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Self Care Videos
The videos below illustrate the basic ways to use various devices to remove plaque and biofilm. Every mouth and set of teeth are different so the devices, techniques, and sequence need to be modified for your own situation. Your hygienist coaches patients in the devices and methods that work best for them.
The key is holding the brush at a 45-degree angle so the bristles slip under the gums and in between the teeth, wiggling in small circles to disrupt the plaque and swishing up on the lower teeth and down on the upper teeth. Vigorous back-and-forth scrubbing can harm gums and roots. A soft toothbrush is all that is needed. I personally like the Sea Turtle Bamboo toothbrush.
Flossing is an important part of daily oral hygiene. It removes the plaque/biofilm from the teeth surfaces that touch each other. This is an area where cavities can form - called "interproximal" cavities. Flossing after brushing with a remineralizing toothpaste helps clean and remineralize these surfaces.
Note in the videos that the floss is wrapped forward and back around that surface and gently slid under the gum till you feel resistance. Then slide up and down 3 times to thoroughly deplaque. I prefer to avoid Teflon-coated floss because it can be a toxic substance.
When there is gum recession - and this is a common thing, I see this in over 90% of patients - roots and spaces between the teeth become exposed. Root surfaces are convex making a regular brush and floss sometimes ineffective at cleaning these areas. The End Tuft Brush works great in these areas because it is a small tuft of bristles able to get in tight areas and the head is angled so it is better able to reach around corners.
When there are large spaces between the teeth, the ProxaBrush, and a version of the ProxaBrush called SoftPic, are excellent at cleaning these areas. These devices are especially effective at applying remineralizing products to these hard-to-reach areas.
The Sonicare is very effective at removing plaque and biofilm. The sonic vibrations get the remineralizing products into hard-to-reach areas, especially the deep pits and grooves on the chewing surfaces of the back teeth.
The WaterPick is an excellent intra-oral cleaning tool. It helps rinse and flush all areas of debris, especially from under the gum and in between the teeth. When one has gum issues, especially periodontitis where there are deeper pockets and bone loss, it is especially helpful to use ozonated water rather than just tap water. Ozonated water is a natural disinfectant so when used with the water pick it not only cleans and flushes but also decreases the periodontal disease-causing bacteria from all those hard-to-reach areas. If cavities are an issue, adding Spry Xylitol rinse to the WaterPik adds to the anti-cavity benefit.