Mechanical Control PDF

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MECHANICAL PLAQUE

CONTROL
Dr/ Yasmine Ahmed Mortada Elmaraghy
Lecturer of pediatric dentistry and oral public
health
Faculty of dentistry Assiut University

This Photo by Unknown author is licensed under CC BY-SA.


1. Toothbrush
2. Interdental oral hygiene aids
A. Manual
A. Dental floss
B. Electrical
B. Dental floss holder
C. Ionic toothbrushes
C. Toothpicks and toothpick holder
D. Sonic and ultrasonic
D. Interproximal brushes
E. Single tuft brushes
3. Adjunctive aids F. Knitting yarn
A. Irrigation devices (water-pik) G. Gauze strip
B. Tongue cleaner H. Pipe cleaner
C. Dentifrices I. Wedge stimulators
D. Mouth rinses (mouthwash)
E. Rubber tip stimulator
F. Denture brush
MECHANICAL PLAQUE CONTROL

1. Toothbrush
A. Manual
B. Electrical
C. Ionic toothbrushes
D. Sonic and ultrasonic
Objectives of Toothbrushing
1. To clean teeth of food, stains and debris.
2. To disturb and remove plaque formation.
3. To stimulate and message the gingival tissue.
4. To apply fluoride dentifrice.
5. Cleaning of tongue.
MECHANICAL PLAQUE CONTROL

Parts of a Toothbrush
1- The head
A length of about 2.5 cm for an adult
and 1.5 cm for a child
2- The handle
3- Shank
It is the part that connects the head and
the handle.
4-Tufts
Bristles when bunched together are
known as tufts (2-4 rows)
MECHANICAL PLAQUE CONTROL

5- The Filaments
(Bristles)
• It is either natural or artificial.
• Made of either polyester or nylon
• Nylon is said to wear less rapidly than
polyester and is more hygienic.
• The bristles can be classified into three
depending upon the diameter of the
filaments:
1. Soft 0.15–0.18 mm
2. Medium 0.18–0.23 mm
3. Hard/Extra hard 0.23–0.28 mm
MECHANICAL PLAQUE CONTROL

Electric toothbrush
Rotating-oscillating and rotating-oscillating-
pulsating powered toothbrushes are distinctive in Indications:
that the brush head is meant to be moved from 1. Those with physical or learning disability
tooth to tooth instead of using it in manner like a 2. Fixed orthodontic appliances
manual toothbrush. 3. Young children
4. Aged persons
5. Institutionalized patients who depend upon
care providers for brushing
6. Arthritic patients
7. Individuals with poor dexterity
8. Poorly motivated patients
MECHANICAL PLAQUE CONTROL

Ionic tooth brush


Manual tooth brush that removes the dental plaque
not only mechanically, but mainly with ionic action.

Theory of action:
1- Plaque has a positive charge, so it clings to our negatively
charged teeth.
2- Ionic tooth brush changes the charge of the tooth surface
from negative to positive, so the tooth will reject the plaque
from its surface, which will be attracted to the bristles of the
brush.
MECHANICAL PLAQUE CONTROL

ADA recommendation
• Caregivers should begin brushing teeth as soon as they begin to erupt.
• They should continue to assist or supervise until the child is able to spit out
excess toothpaste after brushing.
• The consensus recommendation is for people to brush their teeth for two
minutes twice a day with a toothbrush that has soft bristles.
• Replace toothbrushes every three to four months or more often if the bristles
are visibly matted or frayed.
• Either manual or powered toothbrushes can be used effectively.

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