Dentistry
Table of Contents
Key Points
- The American Dental Association (ADA) recommends changing your toothbrush once every three or four months, or sooner if the bristles become worn or you’ve been sick.
- You can use either a manual or powered toothbrush for effective brushing as long as the toothbrush has soft bristles.
- For optimal results, choose a toothbrush with angled or multi-level bristles.
- Toothbrushes approved by the ADA have the ADA seal of acceptance.
- Rinse your toothbrush after each use and let it air dry upright.
- Don’t share your toothbrush with anyone else.
- The ADA recommends brushing twice a day with a fluoride toothpaste for two minutes at a time.
- In addition to proper toothbrush care and brushing, it’s essential to visit your dentist at least once a year.
How Often Should I Change My Toothbrush?
According to the American Dental Association, old toothbrushes should be replaced with a new one once every three or four months. If your toothbrush becomes visibly worn out (i.e., matting or fraying of the bristles), replace it immediately. A toothbrush with visible wear won’t clean your teeth effectively and could even cause harm to your teeth, gums, or mouth. If you’ve been sick recently, this could be another reason to replace your toothbrush, even if it’s not worn.
What Type of Toothbrush Should I Use?
Experts say you can use either a manual toothbrush or a powered toothbrush to brush your teeth. [1] Whichever type of toothbrush you use, it should have soft bristles. Although medium bristles are also effective, they’re not recommended since they can injure the gums, resulting in a gingival abrasion. [2]
Manual Toothbrushes
There are a staggering number of manual toothbrushes on the market. It can be overwhelming to choose one that’s both affordable and effective. The American Dental Association (ADA) recommends looking for a toothbrush with the ADA Seal of Acceptance. [3] These toothbrushes have been tested for safety and efficacy.
The ADA also recommends using a toothbrush with angled or multi-level bristles. These types of toothbrushes have been proven to remove plaque more effectively. [4]
Powered Toothbrushes
Powered toothbrushes can be an effective method for cleaning your teeth, but they tend to be significantly more expensive. You may find it worth the extra cost of an electric toothbrush if you have braces or mobility issues due to a disability. The ADA also grants its ADA Seal of Acceptance to certain power toothbrushes that have been proven safe and effective. [5]
Guidelines for Toothbrush Care
Regardless of the type of toothbrush you choose, it’s essential to keep it clean and in good working order. The better you care for your toothbrush, the more effectively it can work to care for your teeth. Here are some best practices for proper toothbrush care, according to the American Dental Association: [6]
- After brushing, rinse your toothbrush thoroughly before storing it away. This ensures there’s no remaining toothpaste or food particles left on the brush.
- Don’t cover your toothbrush as this can promote bacterial growth on the bristles. Instead, keep it in an upright position during storage and let it air dry.
- Don’t allow anyone else to use your toothbrush.
- Replace your old toothbrush with a new one every three or four months, or sooner if the bristles become worn or show signs of wear.
Guidelines for Proper Brushing
The type of toothbrush you use and how you care for it are important, but it’s also crucial to learn proper brushing techniques to ensure you have clean teeth and a healthy smile. Below are effective brushing guidelines from the American Dental Association to ensure the best oral care: [7]
- Brush twice a day for two minutes at a time to effectively remove plaque buildup.
- Use a toothpaste that contains fluoride.
- Apply gentle pressure to clean effectively while avoiding injury.
- The ADA recommends the following brushing technique: Hold your toothbrush at a 45-degree angle to the gum line while moving the toothbrush back and forth over the surface of your teeth, using short strokes. To clean the inside of your teeth, tilt the brush vertically and move the toothbrush up and down in short, gentle strokes.
See Your Dentist Regularly
No matter how effectively you brush or take care of your toothbrush, it can’t replace regular check-ups with your dentist. To protect your oral health, schedule a check-up and professional cleaning with your dentist at least once a year. [8] Ask your dentist if you need to see them more regularly for a healthy, bright smile.
Frequently Asked Questions About How Often to Change Your Toothbrush
Do I need to use mouthwash?
According to the American Dental Association, mouthwash can be helpful for adults and children over the age of six. [9] Mouthwash may help disinfect areas of the mouth that are difficult to reach with a toothbrush. Mouthwash can also help with bad breath.
How often should you change an electric toothbrush head?
The guidelines for changing your toothbrush are the same whether you use an electric toothbrush or a manual one. With electric toothbrushes, you may only need to replace the head. Best practices for dental hygiene recommend changing electric toothbrush heads every three or four months, or more frequently if they become matted or frayed.
Why do toothbrushes need to be replaced if the bristles are still stiff?
There may be damage to the bristles that you can’t see with the naked eye. Moreover, bacteria can accumulate on an old toothbrush, which could cause an infection or make you ill.
Should I change my toothbrush after being sick?
Yes. To prevent getting sick again from germs left on your toothbrush, replace it with a new one. This could be especially important if you’ve had an illness like the flu or strep throat. [10]
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[1] [6] [7] Toothbrushes. American Dental Association. (n.d.-c). https://www.ada.org/resources/ada-library/oral-health-topics/toothbrushes
[2] RP;, Z. F. A. S. (n.d.). Biofilm removal and gingival abrasion with medium and soft toothbrushes. Oral health & preventive dentistry. https://pubmed.ncbi.nlm.nih.gov/21842020/
[3] [5] Ada Seal of acceptance. American Dental Association. (n.d.-a). https://www.ada.org/resources/research/science/ada-seal-of-acceptance
[4] Slot DE;Wiggelinkhuizen L;Rosema NA;Van der Weijden GA; (n.d.). The efficacy of manual toothbrushes following a brushing exercise: A systematic review. International journal of dental hygiene. https://pubmed.ncbi.nlm.nih.gov/22672101/
[8] How often should you go to the dentist? | colgate®. (n.d.-w). https://www.colgate.com/en-us/oral-health/dental-visits/how-often-should-you-go-to-the-dentist
[9] Mouthrinse (mouthwash). American Dental Association. (n.d.-d). https://www.ada.org/resources/ada-library/oral-health-topics/mouthrinse-mouthwash
[10] Cleveland Clinic. (2025g, April 30). How often (and why) to change your toothbrush. https://health.clevelandclinic.org/how-often-should-you-change-your-toothbrush
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