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Electric toothbrush - Wikipedia

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class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Environmental_concerns"> <div class="vector-toc-text"> <span class="vector-toc-numb">5</span> <span>Environmental concerns</span> </div> </a> <ul id="toc-Environmental_concerns-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Optional_features" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Optional_features"> <div class="vector-toc-text"> <span class="vector-toc-numb">6</span> <span>Optional features</span> </div> </a> <button aria-controls="toc-Optional_features-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Optional features subsection</span> </button> <ul id="toc-Optional_features-sublist" class="vector-toc-list"> <li id="toc-Timer" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Timer"> <div class="vector-toc-text"> <span class="vector-toc-numb">6.1</span> <span>Timer</span> </div> </a> <ul id="toc-Timer-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Display" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Display"> <div class="vector-toc-text"> <span class="vector-toc-numb">6.2</span> <span>Display</span> </div> </a> <ul id="toc-Display-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Pressure_sensor" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Pressure_sensor"> <div class="vector-toc-text"> <span class="vector-toc-numb">6.3</span> <span>Pressure sensor</span> </div> </a> <ul id="toc-Pressure_sensor-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Ultrasound_indicator" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Ultrasound_indicator"> <div class="vector-toc-text"> <span class="vector-toc-numb">6.4</span> <span>Ultrasound indicator</span> </div> </a> <ul id="toc-Ultrasound_indicator-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Bluetooth" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Bluetooth"> <div class="vector-toc-text"> <span class="vector-toc-numb">6.5</span> <span>Bluetooth</span> </div> </a> <ul id="toc-Bluetooth-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Cleaning_modes" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Cleaning_modes"> <div class="vector-toc-text"> <span class="vector-toc-numb">7</span> <span>Cleaning modes</span> </div> </a> <ul id="toc-Cleaning_modes-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-References" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#References"> <div class="vector-toc-text"> <span class="vector-toc-numb">8</span> <span>References</span> </div> </a> <ul id="toc-References-sublist" class="vector-toc-list"> </ul> </li> </ul> </div> </div> </nav> </div> </div> <div class="mw-content-container"> <main id="content" class="mw-body"> <header class="mw-body-header vector-page-titlebar"> <nav aria-label="Contents" class="vector-toc-landmark"> <div id="vector-page-titlebar-toc" class="vector-dropdown vector-page-titlebar-toc vector-button-flush-left" > <input type="checkbox" id="vector-page-titlebar-toc-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-vector-page-titlebar-toc" class="vector-dropdown-checkbox " aria-label="Toggle the table of contents" > <label id="vector-page-titlebar-toc-label" for="vector-page-titlebar-toc-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--icon-only " aria-hidden="true" ><span class="vector-icon mw-ui-icon-listBullet 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Available in 18 languages" > <label id="p-lang-btn-label" for="p-lang-btn-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--action-progressive mw-portlet-lang-heading-18" aria-hidden="true" ><span class="vector-icon mw-ui-icon-language-progressive mw-ui-icon-wikimedia-language-progressive"></span> <span class="vector-dropdown-label-text">18 languages</span> </label> <div class="vector-dropdown-content"> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li class="interlanguage-link interwiki-ar mw-list-item"><a