Brushing Technique
Hello, Doctor.
I recently started using Invisalign, and since improper cleaning can lead to cavities, I would like to ask you a question.
Previously, I brushed my teeth at a 45-degree angle or in a circular motion, brushing two teeth at a time for about 30 strokes (using the Bass technique), and then I would brush vertically for a bit.
However, my orthodontist taught me to brush at a 45-degree angle downwards, brushing 10 to 20 strokes for two teeth at a time, as the horizontal method can be more damaging to the gums.
Consequently, my brushing time has decreased compared to before.
I would like to know if this method really cleans my teeth effectively, whether my previous brushing technique could harm my gums, and which brushing method you would recommend.
Thank you for taking the time to respond!
jojo, 20~29 year old female. Ask Date: 2023/02/24
Dr. Lin Jiayong reply Dentistry
Hello: Since you are currently in the orthodontic phase, it is recommended to follow the instructions of your orthodontist.
It is especially important to be patient and consistently wear your Invisalign aligners! Do not let gum injuries affect the duration of wear.
Reply Date: 2023/02/24
More Info
When it comes to maintaining oral hygiene while using Invisalign, effective brushing techniques are crucial to prevent cavities and gum disease. Your concerns about the proper brushing method are valid, especially since Invisalign aligners can create a more conducive environment for plaque buildup if not cleaned properly.
Understanding Brushing Techniques
1. Brushing Angle: The recommendation to brush at a 45-degree angle is based on the idea that this angle allows the bristles to effectively reach the gum line, where plaque tends to accumulate. This technique is often referred to as the "Bass technique." It is designed to minimize the risk of gum irritation while ensuring that the bristles can clean both the teeth and the gum line effectively.
2. Vertical vs. Horizontal Brushing: The concern about horizontal brushing damaging the gums is well-founded. Brushing too aggressively in a horizontal motion can lead to gum recession and sensitivity. The vertical brushing technique you mentioned, which involves brushing downwards towards the gums, is gentler and can be effective in removing plaque without causing trauma to the gum tissue.
3. Duration and Frequency: While you previously brushed for about 30 seconds per quadrant (two teeth at a time), the new recommendation of 10-20 strokes per two teeth may seem shorter. However, the effectiveness of brushing is not solely determined by the number of strokes but also by the thoroughness of the technique. It is essential to ensure that all surfaces of the teeth are cleaned, including the fronts, backs, and chewing surfaces, as well as the areas around the aligners.
Recommendations for Invisalign Users
1. Use a Soft-Bristled Toothbrush: A soft-bristled toothbrush is less likely to irritate your gums while still effectively removing plaque.
2. Brush After Every Meal: Since Invisalign aligners can trap food particles, it is advisable to brush your teeth after every meal and before reinserting your aligners. This practice helps prevent cavities and keeps your aligners clean.
3. Floss Daily: Brushing alone is not enough. Flossing daily is crucial to remove plaque and food particles from between your teeth, where your toothbrush may not reach effectively.
4. Consider an Electric Toothbrush: An electric toothbrush can provide consistent pressure and motion, which may enhance plaque removal compared to manual brushing. Many electric toothbrushes also have built-in timers to ensure you brush for the recommended two minutes.
5. Regular Dental Check-ups: Regular visits to your dentist are essential for monitoring your oral health, especially while using orthodontic appliances like Invisalign. Your dentist can provide personalized advice and address any concerns you may have.
6. Avoid Abrasive Toothpaste: Some whitening toothpastes can be abrasive and may damage the enamel over time. Opt for a fluoride toothpaste that is gentle yet effective.
Conclusion
In summary, while the brushing technique taught by your orthodontist is valid and aims to protect your gums, it is essential to ensure that you are still effectively cleaning all surfaces of your teeth. The key is to find a balance between a gentle technique that protects your gums and a thorough approach that ensures plaque is removed. If you have any doubts or concerns about your brushing technique or oral hygiene routine, it is always best to consult with your dentist or orthodontist for tailored advice. They can provide guidance based on your specific dental health needs and the progress of your Invisalign treatment.
Similar Q&A
Effective Strategies to Combat Plaque and Prevent Cavities
Hello Dr. Tseng, I have been experiencing dental issues since middle school, where I have been getting check-ups and cleanings every six months. However, it feels like I am constantly getting cavities filled and then developing new ones. In recent years, I have researched denta...
Dr. Zeng Guanghui reply Dentistry
Hello, thank you for your inquiry. I would like to respond to your question and provide the following suggestions: There are two main types of materials used for dental fillings: resin and amalgam. While resin is aesthetically pleasing, its hardness may not be as good as that o...[Read More] Effective Strategies to Combat Plaque and Prevent Cavities
Managing Tooth Sensitivity During Invisalign Treatment: Tips and Insights
I am currently undergoing Invisalign treatment and brush my teeth four times a day (after each meal and before bed). Recently, I have experienced sensitivity in the four lower front teeth, which started around day 70 of my treatment. The sensitivity occurs only with cold food and...
Dr. Lin Jiayong reply Dentistry
Hello: Both types of desensitizing toothpaste are actually very effective, and it is recommended to use them alternately. The desensitizing treatment can be continued, and you may also ask your dentist to apply a high-concentration fluoride varnish. If you experience any discomfo...[Read More] Managing Tooth Sensitivity During Invisalign Treatment: Tips and Insights
Overcoming Dental Anxiety: Navigating Orthodontics and Cleanings
Two to three years ago, I started orthodontic treatment (Invisalign) at a certain clinic, along with regular dental cleanings. The procedures, including scanning the shape of my teeth, creating dental molds (using a purple powder mixed with water applied to metal instruments and ...
Dr. Lin Jiayong reply Dentistry
Hello: It is recommended to return to the original clinic for follow-up. If you are not comfortable with the nurse's handling, you can simply express your concerns at the front desk or inform them when making a phone appointment.[Read More] Overcoming Dental Anxiety: Navigating Orthodontics and Cleanings
Is Your Brushing Technique Correct? Tips for Proper Oral Care
1. Is it correct to brush the front teeth with the upper and lower teeth clenched together and the lips open? 2. Will this method of brushing cause the mouth to stretch wide?
Dr. Huang Zhicheng reply Dentistry
Hello, 1. A tooth has five surfaces. To ensure thorough cleaning, you should not only brush the buccal surface by biting down but also open your mouth to brush the lingual surface, the incisal edge, and use dental floss to clean the two adjacent surfaces. 2. Brushing your tee...[Read More] Is Your Brushing Technique Correct? Tips for Proper Oral Care
Related FAQ
(Dentistry)
Tooth Alignment(Dentistry)
Incisors(Dentistry)
Malocclusion(Dentistry)
Gingivitis(Dentistry)
Retainer(Dentistry)
Interdental Cleaning(Dentistry)
Inlay(Dentistry)
Bruxism(Dentistry)
Halitosis(Dentistry)