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MOUTH HYGIENE AND PROPHYLAXIS
93

(i) Instruct patients as to the importance of the subject,
bringing out its relation to the local and constitutional
diseases mentioned.

(2) Give them explicit directions as to the care of the
mouth, mentioning definitely by name the proper brush and
dentifrice to use and how and when to use them.
(3) Have them visit you at regular intervals for local
treatment.
The following instructions should be given patients with

reference to the toilet of the mouth:
(i) Brush the teeth and gums at least three, better four
times a day,
(2) Brush all surfaces of every tooth, paying special atten-

tion to occlusal surfaces of bicuspids and molars, lingual
surfaces of all teeth and the widsom teeth.
Brush with a rotary up and down, as well as a cross-wise
(3)
motion, reaching well into the inter-proximal embrasures.

(4) Cleanse the inter-proximal spaces with floss silk.
Scrape the tongue with the brush or a tongue scraper.
(5)
(6) If the mouth and teeth are healthy and given regular
attention, the use of a dentifrice is not necessary more than
once a day.

If regular and careful attention is not given, or if
(7)
pathological conditions exist, use a colorless paste or powder
and, in addition, gargle or spray the mouth and throat for
several minutes with a colorless wash.
The Curative Treatment consists in the removal of all
deposits and infection from the oral cavity, together with

general tonic and alterative medication, exercise, baths, fresh
air, diet and rest. Salivary calculus is found in largest
amounts on the crowns of the teeth opposite the ducts of

the salivary glands, on the lingual surfaces of the lower incisors
and buccal surfaces of the upper molars. Serumal or sub-