The toothbrush is an instrument consisting of a small brush on a handle used to clean teeth through tooth brushing. Toothpaste, often containing fluoride, is commonly added to a toothbrush to aid in cleaning. Toothbrushes are offered with varying textures of bristles, and come in many different sizes and forms. Most dentists recommend using a toothbrush labelled "Soft", since firmer bristled toothbrushes can damage tooth enamel and irritate gums as indicated by the American Dental Association. Toothbrushes are often made from synthetic fibers, although natural toothbrushes are also known in many parts of the world.

History

A variety of oral hygiene measures have been used since before recorded history. This has been verified by various excavations done all over the world, in which chewsticks, tree twigs, bird feathers, animal bones and porcupine quills were recovered.

Many people used different forms of toothbrushes. Indian medicine (Ayurveda) has used the neem tree (a.k.a. daatun) and its products to create toothbrushes and similar products for millennia. A person chews one end of the neem twig until it somewhat resembles the bristles of a toothbrush, and then uses it to brush the teeth. In the Muslim world, the miswak, or siwak, made from a twig or root with antiseptic properties has been widely used since the Islamic Golden Age. Rubbing baking soda or chalk against the teeth was also common.

The first toothbrush to resemble the modern toothbrush is believed to have been invented in China in the late 1400s, which used the stiff hairs from a hog's neck, attached to a bamboo stick.

The earliest identified use of the word toothbrush in English was in the autobiography of Anthony Wood in 1690, in a sentence about buying a toothbrush from a man named J. Barret.

William Addis of England is creditedFact: date=January 2009 with creating the first mass-produced toothbrush in 1780. In 1770 he had been placed in jail for causing a riot. While in prison, he decided that the method for teeth brushing of the time – rubbing a rag on one's teeth with soot and salt – could be improved. So he took a small animal bone, drilled small holes in it, obtained some bristles from a guard, tied them in tufts, then passed the bristles through the holes on the bone and glued them. He soon became very wealthy. He died in the year 1808 and left the business to his eldest son, William II.

The first patent for a toothbrush was by H. N. Wadsworth in 1857 (US Patent No. 18,653) in the United States, but mass production of the product in America only started in 1885. The rather advanced design had a bone handle with holes bored into it for the Siberian Boar hair bristles. Boar wasn't an ideal material; it retained bacteria, it didn't dry well, and the bristles would often fall out of the brush. It wasn't until World War II, however, that the concept of brushing teeth really caught on in the U.S., in part because it was part of American soldiers' regular daily duty to clean their teeth. It was a practice that they brought back to their home life after the conclusion of the war. Fact: date=April 2007