Professional oral hygiene: recommendations. Professional teeth cleaning Professional dental hygiene

Professional hygiene is a complex procedure for the removal of soft and hard dental deposits, which cannot be removed on their own, even with daily careful dental care.

The purpose of this procedure is not only cosmetic, it is also the prevention of caries and periodontal disease. For patients undergoing orthodontic treatment, the presence of fixed orthopedic structures, the physiological location of the "crowding" of teeth, professional hygiene is the only way to remove plaque from the surface of the tooth enamel and interdental space. Professional hygiene must be carried out at least every 6 months.

Professional oral hygiene

The complex of professional hygiene includes:

• Covering the teeth with a special indicator that determines the degree of contamination of the teeth (this is done so that the patient can see for himself the places where he does not clean well, and the dentist-therapist can remove plaque everywhere;
• Removal of tartar with an EMS ultrasonic scaler.
• Removal of plaque using Clinpro cleaning technology (3M company) or KavoProfypearls (a special device that supplies air, water, and the smallest abrasive powder particles under pressure).
• Surface polishing with individual brushes and polishing pastes.
• Coating of teeth with protective and prophylactic varnish, remiralization.

On average, the procedure lasts 40-60 minutes (depending on the degree of contamination of the teeth).

Dental care after professional hygiene

After the procedure, you should not eat for at least 2 hours, refrain from smoking (to avoid staining the enamel). Follow a "white diet" for several days - exclude foods of bright, saturated colors that can stain the enamel (for example, bright berries, beets, red wine, chocolate, etc.). It is imperative to replace the toothbrush, because. pathogenic bacteria have been preserved on it. Only a doctor can recommend a quality toothbrush and hygiene products for dental care at home.

Innovative procedure ClinproTM (ClinPro)

Dental clinic Prosmayl.RU presents an innovative procedure ClinproTM (ClinPro) from the leader of the dental industry, 3M ESPE. ClinproTM (ClinPro) is a minimally invasive professional hygiene and prevention procedure.

The ClinproTM procedure (ClinPro) is especially effective for the following patients:

• Orthodontic patients - when it is necessary to carry out professional hygiene quite often (1 time in 3 months)
• Periodontal patients with pocket depth up to 5 mm
• Patients with implants
• Before filling with composite restorations in one visit
• Before the teeth whitening procedure in one visit
• Patients with hypersensitivity, such as those who have undergone a professional whitening procedure

A feature of the ClinproTM procedure (ClinPro) is a sparing effect on tooth tissues. ClinproTM materials allow you to choose an individual care system for each clinical case, providing the best result. The complex uses an innovative remineralizing fluorine varnish, which has an aesthetic white color and is highly effective against generalized tooth sensitivity. The technique allows you to remove local hypersensitivity.

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Many dental diseases are associated with the appearance and spread of pathogenic bacteria in the human oral cavity. Most of them cannot be removed on their own, even with careful and proper brushing of the teeth. People with a strong immune system may not be bothered by bacteria for a long time, but the risk of developing caries, stomatitis and other unpleasant diseases is still high. Therefore, professional oral hygiene is a necessary procedure for everyone who cares about dental health. In the InWhite Medical clinic, it is performed carefully, carefully and at an affordable cost, in addition, we often hold promotions for oral hygiene.

Features of oral hygiene

Oral hygiene in dentistry is a set of procedures aimed at eliminating soft and hard plaque. Deposits appear due to the activity of bacteria: small particles of food containing sugar and carbohydrates remain in the microcracks of the enamel, under the gums or in hard-to-reach places, bacteria feed on these “remnants”, gradually the number of microbes grows, they form a soft plaque, which after a while turns into a hard one. dental stone.

The formation of soft plaque is a natural and continuous process, but factors such as bad habits, irregular oral hygiene, the wrong choice of brush and paste, and diseases of the immune system lead to the formation of hard plaque, which is much more difficult to fight.

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Oral hygiene helps not only to cope with bacterial damage, but also to improve the color of the enamel, because plaque usually has a yellowish or brownish tint. The procedure is performed by a qualified hygienist. The professional cleaning service is not only an independent event, but also a mandatory stage of implantation, prosthetics, braces, whitening, because before they are carried out, it is necessary to put the oral cavity in order.

