Journal of the Louisiana Dental Association Journal of the Louisiana ...

LDA
louisiana dental hygienists’ assoc.
Diane O’Connor, R.D.H., B.S.D.H.
President, LDHA
My New Year’s gift to you is dry brush inside first
(DBIF). There are combined studies that show dry
brushing removes more plaque and that toothpaste is
abrasive, suggesting that we try DBIF with our patients.
The patients in my office who do it are instantly
recognizable. I credit Trisha O’Hehir for initiating this.
Use a dry, soft toothbrush, open wide and start
on the mandibular anteriors, then continue on all the
“inside bottom teeth” for 30 seconds (20 for children).
The brush will quickly get moist from the saliva duct.
For another 30 seconds, brush the inside top teeth
while still open wide. Now close slightly, the teeth do
not touch, and brush the outside top teeth. Then the
outside bottom teeth are brushed the next 30 seconds
while still slightly closed. With a power brush – Oral B,
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My Most Successful Oral Hygiene Tip … DBIF
Braun or Sonicare – the power brush will pulse every
30 seconds and double pulse at two minutes, which fits
in with my regimen perfectly. Next, apply a pea-sized
amount of toothpaste approved by the ADA and brush
the biting surfaces opening to clean the grooves and
apply fluoride, then spread the toothpaste around for
the fluoride and expectorate.
I polish every patient in this sequence for each to
understand and give each a printed sequence to take
and tape on each mirror. Remember Bucky Beaver
was an advertisement that led to six-month recalls
being standard. The huge swish of toothpaste on the
commercials is to sell toothpaste and this time is not in
our patients’ best interests.
28 LDA Journal