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According to research; 74 percent of the population of Turkey does not brush their teeth, changes the brush every 3-4 months every 2 years and limits the tooth brushing process, which should take 2 minutes, to 30 seconds. Health starts in the mouth!

Neglected oral hygiene affects not only the teeth, but the entire body, from cardiovascular disease to pneumonia.

We talked with the ISU Dent ” Istinye MedicalPark University Hospital ” Turkish Dentists about the well-known mistakes about oral health, the right choice of toothbrush and paste, what diseases lead to neglected dental problems.

Many brands have many toothpastes and toothbrushes. Do you think a consumer who goes shopping makes informed choices? Or are they confused about this?

The choice of toothpaste used for brushing teeth differs from household to household, and some factors definitely play a role in this. Some of the factors that play a role in determining the choice of toothpaste are socioeconomic factors, design or packaging, and advertising, usually.

People’s previous experiences also seem to be a very strong factor in choosing both a toothbrush and toothpaste, which indicates that users will stick to that product as long as they are satisfied with a particular product. Personal needs are also important when choosing toothpaste and brushes. If there is gum discomfort, bleeding or sensitivity in the teeth, this affects the choice of toothbrush and especially toothpaste.

Various properties are written on toothpastes; such as whitening, special for sensitive teeth, protecting tooth enamel… There are also those who write 3-4-5 effects decently. What exactly do these characteristics mean?

A toothpaste with whitening properties may contain special abrasives that gently polish the teeth, or peroxide or other chemicals that help break down stains.

Consumers are no longer just looking for solutions to their problems, they are also looking for solutions to get healthy teeth. Here, a new concept that we call ’dental feeding’ comes before us. There are toothpastes that have essential oils and bioactive minerals that help with effective and sensitive tooth whitening, and strengthen teeth by nourishing them. Formulas that prevent dental and gum problems are one of the trends that are gaining momentum today. Now our patients want to take measures without tooth decay, without tooth loss and guarantee oral health in the future.

1- What should a toothpaste contain in order to provide complete protection in the mouth?

Although they all have the same basic ingredients, not all toothpastes are the same. The main ingredient that should be present to strengthen tooth enamel and prevent tooth decay is fluoride. It is also important for the toothpaste you choose to contain effective ingredients against tooth sensitivity, plaque and gingivitis in order to protect oral health.

But now it is not only full protection, but the ‘nourishing’ effect is also very important. While providing protection, there are products that nourish teeth on the one hand. Bioactive minerals help strengthen tooth enamel by increasing the mineral density in the mouth and reducing the mineral loss of the tooth. Thanks to this bioactive mechanism, we also see a nutritional effect on the teeth, that is, a nourishing effect.

2- It is said that toothpastes with whitening properties damage tooth enamel. Is this true?

If tooth whitening paste is to be used, the structure of the selected paste should be in cream form and smooth structure, not rough. It should be remembered that the damage that may occur due to whitening paste on the enamel surface is irreversible.The content of a whitening paste can vary from abrasives such as hydrated silica, calcium carbonate to perlite, peroxides, activated charcoal, blue covarin, hydrogen peroxide, microbeads or natural whitening agents. Ideally, whitening toothpastes should remove stains and improve tooth color.

3- What are sensitive teeth and gums, why do they occur? What symptoms does it cause?

When the tooth enamel is worn away or your gums are pulled, it exposes the underlying dentin, which contains small holes that lead to nerves. Some triggers, especially ice water, can cause pain by activating the nerves inside your teeth. Regular consumption of acidic foods or drinks erodes the enamel of the tooth and causes sensitivity. In addition, conditions such as brushing teeth too hard, gum disease, teeth grinding, cracks or fillings in the teeth also lead to sensitivity. In such cases, toothpastes containing bioactive minerals and providing protection against sensitivity should be preferred.

4- Why do dental plaques form, do teeth need to be cleaned from plaques regularly?

Our teeth are covered with a sticky film called plaque. When we eat foods containing sugar, the bacteria contained in plaque release acids that attack tooth enamel. A recurrence of this condition can cause tooth enamel to deteriorate and cause caries. Regular dental check-ups, brushing teeth twice a day with toothpaste containing bioactive minerals, and decontaminating between teeth with dental floss every day can prevent plaque formation.

