Tooth Brushing

Video Demonstration

Video failed to load. Please try again.

MDK would like to thank Colgate for providing a grant, which makes this training module possible

Learning Objectives

  • Describe how tooth brushing works to prevent caries, gingivitis, and periodontitis
  • Understand the benefits of using fluoridated dentifrices when tooth brushing
  • Develop the knowledge and skills to teach patients tooth brushing technique

Module Outline

  • History of brushing
  • Introduction
  • Brushing mechanism of action
  • Armamentarium 
  • Brushing best practices
  • Step-by-step brushing procedure
  • Effectiveness of brushing
  • Motivation for homecare
  • Key points


Aung, E. E., Ueno, M., Zaitsu, T., Furukawa, S., & Kawaguchi, Y. (2015). Effectiveness of three oral hygiene regimens on oral malodor reduction: a randomized clinical trial. Trials, 16, 31.

Ausenda, F., Jeong, N., Arsenault, P., Gyurko, R., Finkelman, M., Dragan, I. F., & Levi, P. A., Jr (2019). The Effect of the Bass Intrasulcular Toothbrushing Technique on the Reduction of Gingival Inflammation: A Randomized Clinical Trial. The journal of evidence-based dental practice, 19(2), 106–114.

Beltran ED, Burt BA. The pre- and posteruptive effects of fluoride in the caries decline. J Public Health Dent. 1988 Fall;48(4):233-40. doi: 10.1111/j.1752-7325.1988.tb03204.x. PMID: 3054080.

Centers for Disease Control and Prevention. (2019, January 31). Use of toothpaste and toothbrushing patterns among children and adolescents – United States, 2013–2016. Centers for Disease Control and Prevention. Retrieved June 19, 2022, from

Dahiya, P., Kamal, R., Luthra, R. P., Mishra, R., & Saini, G. (2012). Miswak: A periodontist’s perspective. Journal of Ayurveda and integrative medicine, 3(4), 184–187.

Hampelska, K., Jaworska, M. M., Babalska, Z. Ł., & Karpiński, T. M. (2020). The Role of Oral Microbiota in Intra-Oral Halitosis. Journal of clinical medicine, 9(8), 2484.

Heng C. (2016). Tooth Decay Is the Most Prevalent Disease. Federal practitioner : for the health care professionals of the VA, DoD, and PHS, 33(10), 31–33.

Issa, A. I., & Toumba, K. J. (2004). Oral fluoride retention in saliva following toothbrushing with child and adult dentifrices with and without water rinsing. Caries research, 38(1), 15–19.

Kuo, Y. W., Yen, M., Fetzer, S., & Lee, J. D. (2013). Toothbrushing versus toothbrushing plus tongue cleaning in reducing halitosis and tongue coating: a systematic review and meta-analysis. Nursing research, 62(6), 422–429.

Lang, N. P., Schätzle, M. A., & Löe, H. (2009). Gingivitis as a risk factor in periodontal disease. Journal of clinical periodontology, 36 Suppl 10, 3–8.

Mystikos, C., Yoshino, T., Ramberg, P., & Birkhed, D. (2011). Effect of post-brushing mouthrinse solutions on salivary fluoride retention. Swedish dental journal, 35(1), 17–24.

Nordström, A., & Birkhed, D. (2009). Fluoride retention in proximal plaque and saliva using two NaF dentifrices containing 5,000 and 1,450 ppm F with and without water rinsing. Caries research, 43(1), 64–69.

Pedrazzi, V., Sato, S., de Mattos, M., Lara, E. H., & Panzeri, H. (2004). Tongue-cleaning methods: a comparative clinical trial employing a toothbrush and a tongue scraper. Journal of periodontology, 75(7), 1009–1012.

Singh KA, Spencer AJ. Relative effects of pre- and post-eruption water fluoride on caries experience by surface type of permanent first molars. Community Dent Oral Epidemiol. 2004 Dec;32(6):435-46. doi: 10.1111/j.1600-0528.2004.00182.x. PMID: 15541159.

Toothbrushes. American Dental Association. (n.d.). Retrieved June 19, 2021, from

Walsh, T., Worthington, H. V., Glenny, A. M., Marinho, V. C., & Jeroncic, A. (2019). Fluoride toothpastes of different concentrations for preventing dental caries. The Cochrane database of systematic reviews, 3(3), CD007868.



You’ve reached the end of this lesson