Proper brushing of teeth: technique, diagram, useful tips

What are dental floss and brush used for?
How to choose dental floss
Types of dental floss
How to floss
Types of dental brushes
How to choose a brush
How to brush your teeth with a brush
Which brand of dental floss and brushes should I choose?

The tooth has as many as five surfaces, each of which needs regular cleaning. A toothbrush can only clean three sides - the outer, inner and chewing sides. But she cannot reach the interdental spaces, where food debris accumulates and harmful bacteria multiply, which lead to caries. By the way, the total area of such spaces is about 40% of the area of all teeth, and more than half of the cases of caries begin there.

There are several ways to clean the interdental spaces - an irrigator, a brush and dental floss. These are important oral care products and necessary accessories for those who wear braces. You can read more about caring for braces here. We have also already written a lot about irrigators, so in this article we will talk about what brushes and flosses are and how to use them.

Why brush your teeth?

You need to learn how to care for your mouth from early childhood. Of course, children 8–9 months old (the time the first tooth erupts) are not able to do this on their own. Parents should show their concern here.

Plaque on the surface of the enamel is an accumulation of large amounts of tiny food debris. If oral care is not taken on time, plaque increases. Combining with saliva, it mineralizes and becomes a stone that cannot be removed only with a brush. Important: the stone causes caries, periodontitis and other diseases. Caries is a trigger that essentially causes a chain reaction.

Caries and periodontitis

The structure of enamel is naturally porous and rough. Plaque on the surface fills the pores, causing inflammation. This is caries. If no measures are taken and prevention is not carried out, the disease spreads deeper. Over time, the inflammatory process spreads to the gums and roots.

Periodontium is the tissue surrounding the root of the tooth. It fixes it in the bone structure of the jaw. Inflammation in this area leads to the formation of a cyst.

Periodontitis

Destruction of the supporting apparatus of the tooth. At the same time, the gum gradually moves back and a pocket appears. This is where food debris accumulates. It is impossible to remove them yourself. Against this background, the gums swell, begin to bleed, and become sensitive during chewing. Purulent formations may appear in the pocket. Untimely treatment leads to loosening, displacement, and loss of teeth.

Important! Periodontitis is the second most common disease after caries. According to WHO, this pathology is diagnosed in 75% of children and 93% of adults.

Periodontal disease

According to statistics, out of 10 patients, periodontal disease is observed in 6 people. The disease is characterized by impaired blood supply to tissues. This leads to their degeneration and exposure of the neck of the tooth. The gums gradually rise above each other. At the same time, they do not turn red, do not swell, do not bleed, but simply slowly collapse.

Usually the disease affects both jaws at once.

Tooth loss

It needs to be prevented from early childhood. Parents do not always think about the consequences of premature tooth loss in their child. The thinking of some fathers and mothers is as follows: why treat caries of children’s teeth, because they are baby teeth and will soon fall out. This is a big misconception. By affecting baby teeth, caries leads to their premature loss.

Nature intended that the permanent tooth should replace the milk tooth, pushing it out. This order is a normal process. With premature loss, physiology is disrupted, which leads to improper eruption, crooked teeth and changes in bite. Such transformations entail many problems - impaired diction, deformation of facial features, gastrointestinal diseases. Adults experience the same problems when their teeth fall out.

Gastrointestinal diseases

Incorrect bite and lack of proper number of teeth affect the process of grinding food. Insufficiently chewed food ends up in the stomach, which finds it difficult to digest such food. As a result, gastric juice, which contains hydrochloric acid, is released abundantly. A large amount of it irritates the walls of the stomach. Over time, they become inflamed and gastritis develops. In case of untimely treatment, the pattern of disease development is probably known to everyone: gastritis - ulcer - oncology. And it is not a fact that the inflammatory process will not reach the duodenum or intestines.

Chronic pathologies

It would seem, what is a raid? A small buildup on the enamel surface that can be removed with a brush. But many pathogenic bacteria live in this area. If you do not clean the oral cavity, bacteria can migrate through the bloodstream (especially if the integrity of the gum tissue is damaged), move to the tonsils, and into the sinus area. This way the infection can reach any organ.

Think about the numbers! Out of 10 children with early caries, 9 suffer from chronic diseases of the respiratory and ENT organs! According to statistics, caries in childhood causes the development of a chronic form of sinusitis and tonsillitis.

