Brushing techniques and aids

The following brushing methods are by no means all those that can be recommended to patients but are probably the 5 most used.

Scrub

This is probably the first brushing technique used by children, it is easy to use and requires little manual dexterity. Unfortunately it has limited use as with time it can become detrimental by causing gum recession and if used with an abrasive tooth paste may also result in some areas of abrasion (wear facets at the junction between tooth and gum).
It is recommended, therefore, that as soon as the child shows an increase in dexterity their brushing method should be improved. The biting surfaces will not be adversely affected by scrubbing and as this is an area that is prone to decay cleaning here must be actively encouraged.

Bass

This is widely excepted as the most effective measure for the removal of plaque around the gingival (gum) margins, this area being the most significant in the control of early and advanced gingival diseases. Direct the filaments towards the roots of the teeth and then turn the brush head through 45 degrees and angle it into the gum. Press lightly but not enough to bend the filaments and then gently, with short movements, brush back and forwards in a vibratory type action. A modification of this method is to employ a circular motion, which covers the gum as well as the tooth surface. For the lingual and palatal (tongue & roof of the mouth) sides of the anterior (front) teeth the 45o angle is through the long axis of the brush handle. Move the brush methodically over the teeth starting say on the lower right and brushing the tongue side round to the left and then brushing back round on the lip and cheek side. Repeat this on the upper teeth. The biting surfaces should then be vigorously cleaned.

Roll

Many of my more mature (older) patients were taught, and still use, read more