href="https://ar.wikipedia.org/wiki/%D9%81%D8%B1%D8%B4%D8%A7%D8%A9_%D8%A3%D8%B3%D9%86%D8%A7%D9%86_%D9%83%D9%87%D8%B1%D8%A8%D8%A7%D8%A6%D9%8A%D8%A9" title="فرشاة أسنان كهربائية – Arabic" lang="ar" hreflang="ar" data-title="فرشاة أسنان كهربائية" data-language-autonym="العربية" data-language-local-name="Arabic" class="interlanguage-link-target"><span>العربية</span></a></li><li class="interlanguage-link interwiki-az mw-list-item"><a href="https://az.wikipedia.org/wiki/Elektrik_di%C5%9F_f%C4%B1r%C3%A7as%C4%B1" title="Elektrik diş fırçası – Azerbaijani" lang="az" hreflang="az" data-title="Elektrik diş fırçası" data-language-autonym="Azərbaycanca" data-language-local-name="Azerbaijani" class="interlanguage-link-target"><span>Azərbaycanca</span></a></li><li class="interlanguage-link interwiki-bo mw-list-item"><a href="https://bo.wikipedia.org/wiki/%E0%BD%82%E0%BE%B3%E0%BD%BC%E0%BD%82%E0%BC%8B%E0%BD%A0%E0%BD%82%E0%BD%B4%E0%BD%A3%E0%BC%8B%E0%BD%A6%E0%BD%BC%E0%BC%8B%E0%BD%96%E0%BD%80%E0%BE%B2%E0%BD%B4%E0%BC%8B" title="གློག་འགུལ་སོ་བཀྲུ་ – Tibetan" lang="bo" hreflang="bo" data-title="གློག་འགུལ་སོ་བཀྲུ་" data-language-autonym="བོད་ཡིག" data-language-local-name="Tibetan" class="interlanguage-link-target"><span>བོད་ཡིག</span></a></li><li class="interlanguage-link interwiki-ca mw-list-item"><a href="https://ca.wikipedia.org/wiki/Raspall_de_dents_el%C3%A8ctric" title="Raspall de dents elèctric – Catalan" lang="ca" hreflang="ca" data-title="Raspall de dents elèctric" data-language-autonym="Català" data-language-local-name="Catalan" class="interlanguage-link-target"><span>Català</span></a></li><li class="interlanguage-link interwiki-es mw-list-item"><a href="https://es.wikipedia.org/wiki/Cepillo_dental_el%C3%A9ctrico" title="Cepillo dental eléctrico – Spanish" lang="es" hreflang="es" data-title="Cepillo dental eléctrico" data-language-autonym="Español" data-language-local-name="Spanish" class="interlanguage-link-target"><span>Español</span></a></li><li class="interlanguage-link interwiki-fa mw-list-item"><a href="https://fa.wikipedia.org/wiki/%D9%85%D8%B3%D9%88%D8%A7%DA%A9_%D8%A7%D9%84%DA%A9%D8%AA%D8%B1%DB%8C%DA%A9%DB%8C" title="مسواک الکتریکی – Persian" lang="fa" hreflang="fa" data-title="مسواک الکتریکی" data-language-autonym="فارسی" data-language-local-name="Persian" class="interlanguage-link-target"><span>فارسی</span></a></li><li class="interlanguage-link interwiki-fr mw-list-item"><a href="https://fr.wikipedia.org/wiki/Brosse_%C3%A0_dents_%C3%A9lectrique" title="Brosse à dents électrique – French" lang="fr" hreflang="fr" data-title="Brosse à dents électrique" data-language-autonym="Français" data-language-local-name="French" class="interlanguage-link-target"><span>Français</span></a></li><li class="interlanguage-link interwiki-ko mw-list-item"><a href="https://ko.wikipedia.org/wiki/%EC%A0%84%EB%8F%99_%EC%B9%AB%EC%86%94" title="전동 칫솔 – Korean" lang="ko" hreflang="ko" data-title="전동 칫솔" data-language-autonym="한국어" data-language-local-name="Korean" class="interlanguage-link-target"><span>한국어</span></a></li><li class="interlanguage-link interwiki-id mw-list-item"><a href="https://id.wikipedia.org/wiki/Sikat_gigi_elektrik" title="Sikat gigi elektrik – Indonesian" lang="id" hreflang="id" data-title="Sikat gigi elektrik" data-language-autonym="Bahasa Indonesia" data-language-local-name="Indonesian" class="interlanguage-link-target"><span>Bahasa Indonesia</span></a></li><li class="interlanguage-link interwiki-nl mw-list-item"><a href="https://nl.wikipedia.org/wiki/Elektrische_tandenborstel" title="Elektrische tandenborstel – Dutch" lang="nl" hreflang="nl" data-title="Elektrische tandenborstel" data-language-autonym="Nederlands" data-language-local-name="Dutch" class="interlanguage-link-target"><span>Nederlands</span></a></li><li class="interlanguage-link interwiki-ja mw-list-item"><a href="https://ja.wikipedia.org/wiki/%E9%9B%BB%E5%8B%95%E6%AD%AF%E3%83%96%E3%83%A9%E3%82%B7" title="電動歯ブラシ – Japanese" lang="ja" hreflang="ja" data-title="電動歯ブラシ" data-language-autonym="日本語" data-language-local-name="Japanese" class="interlanguage-link-target"><span>日本語</span></a></li><li