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Learn About Tooth Abrasion and Overbrushing

Recently, the issue of over brushing and its direct link to tooth abrasion has been a topic in many journal and news articles. A story in The Wall Street Journal (dated February 4, 2000) stated that in many cases, "the culprit in toothbrush abrasion is the toothbrush itself." This issue is particularly important because people can damage healthy teeth and gums by brushing too hard, oftentimes with a medium- or hard-bristled toothbrush. In fact, dentists and representatives of the American Dental Association have recommended for years that people use a soft-bristled toothbrush for their dental care.

Our teeth and gums are susceptible to wear and tear like all other parts of our bodies. In cases of improper brushing, such as brushing too vigorously, gum tissue can be worn away. Receding gums then lead to other significant dental problems such as sensitive teeth, periodontal disease, cavities, root canals, and potentially removal of teeth.

Solutions to brushing too hard and causing tooth abrasion include adjusting the angle of your toothbrush (it should be at a 45-degree angle), lessening the amount of pressure you use, monitoring the length of time, as well as making sure that you are using a soft-bristled toothbrush. In addition, always ask your dentist for specific recommendations related to your oral health care.

While the potential harm to teeth and gums through over brushing is significant, an even greater percentage of the population suffers damage to their teeth from occlusion (bad bite), genetic factors, and poor overall dental hygiene. It is critical to carefully maintain and monitor your oral health. The best approach to maintaining good oral health is to brush your teeth twice a day with a soft-bristled toothbrush to prevent tooth abrasion with fluoride toothpaste, floss or clean between the teeth using an interdental cleaner (special brushes, picks or sticks), and visit your dentist every six months. Follow your dentist's advice with regard to any changes to this regimen.

By Brian J. Gray, DDS, MAGD, FICO

Discover How Your Dentist Can Help You With Mouth Cancer

According to the American Cancer Society, about 30,000 new cases of mouth cancer will be diagnosed this year, and more than 8,000 people will die from it. Mouth cancer ranks as the sixth most common form of cancer that can affect any part of the mouth or lips. When detected early, the chances for successful treatment are enhanced. If left untreated, it can spread, leading to chronic pain, facial and oral disfigurement, loss of function, and even death. As a result, early detection and diagnosis of mouth cancer is vital.

Smoking and chewing tobacco significantly increase your risk. The carcinogens in tobacco, alcohol, and certain foods are leading risk factors. In fact, if both tobacco and alcohol products are used, one is 15 times at greater risk for developing mouth cancer. Exposure to sun also is linked to mouth cancer. Age, gender, and genetics are factors, too. About 95% of all mouth cancers are diagnosed in people 45 years or older. Men are twice as likely to develop mouth cancer as women.

Mouth Cancer Warning Signs

If you notice any of these symptoms, contact your dentist immediately for a thorough screening:

• A persistent sore on your lips, gums, or inside your mouth that doesn't heal within two weeks.
• Repeated bleeding in your mouth without any known cause.
• Swelling, thickening, or lumps in your mouth, neck, lips, or on the tongue, often painless in the early stages.
• Difficulty chewing or swallowing food, or difficulty in speaking or moving your tongue or jaw.
• Numbness or pain in your throat or mouth without any known reason.
• Color changes such as white, scaly patches or red lesions inside your mouth or on your lips.

Preventive Measures

Following good oral hygiene practices, eliminating risk factors such as tobacco and alcohol, and scheduling regular dental exams are important to maintaining good oral health. Research also has demonstrated that eating plenty of fruits and vegetables every day is a positive practice.

Dentists screen for mouth cancer during regular routine check-ups. They feel for lumps, tissue changes in your neck, cheeks, head, and mouth and look closely for sores. Early detection of cancer and prompt treatment is critical. Ask your dentist for more information about preventing mouth cancer.

By Richard Rogers, DDS