Indications and contraindications

• bad breath even after brushing your teeth;
• enamel darkening;
• swelling and bleeding of the gums;
• visible tartar.

Professional teeth cleaning is performed only after consultation with a doctor to identify contraindications:

• respiratory diseases;
• acute oral diseases;
• injuries of the oral mucosa;
• viral and infectious diseases.

Oral hygiene techniques

Previously, the only way to perform professional oral hygiene was mechanical cleaning - a procedure using scrapers for plaque and forceps to extract tartar, during which it is easy to easily damage the enamel layer or the periodontal tissues. Now dentists have an arsenal of tools and methods for safe and high-quality oral hygiene.

Air flow

Oral hygiene Air Flow - abrasive cleaning of teeth based on the principle of sandblasting. Using a special tool with a narrow tip, a jet of air, flavored water and abrasive particles - usually baking soda and calcium-containing powder - is applied to the surface of the tooth. Under pressure, the solution breaks and washes away plaque, polishes the enamel. Due to the narrow jet, even the most inaccessible interdental spaces can be cleaned. Air Flow in our clinic is carried out on the latest generation of innovative equipment.

The procedure does not require anesthesia, does not damage the enamel, the instrument does not make unpleasant sounds (which is appreciated by patients with stomatophobia).

ultrasonic cleaning

Oral hygiene with ultrasound is a non-contact method of removing mineralized hard dental deposits using vibrational vibrations. Ultrasonic waves crush deposits to the state of dust, which is washed off with a stream of water. In addition, ultrasound has an antimicrobial effect and sterilizes the tooth surface. The procedure is very effective in removing tartar.

mechanical cleaning

Of course, doctors no longer use sharp instruments to chip away plaque. Manual cleaning is performed with brushes and abrasive pastes - the dentist cleans the surface of the remaining plaque and dust, polishes and smooths out the irregularities of the enamel.

Stages of hygienic cleaning

At the InWhite Medical clinic, doctors use all the voiced methods to completely and effectively remove deposits, and also teach the patient how to clean their teeth on their own. Comprehensive oral hygiene includes four stages.

1. Consultation. The specialist identifies contraindications, finds out the patient's lifestyle, his habits and explains where the plaque came from.
2. Education. The doctor shows how to properly clean the oral cavity, tells how much time to spend on daytime and evening procedures, how to use the irrigator, rinse and floss, selects the right brush and paste.
3. Cleaning. The oral cavity is treated with an antiseptic solution and the procedure is started. Soft plaque is removed with Air Flow, hard plaque is removed with ultrasound. Finally, polish the surface with a brush with abrasive paste.
4. Strengthening. Additionally, a remineralizing gel and a paste containing fluorine are applied to the patient to strengthen the enamel and enhance the cleaning effect.

Professional ultrasonic cleaning is not recommended for children under 15 years of age, as children's enamel is too fragile. However, you should not completely abandon the procedure, because in this way you will not only ensure the health of your child’s teeth, but also teach him to take care of the oral cavity. Oral hygiene in children is carried out with soft abrasives and low pressure using the Air Flow method.

To maintain the effect of brushing and reduce tooth sensitivity, you must follow the recommendations:

• the first day do not eat hot, cold, sour and sweet food - the enamel is still too sensitive to such changes;
• from mechanical and vibrational effects, the gums may swell and bleed a little - you do not need to use ointments, gels and rinse your mouth, in the first few days this is a normal reaction that will pass on its own;
• use the means recommended by the dentist;
• do not forget about regular oral hygiene and perform it correctly.

Questions about oral hygiene

The doctors of the InWhite Medical clinic answered the patients' most frequent questions about the procedure.

What is the difference between brushing and whitening teeth?

To simplify the answer - cleaning does not whiten, but cleans the teeth by removing plaque from the surface of the teeth, which makes them lighter by one tone, and bleaching is used to remove pigments inside the tooth tissues and brightens the enamel by 7-12 tones.

Why does plaque form faster after cleaning?

You are accustomed to the sensations, color and condition of your teeth with plaque, after brushing it does not appear faster, just the difference before and after becomes more noticeable, and it seems to you that deposits appear faster.

