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 –

judy.caesley@tepe.com

Any questions?