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Question
Hi,
I was reading about soft toothbrushes being the best.is extra soft a marketing gimmick? And is it any better than regular soft? Also how do I know if the toothbrush has rounded bristles what does that mean?  I read thats better. Is that talking about the overall head being round or the individual bristle?
Thanks

Answer
Dear Ed:
Most of the claims you have mentioned are just, as you said, marketing gimmicks.  If you read many of my previous answers on this topic and others, such as rinsing, you know that the ONLY way to control plaque is by physically removing it from the teeth.   This can be accomplished by brushing and flossing.  Any other discussion, as to the thickness of bristels, roundness of edges, etc. is just gravy.  It is as if we were to discuss whether adding 10 lbs of pressure to your bicycle tires will make you a better rider.  Theoretically, yes, but the only thing that can really make you a better rider is training hard.  The exact tire pressure will make very little difference. (Of course, not having ANY air in your tires is analogous to not having a tooth brush at all).
Most tooth brushes on the market today are just fine.  I personally like the ones with different bristle lengths and directions, preferably by a reputable manufacturer (Oral-B, Crest, Pepsodent,etc.).  
Many people mistaken thorough brushing with "hard" brushing.  You do not need to press hard.  As a matter of fact, if you press your brush harder, you will bend the bristles and they will NOT go into the crevices around your teeth properly.  This is why most dentists will recommend a SOFT brush and gently   brushing for at least two minutes.
Electrics such as the Braun/Oral-B and Sonicare are excellent as well.  However, as I said, do not push them hard against your teeth.
The best indicator is to select a brush which you like and ask your dentist/hygienist how effective you are at your next appointment.
Best of luck,
Dr. Zev Kaufman

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Zev Kaufman, D.D.S.

Expertise

I can answer any question from simple routine dentistry to very complex dentistry with emphasis on reconstructive, cosmetic, and implant dentistry. My expertise is in co-ordination of very complex treatment plans with other dental specialists or as a one-man-team, since I have extensive training in Prosthodontics, Surgical Implantology, and orthodontics.

Experience

Over a decade in private practice of Surgical Implantology and Prosthodontics. Founder and owner of Prosthodontics & Implant Surgery of Manhattan, PC. Clinical Assistant Professor at the Post-Graduate Department of Periodontics & Implant Dentistry at New York University College of Dentistry. Lecture weekly since 1999 on advanced Implant Prosthodontics at New York University College of Dentistry Post-Graduate Program in Periodontics & Implant Dentistry. Former clinical assistant professor of Dental Radiology at the NYU College of Dentistry. Former clinical and lecture faculty at Lincoln Hospital, Dental residency program. Former clinical and lecture faculty at St. Barnabas Hospital (Bronx, NY) dental residency program. Lecture nationally on Prosthodontics and Implant Dentistry.

Organizations
Memeber of the American College of Prosthodontics. Memeber of the Acacdemy of Osseointegration. Member or the Omikron Kappa Upsilon (OKU) Honors Dental Society. Member of the American Dental Education Association.

Education/Credentials
Graduated with Honors from New York University College of Dentistry. Post-Graduate training and certificate in the specialty of Prosthodontics. Post-Graduate training and ceritificate in Surgical and Prosthetic Implant Dentistry. Honors-program in Comprehensive and Applied Practice Management. Honors-program in Orthodontics.

Awards and Honors
NYU Cervice award to the community. OKU honor society. National Dean's List. National Who's Who.

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