Essential Dental Care Tips: Tongue Brushing, Oral Hygiene, and Costs

Dental issues

Hello, Doctor:
(1) Should I brush my tongue (remove the tongue coating) after each time I brush my teeth? Also, I use a separate toothbrush for my tongue and another for my teeth; is that correct?
(2) After brushing my teeth at night, sometimes I notice white, membrane-like tissue on my lips and gums or teeth after a while.
What is that? Is it because I am brushing too hard?
(3) After I finish brushing the upper teeth, I find that there is often not enough toothpaste on the toothbrush when I go to brush the lower teeth, so I have to squeeze out more toothpaste.
However, sometimes I squeeze too much, which makes my lips feel "burned." What should I do?
(4) I would like to know how much periodontal surgery would cost if good materials and methods are used.
Thank you, Dr.
Huang, for your response!

Zilong, 20~29 year old female. Ask Date: 2008/07/27

Dr. Huang Zhicheng reply Dentistry

1.
The oral cavity is a vast environment that can host seven to eight hundred types of microorganisms.
Therefore, it is acceptable to use the same toothbrush for brushing teeth and the tongue.
However, after using the toothbrush, it should be rinsed and stored upright to prevent bacterial growth, and it is advisable to replace it every 1 to 2 months for better hygiene.

2.
The oral mucosa is extremely delicate; the shedding of the epithelial layer of the gingival mucosa after brushing is normal.
If there is any debris, it is likely just plaque that has been removed and should not be a cause for concern.
3.
A small amount of toothpaste is sufficient; the focus should be on technique while brushing.
The mechanical action of the toothbrush is what removes dental plaque; unless the toothpaste contains fluoride to prevent cavities, simply wetting the toothbrush is adequate.
4.
Periodontal surgery is more expensive than artificial bone grafts, regenerative membranes, and new laser equipment; costs can range from ten thousand to thirty thousand, depending on the specific situation.

Sincerely,
Dr.
Huang Chih-Cheng, Attending Physician, Taoyuan Hospital, Department of Health, Executive Yuan.

Reply Date: 2008/07/27

More Info

When it comes to dental care, there are several essential practices that can significantly impact your oral health. Let's address your questions one by one, providing insights based on current dental knowledge.

1. Tongue Brushing: Yes, brushing your tongue is an important part of oral hygiene. The tongue can harbor bacteria and food particles, contributing to bad breath and other oral health issues. Using a separate toothbrush for your tongue is not necessary, but if it makes you feel more comfortable, it’s acceptable. However, it’s crucial to ensure that both your toothbrushes are kept clean and are replaced every 1-2 months to prevent bacterial growth. You can also consider using a tongue scraper, which is specifically designed for this purpose and can be more effective than a toothbrush.

2. White Membrane After Brushing: The white substance you notice on your lips and gums after brushing could be a few things. It might be a result of the natural shedding of the oral mucosa, which is normal. However, if it appears to be excessive or is accompanied by pain or discomfort, it could indicate that you are brushing too hard, which can irritate the gums and lead to inflammation. It’s essential to use a gentle technique when brushing your teeth and gums. If the issue persists, consider consulting your dentist for a thorough examination.

3. Toothpaste Application: It’s common to feel that there isn’t enough toothpaste on your brush after cleaning the upper teeth. The amount of toothpaste you use should be about the size of a pea for adults. If you find that you need to apply more for the lower teeth, try to use a smaller amount initially and then add a little more if necessary. It’s important to remember that the mechanical action of the toothbrush is what removes plaque, while fluoride in the toothpaste helps to prevent cavities. Therefore, you don’t need to overdo the toothpaste. If you find that the toothpaste is causing irritation to your lips, you might want to try a different brand or a lower concentration of fluoride.

4. Cost of Periodontal Surgery: The cost of periodontal surgery can vary widely based on several factors, including the complexity of the procedure, the materials used, and the geographical location of the dental practice. Generally, the cost can range from $1,000 to $3,000 or more. High-quality materials and advanced techniques, such as laser surgery, may increase the cost but can also improve outcomes. It’s best to discuss your specific situation with your dentist, who can provide a detailed estimate based on your needs.

In summary, maintaining good oral hygiene involves not just brushing your teeth but also taking care of your tongue and gums. Regular dental check-ups, proper brushing techniques, and appropriate use of dental products are key to preventing dental issues. If you have any concerns about your oral health or specific symptoms, it’s always best to consult with a dental professional who can provide personalized advice and treatment options.

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