- OBJECTIVE OF MECHANICAL PLAQUE CONTROL:
Complete daily removal of dental plaque with a minimum of effort, time, devices, using the simplest methods possible to maintain
Mechanical plaque control
(a) Toothbrush
(b) Interdental cleaning aids
- Flossing
- Single tufted brushes
- Interdental brush
- Super floss
-Toothpick
(c) Adjunctive aids
-Oral irrigation
-Dentifrice
-Tounge scraper
(e) Salvadora persica
- Like the Bass Method the filaments are placed at a 45° angle to the tooth.
- Unlike the Bass Method the filaments are placed half in the sulcus and half on the gingiva.
- The same stroke is used as the Bass.
Its mainly recommended for :
- Individual lacking motor skills
- Hospitalized patients whose teeth are cleaned by the caregivers.
- Special needs patient ( physical and mental disability)
- Patient with orthodontic applied
- Whosoever wants to use
Mechanical Plaque control
Adjunctive aids
Water irrigation
- high pressure, pulsating stream of water through a nozzle is directed to the tooth surface and subgingivally, washing away debris and plaque containing bacteria.
- helpful with orthodontic appliance
- Patients require antibiotic premidication should not use oral irrigation.
Dental plaque
Introduction
- Plaque is a sticky mix of bacteria and the substances they secrete.
- Bacteria produce adhesive chemicals called mucopolysaccharides. The bacteria then live in this film on teeth, called a biofilm.
- Oral hygiene instruction is one of the most important services provided by doctors of dental medicine
Tongue scraper
These are the aid for cleaning and polishing of teeth surfaces.
They are used in the form of powder past ointment and gel
is an oral hygiene device designed to clean the bacterial builed up, food debris, fungi and dead cells from the surface of the tongue bacteria and fungi that grow on the tongue may cause halitosis due to production of sulfur compound
- Proper brushing and flossing is the key to good oral health and as has recently been proven, it is vital for good systemic health as well.
Plaque control
- Plaque control is the removal of plaque and the prevention of its accumulation on the teeth and adjacent gingival surfaces.
- Plaque control also retards formation of calculus that leads to resolution of gingival inflammation.
Methodes of plaque control
1- Teeth Brushing
- Experts recommend brushing your teeth at least twice a day and ideally after meals or snacks using fluoride- containing toothpaste.
For most patients, short-headed brushes with straight-cut, round-ended, soft to medium nylon bristles arranged in three or four rows of tufts are recommended.
NOTE
- Replace it if the bristles are bent or frayed, minimum every 2 to 3 months.
2- Single tufted brushes
- one large bristle for cleaning spaces between teeth with orthodontic appliance
- to carry medicated gel into pockets.
4-Superfloss
- Special type of floss designed to clan beneath pontics or fixed bridges.
Miswak
(Salvadora persica tree)
Interdental cleansing aids
Interdental cleansing aids
- Dental floss removed more plaque at lingual interproximal surface than toothpicks.
- Toothpicks combined with multi-tufted brush used on oral surfaces were as effective in removing interproximal plaque as dental floss.
- The use of floss or tooth pick combined with single tufted brush may reduce the amount of plaque adhering to the proximal surfaces by an average of 50%
- Miswak (chewing stick) in the Islamic countries.
- Miswak use is as effective as tooth brushing for reducing plaque and gingivitis.
- antimicrobial effect
- Oral hygiene may be improved by complementing traditional miswak use with modern technological developments such as tooth brushing
1- Flossing
2- Single tufted brushes
3- Interdental brush
4- Super floss
5-Toothpick
1- Flossing
Reasons
Method
3- Interdental brush
- Flossing removes plaque from behind your teeth that brushing misses.
- Flossing helps prevent periodontal disease by removing plaque
- Use an arms length (18 inches) of floss. Wrap around fingers mostly to one side.
- Floss each tooth forming a “C” shape with the floss each time.
- A new area of floss should be introduced into each gingival pocket.
- for cleaning spaces between teeth.
- for cleaning pontics.
A- The Bass Method
B- The Stillman's Method
C- The Rolling Stroke
D- The Charter’s Method
C-The Rolling Stroke
THANKS
- Direct the filaments toward the root of the tooth.
- Place side of the brush on the gingiva and have the plastic part of the brush even with the tooth.
- A waxed floss product that is wider and flatter than conventional dental floss.
- It's preferred by people who have widely spaced teeth.
Unwaxed floss
-Thinner
-More effective in removing food particles where teeth are very close together.
Waxed floss
-Smoother.
-Less likely to catch on any rough edges of teeth.
-Recommended to a patient with rough interproximal spaces.
- When the plastic portion is even with the tooth press the filaments against the gingiva and roll the brush over the teeth.
- The wrist is turned slightly and the filaments follow the contours of the teeth.
- A monofilament silk floss coated with polytetrafluoroethylene (a Teflon-like material).
- It slides easily between the teeth and does not fray.
- Recommended for people with very tight proximal tooth contacts.
Designed to have three continuous segments:
- Length of waxed or unwaxed dental floss.
- Segment of cylindric, nylon meshwork.
- Rigid nylon needle (capable of being threaded)
B-The Stillman's Method
Electric toothbrush ( powered)
A-The Bass Method
- Position the filaments up toward the root at a 45° angle to the teeth.
- Place the brush with the filament tips directed into the gingival sulcus.
- Using a vibratory stroke brush back and forth with very short strokes for the count of ten.
- Reposition the brush to the next group of teeth
Mohamed Abd elhamid Menisy 5213223
Abdullah Fathy Basiouny 5213155
Abdullah Mohamed Nagy 5213157
D- The Charter’s Method
- Position the filaments toward the chewing surface of the tooth
- Place the sides of the filaments against the enamel and angle them at a 45° to the tooth.
- Vibrate the filaments gently but firmly, keeping the filaments against the tooth.
- Reposition on the next set of teeth.
Methods of teeth brushing