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Most of our patients can tell the difference in how their teeth and gums feel when they switch to a power toothbrush. Dr. Britten and his team can also typically tell when a patient uses an electric toothbrush versus a manual toothbrush – as there is usually a noticeable difference in the amount of plaque present as well as a patient’s gum tissue tone and color.

Improving oral health will improve overall health, a reason most patients will be happy to make the extra investment for a powerbrush. An electric toothbrush (our favorite professional-grade brands typically run from $150-200) is only a fraction of what it costs to complete most dental procedures. In the end, investing in a good power toothbrush, changing brush heads every 90 days, and using the proper technique will save you money!

Why choose a powerbrush?

Power toothbrushes usually have built in features with an advantage for better oral health.

Timer – Many brands feature a timer to ensure patients brush for a full two minutes, and may also have a pressure indicator to pause brushing or to let patients know if they’re brushing too hard and possibly damaging their gums. The Phillips Sonicare, one of our favorites, hesitates every 30 seconds, to help a patient distribute their brushing in all four sections of the mouth.

More effectively disrupts and removes harmful bacteria in the mouth.  The sonic vibrating or oscillating of bristles from an electric brush remove sticky plaque bacteria effectively and stimulate the gum tissue, reducing inflammation. Electrics brushes operate at 30,000 strokes per minute while a manual is only 200 strokes.

Simpler technique.  With a power toothbrush, all you have to do is move the brush from tooth to tooth, spending a few seconds at a time.   The professional line of powerbrushes from Phillips Sonicare are definitely our favorite because they can penetrate below the gum line to disrupt the bacterial environment formed by plaque.  Other brands, most notably the Oral B have brush heads that oscillate in a half-circle motion to remove biofilm (plaque) from the tooth surface.

Gentle and safe at the gumline.  Using a powerbrush with the correct technique will help prevent gum recession, enamel abrasion (wearing away) and tooth sensitivity from improper brushing as well as tooth decay and gum disease. Even with their phenomenal power, power toothbrushes such as the Sonicare are still very gentle on the teeth and gums. If patients have gum recession, they can just place the brush on the tooth without using a scrubbing action, which can traumatize and wear away more thin and delicate gum tissue.

Stain removal.  Electric toothbrushes help with stain removal, which is attractive to patients who really want a bright, white smile. Some Sonicare models come with a “whitening” setting or even special polishing brush heads.

Helps those with dexterity issues.  Elderly patients or others with dexterity issues can also benefit from electric toothbrushes.  Many patients can’t move their hands the way they need to, so if they use a manual brush, they’re likely leaving plaque behind. Powerbrushes help remove plaque from the teeth for them, so as long as they get it close to where it needs to be, it’s going to remove plaque and help prevent problems.

Great for kids.  Electric toothbrushes are also great options for children, especially if they have braces!

Less time brushing, with a better result! In two minutes, a power toothbrush will remove plaque and massage and stimulate gum tissue more effectively than the minimum of four minutes you would need to brush with a manual toothbrush.

Proper Technique for Effective Power Toothbrushing

Divide your mouth into four quadrants. This can help ensure that you brush each section of your teeth and mouth cavity.

Place toothbrush bristles along gum line. Hold your toothbrush at a 45 ­degree angle to your gum line with a Sonicare or 90 degrees with an oscillating brush such as the Oral B. Applying gentle pressure, keeping the bristles in contact with your tooth surface and gum line, which can help ensure you get the most effective result possible. Stay on each area for a few seconds, moving the brush only when it is time to go to the next area. Once you’ve completed this procedure for a quadrant, move to the inner surfaces of your teeth and repeat the same procedure.

To brush behind your front teeth, tilt the brush vertically using only the front half of your brush. Clean biting surfaces, your tongue, and soft palate. This can help remove debris and other odor ­causing bacteria.

