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Toothbrush and Mouthwash - CHOICE # 390

  • 2009.04.15

Is it necessary to use mouthwash to maintain oral health?

The answer is not quite. But what you do need is a good toothbrush, as well as its correct and consistent application, to effectively remove dental plaque.

Additionally, clean the adjacent tooth surfaces by flossing.

Included in this April issue of CHOICE is a comprehensive report on two basic products to keep your mouth clean and healthy - the humble but indispensable toothbrush, and the ever refreshing mouthwash.

The report stressed that there is no better alternative to good oral health but to brush your teeth thoroughly every day in the morning and before bed, and clean the adjacent tooth surfaces by flossing.

So what makes a good toothbrush? Essentially, a toothbrush head should be small for easy access to all areas of the mouth, teeth and gum, and preferably with soft bristles.

And when its bristles become splayed and frayed, change to a new one. Not only are old toothbrushes ineffective, they may harbour harmful bacteria that can cause infection such as gingivitis and periodontitis.

In any case, it is recommended to change toothbrushes every three to four months.

For interdental (between the teeth) cleaning, there are available in the market a number of aids such as dental floss and interdental brush.

Dental floss may or may not be waxed and is gentle on teeth and gum. Interdental brush comes in various sizes to suit the spaces between the teeth. Both options are preferable to toothpicks.

For most people, brushing thoroughly with fluoride toothpaste twice daily and flossing will suffice to maintain oral health.

In general, there is little or no need to use mouth rinse which people often use to help freshen their breath.

Some mouthwashes may contain anti-bacterial ingredients to help reduce gum disease and control plaque.

Mouthwash products that contain chlorhexidine are particularly effective in treating gum infections and maintenance of oral hygiene of people after oral surgery.

Products with chlorhexidine must be used in moderation and not over a prolonged period of time as they can cause staining though this can be removed by a dentist or a dental hygienist.

Users are advised to consult their dentist before use and follow the manufacturers' instructions at all times.

Parents are reminded to keep mouthwash products away from children to prevent accidental ingestion. The products may contain alcohol, are usually in attractive colours, and may not always have child resistant caps.

Further, do not rinse, eat or smoke for 30 minutes after using mouthwash to keep its effects in full. More advice to maintain good oral health:

  • Thoroughly clean the teeth.
  • Establish good dietary habits. Reduce the intake of sugars, and avoid taking acidic food and beverages.
  • Have regular dental check-up.
  • Do not smoke.

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