Tooth brushing

[3] As long ago as 3000 B.C., the ancient Egyptians constructed crude toothbrushes from twigs and leaves to clean their teeth.

In the Islamic prophetic tradition, Muhammad taught his disciples to brush their teeth using miswak five times per day, and this remains prevalent amongst many Muslims world wide since 610 A.D.[4] The Indian method of using wood for brushing was presented by the Chinese Monk Yijing (635–713 A.D.) when he described the rules for monks in his book:[5] Every day in the morning, a monk must chew a piece of tooth wood to brush his teeth and scrape his tongue, and this must be done in the proper way.

In the United States, although toothbrushes were available at the end of the 19th century, the practice did not become widespread until after the Second World War, when US soldiers continued the tooth brushing that had been required during their military service.

[6] Brushing teeth properly helps prevent cavities, and gum disease, which causes at least one-third of adult tooth loss.

Although the study at Harvard Medical School has observed "remnants of oral bacteria within atherosclerotic blood vessels far from the mouth",[13] there are other factors including gender, alcohol consumption, diabetes, exercise, smoking, and family history of heart problems that could increase the risk of coronary artery disease as well.

According to the American Dental Association, not brushing properly allows remnants of food to collect on the teeth, gum line, and the surface of the tongue.

[16] Tooth plaque leads to gingivitis and periodontitis bacteria build-up, which produces bad-smelling odors.

The study simulated seven years of brushing one side of each tooth with a sonic toothbrush, then measured microleakage around the fillings.

[27] A 2012 literature review found that bacteria survive on toothbrushes over 24 hours in moist conditions, less so when air-dried, though they can pick up contamination from the surrounding environment.

Harmful bacteria are present on brushes of healthy and sick people, and can add to their infectious load.

Side effects of mouthwashes with essential oils and alcohol include poor taste and oral irritation.

[31] The chewing surfaces of the teeth are brushed with a forward and back motion, with the toothbrush pointing straight at the tooth.

[33] Advice for Sonicare brushes is to use a slight angle, so longer bristles can reach between the teeth,[34][35] making 3–5 small circles for 1–2 seconds on each tooth.

[37] One study found that brushing immediately after an acidic meal (such as diet soda or common breakfast foods like orange juice, coffee, citrus fruit, dried fruit, bread, or pastries[39]) caused more damage to enamel and dentin compared to waiting 30 minutes.

[43] A 2014 Cochrane review found moderate evidence that electric toothbrushes reduce plaque and gingivitis more than manual ones.

[43] Overall, both manual and electric toothbrushes are effective, however, and it is often recommended that people use whichever they feel comfortable with, determine is affordable for them, and will be more likely to regularly brush with.

Toothpaste use can promote good oral hygiene: it can aid in the removal of dental plaque and food from the teeth, it can aid in the elimination and/or masking of halitosis when tonsil stones are not the cause, and it can deliver active ingredients such as fluoride to prevent tooth and gum (gingiva) disease.

Tooth powder typically does not contain the chemical sodium lauryl sulphate, commonly used in toothpaste, which can be a skin irritant.

A man brushing his teeth while looking in a mirror.
A photo from 1899 showing the use of a toothbrush.
Brushing teeth with chewing stick
Rinsing a toothbrush
Head of a toothbrush
Modern toothpaste gel