Plenty of patients brush regularly and still develop decay and gum problems. The issue is usually not frequency but technique.
1. Horizontal scrubbing
A sawing motion causes gum recession and notching at the tooth neck. Instead, angle the brush at 45 degrees to the gum and use small circular/vibrating strokes (Bass technique).
2. Using a hard brush
Hard bristles do not clean better; they wear enamel and gum. A soft brush with correct technique is always sufficient.
3. Pressing too hard
Bristles splay under pressure and clean less. Holding the brush like a pencil naturally reduces force.
4. Brushing too briefly
Average brushing lasts 45 seconds; two minutes is required. Dividing the mouth into four zones of 30 seconds works well.
5. Forgetting the tongue
The tongue surface holds the highest concentration of odour-causing bacteria. Clean gently from back to front.
6. Skipping floss
A brush reaches only about 60% of tooth surfaces. Between-tooth areas need floss or interdental brushes — where much decay begins.
7. Brushing straight after something acidic
Enamel softens temporarily after orange juice, cola or vinegar. Brushing immediately accelerates wear; wait 30 minutes and rinse with water meanwhile.
Quick checklist
- Soft brush, 45° angle, small strokes
- Twice a day, two minutes each
- Floss once a day
- Fluoride toothpaste
- Replace the brush every three months