A migrating infection can cause meningitis and provoke encephalitis. Diseases are difficult to treat, their consequences are terrible - dementia, disability.

In medical practice, there are known cases of death from sepsis. The cause is a bacterial infection that first caused tooth decay and then entered the bloodstream and caused sepsis. This advanced disease and its untimely treatment leads to death.

Psychological problems

In childhood, malocclusion becomes the result of crowded teeth, changes in facial features, and impaired diction. Often children feel awkward and begin to develop complexes. In the future, insecure people, already adults, cannot arrange their personal lives. In most cases, the lack of a smile is due to embarrassment and reluctance to talk again.

Psychologists say that in 15% of cases, alcoholism, drug addiction and teenage suicide are associated with complexes about appearance. 10% of them relate specifically to impaired diction and a deformed face due to malocclusion.a

So, caries caused by plaque can cause a lot of negative consequences. This can be avoided by maintaining oral hygiene and paying due attention to your health.

Contraindications to the procedure

Like any medical procedure, professional dental hygiene has contraindications:

age under 18 years;
inflammatory diseases of the oral cavity;
foci of caries;
bronchial hyperreactivity (in patients with asthma, allergies, obstructive bronchitis);
severe thinning of the enamel layer;
bruxism;
some mental pathologies;
chronic diseases in the acute phase;
infectious pathologies;
a large number of filled teeth;
epilepsy; open form of tuberculosis;
wearing braces and metal crowns.

Most contraindications are relative. The patient can undergo the procedure after recovery.

How often should you brush your teeth?

Dentists recommend caring for your oral cavity 2 times a day (morning and evening). But the hygiene procedure does not end there. To prevent the development of caries, it is necessary to rinse your mouth after every meal. It doesn’t matter whether a person ate an apple, cracked seeds, or had a full lunch.

Intensive rinsing removes harmful bacteria and stuck food pieces. It is, of course, advisable to use special foams or rinses. You can make a solution of salt and soda (1 tsp per 0.5 liter of water). But if this is not possible, then at least use a floss and rinse your mouth with water.

How to choose a toothbrush

Not only is the correct cleaning technique important, but also the brush. When choosing a product, you need to navigate their diversity:

Very soft brushes designed for children. This type is chosen for children over 5 years old, as well as people diagnosed with periodontitis. It is recommended that children under 2 years old brush their teeth with special silicone fingertips.
Medium bristles hardness. Recommended for teenagers over 12 years old.
Hard brushes. Can only be used after consulting a doctor. Excessive hardness causes enamel destruction. Recommended for coffee lovers, smokers, and people with increased stone formation. But such brushes can only be used by those who have strong enamel and a healthy oral cavity.
Very hard brush. We are talking about brushes used in cases where bridges and braces are installed.
Electric brushes. According to dentists, they are best for removing soft deposits. In addition, there is no need to make additional movements during cleaning. It is enough to slowly move the device over the surface of the teeth, and the electric brush will do the rest itself. But if the gum tissue is weak, then such a procedure can cause injury.
Ultrasonic brushes. Does not damage gums. Approved for use for diseases of the oral cavity, installed braces or implants. Ultrasound cleans exposed surfaces and removes bacteria at a depth of 5 mm under the gums.
Working head size. Preference should be given to products with small working heads. In this way, soft tissue injury can be prevented.

Pay attention to the hardness level markings. Responsible manufacturers always indicate it on the packaging:

sensitive – very soft brushes;
soft – soft;
medium – brushes with medium hardness;
hard – very hard;
extra-hard – special brushes that remove large amounts of plaque and are intended for people with installed restoration structures.

An important rule: you need to change the brush every 3 months.

Cleaning methods

Currently, dentists offer several methods for cleaning teeth. The oldest is mechanical, when tartar is destroyed using a special tool in the form of hooks. This method can injure your gums, so it is rarely used.

One of the progressive methods is ultrasound. Cleansing is carried out using an ultrasonic scaler. Stones are destroyed by sound vibrations of a certain frequency, while plaque is removed and supragingival and subgingival pockets are cleaned. The doctor can use attachments of different sizes, depending on the complexity of the treatment area and the thickness of the plaque. In addition, during the work, water or an antiseptic is supplied to the oral cavity, which removes stone particles through a dental saliva ejector. The patient does not feel pain, but if the necks of the teeth are sensitive, the doctor administers local anesthesia.

