Dee Nishimine, D.D.S., Inc.
Sophia Y. Tseng, D.M.D.
Periodontics & Dental Implants
Call: (559)229-6557

Home Care/ Oral Hygiene Instructions (OHI)

A beautiful, healthy smile that lasts a lifetime is our ultimate goal when treating our periodontal implant patients.  Your personal daily Oral Hygiene plays an important role in achieving that goal.  Your personal home care starts by eating balanced meals, reducing the number of snacks you eat, and correctly using the various dental aides that help control the Bacterial Plaque that cause periodontal disease and peri-implantitis.

Drs. Dennis Nishimine, Dee Nishimine, and Sophia Tseng will recommend the following and we would like you to bring your oral hygiene aides at each and every visit so we can show you how to use them more effectively.  Please give this information to your family members and friends.

Tooth brushing – Brush your teeth at least four to five times a day (especially before going to bed at night) with an ADA approved soft bristle brush and  small amount of toothpaste. Our Butler Sub G  and End Tuft brushes are one of the softest bristle available.

  1. Place the brush at a 45 degree angle to the gums and gently brush using 6 small circular motions,  and then rolling down 3 times.  Start on the upper right and do one tooth at a time and progress to the upper left.  Then go to the tongue side of the upper left and return to the upper right side.  Then go to the cheek side of the lower right  and proceed to the lower left.  Then move to the tongue side of the lower left and proceed to the lower right.
  2. Brush the outer, inner, and biting surfaces of each tooth.
  3. Use the tip of the brush to clean the inside of the front teeth.
  4. Brush your tongue  and roof of your mouth 6 times to remove bacteria and freshen your breath.

The End Tuft brush will be used on the back half of the last teeth and then in between all of your teeth.  Again rotate in 6 circular motions and roll down or up 3 times.

Electric toothbrushes may also be recommended.  They are easy to use and can remove Bacterial Plaque efficiently.  Simply place the bristles of the electric brush on your gums and teeth and allow the brush to do its job, one tooth at a time.  By doing so you will overlap the previous tooth.

Flossing – Daily flossing is the best way to clean between the teeth and under the gumline.  Flossing not only helps clean these spaces, it disrupts Bacterial Plaque colonies from building up, preventing damage to the gums, teeth, and bone.

  1. Take 24-30 inches (60- 76 cm)  of dental floss and wrap it around your middle fingers, leaving about 2 inches (5cm)  of floss between your thumb and index finger.
  2. Using your thumbs and index finger to guide the floss, gently insert the floss between the teeth. Do not snap it inbetween the teeth in fear of traumatizing the gums.
  3. Wrap the floss into a “C” shape around each tooth and under the gumline.  Gently move the floss up and down, cleaning the side of each tooth.  Only apply pressure to the floss as it moves toward the chewing surface.  We want it to be "squeaky clean."   Whenever you go between two teeth you have two surface to clean.

Floss holders are recommended if you have difficulty using conventional floss.

Rinsing – It is important to rinse your mouth with water after brushing, and also after meals if you are unable to brush.  If you are using an over-the-counter product for rinsing, it’s a good idea to consult with your dentist or dental hygienist on its appropriateness for you.

Use other dental aides as recommended by your dentist or dental hygienist: Interdental brushes, rubber tip stimulators, tongue cleaners, irrigation devices, fluoride, medicated rinses, etc., can all play a role in good dental home care.

Plaque Control Record by Timothy J. O'Leary, DMD will be utilized in you Oral Hygiene Instruction (OHI) program with a disclosing agent.   We will provide a % or score of the amount of Bacterial Plaque present and be able to show you how to be more effective with your own two hands.  This is an educational process to improve your daily oral hygiene procedures of brushing and flossing.   If there is little to no Bacteria Plaque present you will have very little infection.  If you have a tremendous amout of Bacterial Plaque present you are bound to have an infection.

This is a simple percentage of score of the amount of Bacterial Plaque present in your mouth and it will show you where you are missing so you can remove it daily!

Contact us  if you have any questions and our Periodontal Implant Team will be happy to answerer all of your questions.