PLAQUE AND OHI
 Seen in – hard tissue + prosthetic appliance
 Can only be removed by Mechanical means, Eg: brushing, flossing
 Plaque cannot be removed chemically but only be prevented it will not wash off the
plaque!**
 The benefit of rinsing mouth with water is to  prevent plque formation by washing off the
food debris.
 How will you asses oral hygiene / efficiency of oral hygiene methods prescribed to the
patient? Plaque index** not Calculus index

PLAQUE CONTROL : MECHANICAL
a) Tooth paste
a. Fluoride in toothpaste – 1000pm – above 4 years
b. Anti – tartar agents or anti plaque — Triclosan , Zn compound and pyrophosphate**

b) Tooth brush
a. For pedo  small head and long handle
b. 1st powered toothbrush – 1939 *

c) Mouthwash
a. Fluoride mouth wash — above 6 years age**

BRUSHING TECHNIQUE
 Best Tq – modified bass technique. Modified Bass tooth brushing is
o the best method because it enter interproximal area &cervical, can be used with
gingival recession, & advice to all types of pt. with or without periodontal
involvement.- UNIVERSAL
o Type of brushing bristles works as active part
 Best Tq for pedo — Fones Tq
 Best Tq in periodontitis — sulcular Tq
 Best Tq in gingival recession — modified stillman’s (side of bristles)  used with edematous, inflamed , loss of contour, & progressive recession .
 Best Tq after periodontal flap surgery — charters Tq

FLOSS
o Main use of floss.: to destroy interdental plaque matrix*
o Acute injury to tissue during improper flossing - Laceration of interdental papilla*

INTERDENTAL AIDS
Type I embrassure — dental floss of ideal length – 18 inch
Type II embrasure — proxa brush**, also for grade III furcation
Type III embrasure — unified brush

STIM U DENT
 Orange coloured stick
 Best interdental aid
 Help in plaque removal + gingival massage

WATER FLOSSER
 Can dilute bacterial toxins only**