From Colgate.com:

“After you eat, the small food particles left behind in your mouth break down into carbohydrates and sugars, which in turn the bacteria break down into cavity causing acids. These acids dissolve minerals from the tooth enamel, a process called demineralization. These acids, thus, can make teeth weaker, and can result in tooth decay. That’s where fluoride comes in.
When it reaches your teeth, fluoride is absorbed into the enamel. It helps to repair the enamel by replenishing the lost calcium and phosphorous to keep your teeth hard. This process is caused remineralization. When fluoride is present during remineralization, the minerals deposited into the tooth enamel help strengthen your teeth and prevent dissolution during the next demineralization phase. 

Thus, fluoride helps stop the decay process and prevent tooth decay.”

Most over the counter toothpastes carry the recommended daily dose of fluoride, if used properly twice a day. Prescription toothpastes are also available for those at higher risk for tooth decay. Ask your dentist what is best for you!

Toothbrush

For most patients, a power toothbrush is the best choice. Studies show power toothbrushes are much more effective at cleaning teeth by removing plaque and stain effectively, particularly for those who have a history of tooth decay, gum disease, difficulty brushing or who have limited manual dexterity. Dr. Britten often recommends the Sonicare® Platinum toothbrush, as it is shaped like a traditional toothbrush head, and aids in effective plaque removal and gum stimulation and massage.

If not using a power toothbrush, a soft-bristled brush is best for removing plaque and debris from your teeth and along the gum line. Small-headed soft bristled toothbrushes are also preferred, as they can reach areas way in the back of the mouth.  Dental professionals generally encourage their patients to pick whatever shape and size is most comfortable. The best toothbrush is one that fits your mouth and allows you to reach all teeth easily.

Replace your toothbrush (or power toothbrush head) when it begins to show wear, or every three months, whichever comes first, or after any illness.

Toothpaste

Unless your dentist recommends otherwise, it’s important to use toothpaste that contains fluoride, which helps to strengthen the outer tooth enamel of our teeth. However, if you are allergic to fluoride, you may want to choose a different toothpaste. Be sure to speak to your dentist or physician before making this switch.

Sometimes a higher, or prescription-level dosage of fluoride is necessary for patients with sensitive teeth, exposed roots, or at greater risk for tooth decay.  Dr. Britten often prescribes Clinpro 5000 toothpaste, which contains a therapeutic level of fluoride, in addition to calcium and phosphate, other minerals that help strengthen enamel and the roots of the teeth.

Dr. Britten prefers toothpastes without added harsh chemicals. Some tartar control, whitening, or flavorings burn or irritate the soft tissues of the mouth (inside of lips, cheeks, the tongue, or even the gum tissues). Some toothpastes, especially those with added whitening agents, are abrasive to the enamel and over time can wear it away slowly. Ask your dental professional which products they recommend for whitening or tartar control.

Rinses

Mouthwash and fluoride mouth rinse are two different products. Anti-bacterial mouthwashes (like Listerine) are more effective in controlling plaque than fluoride rinses, and also freshen breath. Fluoride rinses (like ACT brand) coat the teeth with fluoride to strengthen teeth to prevent tooth decay and cavities. They also freshen breath.

Many mouthwashes contain alcohol, so always read the label before giving mouth rinse to a child or someone with a history of substance abuse. Your dental professional may recommend an alcohol-free mouthwash, or to dilute with 1:2 or 2:3 parts’ water.

There are other antimicrobial (Chlorhexidine) or fluoride (Perio-Med) rinses that Dr. Britten recommends available by prescription as needed.

Clean between the teeth at least once per day to remove dental plaque from areas not reached by tooth brushing alone and where tooth decay and gum disease often occur!

Floss

Flossing is critical for healthy gums. Floss is available in many different sizes, coatings, flavors and forms. If you have trouble using the floss around your fingers, you can purchase floss holders in most drugstores and grocery stores. Dr. Britten recommends a floss with texture, rather than a slippery, waxy floss, which will leave a plaque residue behind.

