This seminar includes the newer technologies in toothbrushes, ADA specifications, brushing techniques, powered toothbrushes, amabrush, ufunbrush, unico smartbrush, hibrush, environment friendly brushes, genius 9000 and sonicare diamond clean smart etc.
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A look at the new toothbrush technologies seminar
1. A look at the new
toothbrush technologies
SUBMITTED BY:
Dr. Ritu Gupta
Intern (Batch 2013-14)
2. HISTORICAL BACKGROUND
Initially, aromatic plants like chewing twings
were used and Meswak from Arak trees were
used
Then Chinese invented the modern toothbrush
in the year 1600
In 1780, William Addis designed a toothbrush
with bone handle and hog bristles
In 1900, celluloid (plastic) brushes with bone
handle were introduced.
In World War II – nylon bristles were introduced.
3. ADA SPECIFICATIONS OF A TOOTHBRUSH
THE HEAD OF THE BRUSH SHOULD BE:
a. 1-1.25 inches long
b. 2-4 rows of bristles
c. 5/16 to 3/8 inches wide
d. 5-12 tufts per row
e. 80-60 bristles per tuft
4. DESIGN OF THE TOOTHBRUSH
A toothbrush consists of handle, shank and
head
It has bristles, which when bunched together
are called tufts
The extreme end of the head is toe and that,
close to the handle is the heel.
a. Size- large, medium and small
b. Lateral profile- flat , convex , concave and
scalloped
5. BRISTLES
2 types of bristles are available, nylon
(synthetic) and natural (hog)
Nylon bristles are preferred
Natural bristles are more susceptible to
breakage and fraying, contamination with
bacteria is high
6. HARDNESS
Depends on material, diameter and length.
a. Nylon bristles are more flexible
b. Soft : 0.007-0.009 inches (No. 7,8,9)
c. Medium : 0.010-0.012 inches (No. 10,11,12)
d. Hard : 0.013-0.014 inches (No. 13,14)
e. Extra hard : 0.015 inches (No. 15)
If the bristles are soft , they should be set
close. If they are hard they should be more
widely spaced.
7. HANDLE DESIGN
a. Straight
b. Angulation in the shank
c. Indentation of handle for a better grip
i) Frequency of brushing-every 12 hours
ii) Frequency of change of brush-every 3
months
iii) Length of brushing time- initially 10-20
minutes is required until the patient
becomes
more precise. Later 3-5 min may suffice.
8. BRUSHING MOTIONS IN BRUSHING TECHNIQUES
1.HORIZONTAL
a. Reciprocating (scrub)
2.VIBRATORY
a. Bass method
b. Stillman’s method
c. Charter’s method
3.VERTICAL SWEEPING
a. Rolling stroke
b. Modified Bass
c. Modified Stillman’s
d. Leonard
e. Smith-Bell (physiological technique)
4.Rotary (Fones’) technique
9. INSTRUCTIONS IN BRUSHING
It should be started on the last /terminal teeth
Three teeth are covered at a time
20 strokes are used in each area
Overzealous brushing can lead to gingival
recession, wedge shaped defects in the
cervical areas of root surfaces and painful
ulceration of the gingiva. This type of brushing
technique should be identified and
discouraged
To maintain cleaning efficacy toothbrushes
must be replaced as soon as the bristles begin
10. POWERED TOOTHBRUSHES
They were introduced in 1939. Various types
of motions used in powered toothbrushes
are:
Reciprocal or ‘back and forth’
Circular
Elliptical or combination
11. POWERED TOOTHBRUSHES ARE
RECOMMENDED FOR:
Individuals lacking fine motor skills
Small children or handicapped or
hospitalized patients who need to have their
teeth cleaned by someone else
Patients with orthodontic appliances
Patients who prefer them
12. AREAS IN WHICH TECHNOLOGY IN TOOTHBRUSH
IS IMPROVING:
SUSTAINABILITY – brushes that can be
recycled
EFFICIENCY- brushes that clean your teeth
CONNECTEDNESS- brushes that send
information to your smartphone to assist with
brushing
13. 1. MOUTHPIECE TOOTHBRUSH
A mouthpiece or mouthguard
toothbrush is a new style of dental
health product that cleans all the
teeth at the same time
A moulded (often silicone)
component is placed into mouth and
bitten into
Connecting to a control / power unit
that sits outside of the mouth, when
powered on the bristles inside the U
shaped mouthpiece clean the front,
back and chewing surfaces of both
the upper and lower teeth
simultaneously
14. PRODUCTS AVAILABLE:
I) AMABRUSH
1. Cleaning time : 10 seconds
2. First company/brand to manufacture
mouthguard toothbrushes
3. These toothbrushes reduce brushing
time, but clean your teeth for longer
4. Better cleaning than regular electric
toothbrush
5. Uses BASS method approach in tooth
cleaning
15. II)UFUNBRUSH
Cleaning time: 10 seconds
Aimed more at children being
the primary users, with ‘fun’
stickers being attached to the
mouthpiece to make it more
fun and enjoyable to use.
