Electric vs. Manual Toothbrushes: Which to prescribe? (2024)

Patients often ask our advice when it comes to choosing the right toothbrush. One of the most frequent questions we hear is: which is better, electric or manual? In this article, we’ll take a look at the benefits of each and discuss which toothbrush to recommend to your patients based on their individual oral health needs.

Electric toothbrushes

Much of the electric toothbrush’s movement comes from the powered brush head, so they can be easier to use (and more effective). That includes for patients with limited mobility and manual dexterity. These may include the elderly, young children and individuals with joint problems like arthritis or carpal tunnel, impaired motor skills or developmental disabilities.

Another benefit of electric toothbrushes is that they can encourage more effective brushing habits. The current recommendation is to brush twice daily for two minutes, but patients can often fall short of the mark. Many electric toothbrushes feature timers to encourage the correct brushing duration, along with 30-second “spacing” notifications to ensure equal attention to all four quadrants of the mouth. Some also feature pressure sensors, which alert the user when they’re brushing too hard. This can be especially beneficial for patients at risk of enamel or dentin loss and/or gingival abrasion.

Many electric toothbrushes can now be paired with smartphone apps to increase the effectiveness of brushing even further. The hum brush and the Colgate Smart Electronic Toothbrush E1 both connect to smartphone apps that track toothbrushing activity. As well as sending brushing reminders to the user’s phone, they feature smart sensor technology to track how much of the mouth is covered and highlight neglected areas. They also use “gamification”, turning toothbrushing into a fun game and rewarding users for positive brushing habits, and coach patients on brushing.

It can be difficult to properly clean around orthodontic brackets, wires and other fixtures, putting orthodontic patients at higher risk of developing carious lesions and gingival inflammation. An electric toothbrush can help them to achieve a more effective clean than a manual toothbrush and reduce their risk of oral health complications. As we also know, some of our younger patients can be reluctant brushers! Children often find electric toothbrushes much more fun to use, especially those that feature fun colors or favorite characters.

So does that mean you should always recommend an electric toothbrush to all of your patients? Not necessarily. Let's look now at manual toothbrushes more closely.

Manual toothbrushes

There are a number of reasons an electric toothbrush may not be suitable for a patient, for example:

Whatever their reason, the are many options to choose from. The American Dental Association (ADA) confirms that manual and electric toothbrushes are effective.

For general oral health, a manual toothbrush with soft bristles is recommended by the ADA. Examples include the Colgate 360 Toothbrush which has soft tapered bristles and soft rubber polishing cups. With a chunkier, ergonomically designed handle and soft grips, the Colgate 360 is easy to use and also an ideal manual recommendation for patients with limited mobility or dexterity. This brush also features a cheek and tongue cleaner and a raised cleaning tip. For patients with gingival inflammation, you might wish to recommend an ultra-soft manual toothbrush to minimize irritation. One such brush is the Colgate Gum Health Manual Toothbrush, proven to deliver 300% better gum health improvement compared to a regular flat-trimmed brush.

Patients with smaller mouths and/or crowded dentition can find it harder to clean tight spaces effectively. A manual brush like the Colgate Slim Soft can help, with a smaller head and slimmer bristles to clean harder-to-reach areas of the mouth.

Orthodontic patients can benefit from a toothbrush with a smaller head and U-shaped bristles, like the Colgate Slim Soft Ortho. This design makes it much easier to maneuver around brackets and wires for a more effective clean.

For your younger patients a specially designed manual toothbrush with a chunky, easy-grip handle, a small head, and extra-soft bristles is helpful. To encourage brushing, Colgate offers a range of fun, colorful toothbrushes featuring popular characters like Batman and Minions brushes.

Last but not least, the Colgate Magik Toothbrush is a new option for children. It is a manual brush and also connects to an augmented reality app, turning toothbrushing into a rewarding, interactive experience with games and rewards. Parents can supervise brushing habits through the app's parental dashboard.

Whichever toothbrush you recommend to your patients, the most important thing is to ensure that they’re educated on proper oral hygiene practices. Used correctly, both manual and electric toothbrushes can support positive long-term oral health, so ask your patients about their brushing habits, recommend brushes that will work for a particular patient, and make sure patients are getting the most out of their toothbrush.

Electric vs. Manual Toothbrushes: Which to prescribe? (2024)

FAQs

Do dentists recommend electric toothbrushes vs manual? ›

Over an 11-year time period, a large 2019 study in Germany found those who used electric toothbrushes had better overall oral health, including less gum disease and tooth loss than those who used manual brushes.

Do studies say electric or manual toothbrush is better? ›

The researchers looked at 56 clinical trials of unsupervised toothbrushing by more than 5,000 adults and children, and found that study subjects who used a powered toothbrush showed an 11 percent reduction in plaque at one to three months, and a 21 percent reduction after three months or more, compared with those who ...