class="interlanguage-link interwiki-pt mw-list-item"><a href="https://pt.wikipedia.org/wiki/Escova_dental_el%C3%A9trica" title="Escova dental elétrica – Portuguese" lang="pt" hreflang="pt" data-title="Escova dental elétrica" data-language-autonym="Português" data-language-local-name="Portuguese" class="interlanguage-link-target"><span>Português</span></a></li><li class="interlanguage-link interwiki-ru mw-list-item"><a href="https://ru.wikipedia.org/wiki/%D0%AD%D0%BB%D0%B5%D0%BA%D1%82%D1%80%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B0%D1%8F_%D0%B7%D1%83%D0%B1%D0%BD%D0%B0%D1%8F_%D1%89%D1%91%D1%82%D0%BA%D0%B0" title="Электрическая зубная щётка – Russian" lang="ru" hreflang="ru" data-title="Электрическая зубная щётка" data-language-autonym="Русский" data-language-local-name="Russian" class="interlanguage-link-target"><span>Русский</span></a></li><li class="interlanguage-link interwiki-sl mw-list-item"><a href="https://sl.wikipedia.org/wiki/Elektri%C4%8Dna_zobna_%C5%A1%C4%8Detka" title="Električna zobna ščetka – Slovenian" lang="sl" hreflang="sl" data-title="Električna zobna ščetka" data-language-autonym="Slovenščina" data-language-local-name="Slovenian" class="interlanguage-link-target"><span>Slovenščina</span></a></li><li class="interlanguage-link interwiki-fi mw-list-item"><a href="https://fi.wikipedia.org/wiki/S%C3%A4hk%C3%B6hammasharja" title="Sähköhammasharja – Finnish" lang="fi" hreflang="fi" data-title="Sähköhammasharja" data-language-autonym="Suomi" data-language-local-name="Finnish" class="interlanguage-link-target"><span>Suomi</span></a></li><li class="interlanguage-link interwiki-sv mw-list-item"><a href="https://sv.wikipedia.org/wiki/Eltandborste" title="Eltandborste – Swedish" lang="sv" hreflang="sv" data-title="Eltandborste" data-language-autonym="Svenska" data-language-local-name="Swedish" class="interlanguage-link-target"><span>Svenska</span></a></li><li class="interlanguage-link interwiki-zh-yue mw-list-item"><a href="https://zh-yue.wikipedia.org/wiki/%E9%9B%BB%E5%8B%95%E7%89%99%E5%88%B7" title="電動牙刷 – Cantonese" lang="yue" hreflang="yue" data-title="電動牙刷" data-language-autonym="粵語" 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searchaux" style="display:none">Oral hygiene instrument</div> <figure typeof="mw:File/Thumb"><a href="/wiki/File:Electric_toothbrush_on_a_white_background.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/e/e8/Electric_toothbrush_on_a_white_background.jpg/230px-Electric_toothbrush_on_a_white_background.jpg" decoding="async" width="230" height="173" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/e/e8/Electric_toothbrush_on_a_white_background.jpg/345px-Electric_toothbrush_on_a_white_background.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/e/e8/Electric_toothbrush_on_a_white_background.jpg/460px-Electric_toothbrush_on_a_white_background.jpg 2x" data-file-width="4000" data-file-height="3000" /></a><figcaption>A typical electric toothbrush</figcaption></figure> <p>An <b>electric toothbrush</b>, <b>motorized toothbrush</b>, or <b>battery-powered toothbrush</b> is a <a href="/wiki/Toothbrush" title="Toothbrush">toothbrush</a> that makes rapid automatic bristle motions, either back-and-forth <a href="/wiki/Oscillating" class="mw-redirect" title="Oscillating">oscillation</a> or <a href="/wiki/Rotation" title="Rotation">rotation</a>-oscillation (where the brush head alternates clockwise and counterclockwise rotation), in order to <a href="/wiki/Tooth_brushing" title="Tooth brushing">clean teeth</a>. Motions at sonic speeds or below are made by a <a href="/wiki/Electric_motor" title="Electric motor">motor</a>. In the case of <a href="/wiki/Ultrasonic_toothbrush" title="Ultrasonic toothbrush">ultrasonic toothbrushes</a>, <a href="/wiki/Ultrasound" title="Ultrasound">ultrasonic</a> motions are produced by a <a href="/wiki/Piezoelectric_crystal" class="mw-redirect" title="Piezoelectric crystal">piezoelectric crystal</a>. A modern electric toothbrush is usually powered by a <a href="/wiki/Rechargeable_battery" title="Rechargeable