Modern laser systems allow not only to remove the hardest tartar, but also to whiten teeth. The device causes the evaporation of moisture contained in plaque and removes deposits from the enamel in layers. At the same time, the enamel receives a lighter shade, and the achieved result of a snow-white smile will last for several years. The procedure is absolutely painless, but for certain categories of patients there are contraindications.

The latest Swiss technology Air Flow makes it possible to remove particles of plaque, stone and pigments in hard-to-reach places, clean subgingival pockets and polish enamel. Treatment is carried out with a jet of cleaning mixture, which consists of sodium bicarbonate and water. Under high pressure, this composition is applied to each tooth. Regular baking soda acts as an abrasive. This sandblasting method allows for high-quality hygienic treatment, removing all excess from the teeth, achieving a smooth surface of the tooth enamel and its natural lightening. The manipulation is painless and pleasant for the patient. The result is a Hollywood smile and clean teeth.

The VECTOR device is the latest word in dentistry. It is intended for the prevention and treatment of periodontitis and acts by vibration. This technique takes advantage of ultrasonic waves and the active action of a fluoride and calcium based cleaning mixture. Using such equipment, the doctor removes deposits and bacteria, cleans subgingival pockets and polishes tooth enamel.

Modern people have a wide choice of professional hygiene methods. A consultation with a dentist will help you choose the most suitable one.

Choosing a toothpaste

Almost all pastes are therapeutic and prophylactic. Serve for mechanical cleansing and help prevent caries, periodontitis, and periodontal disease. To do this, the composition includes various components that should be taken into account when choosing a care product:

Fluorides and calcium. Included in the composition for the prevention of caries and restoration of enamel structure.
Medicinal plants, essential oils, antiseptic substances (chlorhexidine, triclosan). Eliminate bleeding, swelling of the gums, remove plaque.
Potassium, strontium, aminofluoride, hydroxyapatite. Reduce tissue sensitivity and relieve pain.
Enzymes (papain) and antimicrobial substances (lysozyme, lactoferrin, lactoperoxidase). Added to whitening pastes to increase the effectiveness of plaque removal.
Vitamin complex (A, E, C, B, carotoline). Improves metabolic processes, accelerates the healing of the mucous membrane.

You need to choose a paste depending on your existing dental problems. Don't get carried away with fluoride-containing toothpastes. If there is an excess of fluoride, fluorosis can develop. Therefore, fluoride-containing toothpastes are used no more than once a day.

Step-by-step instruction

Cleansing takes 3 minutes! Particular attention should be paid to hard-to-reach areas: gum line, interdental spaces.

Cleaning scheme:

Wet the brush with warm water.
Apply the paste in a thin strip to the brush.
Start cleansing from the upper jaw. First, treat the outer molars and chewing teeth behind the cheeks.
The direction of movement is from left to right. If you are left-handed, it is better to start on the right.
The basic rule of the technique is to place the brush parallel to the gums.
Do not press too hard on the brush.
Movements are circular, brush each area for 10 seconds. During this time, make 10 movements with the brush.
Then start brushing from the gums to the bottom edges.
Next, treat the inner surfaces in the same way.
Clean your tongue and inner cheeks.
Rinse your mouth, changing the water 3 times.

Don’t forget to wash your brush and treat it with an antiseptic after each procedure.

Toothpicks and chewing gum

Dentists do not recommend using toothpicks at all. The wood from which they are made flakes when cleaned. The separated particles can remain between the teeth and, over time, begin to rot and cause inflammation. And also, while using a toothpick, you can injure your gums without even noticing it. Alternatively, use thread.

It is a mistaken belief that chewing gum will help get rid of plaque and stuck pieces of food. Yes, undoubtedly, some parts of the remaining food will stick to the gum. But during the chewing process, when the gums press against each other, these same particles can get stuck in the interdental space.

In addition, recently placed fillings that have not withstood prolonged exposure “like” to stick to chewing gum.

Chewing gum does not strengthen the gums; this happens in the process of uniform chewing, and not when squeezing the jaws in one place. Chewing gum is usually one-sided and can lead to muscle atrophy on the opposite side because it will not receive the stress it needs.

Another disadvantage is that constant chewing will lead to overload of the periodontium. Against this background, periodontitis and gingivitis can develop.

