| The Bass Method
or Sulcular Vibration Brushing or 45 Degree Angle the Bass
Tooth Brushing Technique is a very effective method for germs or
plaque removal next to and directly below the gum or gingival margin.
The area at the gum-tooth margin is the most significant in the
prevention of
tooth decay and
gum disease. |
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| During the
Second
World War, Dr. Charles C Bass (1875-1975), a medical doctor,
developed
nylon dental floss as a replacement for
silk floss. Dr. Bass also
designed the "Right Kind" multi-tufted toothbrush with tufts are spaced
closely to provide a smooth, narrow, compact and flat brushing
plane. Similar
toothbrush is still offered today.
Around this time, a
Mississippi physician named Charles Cassidy Bass began to suggest that
people did not just lose their teeth because they were getting old. He
pointed up that if one worked hard to keep the area of the tooth at and
below the gum clean and free of germs or bacteria, even the elderly
could keep their teeth.Dr. Bass proposed
placing your toothbrush partly on the tooth and partly on the gum with
the toothbrush bristles angled toward the gums. As you vibrated
the toothbrush back and forth, the tips of the bristles slid below the
gums to clean off plaque bacteria or germs below the gum or gingival
margin.
Dr. Charles Bass is known as the
"Father of Preventive Dentistry" because he made the first move in
theory and practice of daily removal of the oral germs or bacteria
through correct use of a toothbrush and dental floss. |
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| The “Father of
Dental Hygiene,” Dr. Charles C. Bass who said: |
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- "A clean tooth does not
decay. Periodontoclasia does not occur about a clean tooth."
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The Bass Method: Purposes and
Indications
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- For all patients for germs
or bacterial plaque removal next to and directly below the gum or
gingival margin.
- For open between-teeth
spaces and exposed root surfaces with
gum disease.
The Bass Method: Technique
The Bass Method: Position the Toothbrush
- Direct the nylon filaments apically (up for maxillary, down for mandibular
teeth) at a 45-degree angle. It is usually easier and safer if you
first place the brush parallel with the long axis of the tooth.
- From that position the
brush can be turned slightly and brought down to the gingival margin
to the 45-degree angle.
The Bass Method: Angle the Filaments at
Gum-Tooth Margin
- The filaments will be
directed at approximately 45 degrees to the long axis of the tooth.
The Bass Method: Strokes
- Press lightly without
flexing and bending the filaments.
- Nylon filament tips will enter the gingival sulci
at gum-tooth border and cover the gum margin.
- Vibrate the toothbrush back and forth with very short strokes without
disengaging the nylon tips of the filaments from the gum margin. Count at least 10
vibrations.
- Reposition the toothbrush
and apply the brush to the next group of two or three teeth. Take care to
overlap placement.
- Repeat the entire stroke at each
position around the maxillary (upper jaw) and mandibular (lower jaw) arches, both
for facial and lingual surfaces.
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Tips and Advice on your Toothbrush
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| Toothbrush should have as a
part of Bass Method: |
- long, wide handle for a firm grasp
- small head for easy access to all areas of the mouth, teeth and
gums
- soft nylon bristles with rounded ends so you won't hurt your
gums
Toothbrushes should be changed:
- every three to four months before the bristles become splayed
and frayed
- sick people - at the beginning of an illness and after they feel
better
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| You should brush your teeth at least 2-3 minutes twice a day - the
length of a song on the radio. |
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| Brush outside and inside the teeth, and especially on chewing
surfaces and between teeth. |
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Tips and Advice on your Dental Floss
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| Flossing is easy with the proper technique: |
- Wind an 18-inch piece of floss around your middle finger,
leaving about 4-inches of floss between them
- Grasp floss firmly between thumb and index finder of each hand.
Gently slide floss between teeth, using a slow sawing motion to slip
between tight teeth
- Move floss up and down against tooth to clean both above and
below the gum-line, curving around the tooth for best results
- Repeat cleaning procedure for each tooth. Every few teeth, move
to a clean piece of floss by unwinding floss from one finger and
rewinding it onto the other finger
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| For most patients,
flossing should be used before
toothbrushing. |
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| Slide the floss to a new, unused portion for the next tooth
surfaces. |
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| Floss may be doubled to provide a wider rubbing surface. |
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Floss holder can be helpful for a person with a disability or for a
parent or caregiver. |
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| Contact
Dentist |
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Looking forward to hearing from you
Aleksandr V. Melekhin, DDS |
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Return from Bass Method to Gum Disease |
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