Up Your Dental Game

Barbara Tritz
· April 26, 2020 ·

21 minutes

This blog’s been silent too long!

AAOSH Presenter! I filled in for Dr Adam Miller- Big Shoes to Fill!

Last October 2019, almost a year ago now (how time has flown!) I had the opportunity to speak on behalf of Biocidin Bio Botanicals at the American Academy for Oral Systemic Health‘s annual conference meeting in beautiful Nashville, Tennessee. What an incredible honor to share my information with about 200 other dental professionals. The title of my talk to them was “Up Your Game”. I spoke of all the many things we do in my biological dental office, Green City Dental to test for, treat and even more important, prevent dental diseases. I’ve been meaning to get back to my keyboard and share that with all of you as well. Now, with the current health concerns in the world I thought it might just be time to go back to some basics of oral wellness first. Since many diseases are connected to the mouth or through the mouth, let’s get your mouth healthy so your body’s healthy. This may help in boosting your immune system, and allow us to focus on things we can do to heal ourselves. The mouth is the window to our soul.

Let’s up your dental game!

The Invisible Problem Maker

Plaque is invisible. How do you address something you can’t see? If you cannot see it, you get used to it being on your teeth. You brush often (maybe not five times a day but a lot) yet there’s still bleeding and tooth decay. I know you are doing your best and it’s frustrating to get the same tooth brush lecture every time you see your hygienist. So, let’s address what’s going on and what we can do to fix the problem. :

Inadequate duration and frequency of brushing – not brushing long enough or often enough

Challenges of reaching hard to access areas of the mouth- small mouth, lots of teeth, dental work, and crowding.

Poor oral hygiene instructions – learning how to take care of your particular dental health needs

Ability and dexterity- oral health takes work, hard work to access all the places plaque hides and it can be very challenging

Loss of motivation – frustration, resignation and fatigue all play a role in keeping teeth healthy

Suboptimal technique – the standard tooth brush hasn’t changed but fancy dentistry sure has and it makes it challenging to clean all these surfaces

All these issues are fixable. Dental hygienists are prevention and wellness specialists. That’s the thing I like to do best. Each and every person needs a customized oral wellness plan for their individual needs. A five year old child shouldn’t be brushing with the same brush as a teen with braces as a senior with arthritis. Yet, everyone seems to leave a dental office with a standard tooth brush. I compiled everything I know about toothbrushes and brushing so let’s figure out answers to the above dilemmas.

Let’s Start at the Very Beginning

That’s a very good place to start! Gum disease and tooth decay are NOT inevitable. You and your toothbrush need a reboot. We grab that old thing, and start scrubbing our teeth like we’re cleaning the grout in the shower. Ah, no. Slow down there…

The goal of brushing is to gently remove as much plaque from the teeth and disrupt the bacterial biofilm growing in your entire mouth- more on that shortly. The toothbrush – either electric or manual – cleans at very best 60% of the tooth surfaces of the tooth IF you spend the time to get all the plaque off these flat surfaces. Most folks still leave at least 40 to 50% of the plaque behind on these flat tooth surfaces. More on that in a moment. If you do the best brushing job you can, there is still 20% on each side of the tooth the brush never can reach (we’ll discuss that in the floss/irrigation/interproximal post coming soon).

So, as I just mentioned, and as some of my patients can attest, there can still be a lot of plaque left after what they thought was good brushing. You can’t remove what you can’t see. I often use a product called “disclosing solution” that stains the plaque pink/red so my patients can SEE how much they did or did not remove. This disclosing tablet or liquid solution is available online. If you want to test yourself, I recommend it. Seeing is believing.

Tooth Brush Wars: Manual vs Power

What to use? I always recommend power tooth brushes, always. Even for children, They just do a better job, and do it faster. Manual tooth brushes are three thousand-year-old technology. We barely keep our cell phones for a few years, why would we rely on a tool that really has not improved in eons?

If you use a manual brush know that it takes adults about 10 to 15 minutes to truly get all the plaque off your teeth. Research says most folks use a manual brush for 30 to 45 seconds. Then there’s foam, spit, rinse, and all done. Oops, not long enough.

