Toothbrush and brushing technique

              Toothbrush and Toothbrushing methods

Do you know which is the best toothbrush for you?

Are you using the correct technique of toothbrushing?

Do you know about interdental cleaning aids?


The toothbrush is the principal instrument in general use for removal of dental biofilm and is a necessary part of oral disease control.

The toothbrush is designed primarily to promote cleanliness of teeth & oral cavity.’

  • To clean teeth and interdental spaces of food remnants, debris & stains.
  • To prevent plaque formation.
  • To disturb and remove plaque.
  • To stimulate and massage gingival tissues.
  • To clean the tongue.

 Commonly used bristles for Adults

  • Soft- 0.007 inch (0.2 mm)
  • Medium- 0.012 inch (0.3 mm)
  • Hard- 0.014 inch (0.4 mm)

For children

Diameter: 0.005 inch

Length: 0.344 inch

Methods of Toothbrushing:

  1. Sulcular (Bass) Method & Modified Bass Method
  2. The Stillman Method & Modified Stillman Method
  3. Charters Method
  4. Roll: Rolling Stroke Method
  5. Circular: Fones
  6. Vertical : Leonard
  7. Physiologic : Smith


Bass Method:

  • It is widely accepted.
  • The areas at the gingival margin and in the col are the most significant in the control of gingival and periodontal infections.

Bass method of brushing

Image source:Google


  • For all patients for dental biofilm removal adjacent to and directly beneath the gingival margin.
  • For open embrasures, cervical areas beneath the height of contour of the enamel and exposed root surface.

Modified bass method 

  • Combines both vibratory and circular movements with sweeping motion.
  • Excellent sulcus cleaning
  • Good interproximal and gingival cleaning.

  Fones Method: circular

This method is widely accepted for children. The technique includes the following:

With the teeth closed, place the brush inside the cheek over the last maxillary molar, lightly contacting the gingiva. Use a fast, wide, circular motion with light pressure sweeping from the maxillary to the mandibular gingiva. Bring anterior teeth in edge to-edge contact holding lip out when necessary to make continuous circular strokes. Lingual and palatal tooth surfaces require an in-and-out stroke. Brush sweeps across palate and back and forth to the molars on the mandibular arch.

fones technique

Image source:Google

This technique is highly recommended for young children

  • Physical or emotionally handicapped individuals.
  • Patients who lack dexterity.


Here are some effects of vigorous toothbrushing:

  • Gingival trauma
  • Changes in the Gingival Contour
  • Gingival Recession
  • Dental abrasion

Care of toothbrush

  • Frequent replacement recommended; every 3 months
  • Brushes need to be replaced before filaments become splayed or frayed or lose resiliency.
  • Patients who are debilitated, immunosuppressed, have a known infection can be advised to disinfect their brushes or use disposable brushes

Cleaning Toothbrushes :

  • Clean thoroughly after each use.
  • Hold brush under strong stream of warm water from faucet to force particles, dentifrice and bacteria from between the filaments.
  • Tap the handle on the edge of sink.
  • Use one toothbrush to clean another brush.
  • Rinse completely & tap out excess water

Brush Storage:

  • Open air – upright position, apart from contact with other brushes.
  • Portable brush containers – with sufficient holes.
  • At least 6 feet away from the toilet.

Interdental aids

    Dental floss

  • Effective method of removing plaque from interproximal areas.
  • Dental floss
  • Image source: Google

Types of dental floss:

1.Unwaxed   2. Waxed

Interdental brush

  • Space must be adequate otherwise the gingival tissue can be traumatized.
  • Interdental brush
  • Image source:Google

Tongue cleaning

Main foci for oral microorganisms are:

  1. Dorsum of tongue
  2. Gingival sulci and pockets
  3. Dental biofilm on all teeth

■ Microorganisms in saliva are principally from the tongue.

■ The microflora of the tongue is not constant, but changes frequently.

Effects of Cleaning the Tongue:

■ Slows dental biofilm formation and total biofilm accumulation.

■ Reduces number of microorganisms.

■ Reduces potential for halitosis.

■ Contributes to overall cleanliness.

    Tongue Cleaner

Tongue cleaners may be made of plastic, rubber, stainless steel, or other flexible metal. They are curved or raised, textured pads that are wide enough to fit over the tongue surface without hitting the teeth.

Tongue cleaner

Image source:Google

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  1. Abhishek yadav

    One of the best Dental clinic with great facilities and hospitality.
    I would recommend Dr Pawan singh to anyone looking for a good dentist in Damak

  2. Ashish sah

    Great informative

  3. Ashish sah

    Great informative article

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