Stillman’s & Modified Stillman’s Method of Tooth Brushing

How to perform stillmans method of tooth brushing –

Soft/ medium multi tufted toothbrush should be placed with the bristles ends resting partly on the cervical portions of the teeth & partially on the adjacent gingiva.

Brush head is pointed towards root /apical , directed in oblique angle to the long Axis of the of the tooth.

Bristles are placed 45 degree angle with tooth surface & bristles placed partly on the gingiva & partially on the cervical portions of the teeth.

Once the bristles are in place , pressure is applied to blanch the gingiva & gentle but firm vibratory rotatory motion is applied to the brush with the bristles remaining in the same position.

Pressure is applied laterally against the Gingival margin to produce perceptible blanching.

Brush is activated with 20 short back- forth ,Vibratory-Rotatory stroke .

This process is repeated on all teeth.

• Lingual surface of Maxillary (upper) & Mandibular (lower )teeth –
  — Handle of the brush held in vertical position, engaging heel of the brush.

How to perform modified Stillman’s Method of Tooth Brushing –

Soft/ medium multi tufted brush should be placed with the bristles ends resting partly on the cervical portions of the teeth & partially on the adjacent gingiva.

Brush head is pointed towards root /apical , directed in oblique angle to the long Axis of the of the tooth.

Pressure is applied laterally against the Gingival margin to produce perceptible blanching

Brush is activated with 20 short back – forth,Vibratory-Rotatory stroke & is simultaneously moved in coronal ( towards tooth ) direction along the attached gingiva, gingival margin & tooth surface.

This process is repeated on all teeth.( Upper &Lower Facial Surface & inner surfaces of back tooth ).

Common Steps for stillmans & modified Stillmans Method of Toothbrushing.-

• Lingual surface of Maxillary (upper) & Mandibular (lower )teeth –
  — Handle of the brush held in vertical position, engaging heel of the brush.
• On Occlusal/ Chewing Surface – Press Toothbrush firmly on the tooth surface & give 19- 20 short back & forth Vibratory Motion . After Finishing move to next 3 teeth .
• Tooth Distal / Back Of last tooth in both arches – Open mouth Wide & place toothbrush heel on the back surface of the tooth& move in- out on back surface.Repeat Same in all corner teeth .

Stillman’s & Modified Stillman’s Method of Toothbrushing ( key Points) –

• Sides rather than ends of the bristles are used.

• Penetration into gingival sulci avoided.

uses of modified Stillman’s Method of Tooth Brushing–

Recommended for cleaning areas with progressing –

1.Gingival recession.
2.Root exposure.

• to prevent aggressive tissue destruction.

also read – Modified Bass Technique of tooth brushing

Advantages/ Uses of stillman’s method of Tooth brushing

Removes soft deposits from cervical areas.

Advantage & Disadvantages of Modified stillmans method of Toothbrushing –

Advantage-

1. Mechanical Stimulation of Gingiva.
2. Gingival 3rd of Tooth is Contacted – so used only in case of Gingival Recession.
3. Stimulate interdental papilla without injury.

Disadvantages –

1. Inadequate plaque Removal.
2. less / No mechanical Stimulation of Gingiva if not done properly.

READ MORE –

1. BAD BREATH / HALITOSIS
2. CHARTERS METHOD OF TOOTH BRUSHING

FAQ –

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