battery">rechargeable battery</a> charged through <a href="/wiki/Inductive_charging" title="Inductive charging">inductive charging</a> when the brush sits in the charging base between uses. </p><p>Electric toothbrushes can be classified according to the <a href="/wiki/Frequency" title="Frequency">frequency</a> (speed) of their movements as power, sonic or <a href="/wiki/Ultrasonic_toothbrush" title="Ultrasonic toothbrush">ultrasonic toothbrushes</a>, depending on whether they make movements that are below, in or above the <a href="/wiki/Audible_range" class="mw-redirect" title="Audible range">audible range</a> (20–20,000&#160;<a href="/wiki/Hertz" title="Hertz">Hz</a> or 2400–2,400,000 movements per minute), respectively. </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="History">History</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Electric_toothbrush&amp;action=edit&amp;section=1" title="Edit section: History"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-halign-right" typeof="mw:File/Thumb"><a href="/wiki/File:Motodent-electric-toothbrush.jpg" class="mw-file-description"><img alt="A photo of a Motodent electric toothbrush on top of a box." src="//upload.wikimedia.org/wikipedia/commons/thumb/c/c0/Motodent-electric-toothbrush.jpg/270px-Motodent-electric-toothbrush.jpg" decoding="async" width="270" height="140" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/c/c0/Motodent-electric-toothbrush.jpg/405px-Motodent-electric-toothbrush.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/c/c0/Motodent-electric-toothbrush.jpg/540px-Motodent-electric-toothbrush.jpg 2x" data-file-width="4151" data-file-height="2154" /></a><figcaption>A Motodent electric toothbrush. A patent for this toothbrush was filed in 1937.</figcaption></figure> <p>The earliest example of an electric toothbrush was first produced by Tomlinson Moseley. Sold as the Motodent, a patent was filed by his company, Motodent Inc. on December 13, 1937.<sup id="cite_ref-1" class="reference"><a href="#cite_note-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup> In Switzerland in 1954 Dr. Philippe Guy Woog invented the Broxodent.<sup id="cite_ref-2" class="reference"><a href="#cite_note-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> Woog's electric toothbrushes were originally manufactured in Switzerland (later in France) for Broxo S.A. The device plugged into a standard wall outlet and ran on line voltage. Electric toothbrushes were initially created for patients with limited motor skills and for orthodontic patients (such as those with braces).<sup id="cite_ref-3" class="reference"><a href="#cite_note-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup> </p><p>The Broxo Electric Toothbrush was introduced in the US by <a href="/wiki/E._R._Squibb" title="E. R. Squibb">E. R. Squibb</a> and Sons Pharmaceuticals in 1960.<sup id="cite_ref-:0_4-0" class="reference"><a href="#cite_note-:0-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup> After introduction, it was marketed in the US by Squibb under the names Broxo-Dent or Broxodent.<sup id="cite_ref-:0_4-1" class="reference"><a href="#cite_note-:0-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup> In the 1980s Squibb transferred distribution of the Broxodent line to the Somerset Labs division of <a href="/wiki/Bristol-Myers_Squibb" class="mw-redirect" title="Bristol-Myers Squibb">Bristol-Myers Squibb</a>.<sup id="cite_ref-5" class="reference"><a href="#cite_note-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup> </p><p>The <a href="/wiki/General_Electric" title="General Electric">General Electric</a> automatic toothbrush was introduced in the early 1960s;<sup id="cite_ref-6" class="reference"><a href="#cite_note-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup> it was cordless, with rechargeable <a href="/wiki/NiCad" class="mw-redirect" title="NiCad">NiCad</a> batteries and although portable, was rather bulky, about the size of a two-D-cell <a href="/wiki/Flashlight" title="Flashlight">flashlight</a> handle.