is left between the fingers. Ease the floss gently between the teeth using a back and forth motion. Position the floss in such a way that it becomes securely wrapped around the interdental surface of the tooth in a C shape. Ensure that the floss is taken below the gum margins using a back and forth up and down motion. There are a few different options on the market that can make flossing easier if dexterity or coordination is a barrier, or as a preference over normal floss. Floss threaders are ideal for cleaning between orthodontic appliances, and flossettes are ideal for children and those with poor dexterity. Special flossettes are made for those with orthodontics. Interdental brushes Interdental brushes come in a range of color-coded sizes. They consist of a handle with a piece of wire covered in tapered bristles, designed to be placed into the interdental space for plaque removal. Studies indicate that interdental brushes are equally or more effective than floss when removing plaque and reducing gum inflammation. They are especially recommended to people with orthodontics, often to use as well as floss. The steps in using an interdental brush are as follows: Identify the size required, the largest size that will fit without force is ideal, if necessary more than one size can be used. Insert the bristles into the interdental space at a 90-degree angle. Move the brush back and forth between the teeth. Rinse under water to remove debris when necessary. Rinse with warm soapy water once complete and store in a clean dry area. Replace once bristles are worn. Tongue scrapers The tongue contains numerous bacteria which causes bad breath. Tongue cleaners are designed to remove the debris built up on the tongue. Using a toothbrush to clean the tongue is another possibility, however it might be hard to reach the back of the tongue and the bristles of the toothbrush may be too soft to remove the debris. Steps of using a tongue scraper: Rinse the tongue scraper in order to clean it and remove any present debris Start at the back of the tongue and gently scrape forwards. Be sure to clean the sides of the tongue, as well as the middle portion After the cleaning is completed, rinse the tongue scraper and any debris that is left behind Rinse the mouth Oral irrigation Some dental professionals recommend subgingival irrigation, also