What is the cost of oral hygiene?

In the InWhite Medical clinic, the price of oral hygiene is not higher than the cost of the procedure in other clinics in Moscow, and cleaning at home is free of charge.

Take care of your dental health in the future now - go through the oral hygiene procedure and prevent the development of caries!

Service prices

In conditions of exclusively independent dental care, sooner or later a visit to the dentist will be necessary due to the occurrence of pain or complete destruction of the teeth.

Only regular professional hygiene can prevent the occurrence of unpleasant consequences due to insufficiently effective treatment of the oral cavity and keep the teeth in good condition for many years.

What is included in the complex of procedures?

Professional oral hygiene includes basic and additional procedures.

The basic ones include:

In addition to basic procedures, professional oral hygiene may include additional ones:

1. . Basic procedures give teeth durability, relieve plaque and give them a natural color. Many people want to have bright white teeth, which give an aesthetic appearance. Whitening is carried out using special equipment and tools, as it uses aggressive substances applied to the enamel. The gums and mucous membranes should be protected from their harmful effects. It is impossible to guarantee that this operation will be carried out without consequences for the teeth, although all methods used in modern dentistry are reliable and have passed numerous tests. One of the most common side effects of bleaching is increased. The effect of the procedure is maintained for up to five years;
2. . Used for tooth loss. During this operation, the implant is implanted into the jaw bone. After it fuses with the bone, it is carried out, in which the implant becomes the basis of the crown. During implantation, various materials are used, mainly titanium-based alloys. This operation is one of the most difficult and is performed only in high-class medical centers. Before it is carried out, the patient undergoes a course of examinations, according to the results of which the material and shape of the implant are selected.

Professional oral hygiene is carried out in stages. First - an inspection, after which there is a reading from the stone, primary bleaching, polishing and fluorization.

After the examination, the hygienist can exclude some stages, based on the condition of the teeth. Additional procedures are carried out exclusively at the request of the patient.

Regular check-ups by a dental hygienist are essential to good oral health. It is necessary to undergo professional dental and gum hygiene procedures at least twice a year. Some people's lifestyles require more frequent visits to an oral hygienist.

For example, with excessive consumption of tea and coffee, it is recommended to lighten your teeth at least once every two months. The same applies to smokers. Once every three months, those who wear should go to the hygienist.

A beautiful smile is the dream of every person. However, due to some reasons (periodontal disease, inflammatory processes, drinking coffee and tea, smoking), this luxury is not available. Even if you try to carefully monitor your teeth at home, it is impossible to achieve perfect cleanliness of the oral cavity. In order to get as close as possible to this, contact a specialist. Professional oral hygiene can ensure not only a beautiful smile, but also healthy teeth.

What is the procedure?

It consists of a large set of actions that are aimed at removing deposits on tooth enamel, both on the front of the crowns and where it is difficult to reach with a brush. In addition, professional oral hygiene ensures the prevention of such common diseases as caries, periodontal disease, pulpitis, etc. That is, all the measures taken are considered curative.

A feature of the procedure is that it is carried out only in the dental office using special tools and tools that are not used at home. Such measures are recognized as mandatory before the installation of prostheses or braces. Also, cleaning is considered a necessary component of the gum treatment process.

Advantages and disadvantages of the process

1. Complete safety and hypoallergenicity of those products that are used for all events.

2. Restoring the natural shade of the enamel.

3. Elimination of deposits that can cause dental diseases (especially in the most inaccessible places).

4. Absence of pain and discomfort during the cleaning process.

5. Rapid restoration of enamel and preservation of the external beauty of the crowns.

But professional oral hygiene is characterized by certain disadvantages. For example, for the first time after the event, the teeth are very sensitive, so there are problems with nutrition. In addition, during cleaning, a specialist can injure the gums. However, these shortcomings are temporary.

Are there any contraindications to the procedure?

These actions are not always useful. There are a number of contraindications in which professional oral hygiene cannot be carried out:

Dangerous infectious and viral pathologies (hepatitis C and B, AIDS, HIV).

Diseases of the gums or teeth in an acute form.

Respiratory pathology.

