they o rig in ate fro m an im als o f th e p o rc in e fam ily. F o r th e m , th e r e is n o c h o ic e b u t nylon. IA W R EN C E G ETTLEM A N , DMD, MSD UNIVERSITY O F LOUISVILLE
L e t t e r s to t h e E d it o r
The debate continues . . . □ R e g a rd in g th e fin e a rtic le s o n to o th b ru s h in g by Drs. W ilm er E am es a n d Irw in M an d el (July), we m u s t c o n sid e r th e fre q u en cy o f hygiene p ro c e d u re s, th e d e x te r ity r e q u ir e d , a n d th e ab ility to c o m b in e th e s e a c tiv itie s w ith o th e r s . I n t e r d e n t a l stim u lato rs can be u sed alm o st anyw here, a re d isposable, d o n o t re q u ire e x p e c to ra tio n , re q u ire only o n e h a n d , a n d can be u se d w hile d o in g o th e r th in g s such as driv in g . B ru sh in g a n d flossing re q u ire a sp e c ia liz e d s e ttin g a n d a g r e a te r d e g re e o f dexterity, so a re usually p e rfo rm e d less fre quently. My p a tie n ts th a n k m e fo r show ing th e m S tim u d en ts, b u t express g u ilt w hen I re in fo rce b ru s h in g a n d flossing. O n e p o in t o f in te re s t— O rth o d o x Jew s a n d d e v o u t M oslem s will fin d th e u se o f n a tu r a l b ris tle b ru s h e s o b je c tio n a b le as
□ . . . D r. E a m e s ’ a rtic le b r o u g h t b a c k m e m o rie s o f my sc h o o lin g a n d th e te c h n iq u e s we w ere ta u g h t; I en jo y ed th e h u m o r o u s way h e p r e s e n t e d so m e o f th e id eas, e sp ecially h is “call fo r v o lu n te e rs ” fo r a study. H is e m p h asis see m e d to b e o n m assage, as was o u r in stru c tio n in school. Dr. M a n d e l’s em p h asis o n p la q u e rem oval is o n e I have ta u g h t my p a tie n ts a n d p ra c tic e d o n my ow n te e th . R esu lts a re th e b o tto m lin e , a n d b o th te c h n iq u e s seem to p ro d u c e g o o d results. W hile th e to o th p ic k is m assaging th e g in giva, it is also rem o v in g a lo t o f b a c te ria . Floss, o n th e o th e r h a n d , surely m assages w hile it is w o rk in g o n th e in te rp ro x im a l surfaces o f th e te e th . As fo r b ru sh e s, I feel th a t even th e so ftest will rem o v e p la q u e ; a n d if m a s sa g e a c tu a lly h e lp s , th e so ft b ru sh will d o th a t too. W. B. W ILLIFO RD , DDS H OU STO N
□ . . . T h e a rtic le by Dr. W ilm e r E am es rin g s tru e . W h e th e r o n e advocates ro u n d p o lis h e d n y lo n b ris tle to o th b r u s h e s a n d d aily flo ssin g o r re c o m m e n d s th e u se o f to o th p ic k s a n d n a tu r a l b o a r b ristle s, p a ti e n ts m a in ta in p e r i o d o n t a l h e a lt h by: u sin g p le n ty o f elbow g rease w ith a p ro p erly p o sitio n ed b ru s h , vigorously stim ulat in g g in g iv a l tissu e b e tw e e n te e t h (flo ss d o e s n o t a c c o m p l i s h th i s f o r m a n y p e o p le ), a n d daily p a tie n t c o m m itm e n t. In this age o f o ra l h y g ien e gim m icks, Dr. E am es’ article is tim ely a n d c o rre ct. JO H N F. SINCLAIR, DMD SPRIN G FIELD , VT □ I wish to c o m p lim e n t you o n p u b lish in g th e article by Dr. W ilm er E am es. It is a sub je c t th a t n e e d e d w id er coverage, a n d is ex p ressed very well. R O B ER T W. H ER R , DDS JA CKSO NV ILLE, IL □ T h a n k y o u fo r p u b lis h in g Dr. W ilm er E am es’ article. It c o rre la te s w ith my ex p e rie n c e a n d is a sto ry th a t n e e d s to b e told. LEONARD ELKINS, DDS ITHACA, NY
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