Toothbrush Project PDF

MANUAL/POWER TOOTHBRUSHES AND BRUSHING METHODS MARIAN BIBAWI, BLANCA ESPINOZA, ALLYSON HAMM, ALEXIS PEÑA, EMILY POVENTUD-DIAZ, HEINY SARDIÑA-FLEITES  HISTORY OF TOOTHBRUSHES DATE BACK TO 3500 BCE FIRST BRISTLED TOOTHBRUSH USED IN 1000 CE FIRST PAT...

MANUAL/POWER TOOTHBRUSHES AND BRUSHING METHODS MARIAN BIBAWI, BLANCA ESPINOZA, ALLYSON HAMM, ALEXIS PEÑA, EMILY POVENTUD-DIAZ, HEINY SARDIÑA-FLEITES  HISTORY OF TOOTHBRUSHES DATE BACK TO 3500 BCE FIRST BRISTLED TOOTHBRUSH USED IN 1000 CE FIRST PATENTED TOOTHBRUSH IN THE U.S. WAS IN 1860 EARLY 1900S CELLULOID REPLACED BONE HANDLES NYLON BRISTLES INTRODUCED BY DUPONT DE NEMOURS IN 1938 FIRST POWER TOOTHBRUSH IN U.S. MARKET WAS IN 1960  TOOTHBRUSH CONSIDERATIONS MUST BE ABLE TO MAINTAIN HEALTHY AND CLEAN TEETH EASY TO CLEAN COMFORTABLE AND LIGHTWEIGHT EFFECTIVE BRUSH HEAD SIZE HIGH QUALITY TOOTHBRUSHES WILL CARRY THE ADA SEAL OF ACCEPTANCE  TOOTHBRUSH DESIGN HAS THE SAME PARTS LIKE OUR DENTAL INSTRUMENTS HANDLE: EASY TO GRIP AND PROVIDE CONTROL SHANK: ALLOWS TOOTHBRUSH TO REACH DIFFICULT AREAS WORKING END: ROUNDED BRISTLES FOR SAFE AND EFFECTIVE CLEANING  BRISTLE MATERIALS AFFECTS PLAQUE REMOVAL MOSTLY MADE FROM NYLON SYNTHETIC BRISTLES PROVIDE DURABILITY AND KEEP THEIR SHAPE OVER TIME ROUNDED ENDS GENTLE ON GINGIVA AVAILABLE IN SOFT, MEDIUM, AND HARD  BRISTLE ARRANGEMENT RIPPLED: DIFFERENT HEIGHTS FIT TOOTH CONTOURS TAPERED: SLIP TIPS FOR PRECISION CLEANING MULTILEVEL: REACH HARD-TO-CLEAN AREAS ANGLED: CLEANS DISTALS AND INTERPROXIMALS EFFECTIVELY BILEVEL: USED FOR ORTHODONTICS TO CLEAN AROUND WIRES AND BRACKETS  TOOTHBRUSH SPECIALIZED NEEDS ORTHODONTICS: BILEVEL BRISTLES TO CLEAN AROUND BRACES CHILDREN: SMALLER BRUSH HEADS, SOFTER BRISTLES, AND EASY TO HOLD HANDLES LIMITED DEXTERITY: LARGER, TEXTURED HANDLES  CHARACTERISTICS OF POWER BRUSH DESIGNS HIGHER SPEEDS DEPENDING ON MANUFACTURER AND BATTERY VARIETY OF BRUSH SHAPES VARIETY OF BRUSH HEAD TRIMS VARYING MOTIONS  POWER SOURCE DIRECT: UTILIZE ELECTRICAL OUTLET RECHARGEABLE BATTERIES: WILL AFFECT BRUSH SPEED RECHARGEABLE, NON-REPLACEABLE BATTERY: STAND CONNECTED TO OUTLET DISPOSABLE  MODES OF ACTION ROTATIONAL: 360 CIRCULAR MOTION COUNTERROTATIONAL: EACH TUFT MOVES IN ROTATION MOTION WITH ADJACENT TUFTS MOVING IN COUNTER- DIRECTIONAL MOTION OSCILLATING: