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Dr. Bass devoted 20 years of his life to developing this revolutionary toothbrush and brushing technique after being diagnosed with periodontal disease. Directions Hold the OraMD Toothbrush at a 45-degree angle to your teeth and brush in a short, circular motion with the bristles penetrating the gum line as you brush. Apply firm but light pressure. This gentle sweeping action along the gum line will dislodge the soft material containing foreign particles, bacteria and plaque thereby reducing cavities and preventing gum infection. Brush the outer surfaces, the inside surfaces, and the chewing surfaces. You may experience slight bleeding for the first couple days as the OraMD toothbrush and brushing technique penetrates and cleans the gingival crevices. We recommend using OraMD as your powerful toothpaste and mouthwash alternative.