The American Dental Association (ADA) advises brushing teeth twice daily with a soft-bristled toothbrush. Above all select a toothbrush that helps you to reach all the regions of the mouth easily.
Moreover, it acts as the best way to reduce the risk of developing oral diseases and general health issues. For effective results after tooth brushing any of the following techniques can be followed.
Get the opinions of your dentist regarding the brushing technique that is more suitable for your oral health maintenance.
Improper brushing technique can promote the accumulation of the plaque and microbes in the oral cavity resulting in bad breath, discoloration of the teeth, swollen gums, gum diseases and risk of bone loss with loss of your teeth.
SMITH’s METHOD / PHYSIOLOGIC METHOD:
This brushing technique is based on the concept that the brushing should follow the pathway of the food while chewing them.
A sweeping motion from the incisal or surface of the teeth with the pointed bristles resting on them. Then with the sweeping motion from the incisal or occlusal surface towards the neck and inner surfaces of the teeth finally.
Though the technique is easy to master it fails to provide the removal of plaque in between the teeth and the gums.
The region between two adjacent teeth also remains with plaque. Vigorous brushing might cause bleeding due to gum tears.
FONES / CIRCULAR / SCRUB TECHNIQUE:
Fones technique is particularly indicated in young children and among the special population.
First, small circles are made with the toothbrush along the surface of the teeth which is then extended by covering the other teeth and the gums. They are good at providing gingival massage and stimulation.
They tend to inflict injury to the gums with harsh strokes. A compromised interdental cleaning.
The other commonly used name for the roll technique is the rolling stroke method / ADA method/sweep method. Particularly, indicated in children and adults with normal gum tissues.
Commonly, taught as a preparatory lesson before they expertise the modified Stillman’s technique.
Firstly, the bristles held at a 450 angulation to your teeth and then moved gently in a rolling stroke towards the occlusal surface.
The rolling strokes may damage your gums and have inadequate plaque removal in the interproximal region.
In this brushing technique, the use of a soft or medium multi-tufted toothbrush is indicated for a good outcome.
Indicated in gum recession, the spacing between your teeth, in-denture wearer, after gum surgery and in people with dental brackets.
The toothbrush is held at a 450 angulation to the gingiva with the bristles facing the neck of the teeth partially lying on the gum and the teeth.
They have vibratory strokes from the neck of the teeth at first, followed by moving the bristle ends to lay inter-proximally.
The region between the tooth and the gums holds plaque even after brushing. This stroke is difficult to learn and practice.
VERTICAL STROKE / LEONARD’S METHOD:
It is easy to practice with convenient strokes from the neck of the upper teeth to the lower teeth and vice versa.
Place your teeth edge to edge with tips of the upper teeth contacting the tips of the lower teeth.
Strokes from the neck of the upper teeth to the lower teeth and reversed from the neck of the lower teeth to the upper teeth.
Interdental cleaning is inadequate.
MODIFIED STILLMAN’S TECHNIQUE:
Indicated in cleaning the tooth surface and for gingival massage. Undoubtedly, indicated in gum recession and root exposure.
The use of a soft bristle toothbrush is mandatory while following this technique.
Unlike other techniques, the bristle ends do not engage but the sides of the toothbrush should be pressed on the teeth.
Subsequently, gentle strokes from the neck of the teeth to the Incisal or occlusal tips at first. Follow this pattern on other surfaces of the teeth also.
It is the most accepted and effective method of brushing for removal of dental plaque present in between two teeth and between the gums & teeth.
Indicated in people with or without periodontal involvement. Well-known for good gum stimulation and easy to learn the technique.
The bristle tips held at a 45-degree angulation to the gingiva. Then moved in a small circular population along the teeth surface. Subsequently, repeated throughout the mouth.
In the inner surface of the teeth, the brush head is placed vertically and moved in the same motion. In the occlusal surface, the brush is pressed with gentle pressure in horizontal movement.
Modified Bass technique:
It is a modification of the Bass technique with the involvement of sweeping motion from the cervical to Incisal or occlusal tips.
A routine technique practiced commonly with efficient cleaning in the gums surrounding the teeth.
This has a vibratory stroke or rotator stroke. Sometimes a combination of both the strokes is present in the brush. The individual has to place the brush with 450 angulations to the teeth and move them along the tooth surface.
They give 3000 strokes per minute approximately and provide efficient cleaning. They are mostly available with an inbuilt timer for tooth brushing to avoid prolonged brushing.