The document discusses various tooth brushing techniques accepted by the dental profession, highlighting their specific goals and adaptations for individual cases. Key techniques include the Bass method for effective plaque removal and gingival stimulation, the Modified Bass for intrasulcular cleansing, and Charter’s method for patients with specific dental conditions. Each technique has advantages and disadvantages regarding effectiveness, dexterity, and potential harm to the gingival margin.

1. TOOTH BRUSHING TECHNIQUES
Chinthamani Laser Dental
Clinic

2. INTRODUCTION
• 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
effects.

3. TYPES OF TOOTH BRUSHING
TECHNIQUE
•
•
•
•
•
•
•
•
•
The bass or sulcus cleaning method.
Modified bass technique.
Modified STILLMANN’s technique.
Fones or circular or scrub method.
Vertical or LEONARDS method.
CHARTER’S method.
Scrub brush method.
The roll technique.
Physiologic or SMITH method

4. BASS OR SULCUS CLEANING
METHOD
Mostly accepted and effective
method for the removal of dental plaque
present adjacent to and underneath the
gingival margin.
• INDICATIONS
adaptable for
interproximal areass
cervical areas beneath the
height of contour of enamel.
exposed root surfaces.

5. TECHNIQUES
• 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
bristles.

6. ADVANTAGES
• Effective method for removing plaque.
• Provides good gingival stimulation.
DISADVANTAGES
cause injury to the gingival margin.
Time consuming.
Dexerity.

7. MODIFIED BASS TECHNIQUE
• INDICATION:
• As a routine oral hygiene measure
intrasulcular cleansing.

8. TECHINIQUE
• Vibratary and circular movements with
sweeping motion
• Bristles are at 45 to the gingiva
• Bristles are swept over the sides of the teeth
towards their occlusal surfaces in a single
stroke.

9. ADVANTAGES
• EXCELLENT SULCUS CLEANING.
• GOOD INTER PROXIMAL AND GINGIVAL
CLEANING.
• GOOD GINGIVAL STIMULATION
• DISADVATAGES
• DEXTERITY

10. MODIFIED STILLMAN’S TECHNIQUE
• INDICATIONS
• DENTAL PLAQUE REMOVAL
• CLEANING TOOTH SURFACES AND GINGIVAL
MASSAGE .

11. TECHNIQUES
• Bristles are pointed apically with an oblique
angle to the long axis of the tooth
• Bristles placed on the cervical aspect of the
teeth
• Short back and forth motion moved in a
coronal direction.

12. DISADVANTAGES
• TIME CONSUMING
• DAMAGE EPITHELIAL ATTACHMENT.

13. CHARTER’S METHOD
• INDICATIONS:
•
•
•
•
•
Persons having :Missing papilla and exposed root surfaces.
FPD and Orthodontic appliances.
Periodontal surgery.
Interproximal gingival recession.

14. TECHNIQUE
• A soft/medium multi-tufted tooth brush
taken
• Bristles are placed 45 to the gingiva with
bristles directed coronally.
• Mild vibratory strokes required with bristles
ends lying interproximally.

16. ADVANTAGES
• Massage and stimulation of gingiva.
• DISADVANTAGES :• Poor removal of subgingival bacterial
accumulations.
• Limited brush placement.
• Requirements in digital dexterity are high.

17. Email.Id :chinthamanidental@gmail.com
Contact us: 044-43800059 ,9283786776
Website:www.chinthamanilasedentalclinic.com