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TypesofToothBrushingTechniques|HowtoBrushTeethcorrectly

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Types of Tooth Brushing Techniques

Varun+ | June 28, 2013 | Cosmetic Dentistry, Oral medicine and
radiology, Pedodontics, Periodontology, Tips in Clinical Dentistry | 6
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Proper Tooth Brushing Techniques are very important to maintain

Oral Health, by following correct tooth brushing technique you will
be able to remove food debris and plaque which will in turn prevent
the onset of Dental Caries. Tooth Brushing is classified into various
types based on the Brush motions or Movements:

Classification of Tooth Brushing techniques based on

Brushing Motion/Movement:
1. Horizontal Reciprocating Motion:
Horizontal Scrub Technique
2. Vibratory Motion:
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TypesofToothBrushingTechniques|HowtoBrushTeethcorrectly

Bass (Sulcular
Technique) or
Stillmans
Brushing
Technique
Charters Brushing
technique
3. Vertical Sweeping
Brushing Technique:
Rolling Stroke (Press Roll) Modified Stillman brushing
technique
Modified charters
Modified Bass
Leonard
Smith-Bell (Physiologic technique)
4. Rotary Brushing Technique:
Fones Technique

Description of Brushing Techniques in detail:

Here we are going to explain in detail the various brushing
techniques which are used in certain dental conditions, like the List
of Brushing Techniques used in Periodontal Diseases. So in certain
Dental conditions some types of Brushing techniques are indicated
and some are strictly contra indicated.

Horizontal Scrub Method:

It is the most commonly used method in brushing, where the
Bristles are activated in gentle, horizontal scrubbing motion.

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Method/Technique: The Brush is Places on the Teeth either on

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Left or Right Side and the brush in moved along the line of
dentition to the posterior region and pulled back again.

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Advantages/Disadvantages: This method of tooth brushing is

used by everyone and this is not beneficial on the long run as

Cervical Abrasion is caused mainly due to this type of brushing
for long duration.

Bass Method or Sulcular Brushing Technique:

It is one of the most effective Brushing techniqes because of its
property to remove plaque or Bio Film and clean the Area directly
beneath the Gingival margin which helps in controlling Periodontal
infections.

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Extractionornaturalloss.Itcanbea
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Method/Technique: Bristles are directed apically at 45 degrees

(up for Maxillary and Down for Mandibular) to long axis of tooth,

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mostly it is difficult to palce at 45 degrees so placing parallel to

teeth is also beneficial. Now press the bristles slightly so that

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they enter the Gingival Sulcus and Embrasures. Vibrate the Brush
back and fort with Short Strokes for 10-15 strokes for each
position and move to the next teeth. (Use gentle but firm

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vibratory strokes without removing bristle ends from sulcus)

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Indications of Bass/Sulcular technique: For Open proxinal areas,

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Cleaning of Cervial areas Beneath the height of contour of

Enamel, in case of teeth with exposed root surface.

Stillmans Brushing Technique:

Similar to Bass technique with a slight modification to remove
debris more effectively from the embrasures. Bristles are directed
apically and angles same as bass, Bristles are placed partly over
cervical part of tooth and partly on adjacent gingiva.

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TypesofToothBrushingTechniques|HowtoBrushTeethcorrectly

Method/ Technique: This technique is similar to Bass technique

with just the slight modification of Occlusal movement along
with short horizontal strokes. (Short back and forth strokes are
used and brush head is moved occlusally with light pressure)
Indications: In case of Gingival Recession, for Gingival
stimulation, to clean from large embrasures, remove plaque and
biofilm from cervical region.

Charters Brushing Technique:

It is a technique used mostly in presence of any appliances in the
oral cavity, it effectively cleans the interproximal areas between
teeth.
Method/Technique: Position the Bristles towards the Occlusal or
Crown of the tooth > The sides of the Bristles are placed at the
gingival margin at 45 degrees to long axis of tooth. Short back
and forth strokes are given mostly like Vibratory motion.
Indications: Effective cleaning of nterproximal areas, Used in case
of Fixed Prosthodontic appliances and Charters brushing
technique is used in case of patient undergoing Orthodontic
treatment.
Charters Technique is used in patients with: Orthodontic and
fixed prosthetic appliances, patients who have just undergone
periodontal surgery for temporary cleaning of surgical site.

Modified Bass, Modified Stillmans and Modified

Charters:
These techniques are very simple to Understad if you know the 3
main Tooth brushing techniques Bass, Stillman and Charters all
you have to do is follow thee technique and at the end Roll the
Brush tufts Occlusally towards the crown.
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Method/Technique: Follow the Tecniques mentioned above

about the 3 techniquesCharters, Stillmans or Bass and at the end
of each technique Rool the brushes towards the occlusal surface
of the teeth, roll tufts occlusally after cervical area is cleaned by
prescribed method. This will help is clearing out the debris,
biofilm out of the Embrasures.
Indications:Clean entire facial/buccal and lingual surfaces,
Rolling motion avoids damaging the base of the gingival sulcus.

Fones (circular) Brushing Technique:

It is the simplest of all methods of Brushing, all you have to do is
move the Brush in a circular motion around a set of teeth and move
on to the next set, it is useful in teaching Children to Brush. But the
down side is, it is the least effective brushing technique.

Method/Technique: Place the Tooth Brush on a set of teeth, then

activate the bristles by slightly pressing them against the teeth
and give circular motion motion 4-5 times on each set of teeth
and move on to the next set.
Indications: Its mostly indicated for children but it can also be
applied to adults. It is a simple technique but it has shown to be
less effective then the three first methods.

Roll Stroke Brushing Technique:

This is another very simple brushing technique
which dose not need much practicing, all you
have to do is place the bristles on the Gingiva
towards the root and give a upward stroke
towards the occlusal surface.
Method/Technique: The Bristles are pointed
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apical towards the root and placed on the Gingival margin and
then a stroke is given to roll the Brush occlusally cleaning the
interproximal and the tooth surface in one stroke.
Indications: Used mostly in addition to Bass, Stillmans and
Charters techniques where we give this roll stroke at the end of
each such technique.

Related posts:
1. Tooth Brushing techniques recommended in Periodontal disease
2. Types of Bevels and their Uses in Tooth or Cavity Preperation
3. Myofunctional Appliances types based on tooth borne and tissue
borne, active an passive types
4. How to clean your teeth without toothbrush and water
5. 5 Useful tips before getting Dental Implants

Article by Varun Pandula

Is a Dental Practioner from India trying
his bit to spread Oral Care Tips and doing
his bit to spread knowledge and make
Dental Education simplified for Dental
Students. You can Contact and Follow
Varun Pandula at

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Comments (6)
musokejohn | June 28, 2013
good workthanks

Alexis | June 28, 2013

Very helpful, thank you !
Dental Hygiene Student

dentalhygienestudent | June 28, 2013

Great! So helpful! Thank you!

HakNawazAkhtar | June 28, 2013

Very easy and helpful thanks Dr. Varun
From,
Dental Hygienist

CamilleGuerrier | June 28, 2013

Thank you for sharing the different types of tooth
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brushing techniques. I think everyone would like

healthy teeth and a nice smile. There are certain
things that we must do such as brushing our
teeth, flossing, and eating healthy food. Like you
said, bass method or sulcular brushing
technique is one of the most effective brushing
techniques because of its property to remove
plaque. We should all remember to brush
properly and for the right amount of time.
Thanks!

Sara | June 28, 2013

Thank you for sharing

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