There is no perfect toothbrushing technique, as different patients have different needs.
Bass
(Sulcular) – tooth brush is angled 45 degrees towards the gumline.
Brush is wiggled/vibrated 15-20 times across 2-3 teeth either back and forth or in circular motions
Brush is held vertically to reach the palatal surface of the upper anterior teeth.
For cleaning of interproximal areas, gingival sulcus, root surface. May cause injury to the gingiva.
Modified Bass
Involves Bass technique with an additional sweeping motion from the cervical to occlusal/incisal surface. May be technically difficult for some people.
Stillman
Similar to the Bass technique except the bristles of the brush are positioned half in the sulcus and half on the gingiva (lower than the Bass technique).
Charter
Ideal for areas of recession, areas of lost papilla, orthodontic appliances, fixed partial dentures, periodontal surgery. Brush is angled 45 degrees away from the gumline, towards the occlusal surface
Brush is wiggled/vibrated 15-20 times across 2-3 teeth either back and forth or in circular motions.
Provides poor removal of subgingival bacteria/plaque/debris.
Fones/Circular
Brush is placed against tooth and moved in a circular motion 4-5 times.
Ideal for young children, disabled patients.
Easy to learn
May damage gingiva, may not provide food interdental cleaning
Roll
Brush is pointed into the buccal sulcus, pressed against the tooth and rolled occlusally
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