Tooth Brushing Techniques

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Did you know that there are different types of tooth brushing techniques? We all know that brushing your teeth is the most important component of maintaining oral health. Yes, flossing, using a mouth rinse and tongue scraper are important too, but brushing regularly IS the most important. If you are in the habit you want to get the most out of what you are doing by ensuring that you are brushing effectively.
In this blog we are going to discuss the different types of tooth brushing, describing each and which is best. The main classifications that are used in identifying toothbrushing are motions or movements.
Classification of toothbrushing techniques based on movement:
1. Horizontal scrubbing – most common. 
How to: The brush is placed on the teeth on either side of the mouth and moved along the line of dentition and back again. This type is not beneficial in the long run as cervical abrasion is caused mainly due to this type of brushing for long durations or too aggressively.  It can also lead to recession of the gum tissue which could require grafting to correct what could have been prevented in the first place!
2. Vibratory Motion
Bass/Stillmans Brushing Technique: most effective brushing technique due to the removal of plaque directly beneath the gingival margin which helps in controlling periodontal infections.
How to: Bristles are directed at a 45° angle along the axis of the tooth mostly it is difficult to place at 45° so placing parallel to teeth is also beneficial now press the bristles slightly so that they enter the gingival sulcus and embrace church vibrate and brush back-and-forth with short strokes for 10 to 15 strokes for each position and move to the next tooth
Charters Brushing Technique – mostly used with oral appliances. 
How to: Position the bristles towards the tops of the teeth, the side bristles are placed at 45°, short back and forth strokes are given. Effective cleaning of inter-proximal areas and great for any patient undergoing orthodontic treatment.
3. Vertical Sweeping Brushing Technique
Rolling Stroke – simple technique.
How to: bring toothbrush to gums and move brush toward the occlusal surface or top of the teeth. Great to combine with Bass technique.
4. Rotary Brushing 
-Fone’s Technique – simplest of all methods.
How to: Place the toothbrush on several teeth and move in a circular motion 4-5 times for each pair of teeth. This is a great technique for children and adults alike and can minimize abrasion and unwanted recession.

As a matter of ease, the Fone’s or small circle technique using a soft bristle toothbrush for three minutes after meals works well for those without orthodontic appliances.  This is, of course, using a manual toothbrush.  Electric toothbrushes can be very effective as well.  In the case of the electric toothbrush, it just needs to be placed in appropriate areas and the mechanized motion will do the rest.  Other brushing techniques can supplementally be helpful as well. 

Illustrations of techniques to follow!