Any serious problems with internal organs and systems.

Problems with circulation and blood clotting.

Oral injuries.

In other cases, professional oral hygiene, reviews of which are mostly positive, is allowed.

What methods are used at work?

In principle, the choice here is not so wide. There are such methods of professional oral hygiene:

1. Mechanical. For its implementation, specialized medical equipment is required that does not directly come into contact with the treated surface. This event is inexpensive, but can injure soft tissues.

2. Sandblasted. It consists in the use of water, a very fine powder and air, which is supplied under pressure. This cleaning technique is very effective, but it is not recommended for those people who often suffer from respiratory diseases.

3. Ultrasonic. It is very effective and safe. In the process of cleaning, pathogens are removed from the oral cavity, and the gums are also healed along the way.

4. Laser. Such events require special equipment, so they are not cheap.

What products are used in the cleaning process?

Before you decide on the method of carrying out the procedure, find out what exactly will be used in the work. So, the dentist can use the following professional oral hygiene products:

1. Special toothpastes.

2. Abrasive materials (sand, soda).

3. Preparations containing calcium and fluorine (to restore enamel).

4. Whitening acids.

5. Brushes and grinding materials.

6. Dental floss.

Most of the current products can be used during personal hygiene procedures. However, not all. Most dentists offer a whole range of professional oral hygiene. The use of such funds is more preferable.

What are the steps for cleaning?

In order to keep your teeth healthy and strong for a long time, periodic professional oral hygiene is required. The steps of this procedure must be carried out in strict sequence:

1. Enamel cleansing from soft plaque.

2. Removal of tartar and other hard deposits.

3. Grinding and gentle polishing of the surface of the teeth.

4. Application of a protective coating containing fluorine.

Features of the procedure

If you want to know how professional oral hygiene is carried out, the steps of the process should be considered in more detail. Before performing the manipulations, the specialist must explain to the patient how to take care of the teeth, how many times a year you can clean, how it will be done. So, first, the doctor removes soft and hard deposits on the enamel. First of all, the patient should thoroughly brush his teeth with his own brush. After that, the enamel is covered with a special composition that can reveal all existing deposits.

Next, the oral cavity is treated with a disinfectant, and plaque (soft and hard) is removed. After completion of this procedure, grinding and polishing of the surface of the crowns is required. This will help protect the enamel from the reappearance of deposits.

Lastly, the surface of the teeth is covered with a special solution containing trace elements and fluorine. Thanks to this, the enamel is restored faster.

In general, the cleaning procedure takes no more than an hour. However, in order to spend it less often, you need to follow the usual rules of dental hygiene. They should be cleaned daily in the morning and evening. In this case, it is important to use the right toothpaste, taking into account individual characteristics. Naturally, rinse aids should be used to help eliminate the maximum number of pathogens that the brush cannot cope with. Floss daily to thoroughly clean the area between your teeth.

Every person should visit the dentist twice a year. The specialist will be able to identify and eliminate the problems that have arisen in time.

If you need professional oral hygiene, the advice of a specialist will be very helpful. After carrying out the activities described above, you should not eat dishes and foods that contain a lot of salt and natural acids (citrus fruits). The fact is that a few days after cleaning at the dentist, the teeth are still very sensitive. If after the procedure you feel discomfort for a long time, consult a doctor.

The first step in preparing for any orthopedic treatment is a consultation with a hygienist and professional teeth cleaning. Depending on the condition of the teeth and periodontium, it lasts 1-1.5 hours and may include the following procedures:

1. Removal of tartar with ultrasound and hand instruments

The most effective way to remove tartar is to use an ultrasonic scaler and hand instruments - a curette. This procedure does not harm the enamel of the teeth. The nozzle of the ultrasonic scaler makes frequent oscillatory movements, as a result of which there is a “knocking down” of tartar from the surface of the teeth.

2. Removal of pigmented plaque

The so-called brown "smoker's plaque" cannot be cleaned with a regular toothbrush. For this, a special procedure is used, which is called Air Flow. It is also an effective method for removing dark pigmented plaque from tea / coffee and soft dental deposits. The principle of "Air Flow" is the cleaning of the surface of the teeth with a strong jet of an aerosol consisting of water and an abrasive powder. The particles that make up the powder have a rounded shape, which makes the procedure itself safe for tooth enamel. The effect of cleaning is visible immediately!

