Keeping your Teeth and Gums Healthy
This leaflet has been written to help you improve how you care for your teeth and gums.
Tooth brushing is the best way to keep your teeth and gums healthy
You need to remove all the plaque from all sides of your teeth twice a day.
Which toothbrush should I use?
Electric (not battery) toothbrushes are slightly better than normal toothbrushes.
Good electric brushes have a small round head, for example the Braun Professional Care 2000® or the Philips Sonic® small headed brush.
A manual toothbrush should have a small head and medium bristles.


How should I brush my teeth?
- Point the brush towards the gum and apply light pressure so the bristles go under the gum margins
- Try to brush in the same order every time, outside, inside and finally the biting surfaces of your teeth
- Avoid pressing too hard or scrubbing at your gums
- Brushing should take at least three minutes, and should be performed at least twice a day, in the morning and last thing at night
- Also brush your tongue to remove bacteria and keep your breath fresh
- Change your toothbrush regularly, approximately every three months.

What toothpaste should I use?
- Use a pea-sized amount of fluoridated toothpaste unless instructed otherwise
- Do not rinse the toothpaste out of your mouth after cleaning with water or mouthwash, just spit out the excess.
Should I use dental floss/tape?
- We recommend dental tape to clean between your teeth and under your gums
- It should be used daily.
How should I use it?
- Wind the tape loosely around the middle fingers of both hands so you have a length of between 20-30mm
- Pull the tape taught and guide the tape between your teeth
- Work the tape down gently, using a side to side motion with your fingers
- Take care not to hurt your gum
- Work around your mouth in an ordered way to cover all the areas between all your teeth.

What about interdental brushes such as TePe®?
- Sometimes these can be used as an alternative to dental tape
- Use the size recommended by your dentist or hygienist.
How do I use them?
- Gently push the brush between your teeth, working the brush to clean the area thoroughly
- Work around your mouth in an ordered way
- Do not use force as you may damage your gums.

Should I use a mouthwash?
- A fluoride daily mouthwash (0.05% sodium fluoride) helps prevent tooth decay
- Should be used at a different time to cleaning your teeth.
How do I use it?
- Rinse the mouthwash around your mouth, making sure all surfaces have been well covered for at least one minute, then spit the mouthwash out
- Do not rinse your mouth out after with water.

What else can I do to keep my teeth healthy?
Drinks
- Tap water is best
- Avoid fizzy drinks
- Only have acidic drinks (fruit juices, yoghurt drinks, squash and smoothies) occasionally at mealtimes, through a straw if possible
- Do not add sugar to tea and coffee.
Food
- Try not to snack between meals
- Limit any sugary treats to mealtimes if possible.
Make sure you:
- Visit your dentist regularly
- Report any problems such as bleeding gums, pain of any sort including toothache or other sore spots in your mouth.
Further information
Download the Sugar Smart app.
Download the Brush DJ App.
Contact numbers
We hope you have found this information useful, but if you have any questions or are worried about anything, please speak to the orthodontic team:
Orthodontic Department (Dorset County Hospital): 01305 2551747
Orthodontic Department (University Hospitals Dorset): 0300 019 4694
Useful websites
- dentalhealth.org (Oral Health Foundation)
- nhs.uk/change4life (Change 4 Life)
- bsperio.org.uk (British Society of Periodontology)
About this leaflet
Author: Pamela Ellis, Consultant Orthodontist
Written: March 2021
Approved: April 2021
Review date: March 2025
Edition: v2
If you have feedback regarding the accuracy of the information contained in this leaflet, or if you would like a list of references used to develop this leaflet, please email patientinformation.leaflets@dchft.nhs.uk
Print leaflet