![]() The ADA Seal Category section on ADA.org provides a list of manual toothbrushes that currently have the ADA Seal of Acceptance. 15 Although toothbrushes with medium bristles have been shown to be effective at biofilm removal, the ADA recommends use of a toothbrush with soft bristles because they minimize the risk of gingival abrasion. 14 One systematic review found that toothbrushes with either multi-level bristles or angled bristles perform better than the conventional flat-trimmed bristles in removing plaque. Food and Drug Administration (FDA).Ī myriad of toothbrush head design options are available. Patients should look for a device that has been cleared by the U.S. Toothbrush sanitizer devices are available. 13 Microwaving or putting toothbrushes in the dishwasher is not recommended as such high heat may damage the brush. While there is little data in the literature regarding toothbrush sanitizing, one study indicates that soaking a toothbrush in 3 percent hydrogen peroxide or Listerine mouthwash greatly reduces (i.e., 85 percent) bacterial load. Nonetheless, some patients may be interested in sanitizing their toothbrushes. 12 While toothbrushes have been shown to harbor bacteria, there is no evidence that these bacteria cause adverse health effects. Toothbrushes have been shown to harbor bacteria (including fecal coliform bacteria that can be released into the air when the toilet is flushed or can be spread to the toothbrush when the owner touches a contaminated surface before handling his or her brush). The effectiveness of the brush decreases as the bristles become worn.
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