healthy habits - tepe
TRANSCRIPT
Healthy
habitsWhat’s in a habit –
temporary compliance
to total conversion?
https://www.tepe.com/uk/for-professionals/education/
The case against plaque/biofilm
EWP 2015 overview paper
Antimicrobial effects of
mechanical debridement
Self-performed plaque removal using manual or powered
toothbrushes and interdental cleaning is improved in subjects
that have received professional oral hygiene instruction
Petesilka GJ, Ehmke B, Flemming TFJ, periodontal 2002
Great!, we have the
evidence then...
Adult Dental
Health Survey
2009
Factors affecting
compliance
•Time
•Education/Information
•Motivation
•Ownership/Responsibility
–Locus of control
•Habit formation–Complexity
–Capability
–Opportunity
–Motivation
•Money–Disposable Income
–Evidence
The ‘Habit’ Journey
COM-B modelHealthy habit formation
Capability
Motivation
Opportunity
Behaviour
S Michie 2011
What if they are not ready?
Where do we start?
Where do
we start?
•Establishing a baseline
•Check OH routine
•Methods of establishing
efficacy
Check the brushing technique
Red colour shows new plaque Blue colour shows old plaque
Tailoring the
product to
the patient
•Site
•Dexterity
•Access
•Availability
•Cost
No magic cure
•Toothbrushing alone is
not effective on proximal
surfaces
Kiger RD, Nyland K, Feller RP 1991
•Evidence suggests that
interdental cleaning with
IDBs is the most effective
method for interdental
plaque removal
Sälzer S, Slot DE, Van der Weijden FA,
Dörfer CE. 2015
However...
Interdental cleaning is not an established habit in most
countries.
Kinane DF, 1998
Motivation to use interdental products reduces between
visits to the practice.
Ower P 2003
Understanding the benefits of behavioural
change and seriousness of periodontal disease.
Needleman I, Nibali L, Di Iorio A 2015
So… how to make life easier?
Interdental brushes have made a huge impact upon compliance rates as
they are generally easier to use than floss.
The efficacy of interdental brushes on plaque and parameters of
periodontal inflammation – a systematic review
Studies showed a positive significant difference using IDB withrespect to plaque scores,
bleeding scores and probing pocket depth.
Slot et al 2008
So… how to make life easier?
Evidence suggests that interdental (ID) cleaning with interdental
brushes (IDB) is the most effective method for ID plaque removal.
Efficacy of interdental mechanical plaque control in
managing gingivitis – a meta-review
Sälzer, Slot, Van der Weijden, Dörfer. 11th EWP 2015.
The majority of available studies fail to demonstrate that flossing is generally
effective in plaque removal.
Instructional Films and Leaflets
https://www.tepe.com/uk/for-professionals/patient-support/
Embrasure class IUse IDB sized to fit appropriate space
Embrasure class IFloss to maintain gingival health
Efficiency on concave surfaces
Site
•Morphology
•Size
Results if
appliances are
not maintained!
TePe Gingival Gel™
Gingival Gel – 0.2%
CHX, 0,32% NaF
Dexterity•Long/angled handle
•Short/with finger grip
•Wire
Access – Anterior
Access – Posterior
Single tufted brushes
Compact Tuft
Interchangeable tips:
yellow (soft), blue
(medium)
Short, compact tuft
Interspace
Access – contributing factors
•Tight frenal attachment • Crown • Implant • Tongue tied • Partial denture • Gag reflex
Cleaning those tricky places
Short,
compact tuft
Bioload reduction
Some considerations?
•Professionally supplied only in practice
–Mail order
–Online
–Specialist retail, e.g. chemist
•General retail
•Refer to TePe.com
Cost?
TePe Original
•Colour-coded sizes • Plastic coated wire • Ergonomic handle
Flexible Tip
Soft neck feature
•Soft flexible neck for improved comfort and
ease of access (pink, orange, red & blue only)
•The transparency reinforces the flexibility of
the brush
TePe Extra Soft for sore mucosa
•Colour-coded sizes • Plastic coated wire • Ergonomic handle
TePe Angle for access
•For easier access to the back teeth • Colour coded • Plastic coated wire
•Long flat handle • Angled brush head
The TePe Interdental Brush Range
TePe Original TePe Extra Soft TePe Angle™
•Size • Texture • Design
Flexible Tip
It’s all about the space!
Mini FlosserGlides easily through
narrow interdental spaces
EasyPickHandy little picks in
take-anywhere packs
TePe Communicator™
•Designed by a Dental Hygienist
•Supplied by your Dental Wholesaler
TePe Educational Resources
Patient
Information
Pod
Patient information leaflets
TePe Educational Resources
Poster
Prescription Pads
And so to the
practical…
Top tips for ID cleaning• Insert the brush gently into the interdental
space, looking for a snug, but not tight fit
•Use a slight turn when inserting and removing
•Adapt the brush filaments around the shape of
the papillae
•Brush head may be gently curved/shaped to
improve access and cleaning of back teeth
•May be used for the topical application of
antibacterial agents and other medicaments
but not toothpaste (RDA)
•Manage patients expectation of how long the
brush will last
TePe GOOD® toothbrush
How can sugar be GOOD for your teeth?...when it’s used to make a toothbrush!
•The new TePe GOOD® toothbrush is made from sugar
cane. Sugars from the sugar cane plant are converted
to ethanol
•Ethanol is then converted into polyethylene which is used
to manufacture our bio-plastic (green plastic) toothbrush
Why is this better for the environment ?
•Unlike fossil fuels, bio-based polyethylene (green plastic)
made from sugar cane is renewable up to 96%. This means
that sugar cane can be regrown within a year and be used to
produce new bio-plastic
•Bio-based polyethylene also has a 95% carbon dioxide
neutral footprint. This means that there is an almost
negligible impact on greenhouse gas emissions
Here’s to the GOOD life
The TePe GOOD® toothbrush
•Handle: bio-based polyethylene (based on sugar cane) which
has a renewable content of 96%
•Filaments: bio-based polyamide (based on castor oil or
ricinoil) from 100% renewable sources
The TePe GOOD packaging
•Blister pack: 70% recycled PET which has approx. 60%
lower CO₂ emissions
•Backing card: FSC approved cardboard
•Both can be widely recycled in the UK
Smile, it’s GOOD for you
Thank you
Evaluation QR Code
Evaluation Link
https://forms.office.com/Pages/ResponsePage.aspx?id=R0uI0G
AVtESkFdaqkVnCkEtcywBuOEVHtaK08_fmOaFUQVE5MTFYRktYUVpOMDJEVE9NTVkwRlNENy4u
Contact for the TePe Schools Programme –
Any questions?