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Tooth Brushing Technique
 
EFFECTIVE WAY OF BRUSHING
 
BASS METHOD OR SULCUS CLEANING METHOD
It is the most widely accepted and most effective method for plaque removal.

Technique
  • Bristles are placed at 45 degrees angle to the gingivae and moved in small circular motion.
  • Strokes are repeated around 20 times, 3 teeth at a time.
  • On the lingual aspect of the anterior teeth, the brush is inserted vertically and the heel of the brush is pressed into the gingival sulcus and proximal surface at 45 degrees angle, the bristles are then actuated.
  • The occlusal surfaces are cleansed by pressing the bristles firmly against the pits and fissures and then actuating the bristles.
Advantages
  • It is effective method for removing plaque adjacent to and directly beneath the gingival cervical areas and sulcus.
  • It provides good gingival stimulation.
  • It is easy to learn.
Disadvantages
  • Overzealous brushing may cause injury to the gingiva.
  • It is time consuming.
  • Dexterity requirement is too high for certain patients.

FONES METHOD
Indicated for young children and others who do not have the muscle development for more complex technique.

Technique
  • The child is asked to stretch his/her arm such that they are parallel to the floor.
  • The child is then asked to make big circles which are reduced in diameter until very small circles are made in front of the mouth.
  • Now, brushing is done in circular motion in the teeth making sure that the teeth and the gums are covered.
Advantages
  • It has equal or better potential than the Bass technique for plaque removal.
  • It is easy to learn.
  • It takes shorter time.
  • Physically or emotionally handicapped individuals can use this technique.
  • It provided good gingival stimulation.
Disadvantages
  • It can cause trauma of the gingival.
  • Interdental areas are not properly cleaned.