ROTATES FROM CENTER TO THE LEFT, THEN THE RIGHT WITH ROTATION VARYING FROM 25 TO 55 DEGREES PULSATING: DIRECT PULSATIONS TOWARDS INTERPROXIMAL CRADLE OR TWIST: SIDE TO SIDE WITH AN ARC SIDE-TO-SIDE: SIDE TO SIDE PERPENDICULAR TO LONG AXIS OF BRUSH HANDLE TRANSLATING: UP AND DOWN PARALLEL TO THE LONG AXIS OF THE BRUSH HANDLE COMBINATION: SIMULTANEOUS YET DIFFERENT MOVEMENT ULTRASONIC: BRUSH HEAD VIBRATES AT ULTRASONIC FREQUENCY OF 250KHZ  TOOTHBRUSH METHODS: WHY DO WE DO IT? REMOVES PLAQUE FOOD DEBRIS BACTERIA NEAR GUMLINE CARIES PREVENTION GUM DISEASE PREVENTION HALITOSIS DECAY PREVENTION  TOOTHBRUSH METHODS: BASS RECOMMENDED FOR PATIENTS WITHOUT GUM RECESSION SULCULAR CLEANSING MOST EFFECTIVE CLEANING CERVICAL 1/3 AND BENEATH GINGIVAL MARGINS PERIODONTAL MAINTENANCE  BASS METHOD LIMITATIONS TOOTHBRUSH BRISTLES CAN ONLY REACH 0.9 MM BELOW GINGIVAL MARGIN AGGRESSIVE BRUSHERS CAN CAUSE INJURY TO GINGIVAL MARGIN  TOOTHBRUSH METHODS: STILLMAN AND MODIFIED DIFFERS FROM BASS SINCE BRISTLES ARE POSITIONED PARTLY ON THE TOOTH AND ARTLY ON ADJACENT GINGIVA RECOMMENDED FOR PATIENTS WITH GINGIVAL RECESSION OR REQUIRING GINGIVAL STIMULATION ENHANCES BLOOD CIRCULATION SUPPORTS HEALING REMOVES BIOFILM FROM CERVICAL AREAS  STILLMAN LIMITATIONS MUST BE CAREFUL WITH BRUSH PLACEMENT AVOID USING TOO MUCH PRESSURE AVOID RUSHING THE ROLLING STROKE ENSURE VIBRATORY ASPECT IS EFFECTIVE FOR BIOFILM REMOVAL TOOTHBRUSH METHODS: ROLL OR ROLLING STROKE DESIGNED TO COMPLEMENT VIBRATORY METHODS LIKE BASS, CHARTERS, OR STILLMAN TECHNIQUES SUITED FOR PATIENTS WITHOUT SPECIFIC ORAL ISSUES OR APPLIANCES EFFECTIVE FOR CLEANING LINGUAL SURFACES OF ANTERIOR TEETH REMOVES BIOFILM, MATERIAL ALBA, AND FOOD DEBRIS BUT DOES NOT FOCUS ON GINGIVAL SULCUS  ROLL OR ROLLING STROKE LIMITATIONS BRUSHING TOO HIGH CAN LACERATE ALVEOLAR MUCOSA MINIMAL PLAQUE REMOVAL INTERPROXIMALLY OR IN SULCULAR AREAS QUICK STROKES RESULTS IN FAILURE TO REMOVE PLAQUE BIOFILM FROM CERVICAL THIRD OF THE TOOTH  TOOTHBRUSH METHODS: CHARTERS RECOMMENDED FOR INDIVIDUALS WITH ORTHODONTIC APPLIANCES HEALING SURGICAL SITES, OR FIXED DENTAL APPLIANCES LOOSENS DEBRIS AND BIOFILM WHILE STIMULATING MARGINAL AND INTERDENTAL GINGIVA CLEANS EMBRASURES COMMONLY SEEN AFTER PERIODONTAL SURGERY AND MAINTAINING ABUTMENT TEETH  CHARTERS LIMITATIONS DOES NOT