February 17, 2025

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What Happens If You Don’t Brush Your Teeth? A Dentist Explains

What Happens If You Don’t Brush Your Teeth? A Dentist Explains
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You’re likely aware that brushing and flossing are essential for preventing plaque and tartar buildup, reducing the risk of periodontal (gum) disease. However, what might not be as widely known is the extensive impact of good oral hygiene on your overall health. What happens when you don’t brush your teeth can lead to not only oral issues such as swollen, red gums, bleeding, pain when chewing, and loose teeth, but also serious complications for your heart, lungs, brain, and more.

This connection largely stems from the ecosystem within your mouth. “Your mouth houses 700 species of microbes, which includes germs like bacteria, fungus and more,” explains Joyce Kahng, DDS, Cosmetic Dentist and former Assistant Clinical Professor at the University of Southern California Herman Ostrow School of Dentistry. She continues, “Rest assured, not all microbes are bad—in fact, some microbes are helpful—but it’s important to break up the biofilm routinely to prevent the unwanted microbes from creating an imbalance of the oral microbiome.”

Is brushing once a day enough?

Brushing your teeth once a day is not enough to break up the biofilm in your mouth. To maintain optimal oral health, a consistent hygiene routine is crucial. “You should brush your teeth twice a day for two minutes every time to maintain healthy teeth and to help stay cavity-free,” recommends Dr. Kahng. Skipping this routine compromises your dental health and could lead to broader health complications.

Ahead, we share insights from researchers and dentists on what happens when you don’t brush your teeth and the associated health risks.

Human heart anatomy on scientific background

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What happens if you don’t brush your teeth

1. Cardiovascular disease

An increased risk of heart disease is just one of the potential health problems that can arise if you don’t brush your teeth. According to the Mayo Clinic, research suggests that cardiovascular disease, clogged arteries, and strokes could stem from the inflammation and infections oral bacteria cause. Further emphasizing this connection, a June 2023 study published in the peer-reviewed journal Nature Scientific Reports found that individuals who skipped brushing their teeth at night faced a higher risk of developing cardiovascular disease than those who maintained their nightly brushing routine.


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