CATEGORY 82 AUSTRALASIAN DENTIST CLINICAL Daily brushing is not the same as effective brushing Toothbrushing is one of the most fundamental self-care behaviours we recommend to patients. It remains surprisingly ineffective in practice, though. Despite daily brushing, many people continue to accumulate a lot of plaque, often without realising it. Evidence suggests that, on average, a single toothbrushing session reduces plaque by approximately 50%, but this varies widely depending on technique, duration, and toothbrush design.1 As dental professionals, our role extends beyond recommending toothbrushing. We must actively guide, personalise, and encourage healthy, effective habits. Why technique matters more than frequency Many people brush twice daily yet still experience gingival inflammation or progressing periodontitis. The difference is often related to technique, not how often they brush their teeth. Research shows that even motivated people typically remove only about 50% of plaque during regular brushing. Additionally, most follow habitual brushing patterns without structured guidance, which further limits effectiveness.1 This underscores a key message for clinicians: Toothbrushing is not intuitive; it needs to be taught, shown, and practised regularly. Practical chairside strategies include: u Demonstrating brushing using the patient’s own toothbrush u Focusing on the gingival margin and interdental areas u Encouraging slow, systematic brushing patterns u Using disclosing agents to visualise residual plaque Manual or power toothbrush? A pragmatic, patient-centred approach Both manual and powered toothbrushes can be effective when used correctly. However, manual toothbrushes remain highly relevant, especially when supported with individualised instruction. The evidence shows that toothbrushing efficacy is influenced by brushing duration and, to a small extent, bristle design.1 u Multilevel or angled bristle designs may improve plaque removal compared with flat-trim designs.1 u Increasing brushing time (e.g. from 1 to 2 minutes) significantly improves plaque reduction.1 Manual toothbrushes offer key advantages: u Accessibility and affordability u Better for the environment2 u Full control over technique u Opportunity to reinforce patient engagement and awareness At the same time, powered toothbrushes can be a valuable recommendation for: u Patients with limited dexterity u Low motivation or inconsistent technique u Orthodontic or complex restorative cases Ultimately, the “best” toothbrush is the one the patient uses effectively and consistently with professional guidance. In this context, TePe Supreme™ can be presented as one manual toothbrush option. It is an innovative toothbrush with two levels of filaments. This design enables more efficient cleaning further between the teeth and along the gum line. From habit to skill: everyone can learn to brush better By Dr Michaela von Geijer, Senior Clinical and Education Advisor, TePe Oral Hygiene Products AB. Dr Michaela von Geijer Most people brush their teeth daily. Most people also believe they know how to brush their teeth. Research suggests otherwise. Learn why professional guidance remains essential, and how small changes in technique, routine, and toothbrush selection can make a meaningful difference to oral health.
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