Ask the Dentist: What’s the Best Toothbrush and Toothpaste: A Comprehensive Guide

Does the type of toothbrush or toothpaste matter when it comes to keeping your teeth clean and healthy?

On the one hand, you can argue that it’s not about the toothbrush that you use, but more about how you use the toothbrush and the technique you have, but on the other hand, choosing the right toothbrush and toothpaste can maximise your ability to maintain healthy teeth and healthy gums.

With so many options available, it can be overwhelming to determine the best products for your needs. This comprehensive guide will help you make informed choices based on expert recommendations, scientific research, and practical considerations.

How to Choose the Right Toothbrush

The right toothbrush can make a significant difference in your oral hygiene routine.

Consider the following factors when selecting one:

1. Manual vs. Electric Toothbrush

• Manual Toothbrush: Effective when used properly, affordable, and widely available. Always go for a small toothbrush head to allow you to manoeuvre around the back teeth and small gaps between teeth (large toothbrush heads can skim over the back teeth and not be as effective as removable plaque in the small gaps between teeth). Use a soft toothbrush to help protect the gumline and minimise the risk of gum recession.
• Electric Toothbrush: Use oscillating electric toothbrushes as opposed to sonic/vibration electric toothbrushes because oscillating ones actually clean better. Provides superior plaque removal, easier for individuals with limited dexterity, and often comes with smart features like pressure sensors. Electric toothbrushes do 3 times more cleaning than manual toothbrushes. For example, 2 minutes of electric toothbrushing is equivalent to 6 minutes of manual brushing

2. Bristle Type

• Soft Bristles: Recommended by dentists as they effectively clean without causing gum recession or damage to the tooth.
• Medium and Hard Bristles: Can be too abrasive and may lead to enamel erosion and gum recession. They only exist because manufacturers play on the psychology that some people think that harder and firmer toothbrushes clean better which is not true.

3. Brush Head Size and Shape

• A smaller brush head allows for better access to hard-to-reach areas such as overlapping and crowded teeth or the back molars.
• Angled or multi-level bristles help improve plaque removal.

How to Choose the Right Toothpaste

Toothpaste selection depends on individual oral health needs.

Here are some key considerations:

1. Fluoride Content

Fluoride helps strengthen enamel and prevent cavities. The American Dental Association (ADA) and Australian Dental Association (ADA) recommends fluoride toothpaste for most individuals aged 6 and over.

• Children Age 0 to 18 months – For children under 18 months, the ADA recommends no toothpaste
• Children Age 18 months and 6 years – The ADA recommends to only use fluoride toothpaste if they can spit the toothpaste out and to use children’s strength fluoride toothpaste (500ppm or less). There are different flavours available for children.

2. Special Formulas

• Whitening Toothpaste: Contains mild abrasives and peroxide to remove surface stains.
• Sensitivity Toothpaste: Includes ingredients like potassium nitrate to reduce tooth sensitivity such as Sensodyne or Colgate Sensitive
• Tartar Control Toothpaste: Helps prevent tartar buildup with pyrophosphates or zinc citrate.
• Natural Toothpaste: Free from artificial additives but may lack fluoride.

3. Ingredients to Avoid

• Sodium Lauryl Sulfate (SLS): Can cause irritation for those with sensitive gums.
• Artificial Sweeteners and Dyes: May not be suitable for individuals seeking natural alternatives.

How Much Toothpaste Do I Need?

Adults – For children 6 years and older and for adults it’s a pea sized amount of toothpaste. When squeezing the toothpaste onto the toothbrush, try to push the toothpaste into the bristles so that it doesn’t fall off

Children between 18months and 6 years – A smear of toothpaste

Some Recommended Toothbrushes and Toothpastes

Toothbrushes

1. Oral-B iO Series 9 (Best Electric Toothbrush for Overall Oral Health)
2. Oral-B Pro 800 (Best Budget Electric Toothbrush)
3. Colgate 360 Advanced Soft Toothbrush and Systema Compact Super Soft Bristle (Best Manual Toothbrush)
4. Colgate Max Fresh Wisp Disposable Mini Toothbrush (Best for Travel)

Toothpastes

1. Sensodyne Complete Care (Best Overall Fluoride Toothpaste)
2. Sensodyne Rapid Relief (Best for Sensitivity)
3. Grants Mild Mint Toothpaste or Tom’s of Maine Fluoride-Free Toothpaste (Best Natural Option)
4. Colgate Optic White (Best Whitening Toothpaste)
5. Jack N’ Jill Toothpaste (Best Kids Toothpaste)

Proper Brushing Technique

Using the right toothbrush and toothpaste is only effective if you brush properly. Follow these steps for optimal oral hygiene:

1. Brush Twice Daily: Morning and night for at least two minutes each time.
2. Use a Pea-Sized Amount of Toothpaste: Enough for effective cleaning without excessive foaming. Only use a smear of toothpaste for children 6 and under.
3. Hold the Brush at a 45-Degree Angle: This helps remove plaque at the gum line.
4. Use Gentle, Circular Motions: Avoid aggressive brushing to prevent gum damage.
5. Don’t Forget Your Tongue: Bacteria accumulate on the tongue and contribute to bad breath.
6. Replace Your Toothbrush Every 3-4 Months: Or sooner if the bristles appear frayed.
7. Watch this video released by the Australian Dental Association on How to Brush your Teeth Properly

Conclusion

Selecting the best toothbrush and toothpaste can play a crucial role in maintaining excellent oral health. Whether you prefer manual or electric toothbrushes and fluoride or natural toothpaste, finding the right combination tailored to your needs is essential. Pairing these choices with good brushing habits ensures a healthier smile.