But you love that manual tooth brush! I hear that all the time. It’s just fine, you say… Problem is, the manual brushes are only as good as the operator. But your mouth tastes good and your teeth feel clean, you say. Here’s the sad minty truth. Your pepperminted, foamy, expensive toothpaste numbs your tongue and makes you think things are clean. You can’t tell there’s still a load of fuzzy plaque on your teeth as you run your numb tongue over them. Grab your disclosing tablets and open your eyes to the cold, hard, hot pink truth. They are still covered with plaque. Everywhere.

We usually brush in the same pattern each time we brush so we miss the same areas over and over and over. That’s why you have tartar build up in the same areas all the time. (More on how to change that pattern in a moment.) Plaque then builds up in these areas and this allows dental diseases like gingivitis and tooth decay to settle in and contribute to 57 other systemic illnesses and counting. (That we know of at this time).

I do a presentation at the local nursing assisting program where I show the CNA students how to brush each others teeth, as nursing assistants will do for their patients. I have them brush each other’s teeth, then I use disclosing solution to show them how good a job their “nursing assistant buddy” did in their mouth. Then it’s back to the sink to remove the remaining plaque and get all the red dye off. It always takes the class another 15 minutes of vigorous manual brushing to get to be plaque and red dye free. Using disclosing solution or tablets is always a worthwhile learning experience.

The Cold Hard Facts:

Brain health, heart health, and well, darn near everything is connected to the health of your mouth. Just a quick example:

50% of heart attacks are triggered by oral pathogens

Periodontal Disease is as big a risk factor as high blood pressure for strokes

75% of bad breath is due to plaque biofilm rotting on the tongue

Six oral spirochetes that live in the plaque biofilm in the mouth are causal for Alzheimer’s dementia

Heart disease is a blood vessel inflammation disease – and guess where the inflammation comes from (hint -got bleeding gums?)!?!

The pathogens from the mouth infect the lungs, the brain, the heart, erectile dysfunction, the joints, cancer, and even cross the placenta. Click here for more research.

I say- let’s get better tools to do a better job. I see a theme here.

Give Me Power – Up your dental game

IMHO = power brushes are the bomb. That’s the best way to reduce and remove plaque biofilm. Period. That is the goal of brushing for everyone: children, adults, teens, seniors. (IF you have issues with vibrations, or other sensory issues I have a suggestion next so hang on there.) Yes, everyone can and should use a power brush. Why? They work better. Bottom line is- they keep you brushing for two minutes because most folks use it for the entire time.

The vibrating bristles also do a better job of disrupting that plaque. The power brush moves at about 3000 brush strokes per minute. At best you can wiggle and shake your manual brush about 300 times in one minute but we know most manual-brushing folks don’t brush even that long. Bottom line again: power brushes clean off the plaque better, which is the goal. Brushing harder is not effective- brushing smarter with better tools is the key.

Yes, electric brushes cost more than a manual brush. Their prices range from $30.00 to $250.00. It’s a choice. When I present in the local school health classes I tell my students all about how the mouth health is connected to body health, and that maybe they could babysit or mow lawns to earn the money. It is time to get serious about health and buy their own brush. Most everyone has a cell phone and that needs to be replaced much more frequently.

I have Skin in this Game.

I have purchased the following electric brushes (some at a professional discount but not all) :

  • Oral B Braun – effective but noisier than other brushes
  • Sonicare – many models over the last 30 years- each one better than the last
  • Triple Bristle Brush – game changer
  • Sonic Fusion by Waterpik – you get a twoferone deal here!
  • Kyoui – simply the best and I have a coupon for you below
  • Quip – slim, easy, and no EMFs
  • 30 Second Smile – Hydra Brush – brush six surfaces at once

Each of these brushes have their pluses, some minuses, but all work better than the most expensive manual brush – in my opinion.