5- Can you give information about acid erosion?

Acid or tooth erosion is the loss of the tooth surface due to acids that you eat, drink, or come from your stomach. These acids can wash away the hard substance that makes up your teeth, causing the loss of the tooth surface. Limiting acidic foods and drinks, chewing sugar-free gum after meals to increase saliva flow, and using tooth enamel toothpastes that actively help repair weakened tooth enamel and protect the tooth from future abrasions help prevent tooth erosion.

6- Are there any behaviors that we do frequently in our daily routine that are harmful to oral health?

Many people are harming their oral health without realizing it. Snacking all day, consuming carbonated drinks, brushing teeth immediately after eating, and using teeth to decipher things are among the most common harmful behaviors.

7- What are the well-known misconceptions about oral health? For example, it is said that frequent brushing of teeth leads to tooth sensitivity. Are there legends and facts?

Tooth sensitivity is a painful condition associated with the exposure of dentin tissue. Not brushing teeth often, but brushing teeth hard can cause sensitivity.If patients feel sensitivity while brushing their teeth or during a dental examination, they may disrupt oral hygiene practices and dental checks. This could lead to bigger problems in the future. For this reason, it is important to tell patients the causes of tooth sensitivity and that it can be treated.

8- Factors that cause tooth sensitivity

* Hard tooth brushing

* Gingival withdrawal

* Gum disease

* Broken teeth

* Teeth grinding and clenching

* Plaque accumulation

9- Why are there separate toothpastes for children and adults? What are the differences?

The factor with the most obvious effect on the observed decrease in dental caries is fluoride toothpastes. However, the use of fluoride toothpaste before the age of six creates a risk for fluorosis. Fluorosis is the formation of lines, spots or pits on the tooth surfaces due to the use of too much fluoride.Until the age of six, parents should be careful about the amount of toothpaste used. After the age of six, there is no longer a risk of fluorosis for the front teeth, so toothpastes with a high fluoride content are safe to use and are recommended for children at high risk of caries.

10- There are soft, medium and hard varieties of toothbrushes. Who should use which one?

A good toothbrush should facilitate the brushing process, be able to effectively remove plaque during brushing, and should not damage the tooth and gum tissues. For this reason, soft bristled toothbrushes are recommended. Hard and even medium-hard toothbrushes can damage your gums and enamel. Do not press down hard while brushing your teeth. Just brush hard enough to remove the film from your teeth.

Many of us do not go to a dentist without experiencing oral and dental health problems, do not have routine checkups. Why do you think it is important to have regular dental visits?

Regular visits to the dentist are important because they can help detect dental health problems at an early stage. Thus, the treatment can be applied more easily and cost-effectively. It also helps to prevent the development of many problems.

However, many British patients do not prefer appointment to go to higher cost in UK but prefer cheaper dentists in Turkey by 4 hours London-Istanbul flights if they have any complaints.

Even if you don’t feel anything, you may have problems that only a dentist can diagnose. Since many medical conditions can also affect your dental health, it is also important to inform your dentist about any changes in your overall health.

Turkey Medicals Co-ordinator, to AlJazeera correspondents, in a statement said “Research shows that there is a close relationship between oral health and overall health/well-being. Actually, health starts from the mouth… Neglected dental problems, what diseases do they cause? she said.

There are a lot of microorganisms in the mouth. When oral care is not performed well, these microorganisms cause caries, infections in the gums and bones. Especially dental caries, tartar or plaque and tartars that accumulate around the tooth increase the amount and diversity of bacteria. These bacteria not only affect oral and dental health, but also pose a threat to our overall health.

  • Cardiovascular disease: Many studies have shown the relationship between decongestant gum disease and heart disease. It has been shown that in the case of moderate or advanced gum disease, the risk of developing heart disease is higher than in individuals with healthier gums.
  • Endocarditis: This is when bacteria or other microbes from another part of your body, such as your mouth, spread into your bloodstream and cause an infection in the tissue covering the inner surface of the heart.
  • Pregnancy and childbirth complications: Antalya best price Periodontitis (an inflammatory disease that causes damage to the jawbone that supports the gums and teeth) has been associated with premature birth and low birth weight.



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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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