Take a closer look

Toothbrushing is the foundation of oral hygiene. Even if they are doing nothing else, we reasonably assume that all our patients are cleaning their teeth, preferably twice a day, with a toothbrush.

The humble toothbrush is a powerful tool for reducing the incidence of preventive dental disease. But like any tool, it must be used properly.

Technique, supported by the right tool

A 2018 study looked at weaknesses in brushing performance for two cohorts of young adults, who were asked to brush their teeth, to the best of their ability, in front of a camera, so the videos could be analysed. What was encouraging was that both groups spent a lot of time brushing (over three minutes); less so was that, for the majority of participants, brushing wasn’t “even”, or efficient. Scrubbing vigorously rather than gentle, controlled movements was common, as was the widespread neglect of lateral and proximal surfaces. In later adulthood, these surfaces are where caries are more likely to manifest, these areas must also be cleaned thoroughly to reduce the risk of periodontal conditions. Overzealous brushing overtime can lead to dental abrasion also increased recession and sensitivity.