I think it is important for me as your dental professional to know what these brushes cost, how effective they are, how loud they sound, how they work, how they feel, how easily they remove plaque, how long they last and if they are worth the money. I know they are not cheap so I want a good quality product, and know that I’m recommending something worthwhile for my patients and you, my readers. So many great toothbrushes and each unique in its own way.

Most brushes are guaranteed for two to five years. If I do have a problem with the brush I call the company and discuss it with them, I have never had a bad experience. They have all been helpful and willingly replace parts as needed. Now, I don’t expect anyone to give me a new brush or charger base if my brush is 10 years old. I appreciate that companies want to do right by their customers and at the same time we must not take advantage of their generosity.

Currently on my bathroom counter I have the Triple Bristle Brush, the Kyoui and the Sonic Fusion. I have farmed out the Oral B Braun, Hydrabrush, and Sonicare to other family members (with new brush heads!!) just because there is not enough room on my counter for all these brushes. My Quip is at the office because it travels well, and fits in my cabinet there for my after-lunch brush.

More on my fav’s at the bottom of the post.

Sensitive People Need Brushes Too

For those sensitive folks- and you know who you are:

#1- Good Vibes vs EMF (Electromagnetic field) Those that have electromagnetic hypersensitivity from electric brushes find their electric tooth brush bothers them. If that’s the case, you can try a battery powered brush like Quip. It uses a triple AAA battery and emits no levels of EMF. The silicone head is different than the usual nylon bristle head and takes some getting used to, but once you do, it too is effective at removing plaque.

And, my favorite brush, the Kyoui is also EMF free. More on that below.

#2. You just plain don’t like the vibration. I get it. The very first time I used a Sonicare tooth brush 30 years ago I thought it tickled way too much. How could I get anyone to use it if I couldn’t stand the tickle myself? I knew it did a better job though.

Here’s the thing- because I paid for it, I had 30 days in which to be able to return it at no charge. So I decided to give it the old college try. I started with 5 seconds. Then I would continue with my manual tooth brush. Next time brushing I’d go for 6 seconds. Each time I would go just that little bit longer. Before the end of the month, I was desensitized to the tickle and actually wanted more power so I took out the O ring (that’s how they initially dampened down the power back in their early days. Now, the power gradually ramps up with each use until you get used to the full vibration). Many of these brushes can be reset back to half power. Call the company and inquire if the vibration does bother you.

Truth be told, I can’t live without my electric brush any more. If I forget to pack it(!), by day three of a vacation I sorely miss it. Manual brushes just do not leave you with the nice squeaky-clean feeling. Even I don’t want to brush for 10 minutes when using my manual brush.

#3. Sensory issues- There are children and adults with sensory issues, or cognitive impairment or dementia that cannot use power brushes. Some may not even like manual brushes or toothpaste. Don’t struggle, I have just the tool for you.

It is the one manual tooth brush I really like- It is called a Myomunchee (Photo below) . It comes in all sizes. My seven-month-old grandson is using the bebe munchee right now instead of a pacifier. The munchee fits over the top and bottom teeth/gums, and has little fingerling projections that will gently clean your teeth. No toothpaste needed. The rubbing of the appliance against your teeth and your own saliva makes this work.

You can initially use is passively, then gently start working up to gentle up and down chewing for 10 minutes. Do not chew it like you are chewing gum, this is a very gentle up and down chewing motion. (Note the use of the word GENTLE) The munchee will clean your teeth, stimulate saliva, strengthen muscles, teach lips-together posture, promote nasal breathing, as well as proper swallowing. How magical is that?! All in one simple tool. I love watching my grandson learn to chew with it. He’s also teething, and you can tell it feels good on his sore gums!

Here Comes the Fuzz

Think back- have your teeth felt fuzzy in the middle of the day or maybe first thing in the morning? Can you take your fingernail and scrape off a little bit of white stuff? (That’s plaque.) If so, you left plaque behind after brushing. It then grew and thickened during the day or over night. Plaque is alive and teeming with microbes, both good and bad. Our job is to reduce the number of microbes so the good bacteria thrive. That is the goal of tooth brushing (not food removal).

