Electric toothbrushes: yes or no? Dentist’s advice

Electric toothbrushes have become extremely popular in recent years. Their use promises better oral hygiene, more effective plaque removal and easier maintenance of healthy teeth and gums. But there is still a dilemma among many: are electric toothbrushes better than traditional manual toothbrushes? In this article, we analyze the advantages and disadvantages of electric toothbrushes and advise dentists who need them the most.

What do the studies say?

Numerous studies on oral hygiene point to the advantages of electric toothbrushes. Research has shown that electric toothbrushes more effectively remove dental plaque, the main cause of tooth decay and gum disease. A 2019 study, which included more than 11 years of data, found that people who use electric toothbrushes have healthier gums and less tooth decay than those who use manual toothbrushes.

Electric brushes, thanks to rotating, oscillating or vibrating movements, achieve much more movements per minute than is possible with a manual brush. These vibrations and rotations help remove plaque more thoroughly and effectively, even in hard-to-reach places like the back teeth.

Advantages and disadvantages of an electric toothbrush

Advantages of electric toothbrushes

1. Better plaque removal: One of the key benefits of electric toothbrushes is their ability to effectively remove plaque. Thanks to the oscillating movements and higher brushing speed, these brushes can reach hard-to-reach places, such as the area between the teeth and along the gum line.
2. Easier to use: Electric brushes are easier to use, especially for children, the elderly and people with reduced motor skills. Unlike a manual brush, with an electric brush it is not necessary to make circular movements, but it is enough to gently place it on the teeth and let it do the work.
3. Built-in timers: Many electric toothbrushes come with built-in timers that signal when the recommended two minutes of brushing have passed. This helps users adhere to the recommended brushing time, which is not always the case with manual brushes.
4. Less gum damage: Proper use of an electric toothbrush can reduce the risk of gum damage. Since there is no need for vigorous brushing, the possibility of irritation and receding gums is also reduced.
5. Different modes: Electric toothbrushes often offer different modes, such as gentle cleaning, gum massage, and teeth whitening, giving users the ability to customize brushing to their needs.

Disadvantages of electric toothbrushes

1. Price: One of the main disadvantages of electric toothbrushes is their price. They are significantly more expensive than manual brushes, and in addition, it is necessary to change the attachments periodically, which further increases costs.
2. Susceptibility to malfunctions: Electric brushes are sophisticated devices and prone to malfunctions. If not stored and maintained properly, they can quickly stop working, which can be frustrating, especially considering their price.
3. Accessories needed: Electric brushes require charging or replacing batteries, which can be inconvenient, especially when you’re travelling. In addition, brush heads need to be replaced regularly, which requires additional costs and planning.
4. Too much power for sensitive gums: For some users with sensitive gums or teeth, electric toothbrushes can cause discomfort or pain if used incorrectly or if the brush is too strong. That’s why it’s important to choose a brush with a mode that suits your needs.

To whom do dentists not recommend electric brushes?

1. People with very sensitive gums: If someone has extremely sensitive or inflamed gums, an electric toothbrush, especially if it does not have the appropriate gentle mode, can further irritate the gums and cause discomfort.
2. People with certain dental problems: Patients with certain dental problems, such as receding gums, periodontal disease, or recent dental procedures, should use gentler cleaning methods. In such cases, the dentist may advise to temporarily avoid electric brushes.
3. Children under three: Although there are electric toothbrushes designed for children, experts often advise that children under the age of three use gentler, manual toothbrushes. This allows them to better develop brushing habits and control over-brushing.
4. People who cannot control the pressure: Electric brushes can be too rough if the user does not control the pressure while brushing. People who cannot properly control the pressure, whether due to inexperience or other reasons, can damage tooth enamel or gums.
5. People with dental implants or sensitive dentures: the electric brush may be too strong for some dental implants, such as newly installed dental implants, crowns or dentures. The dentist may recommend a gentler cleaning method during the adjustment period.
6. Patients with orthodontic appliances: Although electric toothbrushes can be useful for removing plaque in people with orthodontic appliances, some models can be too aggressive on brackets and wires, especially if not used properly.
7. People with certain medical conditions: People with certain neurological or motor disorders that affect movement control, such as Parkinson’s disease or arthritis, may have difficulty using an electric brush properly. In such cases, a handbrush with soft bristles may be a better choice.
8. People who prefer manual brushing: For some people, the manual brush and brushing method allows for better control and precision, so they may opt for traditional brushing due to personal preference.

The difference between a classic and an electric toothbrush

Although brushing your teeth looks similar regardless of the type of brush, there are significant differences between a classic (manual) and an electric toothbrush. These differences relate to the way of brushing, the effectiveness of plaque removal, the duration of brushing and the ease of use.

1. Method of brushing

• Classic brush: To effectively remove plaque with a manual brush, you need gentle, circular movements with which you clean all surfaces of the teeth. It is also important to angle the brush at a 45-degree angle towards the gums to remove plaque along the gum line.
• Electric brush: Electric brushes themselves perform rotating, oscillating or vibrating movements. It is enough to gently place the brush on the teeth and move it from one tooth to another. This makes brushing easier, especially for people with fine motor difficulties or for children.

2. Plaque removal efficiency

• Classic brush: With manual brushes, the effectiveness of removing plaque depends on the correct technique, pressure and brushing time. Improper brushing can lead to plaque build-up, cavities and gum problems.
• Electric brush: Electric brushes are more efficient because they perform more movements per minute than is possible with a manual brush. Thanks to the rotating and oscillating heads, they reach hard-to-reach places more easily, such as the space between the teeth and along the edge of the gums.

3. Duration of brushing

• Classic brush: Brushing time depends on the user’s judgment. Dentists recommend brushing for at least two minutes, but many people finish earlier, which can result in teeth that are not clean enough.
• Electric brush: Most electric toothbrushes have built-in timers that signal when the recommended brushing time has passed. Some models also have interval timers that remind you to change the brushing zone for a thorough cleaning.

4. Pressure control

• Classic brush: With a manual brush, it is often difficult to control the pressure, which can damage the enamel and irritate the gums.
• Electric brush: Many electric toothbrushes have pressure sensors that warn if the pressure is too strong, thus protecting the teeth and gums.

Conclusion: Whatever you choose, regular visits to the dentist are essential for health

The difference in brushing teeth between a classic and an electric toothbrush is in the method and efficiency of plaque removal, pressure control and durability of brushing. Electric brushes offer simpler and more effective brushing with less effort, with additional features such as timers and pressure sensors. On the other hand, the classic brush requires proper technique and attention while brushing, but is more accessible and easier to use.

Whichever brush you choose, it is important to follow the rules of proper tooth brushing and regularly visit the dentist for expert advice and treatment.