Hygiene phase (Phase I)
by Worapong Teanchai
1. Patient motivation
1.1. Active participation
1.2. Patient recognizes
2. Removal of retention factors for plaque
2.1. Remove calculus
2.2. Extraction hopeless teeth
2.3. Orthodontic tooth movement
2.4. Treatment of food impaction areas
2.5. Correction poorly fitting restorative & prosthetic devices
2.6. Restoration or temp of carious lesion
2.7. Treatment occlusal trauma
3. Remove supra & subgingival plaque and calculus
4. Self-performed plaque control methods
4.1. Mechanical methods
4.1.1. Tooth brushing
4.1.1.1. Manual toothbrush
4.1.1.1.1. Short-headed brushes
4.1.1.1.2. Straight-cut
4.1.1.1.3. rounded-end
4.1.1.1.4. Soft to medium nylon bristle
4.1.1.1.5. Straight or angled handle fit
4.1.1.2. Powered toothbrush
4.1.1.2.1. Patients with orthodontic appliances
4.1.2. Interdental cleansing
4.1.2.1. Dental floss and tape
4.1.2.2. Toothpick
4.1.2.3. Interdental brush
4.1.2.3.1. Small children or handicapped pateints
4.1.2.4. Single tufted brush
4.1.2.4.1. Furcation entrance
4.1.2.4.2. Special area
4.1.2.5. Gauze strip
4.2. Chemical methods
4.2.1. Adjunct
4.2.2. Handicaps
4.2.3. After oral or periodontal surgery