Chewing gum contains dyes and sweeteners. Do not forget that dye E131 (contained, for example, in Stimorol chewing gum) causes the formation of cancer cells, E171 – liver and kidney diseases.

To remove food debris after eating, it is better to rinse your mouth with water 2-3 times or use a mouthwash or foam.

Which brush to use

As we found out earlier, you should choose a toothbrush based on the sensitivity of your teeth. Dentists recommend using brushes with low or medium hardness.

Stiffer brushes can only be used as prescribed by a specialist and all recommendations are followed. Otherwise, you may damage the surface of your teeth and soft tissues.

Electric toothbrushes are not as effective as they might seem. They do not sufficiently clean the surface of the tooth and drive food debris into the space between the tooth and gum. It is better to opt for a regular brush with a hardness that suits you.

How to properly brush teeth with braces

With braces installed, teeth must be brushed 3 times a day. Regardless of whether you have removable braces or not, cleaning should first be done in the standard way using a brush and paste.

A prerequisite for braces and veneers is the use of an irrigator. This device uses a thin stream of liquid under high pressure to efficiently clean the enamel, gum pockets and the space between the teeth from fresh and old plaque.

What it is?

Professional teeth cleaning means removing hard and soft plaque from teeth, as well as polishing them. Therefore, the procedure usually consists of two parts, and various methods can be used to remove the stone, for example:

mechanical;
ultrasonic;
laser:
sandblasting (Air Flow);
using the VECTOR device.

In serious cases, the dentist may use a combination of several methods. Most often, ultrasonic cleaning is done, and then for final polishing, Air Flow is used.

In addition to caring for your teeth, professional cleaning takes care of the condition of your fillings and polishes the filling material. This allows you to preserve the original color of the filling and prevent its destruction.

During the manipulation process, the dentist performs a hardware removal of all excess from the tooth enamel and removes particles from the oral cavity. At the end, a protective fluoride varnish is applied, which reduces tooth sensitivity and contributes to the long-term preservation of the light tone of the enamel and the smoothness of each tooth.

How to properly brush your teeth with an electric brush?

The electric brush can make up to 25 thousand rotations per minute. Therefore, the cleansing procedure takes less time.

There are more powerful brushes, for example, from. They make up to 45 thousand rotations per minute.

The usage scheme is, in principle, standard. You don't need to strain or make any movements. She works on her own. The brush should be held parallel to the teeth, without pressing, and moved along the surface.

The procedure time is 1.5–2 minutes.

Dr. Zubastik recommends

After each procedure, rinse the brush. Do not store children's and adult teeth-cleaning devices in the same place - the infection can easily spread to neighboring hygiene products.

Interesting! Ancient people ate food given by nature itself, receiving a large amount of vitamins and a massage effect for the gums. They lived to old age, keeping all their teeth in excellent condition. Our ancestors ate rough, solid food and fruits without using a knife. According to anthropological researchers, ancient man did not know caries. The lack of teeth could only be a consequence of surviving and fighting the beast.

Tags: braces, toothbrush, toothpicks, teeth cleaning

About the author: Dr. Zubastik

Typically, a toothache begins to subside on the way to the clinic and finally goes away after 10 minutes of sitting in line to see the dentist.

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Preventative care after comprehensive cleaning

Dentists consider bleeding gums and tooth sensitivity to cold and hot irritants after mechanical intervention to be normal. Usually these symptoms disappear after a few days. They are caused by damage to soft tissue. If they become inflamed as a result of treating subgingival areas, dentists recommend preventive treatment.

Mechanical brushing of teeth can also lead to irritation and swelling of the mucous membrane. On the first day after it, you should not consume foods with spices, dyes, coffee or tea. It is recommended to quit smoking.

The rule of hygiene is brushing your teeth before breakfast or after eating.

To strengthen the enamel and prevent the formation of deposits, the dentist applies professional products after the procedure. If your gums are inflamed or bleeding, you should not touch the inflamed areas with your hands. To maintain hygiene, it is better to use cotton swabs.

Brushing your teeth at home using a soft toothbrush and rinsing your mouth with decoctions of oak bark, chamomile or sage promotes rapid recovery. Dentists recommend brushing your teeth first and then having breakfast. In the evening, you should brush them just before going to bed. Additionally, you should use floss.