Techniques for Teeth Cleaning
- Brushing with a toothbrush helps prevent plaque build-up on teeth.
- Electric toothbrushes are more effective than manual toothbrushes at reducing plaque and gingivitis.
- Proper brushing technique involves placing toothpaste on the brush and holding it at a 45-degree angle.
- Brushing should be done in small circular and back and forth motions along teeth and gums.
- All surfaces inside the mouth, including the tongue, should be brushed.
- Cleaning between teeth with dental floss or interdental brushes helps prevent plaque build-up.
- Cavities often occur in the grooves of chewing surfaces, but there is no evidence that at-home flossing reduces the risk in these areas.
- Special appliances like toothpicks and oral irrigators can supplement toothbrushing and interdental cleaning.
- Insufficient evidence exists to determine if interdental brushing is more effective than flossing in reducing plaque levels.
- Flossing should be done in addition to brushing for optimal oral hygiene.
- Importance of brushing for at least two minutes, twice a day.
- Effective use of dental floss or interdental brushes for cleaning between teeth.
- Benefits of using mouthwash as a supplementary oral hygiene measure.
- Consideration of tongue cleaning to remove bacteria and freshen breath.
Professional Teeth Cleaning
- Teeth cleaning, also known as prophylaxis, removes tartar that may develop despite regular brushing and flossing.
- Dental hygienists often perform professional cleaning, which includes tooth scaling, polishing, and debridement if necessary.
- The frequency of cleaning does not have a standardised recommendation based on empirical evidence.
- Research on the effects of routine scaling and polishing is inconclusive.
- Codes D1110 and D1120 are designated by the American Dental Association for adult and children's prophylaxis, respectively.
Complications and Considerations
- Incorrect brushing or flossing techniques can cause injury to the gums.
- Over-vigorous brushing can lead to sore gums, damage to tooth enamel, gingivitis, and bleeding gums.
- Aerosols generated during dental cleaning procedures may spread infection.
- Routine dental checkups were recommended to be delayed during the COVID-19 pandemic.
- The characteristics and detection rate of SARS-CoV-2 in dental settings have been extensively reviewed.
Disinfection
- Antiseptics reduce the number of microorganisms in the oral cavity.
- Antiseptics are recommended for daily home care and as a preprocedural rinse in dental offices.
- A common antiseptic rinsing agent is a 0.2% chlorhexidine product.
- Chlorhexidine provides a lowered bacterial count for over 60 minutes.
- Further expansion of this section is needed (June 2022).
Benefits of Teeth Cleaning and Overall Health
- Promotes oral hygiene and prevents tooth decay.
- Reduces the risk of gum disease and periodontitis.
- Removes plaque and tartar buildup.
- Enhances the appearance of teeth by removing stains.
- Helps maintain fresh breath and prevents bad breath.
- Allows early detection and treatment of dental issues.
- Helps prevent serious dental problems in the future.
- Enables professional cleaning and removal of stubborn plaque.
- Provides an opportunity to discuss oral health concerns and receive guidance.
- Increases the lifespan of dental restorations such as fillings and crowns.
- Links between gum disease and systemic conditions like heart disease and diabetes.
- Increased risk of respiratory infections due to oral bacteria.
- Association between poor oral health and pregnancy complications.
- Potential connection between oral health and Alzheimer's disease.
- Impact of oral infections on overall well-being and quality of life.
Innovations in Dental Hygiene
- Introduction of electric toothbrushes for more efficient cleaning.
- Development of antimicrobial toothpaste to combat oral bacteria.
- Use of ultrasonic scalers for thorough removal of plaque and tartar.
- Implementation of preprocedural mouth rinsing to reduce aerosol contamination.
- Advancements in alternative sites and specimens for detecting SARS-CoV-2 in dental practice.
Teeth cleaning is part of oral hygiene and involves the removal of dental plaque from teeth with the intention of preventing cavities (dental caries), gingivitis, and periodontal disease. People routinely clean their own teeth by brushing and interdental cleaning, and dental hygienists can remove hardened deposits (tartar) not removed by routine cleaning. Those with dentures and natural teeth may supplement their cleaning with a denture cleaner.