ENGAGE GINGIVAL SULCUS TO DISTURB SUBGINGIVAL BACTERIA CORRECT BRUSH PLACEMENT IS LIMITED OR IMPOSSIBLE WITH MODIFICATIONS NEEDED ADDING TO THE COMPLEXITY OF THIS BRUSHING STYLE  TOOTHBRUSH METHODS: HORIZONTAL (SCRUB) MOST EFFECTIVE FOR CHILDREN UP TO 6 OR 7 YEARS OLD SIMPLE METHOD EASY FOR PEOPLE TO ADOPT  HORIZONTAL (SCRUB) LIMITATIONS RISK OF CERVICAL ABRASION, ESPECIALLY PATIENTS WHO BRUSH TOO VIGOROUSLY OR HARD—BRISTLED TOOTHBRUSHES  TOOTHBRUSH METHOD AND LIMITATIONS: FONES SIMPLE AND EFFECTIVE METHOD FOR CHILDREN LIMITATIONS: INDICATED FOR PRIMARY TEETH PLAQUE REMOVAL LOWER COMPARED TO SULCULAR OR HORIZONTAL BRUSHING TECHNIQUES TOOTHBRUSH METHODS AND LIMITATIONS: LEONARD’S (VERTICAL) WORKS WELL FOR SMALL CHILDREN LIMITATIONS: MINIMAL PLAQUE REMOVAL INTERPROXIMAL AND IN SULCULAR AREAS  TOOTHBRUSHING INSTRUCTIONS IMPORTANT TO EDUCATE PATIENTS ON PROPER TECHNIQUES 2 MINUTES, TWICE DAILY HANDS-ON DEMONSTRATIONS BRUSHING TOO HARD CAN LEAD TO RECESSION WHICH CAN CAUSE SENSITIVITY  DENTAL HYGIENE PROCESS OF CARE DEFINITION ASSESSMENT BRUSHING ROUTINE DIETARY HABITS PHYSICAL OR MENTAL LIMITATIONS DIAGNOSIS PLAQUE AND CALCULUS LEVELS CARIES RISK PERIODONTAL CLASSIFICAITON  DENTAL HYGIENE PROCESS OF CARE PLANNING: SET REALISTIC GOALS SWITCHING TOOTHBRUSHES CHANGING BRUSHING METHOD AIM TO BRUSH 2X/DAY, 2 MINUTES EACH IMPLEMENTATION ENCOURAGE AND MOTIVATE EVALUATION REASSESS AND ADAPT IF NEEDED DOCUMENTATION  POWER TOOTHBRUSH BENEFITS MORE EFFECTIVE THAN MANUAL 21% DECREASE IN PLAQUE AND 11% DECREASE IN GINGIVITIS 19.5% INCREASE IN TOOTH RETENTION EFFECTIVE AT STAIN REMOVAL ORTHODONTIC PATIENTS PATIENTS WITH LIMITED DEXTERITY PATIENTS WHO STRUGGLE TO BRUSH FOR FULL TWO MINUTES PATIENTS WITH RECESSION  ORAL B VS. PHILIPS SONICARE OSCILLATING OR ROTATING MOTIONS ARE MOST EFFECTIVE ORAL B UTILIZES OSCILLATING, ROTATING, OR A COMBINATION OF BOTH ORAL B TOOTHBRUSHES HAVE BEEN SHOWN TO REDUCE CALCULUS BY 63% SONICARE UTILIZES SIDE TO SIDE OR ULTRASONIC VIBRATIONS NOT AS EFFECTIVE AS OSCILLATING/ROTATING BUT STILL BETTER THAN MANUAL  WHEN TO RECOMMEND MANUAL MORE REALISTIC FOR THOSE WHERE BUDGET IS AN ISSUE CANCER PATIENTS GOING THROUGH CHEMOTHERAPY OR RADIATION ARE RECOMMENDED TO CHANGE TOOTHBRUSH BEFORE EACH TREATMENT CYCLE WHEN POWER TOOTHBRUSH IS TOO HEAVY CHILDREN, ELDERLY, THOSE