Modified Bass Toothbrushing Method Zahra Khosravi RDH BSDH

Modified Bass Toothbrushing Method Zahra Khosravi, RDH, BSDH UCSF Master Candidate in Dental Hygiene Zahra. Khosravi@UCSF. edu DHY 108: Oral Health Care Education First year, second semester

Outline At the end of this session, the students will be able to: identify the indications of Modified Bass Toothbrushing Method demonstrate the Modified Bass Tooth-brushing Method list 2 advantages and 3 disadvantages of the Modified Bass Tooth-brushing Method 2

Toothbrushing Methods There are several different acceptable tooth brushing methods, because each client has different needs One method is not perfect for all clients. Some clients may use more than one method 3

Toothbrushing Methods (cont. ) Bass Roll Stroke Stillman Charters Fones 4

Toothbrushing Methods (cont. ) Leonard technique Horizontal Scrub Modified 5

What are your parameters for selecting a tooth-brushing technique? 6

Factors To Consider Selection of the tooth-brushing method depends on the client’s needs, dexterity and preferences. - Evaluate: - the oral hygiene status - the level of oral health or disease - the current tooth brushing technique 7

The Modified Bass Method Most accepted and effective method Combination of Bass and Modified methods 8

Indications Sulcular cleansing -Periodontal health -Periodontal disease -Periodontal maintenance Clean entire Facial and lingual surfaces 9

Brushing Technique Start at the most distal tooth in the arch place the bristles up toward the root at a 45 o angle to the teeth. Place the brush with the bristle tips directed into the gingival sulcus. 10

Brushing Technique (Cont. ) Vibratory stroke brush back and forth - Buccal - Lingual - Occusal Vertical motion - Anteriors (mandibular&maxillary) 11

Brushing Technique (Cont. ) Very short strokes for 10 repetitions Modified to add a roll stroke Reposition the brush to the next group of teeth Overlapping reposition Follow a sequence order Brush entire mouth 12

video https: //www. youtube. com/watch? v=51 cm 7 ue. Kx. Q 13

Group work 14

Advantages Effective method for removing plaque Provides good gingival stimulation 15

Disadvantages Injury to the gingival margin Time consuming Dexterity 16

Case Study 17

Case Study # 1 A patients presents with a severe hypersensitivity due to recession; would you recommend to her the Modified Bass Method? Explain your answer. 18

Case Study #2 An 18 years old female is on your chair with localized inflamed gingival margin; untreated cavities on occlusal of # 2 & 19 and a gingival cleft on # 23. What would be your recommended tooth brushing method? 19

Summary Tooth-brushing methods recommendation depends on various factors. However, in all methods, clients need to brush completely to remove all dental biofilm to prevent oral disease and brush carefully to avoid oral injury. 20

References 1. Darby ML, Walsh MM. Dental hygiene theory and practice (Fourth Edition). 2. Harris NO, Garcia-Godoy F, Nathe CN. Primary Preventive Dentistry (7 th Edition). 3. Youtube, com 21

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