Which is more effective manual or electric toothbrush? ›

So, are electric toothbrushes better than manual toothbrushes? The answer is a resounding yes! They are more effective at removing plaque and bacteria from your teeth, they are easier to use, and they come with built-in timers to help you brush for the recommended time period.

When choosing between recommending a manual or electric toothbrush for your patient which would you consider? ›

They found that sonic toothbrushes reduce the signs of periodontal disease and the number of teeth lost. Other studies have concluded that electric toothbrushes are more effective than manual ones at removing plaque, one of the main culprits of cavities and gum disease.

What is the disadvantage of using an electric toothbrush? ›

Higher Cost- Battery-powered toothbrushes are more expensive than their traditional counterparts. They also require replacement heads, which can be quite pricey. Higher Risk of Damage- Because of their electronics, they are at a higher risk of damage if dropped or falling in the water.

What do dentists say about electric toothbrushes? ›

Do dentists recommend using electric toothbrushes over manual toothbrushes? Dr. Erin Fraundorf, owner of BOCA Orthodontic + Whitening Studio outside of St. Louis, said she recommends electric toothbrushes over manual brushes because they make it much easier to thoroughly clean your teeth.

What does the ADA say about electric vs manual toothbrush? ›

The American Dental Association (ADA) confirms that manual and electric toothbrushes are effective. For general oral health, a manual toothbrush with soft bristles is recommended by the ADA. Examples include the Colgate 360 Toothbrush which has soft tapered bristles and soft rubber polishing cups.

Why are manual toothbrushes better? ›

One of the critical advantages of manual toothbrushes is the level of control they offer. You can adjust the pressure and angle to target specific areas of your mouth. This precision control allows for a more thorough and effective cleaning, especially in hard-to-reach places like the back of your molars.

What is the most widely accepted method of toothbrushing for adults? ›

The Bass method of brushing involves using the toothbrush bristles to scrub off plaque— commonly known as biofilm — from underneath your gums before it can cause gingivitis. According to the Indian Dental Association, the modified Bass technique is among the most popular for adults.

Is electric better than manual toothbrush pros and cons? ›

A review of studies showed that, in general, electric toothbrushes do decrease more plaque and gingivitis than manual toothbrushes. After three months of use, plaque was reduced by 21 percent and gingivitis by 11 percent. Oscillating (rotating) toothbrushes seem to work better than just vibrating toothbrushes.

Is it worth switching to electric toothbrush? ›

Electric toothbrushes are worth the investment because they take the guesswork out of brushing your teeth and do much of the "heavy lifting" for you. Many also provide beneficial tools like a timer, Bluetooth capabilities, alerts to protect your gums if you're brushing too hard, and other helpful features.

Do you really need an electric toothbrush? ›

Dentists agree that overall, electric toothbrushes are superior to manual ones. "Because electric brushes have a rotation, they essentially force the toothpaste in more difficult-to-reach areas, which is where cavities start," says Dr. Creaven.

What toothbrushes do dental professionals generally recommend that patients use ______? ›

Also, when brushing, the ADA recommends that people use a soft-bristled toothbrush and apply gentle pressure, both of which may help reduce the risk of gingival injury.

Why do dentists want you to use an electric toothbrush? ›

Studies show that electric toothbrushes do a better job of cleaning your teeth than manual toothbrushes do, which can help prevent cavities and gum disease.

Is a manual toothbrush enough? ›

The key to preventing tooth decay, say experts, lies in the way a toothbrush -- electric or otherwise -- is used. "If you are a wonderful brusher and a wonderful flosser ... then the manual toothbrushes are just great," says Kimberly Harms, DDS, an ADA consumer advisor who is also a dentist in Farmington, Minn.

Do you brush your teeth differently with an electric toothbrush? ›

When using an electric toothbrush it is not necessary to press hard or scrub while brushing. Instead, gently guide the brush along as it scrubs.

How much of a difference do electric toothbrushes make? ›

The Oral Health Foundation did a study that showed electric toothbrushes do make a difference. A decade-long study found a 22% reduction in gum recession and an 18% reduction in tooth decay with electric toothbrush users. Another study resulted in similar findings.

Are manual toothbrushes better for gums? ›

While many studies have shown electric toothbrushes to be more effective at removing plaque than manual toothbrushes, many have also shown manual and electric toothbrushes to be equally effective at maintaining optimal gum and dental health. It's the cleaning habits you create with your toothbrush that really matter.

What is the downside of a sonic toothbrush? ›

However sonic brushes do have one major drawback; they tend to be quite expensive compared to both manual and electric versions making them cost-prohibitive for some users with tighter budgets who still want a quality brush for cleaning their teeth thoroughly each day!

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