Overcoming Dental Care Challenges: Tips for Managing OCD and Oral Hygiene - Dentistry

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Tooth brushing issues?


Hello, doctor.
I am a patient with mental health issues, including depression and obsessive-compulsive disorder.
I spend an excessive amount of time brushing my teeth—sometimes up to 1 hour, and at least 30 minutes at the quickest! As a result, I only brush my teeth once a day, right before bed.
This not only wastes time but also prevents me from doing other activities, making it inefficient.
I am unsure how many times I need to brush to effectively remove dental plaque.
If I consider one back-and-forth motion using the Bass technique as one stroke, I end up brushing 8 to 10 times, depending on how dirty or clean my teeth are.
Brushing my teeth every day is a source of great distress for me! Sometimes I even skip brushing altogether! Additionally, when I lift weights to build muscle, I tend to brush my teeth with more force, even though my arms don’t want to exert pressure, which causes my gums to bleed a little.
Could you please advise me on what to do? Please help me! Sincerely, a suffering individual.

Tòngkǔ de rén, 30~39 year old female. Ask Date: 2017/10/03

Dr. Qiu Qiongyao reply Dentistry


Hello: It is recommended that you consult a periodontist for treatment and cooperate with the specialist.
Hualien Hospital, Ministry of Health and Welfare, cares about your health.

Reply Date: 2017/10/03

More Info


Dear Painful Person,
Thank you for reaching out and sharing your struggles with oral hygiene amidst your mental health challenges. It’s commendable that you are seeking help and looking for ways to manage your dental care effectively. Your situation is not uncommon among individuals dealing with obsessive-compulsive disorder (OCD) and other mental health issues, and there are strategies that can help you maintain your oral hygiene without causing excessive distress.

First, it’s important to understand that the primary goal of brushing your teeth is to remove plaque, which is a sticky film of bacteria that forms on your teeth. The American Dental Association (ADA) recommends brushing your teeth twice a day for two minutes each time. This is generally sufficient to maintain good oral hygiene and prevent cavities and gum disease. It’s crucial to focus on the quality of brushing rather than the quantity.
Here are some tips that may help you manage your brushing routine more effectively:
1. Set a Timer: Instead of brushing for an extended period, set a timer for two minutes. This can help you stay focused and reduce the urge to continue brushing beyond the recommended time. You can use a timer on your phone or a toothbrush with a built-in timer.

2. Use a Soft-Bristled Toothbrush: A soft-bristled toothbrush is gentle on your gums and teeth, which can help minimize discomfort and bleeding. Brushing too hard can damage your gums and lead to sensitivity.

3. Practice Mindfulness: Incorporating mindfulness techniques can help you manage the anxiety associated with brushing. Focus on the sensations of brushing, the taste of the toothpaste, and your breathing. This can help ground you and reduce the compulsive need to brush excessively.

4. Establish a Routine: Create a consistent brushing routine that fits into your daily schedule. This can help reduce the anxiety of deciding when to brush and can make the process feel more manageable.

5. Limit the Use of Force: It’s important to brush gently. If you find yourself applying too much pressure, remind yourself that brushing too hard can be counterproductive. You should not experience pain or bleeding while brushing. If you do, it may be a sign to adjust your technique or consult a dentist.

6. Seek Professional Help: Consider discussing your oral hygiene concerns with your dentist. They can provide personalized advice and may suggest a dental hygienist who can help you with your brushing technique. Additionally, if your OCD symptoms are significantly impacting your daily life, it may be beneficial to speak with a mental health professional who can provide support and coping strategies.

7. Use Additional Tools: If you find it difficult to brush effectively, consider using adjunctive tools such as interdental brushes or flossers. These can help you clean between your teeth without the need for excessive brushing.

8. Reward Yourself: After completing your brushing routine, reward yourself with a small treat or activity that you enjoy. This can help create a positive association with brushing and motivate you to stick to your routine.

Remember, maintaining oral hygiene is important, but it should not come at the expense of your mental well-being. Finding a balance that works for you is key. If you continue to struggle with your brushing routine, please reach out to a healthcare professional who can provide additional support tailored to your needs.

Take care, and I wish you the best in overcoming these challenges.

Sincerely,
Doctor Q&A Teams

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