Bass or Sulcular Technique
The key to preventing and controlling gum disease is brushing thoroughly around and under the gumline where bacteria and plaque tend to accumulate. This technique is good for those with periodontitis. In the Bass method of brushing, the toothbrush bristles reach under the gums to scrub off plaque before it hardens into tartar and causes gum disease:
- Place the toothbrush parallel to your teeth with the bristles toward the gums.
- Tilt the brush to a 45-degree angle and move the bristles slightly under the gumline.
- With firm but gentle pressure, and while maintaining the bristles under the gum tissue, wiggle or vibrate the brush back and forth or use a small circular motion 15 to 20 times, before moving to the next area. The brush should cover two to three teeth at a time.
- Brush the entire outer surface of the teeth and then continue the same technique on the tongue side.
- To brush the insides of the front teeth, hold the toothbrush in a vertical position and use the bristles on the toe of the brush, but make sure they are getting under the gum tissue.
- Brush the chewing surface of the molar teeth and don’t forget your tongue.
The Stillman method of brushing is similar to the Bass technique; however, it may help clean more debris from between the teeth. It is recommended for those with gingivitis. To implement this method, follow the Bass technique, but after vibrating the brush under the gum area, move the brush toward the chewing surface of the tooth and use short back-and-forth strokes. With this technique, half of the bristles should be covering the gums, and the other half of the bristles should be on the tooth surface.
If you have spaces between your teeth, see exposed root surfaces or have had periodontal surgery or gum recession, your dentist may recommend the Charter method of brushing. This technique is also effective for people with orthodontic appliances or fixed partial dentures.
- Place the bristles on the gumline at a 45-degree angle pointing toward the chewing surface or crown of the tooth. This position is the opposite of the Bass and Stillman technique.
- Gently vibrate the brush for 15 to 20 counts, using short circular strokes or small back and forth motions, and then reposition the brush to the next area.
- Move around the mouth in the same pattern, brushing all tooth surfaces, both inner and outer, as well as the chewing surfaces of the molars.
This may sound daunting, but there are modified versions of the Bass, Stillman and Charter techniques. You simply follow the basic technique of whichever method you choose, but after brushing an area, you roll or sweep the bristles toward the chewing surfaces. This action sweeps out debris stuck between the teeth and cleans the entire tooth surface. The sweeping motion also helps prevent damage to the sulcus (the space between teeth and gums).
Tools of the Trade
Using an effective brushing technique is a step up, but to do a good job with any task, you need the correct tools. Replace your toothbrush every three to four months. Worn, frayed brushes don’t clean well, and older brushes can harbor bacteria. Don’t forget the fluoride toothpaste, which strengthens tooth enamel and prevents tooth decay, and floss at least once a day to clean the areas where your toothbrush doesn’t reach. Getting a handle on dental disease is easy: it starts with putting your hand around a toothbrush. So, if you would like to try one of these tooth brushing techniques, but aren’t sure which one, check with your dentist or dental hygienist. They can customize any of these methods just for you, and with the help of some one-on-one instruction, you’ll perfect your brushing skills in no time.
If you have any questions about brushing techniques, call Winning Smiles to schedule an appointment with your dentist – 716-332-2444.