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Tooth Cleaning Recommendations

Avoid cavities with a good toothbrush.

Tooth Cleaning Recommendations


Some scientific studies have proven that smiling releases endorphins, serotonin, and other natural painkillers our bodies produce. Smiling has also been associated with reduced levels of stress hormones (adrenaline), cortisol, and dopamine) and lowering blood pressure. Smiling is almost a natural drug. All of this causes a reduction of stress, strengthens the immune system, helps recovery of many diseases, and protects against heart disease.

Brushing teeth

The hygiene in the mouth in it inhabits many bacteria; food is also a perfect vehicle for entering new products. For many others, when chewing and drinking, part of the intake is trapped between the teeth, tongue, and gums. The accumulated remains are ingested by the bacteria that evacuate them after assimilation; these acids are acid wastes that gradually dissolve the tooth and produce what is known as tooth decay. If you don't care about hygiene, the bacteria will multiply as they grow. More acid colonies will be produced, and the faster the tooth will dissolve when the caries are found only in the enamel; the treatment is simple, but if the bacteria overcome the thin layer of enamel and penetrate deeper into the skin. Much softer tissues than the enamel will be destroyed by the
acids at a higher velocity; like the tooth that cannot protect itself, the untreated cavities will reach a critical part called the pulp. It will produce an actual infection at those times, and the pain becomes very intense; being a desperate alarm of his body in the face of the bacterial threat, 
the tooth is about to be lost. The treatment will be drastic and will require. Unfortunately, removing the pulp, which will leave the tooth lifeless, will be more fragile, will reduce its longevity, and possibly lead to the need for a crown that would have required a simple appointment in your dental office to remove the tooth decay. It will turn you not go to the dentist or take care of your hygiene into severe pain, plus many more visits and costs. In short, in addition to caries, the lack of hygiene will produce a horrible taste in your mouth and bad breath, especially when you wake up and after ingesting certain foods and beverages, so that you are not surprised if you perceive an inevitable social rejection if this were not enough the accumulation of germs and substances in the tooth will harden over time and form tartar. So remember to visit your dentist.
Periodontitis will occur if gingivitis does not stop, causing tissue loss around the teeth. 


The fluoride contained in toothpaste is captured by the tooth. That way allows two actions: it makes it difficult for the enamel loses minerals and, on the other hand, makes it easier for the tooth to regain minerals. Likewise, fluorine in saliva fights the many caries-producing bacteria, interfering with bacterial metabolism. It is known that fluoride in toothpaste can prevent up to 40% of caries injuries.

 Carry out correct hygiene.

You must combine several procedures; let's see the manual brushing technique.
First, make sure that the brush is in good condition and clean.
Also, replace it every three months or even sooner if necessary the brushing should be thorough without pressure and prolonged by about two minutes using a small amount of fluoride toothpaste. To avoid excess foam during brushing, we suggest the following technique: divide the teeth into two groups to prevent forgetting the teeth, the upper and lower, and always follow the same sequence
first, brush the outer sides of the upper teeth.
To do this, place the brush perpendicular to the tooth, slightly inclined towards the gingiva, and make a smooth turning movement several times on the surface to advance to the next tooth; I separated the brush and born in the initial position, repeat the brushing action always brush from the
gum to the tooth and not the other way around to prevent damage to the gum when you have finished brushing the outer sides continue with the inner sides using the same technology behind the inner faces. Once the upper teeth have been touched, continue with the lower teeth. As before, place the brush perpendicular to the tooth, slightly inclined towards the gingiva, and make a smooth turning movement several times on the surface; the outer faces continue with the inner faces always in the same order.
Finally, brush the tongue as it retains large amounts of debris.
To do this, stick out your tongue and place the brush as far back as you can but not too much to avoid nausea, then make a sweep towards
Go ahead and repeat this step several times finally to maintain hygiene. Between the teeth, also use dental floss.
Ask your dentist which toothbrush is right for you because there are different types whose composition varies according to the patient's needs. Hygiene is the primary method to have good oral and oral health.
Your dentist is the best guardian of your mouth.


We all know that enthusiasm in the discipline of toothbrushing is not enough. An enthusiastic patient does not mean that he or she is effectively applying the correct brushing technique.

One of the most widely used techniques is the Bass technique, published in 1954, which prodigiously encourages circular movements. Since the middle of the last century, this technique has given us the first opportunity to brush thrice daily.

It was not until 1967 that Harold Löe implemented plaque indices showing that the clinical and subclinical effects of plaque buildup on a health timeline gingival inflammation are up to 48 hours before the plaque was removed.

However, toothbrushing is still associated with the number of times a patient eats or feeds. So why do dentists close ourselves off to the belief that brushing 3 times a day is adequate in frequency? Do we not realize how much influence we have on families and generations?

