Toothbrush abrasion

It is quite common to see toothbrush abrasion in this day and age. Patients who have nervous disorders or who have had previous caries experience may go overboard because they feel as though they are not cleaning well enough. Some points to raise with them are:

-You're brushing too hard.
To help
--> electric toothbrushes may stop if you press too hard (although i still think they let you press too hard before stopping) and they just have to hold the toothbrush against the tooth while it's working. You don't need a scrubbing action to clean teeth
-->Use a soft toothbrush
--> slow down. People in a rush when brushing tend to press harder and scrub faster
--> avoid whitening or smokers toothpaste. They tend to be more abrasive

"Tubes run down the exposed root and cold water and air stimulate these tubes."
-Symptoms in normal people should subside with mineral deposition in tubules. In their case, either toothbrush abrasion or acidic diet/reflux has caused these minerals to be dislodged/dissolved. Then we need to address the abrasion/erosion.

-Manage symptoms with:
-->duraphat application in office. CaF2 deposition in tubules
--> desnsitive toothpaste working by depolarisation or occlusion. It is a time dependant application so patients can brush with the sensitive toothpaste but should also apply it topically at night before sleep.
-> avoid erosive foods, habits. Address intrinsic erosion. Address dry mouth.

-Restore deep aymptomstic lesions due to proximity to the pulp.