• A number of toothbrushing technique have
achieved acceptance by the dental profession.
• Each technique has been designed to achieve
a definite goal.
• Depending on the individual cases,the
techniques of toothbrusing may have to be
altered to achieve the maximum beneficial
TYPES OF TOOTH BRUSHING
The bass or sulcus cleaning method.
Modified bass technique.
Modified STILLMANN’s technique.
Fones or circular or scrub method.
Vertical or LEONARDS method.
Scrub brush method.
The roll technique.
Physiologic or SMITH method
BASS OR SULCUS CLEANING
Mostly accepted and effective
method for the removal of dental plaque
present adjacent to and underneath the
cervical areas beneath the
height of contour of enamel.
exposed root surfaces.
• The bristles are placed at a 45 angle to the
gingiva and moved in small circular motions.
• Strokes are repeated around 20 times,3
teeth at a time.
• On the lingual aspect of the anterior
teeth,the brush is pressed into the gingival
sulci and proximal surfaces at a 45 angle.
• The britles are then activated.
• Occlusal surfaces are cleaned by pressing the
bristles firmly and then activating the
• Effective method for removing plaque.
• Provides good gingival stimulation.
cause injury to the gingival margin.
MODIFIED BASS TECHNIQUE
• As a routine oral hygiene measure
• Vibratary and circular movements with
• Bristles are at 45 to the gingiva
• Bristles are swept over the sides of the teeth
towards their occlusal surfaces in a single
• EXCELLENT SULCUS CLEANING.
• GOOD INTER PROXIMAL AND GINGIVAL
• GOOD GINGIVAL STIMULATION
• Bristles are pointed apically with an oblique
angle to the long axis of the tooth
• Bristles placed on the cervical aspect of the
• Short back and forth motion moved in a
• TIME CONSUMING
• DAMAGE EPITHELIAL ATTACHMENT.
Persons having :Missing papilla and exposed root surfaces.
FPD and Orthodontic appliances.
Interproximal gingival recession.
• A soft/medium multi-tufted tooth brush
• Bristles are placed 45 to the gingiva with
bristles directed coronally.
• Mild vibratory strokes required with bristles
ends lying interproximally.
• Massage and stimulation of gingiva.
• DISADVANTAGES :• Poor removal of subgingival bacterial
• Limited brush placement.
• Requirements in digital dexterity are high.