to-hard consistency brush is applied at an angle of 45 degrees to the longitudinal axis of the tooth such that the filaments engage interdental with the terminal portion to the occlusal. Short vibrational movements are applied interdistaneously in the interdental spaces, with the movement from the gingival ambulatory to the occlusal both vestibular and oral. This brush can also be completed by using Oral B interdental brushes that provide comfort and in-depth cleaning of hard-to-reach areas.
4. Brush stroke method . The blade is applied in the uppermost part of the jaw or in the mandible of the vestibular socket. The patient keeps his mouth open. The brush exerts a strong pressure on the soft parts and moves easily by turning around the handle axis. After the incision or occlusal surface has been exceeded, the toothbrush detaches from the teeth and returns to its original position.
For oral surfaces, do the same, applying the brush to the gum and mucosa, and then to rotate to occlusal or initially. Rotational displacements are made for each tooth group. The principle of this method is based on the fact that food is normally deflected from occlusal surfaces and incisal edges to gingival and apical, and therefore it is believed that brushing should be performed in the same “physiological” direction. The method is indicated in people with periodontitis healthy.
For this you can use the Oral B Pro Flex brush that has innovative technology with the two flexible side panels providing superior cleaning.
5. FONES method . This method is performed at the beginning on the vestibular faces, with the teeth in the occlusion. The brush performs vigorous, wide, circular movements with as large a diameter as possible. After the mouth is opened, the palatal and lingual faces are the same. The method is indicated in children as a means of acquiring the brushing technique, which will then be corrected by one of the established methods.
An easier way for babies to get the right brush is by using age-appropriate brushes, such as the Oral B Stages electric brush – this gives you chewing surface cleaning through a higher, ultra-soft brush area.