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Effectiveness. Numerous scientific studies have been conducted to investigate whether manual or powered toothbrushes are more effective at reducing gum disease and eliminating plaque. A review of nearly 30 studies comparing disposable and electric toothbrushes found that, overall, there was not a significant difference between electric and manual toothbrushes in their ability to remove plaque and prevent gum disease. But, evidence suggests that a certain type of powered toothbrush called a rotation oscillation toothbrush (the bristles go round and round and back and forth) is more effective than manual toothbrushes. When matched with a UV sanitizer, the cleaning effectiveness will largely increase.

Safety. Although all toothbrushes with an ADA Seal of Approval have been tested for safety, there may be certain individuals for whom a particular type of toothbrush is safer. If you tend to brush too vigorously, which can damage your gums and teeth, a powered toothbrush may make it easier for you to be gentle on your gums and teeth and get them clean at the same time. Some studies suggest that using a powered toothbrush may increase the amount of bacteria in the bloodstream more than a manual toothbrush. This does not pose a risk for healthy people with normal immune systems and healthy hearts. But it could increase the likelihood that people with certain heart conditions could acquire a potentially dangerous infection in the heart. Further investigation is needed to determine whether this should be a cause for concern.

The Best Toothbrush for Children

When it comes to choosing the best toothbrush for your child, it's important to opt for one that they will use properly and regularly. There are a variety of disposable and electric options available for kids. And they come in a variety of colors and often feature children's favorite characters from classic stories and popular cartoons. Some varieties even play music to help your child know how long to brush.

To choose a good toothbrush for your child, try the following suggestions:

• Make sure the toothbrush you select has an ADA Seal of Approval.

• Pick a child-sized toothbrush with soft bristles.

• If your children are old enough, have them help you pick out their toothbrushes. Getting your children involved in the process and excited about a new toothbrush may make tooth-brushing a more enjoyable task.