Two of our favorites:  Listerine “Gentle Gum Care” , (formerly Reach brand) woven floss.  The soft cloth material protects your sensitive gums while effectively removing sticky plaque build up. This soft, springy and resilient dental floss removes plaque effectively and is easier on the gum line.

POH No Wax floss has many thin strands of nylon which enable our floss to disrupt and disorganize sticky bacterial plaque, which is the key to preventing tooth decay and gum disease. It won’t just slide over plaque. The multiple strands of tiny nylon slip easily between the closest teeth, able to get just under the gum line.

LISTERINE® ULTRACLEAN® Dental Floss has shred-resistant technology to stretch, flex and glide for an ultimate clean. Its MICRO-GROOVES® technology removes 2x more plaque than Glide® Mint Floss.

How to floss:  Place the floss around your index and middle fingers, make a C shape around each tooth and use a push-pull and up and down motion to remove plaque at and below the gum line and between the teeth. Try to be gentle when placing the floss below the gum line.

Children should floss once a day with the assistance of their parents. Many people floss just before bedtime. But if another time is more convenient for you, do it then.

Water Irrigation Devices (such as Sonicare Air Flosser or Waterpik)

Water irrigation devices can remove food from between teeth. Children or teenagers with braces or other orthodontic appliances may find these devices useful to remove food debris and plaque from the teeth and gum line. These devices have shown reductions in bleeding, gingivitis (inflammation of the gums) and plaque accumulation.

Water irrigation devices are most effective when used along with tooth brushing and manual removal of plaque between the teeth with dental floss or other interdental aids and should not ever replace your toothbrush or floss!  Also, proper angulation and power settings will avoid injuring thin gum tissues, which may lead to gum recession.

Interdental Brushes or Picks

Dr. Britten recommends using plaque between the teeth using interproximal brushes, go-betweens or soft-picks.  These are great tools which remove dental plaque from areas between the teeth most commonly missed by toothbrushing alone. As a popular and effective alternative or addition to dental floss, we recommend GUM® brand Proxabrushes®, Soft-Picks ® or Go-Betweens® are safe and easy to use for cleaning between natural teeth and around crowns, bridges, dental implants and orthodontic appliances.

Proxabrush (Interdental brushes)

Between-teeth cleaning with interdental brushes such as GUM® Proxabrush Go-Betweens® cleaners is as effective as dental floss in removing plaque but is perceived to be much easier and more convenient.

These products are available on long handles (size of a toothbrush handle) or travel-size making it easy to carry the Go-Betweens® cleaners in your pocket or purse for use outside of the home.

The soft nylon bristles have an antibacterial coating** to help keep the brush clean and hygienic between uses. Different sizes of brush heads are available to fit from the tightest to widest of between teeth spaces. Tight brush heads are designed to clean the tooth and gum surfaces adjacent to the tight spaces.

In four diameters: Ultra Tight, Tight, Moderate and Wide brush heads. Choose the diameter that easily fits into the spaces between the teeth, under the bridge, or around the wires and brackets of an orthodontic appliance.

HOW TO USE

Use gentle in-and-out motions in the spaces between teeth and implants and around crowns and bridges to remove dental plaque and food particles.

  1. Never force the brush into tight spaces.*** Do not bend or twist wires during use.
  2. Rinse the brush and handle after each use.

***If a space is too tight to accommodate the smallest Ultra Tight brush, consider using string floss of a Soft-Pick in that space.

GUM® Soft-Picks®: For healthy gums and a great-looking smile, GUM® Soft-Picks® are the convenient way to effectively remove food, plaque and massage gums.

GUM® Soft-Picks®: For healthy gums and a great-looking smile, GUM® Soft-Picks® are the convenient way to effectively remove food, plaque and massage gums.

Dr. Britten and his hygienists are trained to help you select the appropriate oral hygiene aids for your maximum oral health and plaque removal. For more information regarding other oral hygiene aids that Dr. Britten recommends, visit  https://brittenperio.com/oral-health/oral-hygiene/

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