We know the importance of oral hygiene after feeding and that the accumulation of residues or by-products of the alimentary bolus, called alba matter, has a greater affinity for the mandibular mesiodistal areas of the wide interdental spaces. It is where the good and opportune brushing after each feeding resides. Still, if it is a question of the control of plaque and subsequent pathogenic "biofilm," we know that the routines of 3 times a day without supervision are entirely sterile.

Soft, ultra-soft brushes have become a great support for hygienists and periodontists. However, there is still little awareness regarding the need for correct toothbrush choices.

soft and ultra soft brushes

Different toothbrush designs can be novel and even very flattering in the marketing effect. But, even so, it is well known that each design demands a specificity that the student and the dentist must know.

It is common for dentists to know more about restorative dental materials than the primary over-the-counter hygiene material, the toothbrush.

Today, clinical studies and meta-analyses show that brushing techniques must be adapted to the individual's life. From a young age, since the patient has complete temporary dentition, it is recommended that the correct brushing technique be horizontal at the expense of imitation. Later, since the child has greater control over his or her motor skills, switching to the Bass technique and culminating from adolescence to adulthood in the modified Stillman technique is recommended.

In this century at the end of this decade, we efficiently found that the control of bacterial plaque can decrease up to 50% of it using a correct technique and a paste with tin fluoride compound, increasing health and reducing gingival bleeding and inflammation.

Electric brushes

Undoubtedly, one of the most controversial issues in oral health prevention is using electric toothbrushes. Many people see them as a useless expense, and some conservative clinicians still limit even professional recommendations.

Today's electric toothbrushes are a significant advance with a double potential, removing bacterial plaque and the patient's motivation.

Although within the mythological concepts published in the '80s of the last century, the classic premise that electric toothbrushes are indicated for people with different capacities and/or motor problems is still resisted to die. Within the erroneous beliefs, we know that ignorance and lack of knowledge in countries like ours and where young people are more open to technology during childhood, today the use of mechanical-electrical assistants is a reality that must be taken seriously.

In a society where it is easier for children to have an iPad from the age of four or earlier, it should no longer be complicated to visualize family expectations opening up to the use of electric toothbrushing through the timely recommendation of the dentist.

Studies in the periodontal area have given us conclusions that have limited the significance of comparing an electric toothbrush and a manual.¹ But even so, systematic reviews such as the European Workshop in Periodontology in 2003 show us that the effectiveness of electric toothbrushing compared to the manual can have excellent results in terms of gingival bleeding together with the resolution of inflammation during the treatment of gingivitis and periodontitis.

The reality of the need to understand the usefulness of the electric/mechanical brush lies mainly in understanding the functioning of these hygiene aids. The movements on which plaque removal is based are oscillation/rotation movements and vibration.

Several studies have illustrated the comparison in terms of effectiveness in supporting the treatment of periodontal disease. The primary assessment is of the rate of personal plaque control and reduction of gingival bleeding as reported in the 2016 e Van der Weijden publication. In this, it is observed in a systematic review that electric toothbrushes are superior to manual toothbrushes in the effectiveness of plaque removal and bleeding control. Even in comparing the different brushes available on the market, the electric toothbrush that applies oscillation/rotation movements also shows an advantage over sonic and ultrasonic toothbrushes.

Interdental hygiene

Interdental hygiene is one of the most significant challenges in preventive and therapeutic periodontal disease dentistry. All reports have been consistently favorable when talking about its importance. The American Dental Association reports that about 80% of plaque removed in dental hygiene is due to the correct application of interdental hygiene.

Technology is no stranger to the promotion of tools to encourage interdental hygiene. Irrigators, air irrigators, and other electronic devices have constantly evolved in the struggle to increase the use of interdental hygiene. Even so, all efforts remain unsuccessful when we observe that no electronic device has been able to replace the use of dental floss
Therefore, recognizing interdental biology is more timely, and all concepts are built through common sense. A great example is a simple view that assumes interdental areas are the most susceptible to periodontal disease simply because they are areas that are difficult to access for brushing.

None of the abovementioned brushing techniques have found a significant basis in interdental hygiene, so new toothbrush designs are based on reaching interproximal areas that conventional brushes do not commonly reach.
The importance of interdental hygiene is not in using the floss but in its correct application. Patients report that floss can be harmful when used, which is only attributable to a lack of proper teaching and instruction.

However, Berchier's publication in a systematic review determined the effectiveness of flossing in combination with manual brushing on the inflammatory response in adults with periodontal disease, and the conclusions were very consistent. All this evidence, as well as that published by Hujoel, dictates that flossing is a real option even for preventing interproximal caries.

Even so, dental hygiene assessments show us that using interproximal brushes is the most fantastic range of plaque removal. These have obtained excellent ratings since their clinical effect is established by covering more contact areas in interdental cleaning. However, in situations with no access for interproximal brush use, these can hurt or cause papilla loss, mainly in thin phenotypes.