Toothbrush abrasion refers to the wear and damage to the teeth and gums caused by improper or overly aggressive tooth brushing. This condition can lead to a variety of dental problems, including:
– Enamel Erosion: Over time, excessive brushing can erode the enamel, the hard outer layer of the teeth, making them more susceptible to decay and sensitivity.
– Gum Recession: Vigorous brushing can cause the gums to recede, exposing the roots of the teeth, which are more sensitive and prone to decay.
– Dentin Exposure: With enamel erosion and gum recession, the underlying dentin layer becomes exposed, leading to increased tooth sensitivity and risk of cavities.
– Tooth Wear: Abrasive brushing can cause visible wear on the surfaces of the teeth, affecting their appearance and function.
Preventing Toothbrush Abrasion
– Use a Soft-bristled Toothbrush: Choose a toothbrush with soft bristles to minimize abrasion on teeth and gums.
– Adopt Proper Brushing Technique: Hold the toothbrush at a 45-degree angle to the gums and use gentle, circular motions rather than harsh back-and-forth scrubbing.
– Limit Brushing Time and Frequency: Brush for two minutes, twice a day. Avoid brushing more than three times a day as it can cause more harm than good.
– Choose a Non-abrasive Toothpaste: Some toothpaste contains abrasive particles. Opt for those labeled as gentle or for sensitive teeth.
– Use Light Pressure: Apply only gentle pressure when brushing. If the bristles of your toothbrush splay out over time, you might be brushing too hard,
– Consider Electric Toothbrushes: Electric toothbrushes often come with pressure sensors and timers to help ensure you brush gently and for the correct amount of time. We love the Philips Sonicare!
If you suspect you have toothbrush abrasion, it’s important to consult your dentist. They can assess the extent of the damage and recommend appropriate treatments, such as desensitizing toothpaste, fluoride treatments, or in severe cases, gum grafting or dental restorations to repair loss of gum tissue and/or worn teeth.
Here at Britten Periodontics, Dr. Britten and his dental hygiene team work together with our patients to tailor home oral care recommendations, focusing on a very personalized approach to treatment and prevention.
Home oral care is such an important contributor to oral health, and can help lessen the need for extensive dental problems. Here are some of our top tips to good oral hygiene!
Part 1: PROPER TOOTHBRUSHING
A proper toothbrushing technique is essential for keeping your teeth and gums healthy.
Brush gently, thoughtfully and thoroughly twice a day to minimize the debris and bacteria in your mouth.
Bristle selection: Bristles that are too hard, or an incorrect technique of brushing can cause your gums to be damaged during the toothbrushing process and can cause them to recede (gum recession) or cause destruction (abrasion) to the teeth and roots.
We recommend changing your toothbrush at least every 90 days or after an illness.
Hold the toothbrush at a 45° angle so that the filaments reach the gum line. Brush with light pressure using small circular or vibrating movements. Brush the inside, outside and biting surfaces of the teeth.
Brush twice a day for at least four minutes if using a manual toothbrush.
We recommend the Sonicare Power Toothbrush for our patients.
Divide your mouth into four quadrants. This can help ensure that you brush each section of your teeth and mouth cavity.
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.
Apply 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 30 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.
Stay Tuned for Our Next Blog Article – Where We Will Talk About How To Take Care of Your Teeth In Between and Other Oral Hygiene Aids!
Abfractions and abrasions are nearly identical, their treatment options are often the same, and bruxism (tooth grinding) and improper alignment of the jaws and/or teeth (malocclusion) must be ruled out for both.
An abfraction is an angular notch at the gumline caused by bending forces applied to the tooth.
An abrasion is a rounded notch at the gumline that are generally not as angular and sometimes have more of a saucered appearance. With abrasions, it is believed that heavy toothbrushing forces applied to exposed tooth roots may cause a rounded notch at the gumline. Abfractions, on the other hand, are caused by one of two things:
Chronic heavy forces on teeth, such as may be produced by clenching or grinding the teeth (bruxing).
Normal forces on teeth which are improperly aligned (malocclusion).
Abfractions that have been present for awhile may become rounded through the abrasive movement a hard toothbrush agressive brushing and if the teeth are continually exposed to an acidic environment, which is known to soften tooth structure.
For information on prevention and treatment of tooth defects, contact us today at 727-586-2681
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.