When the plaque gets thick, the bacteria get more organized. The acidic-loving “bad” bacteria love an oxygenless environment so they get to be the ones that grow and thrive. That’s when the plaque becomes what we call “pathogenic”. The balance of the bacteria and other pathogens shifts towards disease.

Again, the goal of all tooth brushing is to remove the plaque so the teeth are clean and healthy, (and of course so our breath smells good). Plaque, unfortunately, loves living in a dark, sticky, thick, and very slimy biofilm layer on your teeth, gums, cheeks, tonsils, and tongue. Think about a stream with those slick rocks- that’s a biofilm. Biofilms are impenetrable. Antibiotics cannot get through that wall the bacteria and pathogens make to keep you out. The only way in is through mechanical action – I. E . brushing it out. (That’s also why flossing or interproximal brushes really works best to clean in-between the teeth, but that’s a post for another day.) No matter how much water in the stream rushes over those rocks, the biofilm is still intact. So, rinsing and swishing with mouthwash won’t help much either.

IF you must use a manual brush- here’s my tooth brushing secret- DRY brush. NO tooth paste, no water – brush until your teeth feel and taste clean. THEN put a pea-sized dab of toothpaste. Brush, spit, and DO NOT rinse. Start on the lower inside of the bottom teeth and work around. You will have a lot less plaque and your mouth will be cleaner. This only works with manual brushes- power brushes must have the moisture to work properly. Let’s get rid of that fuzz.

Here’s a Thought to Chew On.

If you have gum disease or tooth decay, every time you brush, chew, or get dental work done, you introduce those pathogens into your blood stream and stomach. It’s called a bacteremia. In healthy people, the body can clean up your blood in about 15 minutes, but in those that are already immunocompromised or have preexisting conditions, it can complicate healing. Much research needs to be done in this area but bottom line – the less pathogenic plaque you have, the healthier you are all the way around. Another reason to brush and clean your mouth thoroughly.

Better Brushing by Barbara 😉

Every hygienist has their own favorite way of teaching brushing. Mine is what I term “circle brushing”. I teach my patients to make little teeny tiny circles with their brush, even their electric brush.

Yes, the electric brush instructions tell you to let the brush do the work. Really, the brush can’t do it all. You have to help the bristles get into the nooks and crannies of your teeth, your crowns, implants, braces, bridges, and other oral appliances, and – most importantly – the gum line. Wiggle that brush into the crevices of your gums by using those little tiny circles.

Angle that brush at a 45 degree angle into the gum line, NOT perpendicular at the teeth.

This is INCORRECT brushing – note her brush is perpendicular to the teeth.

And, for emphasis, BRUSH YOUR GUMS.

Gently. You are not removing the grout and scum from the bathroom tile.

Please do not brush back and forth in a sawing motion. You are not sawing wood. That will do damage to the teeth and gums. Brush longer, gently like you’re massaging them. Brush smarter.

The Buzz

Each electric brush comes with a two minute timer, as well as a buzz sound of some kind that lets you know 30 seconds have passed. That 30 second buzz is called a “quad pacer”. The hope is you stay within a quarter of the mouth for that thirty seconds and then go to the next quadrant for the next 30 second time allotment until all four quadrants (quads) are done. Most folks ignore that and just dance around from one tooth to another, up or down as they think about other things until the time is up.

Pay attention and do a better job. Each quad has between seven to eight teeth per quad, so 16 – 20 surfaces to be cleaned in that 30 seconds. If you spend the allotted 30 seconds just in that quad, that leaves you with less than two seconds to clean each tooth surface… and that is not even taking in to account brushing your gums, cheeks and roof of the mouth. Yes, those need cleaning too. (Hint-The more through job you do, the cleaner your teeth will be, and you *can* brush longer than two minutes!)