Available in range of colours
with different sized
mouthpieces to fit the mouths
of children from ages 3+ to
adults
It is the only one to be
powered by a removable
16. III) UNICO SMARTBRUSH
Cleaning time: 3 seconds
Offers different sized mouthpieces as well as
modular storage system with UV sanitizer
and more
17. IV) HIBRUSH
World’s first fully automatic toothbrush –provides
with effortless b dentist approved cleaning
3 modes to choose from :
a. cleaning
b. teeth whitening
c. massage mode
SPECIFICATIONS:
a.360 Ultrasound cleaning
b. Waterproof
c. 4h run time- that’s 60-80 brushes
d.100% non- toxic, food grade silicone
e. Micro USB charging port
18. HIGH EFFICIENCY:
The 360 auto clean technique removes all
contamination completely in just 10
seconds.
Antibacterial effect helps recover healthy
oral flora
Ultrasound helps gently break away
stubborn plaques and stuck food between
teeth.
19. WHITE TEETH:
Whitening mode uses UV teeth whitening
technology
Combines it with a deep and gentle
ultrasonic massage , to lift stains form the
enamel
A daily treatment of 15 minutes will lead to
complete results in less than 30 days as
claimed by the manufacturers.
20. ULTRA HEALTHY:
FDA- approved. The mouth tray is made
from extra soft silicone.
Hardwearing and food grade, this ensures
maximum durability combined with
unmatched comfort
22. I) BE (BEYOND ELECTRIC)
100% biodegradable and compostable
toothbrush
It is powered by kinetic energy , meaning no
batteries required
To use Be, you give a dial on the bottom of
brush two short twists and then press a button
to power it on and off. These 2 twists are
enough to last for a 2 minute brushing of your
teeth.
Advantage : it’s footprint on the planet is much
lower.
23.
24. II) TOOTHSHOWER
Toothshower is a toothbrush
cum water flosser that you
install in your shower.
It uses the water pressure from
your shower as a power
source- no electricity is
needed
Advantage : i) not as fiddly as
string floss
ii) not as messy as countertop
water flosser
25. III) BOIE TOOTH BRUSH
100% recyclable toothbrush.
It also has silver, which has antimicrobial
properties, embedded into toothbrush head
26. 6.BENJAMIN BRUSH
Manufacturer: BleepBleeps
Aims to make brushing more
enjoyable activity by playing
music via a built in speaker
while you brush
Waterproof and charged via
USB
Two varieties available – one for
kids and one for adults
27. 8. GENIUS 9000 AND SONICARE DIAMOND
CLEAN SMART
Manufacturers : Braun Oral-B and Philips
Sonicare
Standout features include the way in which they
connect to your smartphone using Bluetooth
and shows you via an app how well you are
brushing your teeth.
Makes use of microchipped brush heads which
tracks the usage and then notifies you via a
yellow light on the brush when it’s time to be
replaced
30. REFERENCE BOOKS AND ARTICLES:
Carranza’s CLINICAL PERIODONTOLOGY 11TH
edition Volume I and II
Lang NP,Lindhe J. Textbook of clinical periodontology
and implant dentistry. 6th ed.
Mandal et al. New dimensions in mechanical plaque
control: An overview
Clayton NC. Current concepts in toothbrushing and
interdental cleaning. Periodontol 2000 2008;48:10-22
Bhaskar SN et al. Water jet devices in dental practice.
J Periodontol 1971;42:658-64
Van der Weijdan Ga, Slot DE. Interdental oral
hygiene: The evidence; Hongkong 2012. p .1-18