Can Electric Toothbrushes Affect Dental Implants and Root Recovery? - Dentistry

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Can I use an electric toothbrush after a tooth extraction and dental implant?


About a year ago, I underwent a root canal treatment and had bone grafting done.
After recovery, I had a crown placed on the same tooth.

1.
I would like to know if using an electric toothbrush will affect the healing of the root canal or cause any adverse issues such as root fractures post-surgery?
2.
Will the electric toothbrush cause the crown to become loose?
3.
If it is safe to use, are there any restrictions on the type of electric toothbrush (e.g., rotating brush heads, pulsating, linear back-and-forth motion, etc.)?
4.
Additionally, I have a lingual retainer (a metal wire bonded to the inner side of six teeth), which has previously come loose due to excessive force while using dental floss.
Will the electric toothbrush cause it to come loose?

Dora, 20~29 year old female. Ask Date: 2021/08/26

Dr. Lin Jiayong reply Dentistry


Hello, it is recommended that you use a manual toothbrush.
Based on your description, you have many dental devices and prosthetics in your mouth, and the surgical area requires more careful attention.
An electric toothbrush may be too large and difficult to control in terms of pressure, which could accidentally dislodge your retainers and cause you more concern.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/08/26

More Info


Using an electric toothbrush after dental procedures, such as root canal treatment and the placement of dental implants or crowns, raises several important considerations. Let's address your questions one by one.

1. Impact on Root Recovery: After a root canal procedure, the tooth is often weakened, and the surrounding tissues need time to heal. Using an electric toothbrush can be safe, but it depends on the type of toothbrush and the technique used. Electric toothbrushes can provide a more thorough cleaning compared to manual brushing, but they can also exert more force. If the brush head is too large or if the user applies excessive pressure, it could potentially disrupt the healing process or even cause discomfort. It's crucial to use a gentle technique and avoid aggressive brushing, especially in the area where the root canal was performed.

2. Effect on Dental Implants: Regarding dental implants, electric toothbrushes are generally safe to use. However, if the implant is new, it is essential to ensure that the surrounding gum tissue is healthy and that the implant has integrated properly with the bone. Excessive force from an electric toothbrush could potentially loosen the crown or the implant itself if not used correctly. Therefore, it’s advisable to consult your dentist about the appropriate time to start using an electric toothbrush after implant placement.

3. Types of Electric Toothbrushes: If you decide to use an electric toothbrush, consider the type. Some electric toothbrushes have rotating brush heads, while others use a sonic or pulsating action. Sonic toothbrushes, which create high-frequency vibrations, can be gentler on the gums and may be preferable for someone recovering from dental procedures. It's best to avoid very stiff bristles and to select a brush with a softer head. Always follow the manufacturer's instructions and your dentist's recommendations regarding the use of specific types of brushes.

4. Impact on Retainers: Regarding your lingual retainer (the metal wire bonded to the back of your teeth), using an electric toothbrush should not inherently cause it to come loose. However, if you are brushing aggressively or using a brush head that is too large, there is a risk of dislodging the retainer. It’s essential to be gentle around the area where the retainer is located. If you have experienced issues with the retainer coming loose in the past, it might be wise to stick with a manual toothbrush until you are more comfortable with the electric version.

In summary, while electric toothbrushes can be beneficial for maintaining oral hygiene, caution is warranted after dental procedures. Always consult your dentist for personalized advice based on your specific situation, especially if you have multiple dental devices in your mouth. They can provide guidance on the best practices for brushing and the timing of when to introduce electric toothbrushes into your routine. Regular dental check-ups will also help monitor the health of your teeth and any dental work you have had done.

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