Teeth cleaning

Source: Wikipedia, the free encyclopedia.

Teeth cleaning is part of

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
.

Brushing, scrubbing and flossing

Main articles: Tooth brushing and Dental floss

Brushing

Careful and frequent brushing with a toothbrush helps to prevent build-up of plaque bacteria on the teeth.[1] Electric toothbrushes were developed, and initially recommended for people with strength or dexterity problems in their hands, but they have come into widespread general use. The effectiveness of electric toothbrushes at reducing plaque formation and gingivitis is superior to conventional manual toothbrushes.[2]

How to Brush[3]

Ensuring effective brushing is important in getting rid of food and bacteria properly.

Step 1) Place a pea sized amount of toothpaste on the brush and hold at a 45 degree angle.

Step 2) In small circular and back and forth motions, move the brush gently along teeth and gums.

Step 3) Brush all surfaces inside the mouth, including the tongue. Ensure that the back sides of the teeth (top and bottom rows) are being cleaned by brushing vertically in up and down motions.

Tip) It is recommended to use a 2/2 strategy which includes brushing two minutes in the morning and two minutes at night as a minimum standard for healthy gums and teeth.

Flossing

In addition to brushing, cleaning between teeth may help to prevent build-up of

interdental brushes
.

80% of cavities occur in the grooves, or pits and fissures, of the chewing surfaces of the teeth,[4] however, there is no evidence currently showing that normal at-home flossing reduces the risk of cavities in these areas.[5]

Special appliances or tools may be used to supplement toothbrushing and interdental cleaning. These include special toothpicks, oral irrigators, and other devices. A 2015 Cochrane review found insufficient evidence to determine whether the interdental brushing decreases the levels of plaque when compared to flossing.[6]

Professional teeth cleaning

Dental hygienist polishing a person's teeth

Teeth cleaning (also known as

tooth scaling, tooth polishing, and debridement if too much tartar
has accumulated. This involves the use of various instruments or devices to loosen and remove deposits from the teeth. The American Dental Association has designated the code D1110 for adult prophylaxis or dental cleaning and has also designated the code D1120 for the same procedure in children.

As to the frequency of cleaning, research on this matter is inconclusive. That is, it has neither been shown that more frequent cleaning leads to better outcomes nor that it does not. A review of the research literature on the question concluded "[t]he research evidence is not of sufficient quality to reach any conclusions regarding the beneficial and adverse effects of routine scaling and polishing for periodontal health and regarding the effects of providing this intervention at different time intervals".[7] Thus, any general recommendation for a frequency of routine cleaning (e.g. every six months, every year) has no empirical basis.[8][9]

Complications

Overly vigorous or incorrectly performed brushing or flossing may cause injury to the

gingiva (gums). Improper or over-vigorous brushing may cause sore gums, damage to tooth enamel, gingivitis, and bleeding gums. Dentists and dental hygienists can instruct and demonstrate proper brushing or flossing techniques.[10]

Aerosols generated during dental cleaning procedures may spread infection.[11] During the COVID-19 pandemic on 12 August 2020, the World Health Organization recommended that routine dental checkups be delayed in areas of community transmission.[12] Characteristics and detection rate of SARS-CoV-2 in alternative sites and specimens related to dentistry has been extensively reviewed.[13]

Disinfection

Antiseptics help reduce the number of microorganisms present in the oral cavity.[14] Antiseptics are recommended for both daily home care regimens and for use in the dental office setting. These products are used as a preprocedural rinse to reduce bacterial counts prior to routine dental treatments and injections.[15]

A common antiseptic rinsing agent used in the dental office is a 0.2% chlorhexidine product which provides a lowered bacterial count for more than 60 minutes.[16]

Acidity and decay relationship

The regulation of acid production and exposure in the oral cavity is of the utmost importance to maintain healthy enamel. When enamel, cementum, and /or dentin are subjected to an increased number of acidogenic and aciduric bacteria in dental biofilm, the demineralization process begins. When acidogenic and aciduric bacteria predominate the oral flora, there is an increased risk of developing caries.[15]

Reducing acid exposure

Dietary habits:

  • Reduce fermentable carbohydrate intake frequency
  • Limit snacking between meals and in the middle of the night
  • Avoid acidic beverages between meals
  • Use xylitol gum or mints between meals

History

Historically, professional tooth cleaning was sometimes referred to as odontexesis (literally "tooth-scraping")[17] or odontexis ("scraping off"),[17] and the instruments involved odontoglyphs.[18]

Dr. Alfred C. Fones, known as the "father of dental hygiene," was the first to develop the role of a dental hygienist into the current concept of a dental educator and dental professional. The dental hygienist is qualified, same as a dentist, to perform routine dental cleanings.[18]

References

  1. ^ Curtis J (13 November 2007). "Effective Tooth Brushing and Flossing". WebMD. Retrieved 2007-12-24.
  2. PMID 24934383
    .
  3. ^ American Dental Association (2005). "How to Brush" (PDF). American Dental Association. Retrieved October 2, 2020.
  4. S2CID 32601535
    .
  5. S2CID 53789465
    .
  6. PMID 24353078
    .
  7. PMID 15789039
    .
  8. ^ Burhenne M (19 August 2010). "How Often Should I Go to the Dentist for a Teeth Cleaning?". Ask the Dentist.
  9. PMID 30590875
    .
  10. ^ Donovan J (12 November 2007). Wyatt AD Jr (ed.). "Toothbrushing Mistakes You Make and How to Fix Them". Web MD. Retrieved 2007-12-24.
  11. S2CID 22045777
    .
  12. ^ Nebehay S (2020-08-12). "Delay routine dental checkups in areas of COVID spread: WHO". Reuters. Retrieved 2020-08-12.
  13. PMID 33802043
    .
  14. ^ "Efficacy of preprocedural mouth rinsing in reducing aerosol contamination produced by ultrasonic scaler". J Periodontol (85): 4. 2014.
  15. ^
    ISBN 978-1-496-39627-3
    .
  16. OCLC 1096288166.{{cite book}}: CS1 maint: location missing publisher (link
    )
  17. ^ a b Denton GB (1958). The Vocabulary of Dentistry and Oral Science: A Manual for the Study of Dental Nomenclature. Bureau of Library and Indexing Service, American Dental Association.
  18. ^
    ISBN 978-1-496-39627-3
    .

External links
Retrieved from "https://en.wikipedia.org/w/index.php?title=Teeth_cleaning&oldid=1213908030"