Step 1

Advise behavioural change and engagement in practical action

Provide Oral Hygiene Instructions (OHI) to patient

  • 2 minutes twice-daily brushing with up to 1500 ppm fluoride toothpaste
  • Use manual or powered toothbrush for effective reduction of plaque and gingival inflammation
  • Use a soft, small-headed brush with end-rounded bristles
  • Daily interdental cleaning with interdental brushes and/or dental floss in sites with narrow interdental spaces
  • Additional approach to be adapted to patient as appropriate with adjunctive use of dentifrices and/or mouth rinses with scientifically proven anti-plaque/anti-inflammation effects

 Professional Mechanical Plaque Removal (PMPR)

  • Effective control of plaque and removal of the calculus through supra and subgingival scaling and root debridement
  • Performing scaling and root debridement using sonic/ultrasonic scalers and hand instruments (scalers and curettes) with effective management of pain/discomfort
  • Removal of stains/discolouration on tooth surfaces and newly formed calculus through prophylaxis and air polishing if appropriate