Note all the pink at the gumline-

As I mentioned, research showed that manual brushers spend on average 30 to 45 seconds brushing their entire mouth. And if you have 28 teeth or are lucky to have all 32 that means you have 56 to 64 or more surfaces to clean (I should count the molar surfaces as a separate surface so OMG, even more tooth surfaces.) all in that time frame. So, my suggestion, do your normal brushing routine, and then use a disclosing tablet to test yourself and see, really see how good a job you do. Then, either set your phone timer to two or three or four minutes, or even better – dry brush (conscientiously!) while watching videos on your phone for ten minutes, or better still – get yourself the best electric tooth brush your budget can afford.

Bottom line: be more methodical, clean smart, stop jumping around.

When I polish teeth at my dental office, I start in the same place on every patient and follow the same routine so I know each and every tooth surface is clean. I don’t waste any motion. It really takes longer than two seconds per surface to get that sticky thick plaque off. Often it takes me three to five minutes just to polish the plaque off and I use a coarser pumice that has more grit to it or it might take me even longer.

If you clean thoroughly every day then the plaque won’t be thick and hard to remove.

Brush Dem Gums

When you are done with the teeth, as I mentioned, please, please, please, brush your gums, cheeks, and roof of the mouth. There is a lot of plaque on all these surfaces. Disclosing tablets will again show you all the surfaces that have plaque. Give ’em a good swipe. What about your tongue? Tongue scraper is the best tool for that job. Until it arrives, flip a spoon over and use that edge to clean the grooooosssss plaque off your tongue. You are welcome.

How Much to Brush?

Here’s the crazy thing, prehistoric man never cleaned his teeth and did not have to spend time twice daily on oral hygiene. Little to no dental disease, until the introduction of farming. But we, modern humans, have a totally different diet (soft and sticky) and oral circumstance. We have a different oral microbiome and thus really do need to spend time twice a day – every 12 hours – removing the plaque and cleaning our mouth.

When to brush? Tradition vs Science

Traditionally, we have recommended brushing in the morning after breakfast, and at night before bed. Why brush then? To remove food debris.

While I agree with both those times, because I certainly don’t want to smile with spinach between my front teeth, do I need to remind you of why are we brushing!?? We brush to reduce and remove the pathogenic microbes off our teeth. The pathogenic bugs like to eat what we eat – so! in an ideal world we should brush BEFORE we eat to get them off and not give them more food. Shocker!

The bacteria have their breakfast, lunch and dinner right along with you. Think of them as un-invited guests at the table. They leave their acid waste products on the teeth within minutes of you eating dinner. They have done their damage within 20 minutes of your meal. When you brush hours later it is too late.

Second point to ponder- when we eat acidic foods and drinks, it weakens our enamel. If we then head directly to the bathroom to scrub our softened teeth with abrasive tooth paste, use acidic mouth wash, go to bed and then snore and mouth breathe all night, it’s no wonder we have sensitive teeth, recession, abfraction notching in to the roots, root and tooth decay, and bad breath! It is time to rethink some of our habits. Science says brush before you eat and when you come home before dinner. I realize that glass of wine won’t taste as good but cleanse your palate and go for it. Some things to think about.

Tooth Brush Tips

I recommend changing your brush if manual, or brush head if electric, every three months. My suggestion is change it with the seasons. That way it is easier to keep track of these changes. Yes, that can get expensive when you have an entire family to update but the cost of one dental cavity negates the money saved in brush heads. Sometimes it may be worth checking the company’s website and see if they have a better price for a multipack of brush heads. Do some sleuthing!

What size tooth brush heads to use? I like a smaller head because it is easier to maneuver into those nooks and crannies, especially if you have crowns, implants, or bridges etc that make accessing them hard. The trade off is you have to brush longer since you cover less surface area. On the other hand, getting in those nooks and crannies means your mouth is healthier. Again, brush smarter.

Tooth brush storage? Rinse it thoroughly, let it air dry between uses, store your brush upright, away from the cringe-inducing communal tooth brush cup, and of course, please don’t share brushes.

I have written this before but it’s worth repeating: CLOSE the lid on the toilet before flushing. Really. Even this coronavirus may be spread through the fecal plume (ew). Just to be safe, lower the lid, then flush.

