Regular tooth brushing is widely accepted as an oral hygiene measure of great importance for the prevention of dental diseases. Unfortunately, a variety of disorders may result from oral hygiene procedures that are improperly applied.Literature shows that horizontal brushing method with tooth pastes was capable of tooth loss at cervical areas. The present case series brings about the effect of psychological stress on toothbrushing behavior and its effect on the teeth and the periodontium.Dentists play a significant role regarding the well-being of thepatients by early detection of existing oral manifestationsand appropriate treatment of the patient.A wide knowledge about dental signs and symptoms related to medical conditions appears to be a key factor for successful outcome. Howeverdental management of patients with mental stress is quite challenging.