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Medical Forum / General / Dentistry / May 2007

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Sonicare vs. Oral-B - which is better for sensitive teeth?

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Slorik - 19 May 2007 20:26 GMT
I normally just use a soft manual toothbrush, but I'd like to get an
electric. Does anyone know if one is better than the other for sensitve
teeth?

Thanks.
Amatus Cremona - 21 May 2007 14:00 GMT
All are about equal in their capability to clean to be gentle.  Get the one
which will encourage you to keep it in your mouth the longest.

Find out why the teeth are sensitive and deal with that problem in the
mean-time.

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Amatus

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>I normally just use a soft manual toothbrush, but I'd like to get an
>electric. Does anyone know if one is better than the other for sensitve
>teeth?
>
> Thanks.
John & Ninetta - 22 May 2007 02:06 GMT
> All are about equal in their capability to clean to be gentle.  Get the
> one which will encourage you to keep it in your mouth the longest.
>
> Find out why the teeth are sensitive and deal with that problem in the
> mean-time.

Good advice, Amatus.  I personally use a Sonicare...have used it for about 5
years, and wouldn't change because it works for me.  Having said that, I
don't think there is much *good* research out there that says one is better
than the other.  Either one is fine.  More important for the OP to find out
why the teeth are sensitive.

John
JimSocal - 23 May 2007 07:24 GMT
>> All are about equal in their capability to clean to be gentle.  Get the
>> one which will encourage you to keep it in your mouth the longest.
[quoted text clipped - 9 lines]
>
>John

Do some people just have "sensitive teeth" for no real reason? Maybe
genetic? I know my teeth are more sensitive to dental work than say,
my wife's? Cleaning always hurts my teeth more than most people's,
even when they're not that dirty. (i.e.; every 6 month cleaning)
John & Ninetta - 23 May 2007 09:44 GMT
> Do some people just have "sensitive teeth" for no real reason? Maybe
> genetic? I know my teeth are more sensitive to dental work than say,
> my wife's? Cleaning always hurts my teeth more than most people's,
> even when they're not that dirty. (i.e.; every 6 month cleaning)

Assuming everything is equal (eg. no cavities or equal amount of recessions
on the same teeth or gum pockets equal), we all have different tolerances to
the discomfort caused by scaling or planing the teeth.  I have some patients
who have significant gum problems with recessions/deep pockets, and you can
go to town on them during their cleaning and the don't flinch or report
discomfort.  On some others with no periodontal problems, just polishing
their teeth can be uncomfortable to them.  We are all different.

John
Amatus Cremona - 23 May 2007 12:29 GMT
I have grown to believe that those patients with thermal sensitivity or
extreme sensitivity to dental cleaning, are clenchers (isometric bruxism).
I could be wrong.

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Amatus

/

>>>
>> Do some people just have "sensitive teeth" for no real reason? Maybe
[quoted text clipped - 12 lines]
>
> John
John & Ninetta - 23 May 2007 12:48 GMT
>I have grown to believe that those patients with thermal sensitivity or
>extreme sensitivity to dental cleaning, are clenchers (isometric bruxism).
>I could be wrong.

I have noticed that in several of these types of patients.  Can't say its
universal, but will monitor it more closely.

John
Dartos - 23 May 2007 13:23 GMT
I think you are both right.  Lot's of individual variation, but
almost all of the sensitivity cases involve clenching as one of
the major factors.  Tartar control and whitening toothpastes
add to the difficulties as well.

'Course, patients will look at you (with masseters and temporalis
muscles bulging) and say, "*I* don't clench *MY* teeth".

Some will say, "Yeah...I *DO*.  How did you know that?"

I made 4 NTIs yesterday, and that's not a record.

JME,
D

>>I have grown to believe that those patients with thermal sensitivity or
>>extreme sensitivity to dental cleaning, are clenchers (isometric bruxism).
[quoted text clipped - 4 lines]
>
> John
Amatus Cremona - 23 May 2007 14:55 GMT
If you think about it,,,,,,,,,,, there should be a reason these teeth remain
sensitive and do not cease being sensitive as the pulp recedes.  Constant
abfraction from isometric bruxism during clenching would be one explanation.

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Amatus

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> >I have grown to believe that those patients with thermal sensitivity or
> >extreme sensitivity to dental cleaning, are clenchers (isometric
[quoted text clipped - 4 lines]
>
> John
Newbie - 23 May 2007 19:32 GMT
>I have grown to believe that those patients with thermal sensitivity or
>extreme sensitivity to dental cleaning, are clenchers (isometric bruxism).
>I could be wrong.

But I don't think you are wrong at all on this subject.
JimSocal - 21 May 2007 21:07 GMT
>I normally just use a soft manual toothbrush, but I'd like to get an
>electric. Does anyone know if one is better than the other for sensitve
>teeth?
>
>Thanks.

One thing you might want to consider is that I have heard people
having problems with the SonicCare hurting when the non-brush part of
it accidentally hits a tooth. The OralB seems to be better in this
respect. The latest greatest OralB's have about the same cleaning
ability as the SonicCare in my estimation. I like the OralB myself.
I am not a dentist, I'm a lay person.
grubertm@gmail.com - 25 May 2007 01:24 GMT
> One thing you might want to consider is that I have heard people
> having problems with the SonicCare hurting when the non-brush part of
> it accidentally hits a tooth. The OralB seems to be better in this
> respect. The latest greatest OralB's have about the same cleaning
> ability as the SonicCare in my estimation. I like the OralB myself.
> I am not a dentist, I'm a lay person.

Good point. I have tried both small round OralB first and the
cheap(est) Sonicare after that. Overall the Sonicare leaves me with a
cleaner feeling and is easier to use. However, because of the large
head it's easy to hit another tooth with the backside of the Sonicare
head and that is not pleasant at all. Good test for cracked teeth ;)
 
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