3. Cleaning and polishing the surface of the teeth with pastes and rubber cups

On the polished surface of the teeth, plaque forms more slowly.

4. Coating with remineralizing agents

In order to avoid the appearance of hypersensitivity of the teeth, after professional cleaning of the teeth, the doctor must cover the surface of the teeth with fluorine-containing varnish. This is a procedure that requires several repetitions (usually 1-2 visits).

5. Oral hygiene education

Each visit to the hygienist should be accompanied by an assessment of the patient's independent oral care skills and their correction.

Planned rehabilitation of the oral cavity. Organizational forms and methods of its implementation.

According to the WHO classification, it is customary to subdivide prevention into primary, secondary and tertiary. Secondary prevention is a set of measures aimed at preventing relapses and complications of diseases. The main measure for the secondary prevention of dental diseases is the sanitation of the oral cavity. VF Rudko proposed to distinguish between several forms of rehabilitation: individual, organized (one-time or periodic) and planned. Individual sanitation is carried out according to the negotiability of the population, i.e. when the patient turned to the dentist about the treatment of a particular diseased tooth. At the same time, all teeth that need it are treated and existing dental deposits are removed. One-time, or periodic sanitation involves a one-time sanitation of the oral cavity in organized groups (schools, industrial enterprises, etc.) or in certain groups of the population (conscripts, pregnant women, veterans and the disabled) with a certain frequency (for example, once a year). This is a more effective form of rehabilitation, it is aimed at eliminating existing pathological processes. The ability to save teeth, prevent the occurrence of dental diseases, in particular caries, and avoid the development of its complications is provided by planned sanitation. It allows you to identify the forms of damage to the teeth and achieve their timely and complete cure. Sanitation of the oral cavity can be carried out by various methods: centralized, decentralized and brigade (mixed). The choice of method depends on the prevalence and intensity of dental diseases, the state of the dental service, the population served and other factors.

The centralized method of planned sanitation is carried out in the conditions of a dental medical institution (department) and provides for examination, diagnosis and all types of treatment of dental diseases. The work of a dentist in stationary conditions, with good equipment, a sufficient number of instruments and high quality materials, allows for centralized planned sanitation at a good level. At the same time, in many cases, it is difficult to transport patients to polyclinics, especially when it comes to children. These difficulties can be eliminated by applying a decentralized method of planned refurbishment. In this case, the dentist is sent to organized groups (schools, industrial enterprises, institutions and organizations) in which a dental office is equipped (most often temporarily, in an adapted room). The disadvantage of this method is that the doctor works in unfavorable conditions, most often on poor or portable equipment, with a lack of tools, the inability to use modern materials, carry out disinfection measures and sterilization. As a result, the quality of remedial measures decreases accordingly. The brigade method is used to carry out planned rehabilitation in large groups and reduce the duration of this work. It provides for the formation of a team of 3-5 dentists of various specialties, 1-2 nurses. There is experience of using specially equipped buses for these purposes, especially when traveling to settlements in rural areas. However, this method has the same drawbacks as the previous one. Previously, during sanitation, it was widely practiced to separate the time of examination of the oral cavity and treatment. Currently, it is recommended to treat the patient immediately after the examination, which allows to reduce the number of visits to the doctor.

A number of indicators are used to quantify rehabilitation work.

1. Coverage of preventive examinations (%):

total viewed _______

subject to inspection x 100.

2. Need for sanitation (%):

needs to be rehabilitated______

subject to inspection x 100.

3. Sanitation coverage from examined (%):

total examined _______

subject to inspection x 100.

4. Rehabilitation coverage from those in need (%):

total sanitized _______

subject to inspection x 100.

Properly organized and carried out at a high quality level, planned preventive sanitation can reduce dental morbidity.

Imperfect amelogenesis, non-carious lesions of the hard tissues of the teeth that occur during the period of follicular development. Dentinogenesis, Stainton-Capdepon syndrome. Etiology, pathogenesis, clinic, treatment.