Brushing your teeth is the single most important activity, which can maintain your teeth healthy and save your money. The main objective in carrying out oral hygiene (term for cleanliness in the mouth ) procedures is to remove bacterial plaque (thin film of bacteria) from the teeth. The most important reason for establishing good plaque control is to prevent and treat gum disease and dental cavities.
Most people brush their teeth for social reasons - they want 'fresh breath' and white teeth. We can use these reasons to help motivate people, but at the same time, we must educate them so that they understand what they are doing and why they are doing it.
Tooth brushingBrushes
Natural hog bristles were used in earlier times but now nylon is used almost
universally for making of the toothbrushes
Shape
Head should be trimmed flat and level, i.e. all tufts same length. Serrated trim does
not appear to be more effective. Diamond shaped head have better reach to the backside
teeth.
Length of head
Most people find a short head more convenient but in studies
conducted it has been not found to be superior to long head. But short head brushes are
more effective for people having difficulty in cleaning back teeth.
Brushing methods
You need not alter your brushing method unless there is evidence of inefficiency or of
damage to the teeth or gums. If you have problems your dentist can observe and advice
changes in your brushing technique.
Frequency
Thorough cleaning once a day should normally be adequate it is better and more
efficient to brush at least twice. Timings are after breakfast and after dinner which
keeps your teeth clean from all food particles.
Duration
No rule can be laid down. There is a great individual variation in speed and
efficiency. The criterion is to brush until all surfaces are cleaned. Average timing could
be 3-5 minutes.
Systemic coverage
Many people miss large sections of tooth surface and gums, which can lead to disease.
It is better to follow an order from one to other side of the mouth so that all areas will
be always covered.
Methods of Brushing
Basically there are two movements - sweeping and penetrating. A reversal of direction
of motion of the brush whilst under pressure results in a penetrating movement. Some
penetration into the areas between two teeth is always essential; penetration into the gum
crevice is also necessary occasionally.
Horizontal (Mixed sweeping and penetrating)
This is a natural technique for children to use, However, of short strokes and a soft
brush are used, so that the effect is principally penetrating rather than sweeping, it is
acceptable and effective, especially on the inside surfaces.
Adults
Standard method advised is to keep the bristles at 45 degrees and move in back and
forth direction or rotate is from gums to teeth side. These methods need demonstration by
a dentist and people who find it difficult to practice, can use circular motion also. In
any case horizontal strokes as commonly used are harmful.
Common Errors in Brushing
Not pressing hard enough so that insufficient penetration occurs between the
teeth.
Not holding the brush flat against the surface of the teeth and gums, resulting
in inefficiency and in increasing wear on the 'heel' or 'toe' of the brush head.
Leaving areas untouched.
Dangers of Incorrect Brushing
Recession of gum margin. Hard or extra brushes should not be used. Hard brushes lead to
wear of teeth and lead to sensation to cold liquids. Also you should not brush immediately
after consuming acidic drinks (lemon juice), it wears the tooth faster.
There are other methods to assist cleaning of teeth, (particularly in gum disease) we shall discuss them in our future article.
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