WITH CERTAIN DISABILITIES THOSE WITH SENSORY ISSUES AUTISM THOSE WHO REFUSE ELECTRIC  REFERENCES BOYD, L. D., MALLONEE, L. F., WYCHE, C. J., & HALARIS, J. F. (2020). WILKINS’ CLINICAL PRACTICE OF THE DENTAL HYGIENIST (13TH ED). JONES & BARTLETT PUBLISHERS. FADHA, K. M. R. B. M. (2022, FEBRUARY 8). REMEMBER ADPIED? THE CONCEPT HELPED HYGIENISTS LEARN ABOUT PROCESS OF CARE. TODAY’S RDH. HTTPS://WWW.TODAYSRDH.COM/REMEMBER-ADPIED-THE-CONCEPT-HELPEDHYGIENISTS-LEARN-ABOUT-PROCESS-OF-CARE/ PITCHIKA, V., PINK, C., VÖLZKE, H., WELK, A., KOCHER, T., & HOLTFRETER, B. (2019). LONG-TERM IMPACT OF POWERED TOOTHBRUSH ON ORAL HEALTH: 11-YEAR COHORT STUDY. JOURNAL OF CLINICAL PERIODONTOLOGY, 46(7), 713– 722. HTTPS://DOI.ORG/10.1111/JCPE.13126 STAIN REMOVAL/WHITENING AND CALCULUS - USING AN EVIDENCE-BASED APPROACH TO MAKING PATIENT RECOMMENDATIONS FOR POWER TOOTHBRUSHES - DENTALCARE. (N.D.). HTTPS://WWW.DENTALCARE.COM/EN-US/CE-COURSES/CE648/STAIN-REMOVALWHITENING-AND-CALCULUS THOMASSEN, T. M. J. A., VAN DER WEIJDEN, F. G. A., & SLOT, D. E. (2021). THE EFFICACY OF POWERED TOOTHBRUSHES: A SYSTEMATIC REVIEW AND NETWORK META- ANALYSIS. INTERNATIONAL JOURNAL OF DENTAL HYGIENE, 20(1), 3– 17. HTTPS://DOI.ORG/10.1111/IDH.12563 VAN DER WEIJDEN, F. A., & SLOT, D. E. (2015). EFFICACY OF HOMECARE REGIMENS FOR MECHANICAL PLAQUE REMOVAL IN MANAGING GINGIVITIS A META REVIEW. 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MANUAL TOOTHBRUSHES, SELF-TOOTHBRUSHING, AND REPLACEMENT DURATION TO REMOVE DENTAL PLAQUE AND IMPROVE GINGIVAL HEALTH: A SCOPING REVIEW FROM RECENT RESEARCH. JOURNAL OF DENTISTRY, 148. HTTPS://DOI.ORG/10.1016/J.JDENT.2024.105240 P, V., & ULA. (2013, JUNE 28). TYPES OF TOOTH BRUSHING TECHNIQUES. JUNIORDENTIST.COM. HTTPS:// WWW.JUNIORDENTIST.COM/TYPES-OF-TOOTH-BRUSHING-TECHNIQUES.HTM  REFERENCES PHOTOS: HTTPS://WWW.RESEARCHGATE.NET/FIGURE/EVOLUTION-OF-TOOTHBRUSH_FIG 1_339102415 HTTPS://WWW.ADA.ORG/RESOURCES/RESEARCH/SCIENCE-AND-RESEARCH-IN STITUTE/ADA-SEAL-OF-ACCEPTANCE/ADA-SEAL-RESOURCES/ADA-SEAL-TESTIN G-SITES HTTPS://JDH.ADHA.ORG/CONTENT/87/3/118/TAB-FIGURES-DATA HTTPS://WWW.DEZEEN.COM/2023/10/16/ACCESSORIES-ADAPTIVE-TOOTHBRU SH-HANDLES-LANDOR-AND-FITCH/ HTTPS://WWW.WALMART.COM/IP/ROZYARD-3-SIDED-AUTISM-TOOTHBRUSH-SO FT-BRISTLESTOOTHBRUSH-SOFT-GENTLE-CLEANS-EACH-TOOTH-TO-COMPLETE