Alison Chapman - Basic Guide to Oral Health Education and Promotion

Source: Mary Mowbray. Reproduced with permission of Mary Mowbray.

Figure 4.13 Interdental brush.

Source: Mary Mowbray. Reproduced with permission of Mary Mowbray.

Oral hygiene aids include:

An interspace brush ( Figure 4.10) – this is used to clean subgingivally by flexing the tip and gently stroking it around the implant in the sulcus/gingival crevice.

Dental floss, tape, floss threaders ( Figure 4.11), Oral‐B® SuperFloss™ ( Figure 4.12a,b), Tepe® implant floss – can be wrapped around the implant restoration and eased down into the sulcus. It should be wiped back and forth, or threaded under the bridge or denture, and moved along it to remove debris from underneath.

Interdental brushes used in the same way as with a natural tooth ( Figure 4.13).

TePe® Implant Care™ brush – which is angulated to access the gingival sulcus lingually and palatally. It can be adjusted by warming in hot water, bending and then cooling in cold water.

1 1. The Health and Social Care Information Centre (2011) Oral Health and Function – A Report from the Adult Dental Health Survey 2009. The Health and Social Care Information Centre, Leeds.

2 2. Greene, P.R., Jackson, M. (2012) The periodontium, tooth deposits and periodontal diseases. In: Dental Hygiene and Therapy (ed. S.L. Noble), 2nd edn, pp. 93–103. Wiley‐Blackwell, Oxford.

3 3. British Dental Hygienists’ Association (2006) DH Contact. British Dental Hygienists’ Association, London.

4 4. Galgut, P. (2006) Current Concepts in Periodontology. Paper given at Gloucester Independent Dental Hygienists’ Practical Periodontics Meeting. Cheltenham, Gloucestershire, 1 December 2006.

5 5. Van Dyke, T.E. & Serhan, C.N. (2003) Resolution of inflammation: a new paradigm for the pathogenesis of periodontal diseases. Journal of Dental Research, 82, 82–90.

6 6. The British Society of Periodontology (2017). Implementing the 2017 Classification of Periodontal Diseases to Reach a Diagnosis in Clinical Practice. Available at: www.bsperio.org.uk/publications/good_practitioners_guide_2016.pdf?v=3[accessed 03 July 2019].

7 7. Claffey, N. (2003) Plaque induced gingival disease. In: Clinical Periodontology and Implant Dentistry (eds. J.T. Lindhe, T. Karring & N.P. Lang), 4th edn. pp. 198–208. Blackwell Munksgaard, Oxford.

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