If the brush is frayed, looks like someone stepped on it, if you’ve been sick, or it has mold (!) growing in between the bristles, time to pitch it and invest in a new one. EVEN if it is not three months old. As the make-up commercial says, you are worth it! Buy a new brush or brush head.

If the bristles are splayed out to the sides, you, my friend, are brushing too hard. Problem is, now you are brushing with the sides of the bristles and NOT cleaning your teeth so you press even harder. You are instead doing damage to the gums and leaving plaque on your teeth. Remember, gentle, massaging circles at an angle into the gums. And, throw that “splayed brush” away!

Three More Oral Tidbits

After brushing, spit and don’t rinse. Your toothpaste is medicine, so let it work longer than 30 seconds to strengthen, desensitize, remineralize, or neutralize your teeth and mouth.

Scrape your tongue with a tongue scraper to remove the plaque.

Gargle to clean your tonsils. They need some loving too. They are also full of the pathogenic bacteria and re-infect and repopulate the plaque biofilm in your mouth.

My Favorite Tooth Brush Reboot:

One Brush Does Not Fit All- instead address the problem with the right brush.

Adult MyoMunchee

The Myo Munchee – Chewing is hard work and this is a workout for your teeth and gums. Start off slow, chewing in an up and down and in a circular motion. The little nubby projections will clean your teeth. Work up to 10 minutes. I especially recommend this for my high tooth decay patients, my perio patients, and well, most everyone will benefit from using it.

IMHO- The best electric toothbrush on the market. Light weight, easy to handle and love the different heads.

The Kyoui – my all-time favorite sonic tooth brush. It is slim, light weight, travels well, holds a charge for 40 days, has no EMF’s, and has three unique brush heads. The regular head is angled so it helps you brush differently. The perio head brush has longer bristles and cleans well.

These heads make you actually brush vertically which helps you brush one tooth at a time and brush your gums.

The third brush head is what I call an end-tuft brush which is excellent for those nooks and crannies and gum-line crevices I mentioned earlier that need attention. The gum-line is where plaque bacteria gathers and disease starts. It is also excellent for behind the lower front teeth where tartar builds up. It’ll just knock out that plaque that builds up there and your hygienist will think you are a dental hygiene Rockstar for doing an awesome job cleaning your teeth.

***Here’s a discount code from the Kyoui website for 10% off a Kyoui: BARBARATRITZsave10%

Professionals- also contact me and I can send you a code as well so you can order for your office and receive that same discount for your patients. Email me for the details– barbaratritz@gmail.com

The Waterpik Sonic Fusion – a Waterpik oral irrigator and sonic tooth brush at the same time. It’s a twofer! Brush and irrigate at the same time. I love doing this after I have already used my Kyoui because I get a second two minutes of brushing while I irrigate. And it is so easy to get into this routine because your mouth will feel so good.

Children sized brushes- Kids need power tools too. My favorite brushes for the junior set are made by Dr Fresh and are under the Firefly section. They are battery powered, small, fun, bright colors, play music and have lights and cartoons. (I wish they’d make adult brushes as fun as these. Hmm…)

Odd Shaped Brushes for Special Jobs

Sometimes you just need brush heads with extra bends, or tiny bundles of bristles to get around those implants, bridges, braces or appliances that happen now and again in our dental world. These tools are special order but so worth it.

Curaprox – This one is small, gentle and I love the curve to it. (please note the base of the bristles are black BECAUSE I used it with Charcoal tooth powder. NO other reason. Really!)

Soft, gentle and nice

Sulcus Brush – a two row brush that fits right into the gumline.

The Perfect Skinny brush

End Tufted Brush- a bundle of tapered bristles. I often recommend folks get two of these because I really like bending the head of the brush so that is angled like my dental mirror. Heat the neck of the brush gently over the stove- and as soon as it is slightly soft, give it a gentle bend and then place in cool water. Now it really fits around corners, and the straight one goes everywhere else.

A bundle of bristles to fit in the tightest nooks and crannies.

