A common question from our patients is what dental products should they be using?

The market is full of dental products all claiming to improve your oral health, but which products are worth the money and which ones would we as dentists recommend?

Toothbrushes

An electric toothbrush has been shown by research to remove more plaque than a manual and therefore most dentists would recommend an electric over a manual – providing it is being used correctly. If you are unsure ask your dentist for a demonstration. Which electric toothbrush you prefer is personal choice, however the research points to one with an oscillating, rotating head. A vibrating toothbrush alone does not show the same results as an oscillating rotating one. Many electric brushes now come with lots of settings and functions all at extra cost to the consumer, whether you go for the highest end brush or the basic one is personal preference. 

Toothpaste

With so many on the market it can be difficult to decide. Guidelines advise a fluoride content of 1000ppmF for under 3 years and 1350ppmF -1450ppmF for all children over 3 years and adults. This is the most important thing to check when you pick a toothpaste. Whitening toothpastes will generally remove surface stain but will not ‘whiten’ teeth. More cosmetic brands including charcoal toothpastes that claim to whiten can be very abrasive and would not be recommended as they can remove surface enamel. Sensitive toothpastes do work well as long as used cumulatively over a period of time, which one you choose is personal preference. Gum toothpastes aimed for patients who suffer with gum problems can be useful however they will never ‘cure’ the condition, often they only reduce symptoms allowing the disease to continue progressing with less discomfort to the patient. Most importantly any toothpaste should contain fluoride to the appropriate level and be used twice daily, spitting after brushing but not rinsing.

Mouthrinses

Generally mouthrinses are not recommended. Plaque biofilm is very resistant to anything but mechanical removal so the low level of chemical disinfection provided in most mouthrinses is unlikely to be of any great benefit. Fluoride mouthrinses are advised during orthodontic treatment and for patients who have high levels of decay. Mouthrinses for gum disease will reduce symptoms but not slow the progress of underlying condition usually leading to worsening of the condition as the patient feels the condition is improving as the symptoms have reduced. 

Never use mouthrinses immediately after toothbrushing.

Interdental cleaning

Floss can be useful if you have very tight spaces between the teeth. Generally most patients will benefit more from the use from interdental brushes, which can be sized for the individual gaps. Water flossers can be a useful adjunct to interdental brushes for hard to reach areas and around implants, they should not replace mechanical cleaning with interdental brushes altogether though. 

We have no affiliation to any brand or product.

By Claire Simpson, Dentist