Brushing harder cleans better

Okay, so I’ve always been told to brush my teeth twice a day, which I do. But lately, I’ve been noticing a bit of plaque buildup, especially along my gum line. I’ve been using a soft-bristled toothbrush and fluoride toothpaste, like my dentist recommended. I’m wondering if maybe I’m just not brushing hard enough? Is it possible that brushing harder will actually get rid of more plaque and prevent cavities? I’m a little worried about damaging my gums, but it seems like I need to do something more aggressive to keep my teeth really clean. I also saw an ad for a toothbrush that vibrates really fast, and it made me wonder if that’s the better solution than me just brushing harder with my manual toothbrush. What’s the deal?

Answer

Brushing harder does not necessarily clean better and can actually be detrimental to your oral health. While it might seem logical that more force equates to more effective plaque removal, the reality is more nuanced.

Why Brushing Harder is Harmful:

• Gum Recession: Excessive force can damage the delicate gum tissue, causing it to recede. Receding gums expose more of the tooth root, which is not protected by enamel. This exposed root is more susceptible to decay, sensitivity to temperature, and abrasion.

• Tooth Enamel Erosion: Over time, vigorous brushing can wear away tooth enamel, the protective outer layer of the tooth. This enamel erosion, known as abrasion, thins the enamel, making teeth more vulnerable to decay, sensitivity, and discoloration. Once enamel is gone, it doesn’t grow back.

• Damage to Dental Restorations: If you have fillings, crowns, or other dental work, brushing too hard can damage the margins of these restorations, leading to leakage, decay around the restoration, and ultimately, failure of the restoration.

• Irritation and Inflammation: Aggressive brushing can cause irritation and inflammation of the gums, leading to redness, swelling, and bleeding. This chronic inflammation can contribute to the development of gum disease.

• Cuts and Sores: In extreme cases, overly forceful brushing can cause cuts and sores in the mouth, particularly on the gums.

Effective Brushing Techniques:

The goal of brushing is to remove plaque and debris without damaging the teeth and gums. Here’s how to brush effectively:

• Use a Soft-Bristled Toothbrush: A soft-bristled toothbrush is gentler on the teeth and gums than a medium or hard-bristled brush. Soft bristles are effective at removing plaque without causing abrasion.

• Apply Gentle Pressure: Imagine you’re polishing a delicate surface. Use light, gentle pressure when brushing. The bristles should bend, but not splay.

• Use Proper Brushing Technique: The American Dental Association recommends the following technique:

  • Angle the toothbrush: Position the toothbrush at a 45-degree angle to the gumline.
  • Small, circular motions: Use short, gentle, circular motions to clean each tooth.
  • Brush all surfaces: Brush the outer surfaces, inner surfaces, and chewing surfaces of each tooth.
  • Front teeth: To clean the inside surfaces of the front teeth, tilt the brush vertically and use up-and-down strokes.
  • Tongue: Gently brush your tongue to remove bacteria and freshen your breath.

• Brush for Two Minutes: Many people underestimate how long they brush. Use a timer or a toothbrush with a built-in timer to ensure you’re brushing for the recommended two minutes.

• Replace Your Toothbrush Regularly: Replace your toothbrush every three to four months, or sooner if the bristles are frayed.

• Use Fluoride Toothpaste: Fluoride helps strengthen tooth enamel and prevent decay.

• Consider an Electric Toothbrush: Electric toothbrushes with pressure sensors can help prevent over-brushing. They also often have built-in timers to ensure you’re brushing for the correct amount of time.

• Floss Daily: Flossing removes plaque and debris from between the teeth, where a toothbrush can’t reach.

• Regular Dental Checkups: See your dentist regularly for checkups and cleanings. Your dentist can identify early signs of damage from over-brushing and provide personalized advice on proper oral hygiene techniques.

In conclusion, brushing harder is not better. It can damage your gums and teeth. Gentle, thorough brushing with a soft-bristled toothbrush and proper technique is the key to effective and safe oral hygiene.