The Nimbus – this one is a super soft extra gentle brush, and they even have a child size called- the Nimby that is just as lovely ( If you can call a tooth brush lovely, this is the one. )

Nimbus, the perfect extra super soft I just had gum surgery and everything hurts but I need to clean brush

And Last but not least- the Implant cleaning tool – Dental implants probably need an entire blog post all to themselves but for now- order this crazy looking brush and keep those implants super clean (might wanna try using the disclosing tablets there too.) What caused the teeth to fail- periodontal disease can now occur around an implant, but even faster. Be a cleaning machine!

The Dental Hygiene Chair Reboot

Tools make the man, so they say. Good tools make your mouth healthier and make much shorter work out of it. I don’t want you dreading your oral care routine. Use good tools. Be efficient and effective. The mouth is truly the window to your soul.

STOP the constant gum bleeding, tooth decay destruction and bad breath issues. Your body will thank you!

Your dental hygienist will be happy to customize an oral health care routine to fit your needs. It just takes longer than a 45 to 60 minute appointment allows for so know you may just need to come back in for an “oral hygiene instruction” appointment. And, sadly, insurance won’t pay for that. Learning once and for all how to take care of your mouth is an investment in your health. Get that toothbrush reboot lesson in person.

If you have questions, comments or other concerns, please let me know. I always enjoy reading your thoughts. If you want to chat via Zoom ( since everyone is doing that these days) we can even offer Video Oral Hygiene lessons with the Queen of Dental Hygiene if interested.

Back to Bloggin’

It feels so good to be back on my blog. I have lots more to share and look forward to doing that with you.

Next time we’ll review how to be and stay healthier when you visit the dental hygienist and the dental office when they FINALLY let us go back to work. The COVID-19 virus has everyone in a tizzy so I’ll take a slight detour to review what we will be doing differently and how a biological office handles this epidemic. We’ll review how to be sure you are safe at the dental office (and my friends, it starts with good oral hygiene on your part.)

Then we’ll get back on track to do an in-depth look at oral irrigation and cleaning in-between your teeth. Remember, there’s still 40% of the tooth surface to clean!

Meanwhile, check out my video post on the Green City Dental FB page where I give five top tip to keep your mouth healthy. Did it in one take! It was such fun to make a video, just might have to start adding one to the blog. If there’s something you want to know more about, let me know and I will see if I can make a video on it!

Practice nasal breathing and good hand hygiene. And please, order some ozone oil so you’re ready to use it when I write up my next post. (Amazon has plenty, but let me know if you want a recommendation.)

Be safe, be healthy. Up your dental game my dental hygiene Rockstars!

Keep smiling and I am sure you’ll now know to brush your gums…

Barbara Tritz

Toothbrush Connoisseur, Revitalized Blogger, Reboot Specialist, and Video maker

Hello, I'm Barbara Tritz

Unveiling the Stories Behind Dental Hygiene

Loving science, especially biology, from an early age, Barbara is a registered dental hygienist, certified biological hygienist, and orofacial myofunctional therapist. In 2019, she received the Hu-Friedy/ADHA Master Clinician Award from the American Dental Hygienist Association.

Share your thoughts below!


  1. Susan M Swanson

    Great info and presented so well, of course!
    I was looking at some articles you had given me probably 2 years ago, and realized you had a blog/webste, so decided to check it. Wow! Here you had a new blog. Thank you! Thank you! Working on an appt. to see you. Take care. 🙂 Your patient, Susan S.

    • Barbara Tritz

      Hello Susan!
      So happy you found me and all my posts! I look forward to seeing you soon. You are the best!

  2. Sim g

    Hi can I get more info for Myofunctional therapy. Thanks

    • Barbara Tritz

      Hi Sim,
      There is so much on Myofunctional therapy, is there anything in particular I can answer? I am happy to chat via zoom and can explain more if you would like.
      Please let me know how I can help you further.

  3. Rizwan Ghauri

    amazing blog .I want to read more blogs written by you it help me a lot

    • Barbara Tritz

      Hi Rizwan
      Thank you for your kind words. I have many blog posts on a wide variety of subjects. If there is something in particular you would like to know, please let me know.


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