<sup id="cite_ref-7" class="reference"><a href="#cite_note-7"><span class="cite-bracket">&#91;</span>7<span class="cite-bracket">&#93;</span></a></sup> NiCad batteries of this period suffered from the <a href="/wiki/Memory_effect" title="Memory effect">memory effect</a>. The GE automatic toothbrush came with a charging stand that held the hand piece upright; most units were kept in the charger, which is not the best way to get maximum service life from a NiCad battery. Also, early NiCad batteries tended to have a short lifespan. The batteries were sealed inside the GE device, and the whole unit had to be discarded when the batteries failed. </p><p>The use of an AC line voltage appliance in a bathroom environment was problematic. By the early 1990s <a href="/wiki/Underwriter_Laboratories" class="mw-redirect" title="Underwriter Laboratories">Underwriter Laboratories</a> (UL) and <a href="/wiki/Canadian_Standards_Association" class="mw-redirect" title="Canadian Standards Association">Canadian Standards Association</a> (CSA) no longer certified line-voltage appliances for bathroom use. Newer appliances had to use a step-down <a href="/wiki/Transformer" title="Transformer">transformer</a> to operate at low voltage (typically 12, 16 or 24 volts). Wiring standards in many countries require that outlets in bath areas must be protected by a <a href="/wiki/Residual-current_device" title="Residual-current device">RCD/GFCI</a> device (e.g., required in the US since the 1970s on bathroom outlets in new construction). </p><p>By the 1990s there were problems with safety certification of Broxo's original design. Further, improved battery-operated toothbrushes were providing formidable competition.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (September 2018)">citation needed</span></a></i>&#93;</sup> </p><p>The first <a href="/wiki/Ultrasonic_toothbrush" title="Ultrasonic toothbrush">ultrasonic toothbrush</a>, first called the Ultima and later the Ultrasonex, was patented in the US in 1992, the same year the <a href="/wiki/FDA" class="mw-redirect" title="FDA">FDA</a> gave it approval for daily home use. Initially, the Ultima worked only on ultrasound, but a few years later, a motor was added to give the Ultrasonex brush additional sonic vibration. Today, several ultrasonic toothbrushes simultaneously provide both ultrasound and sonic vibration. In more modern times, electric toothbrushes have been used as a substitute for <a href="/wiki/Vibrator_(sex_toy)" title="Vibrator (sex toy)">vibrators</a> for those who wish to avoid embarrassment.<sup id="cite_ref-8" class="reference"><a href="#cite_note-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup> </p><p>The negative environmental impact of electric toothbrushes when compared with manual toothbrushes has been established.<sup id="cite_ref-:6_9-0" class="reference"><a href="#cite_note-:6-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Types">Types</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Electric_toothbrush&amp;action=edit&amp;section=2" title="Edit section: Types"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure typeof="mw:File/Thumb"><a href="/wiki/File:Electrical_toothbrush_20050717_001.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/c/c5/Electrical_toothbrush_20050717_001.jpg/200px-Electrical_toothbrush_20050717_001.jpg" decoding="async" width="200" height="325" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/c/c5/Electrical_toothbrush_20050717_001.jpg/300px-Electrical_toothbrush_20050717_001.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/c/c5/Electrical_toothbrush_20050717_001.jpg/400px-Electrical_toothbrush_20050717_001.jpg 2x" data-file-width="1400" data-file-height="2272" /></a><figcaption>Electric toothbrush</figcaption></figure> <p>Electric toothbrushes can be classified according to their type of action: </p> <ul><li>Side to side vibration, which has a brush head action that moves laterally from side to side.</li> <li>Counter oscillation, which has a brush action in which adjacent tufts of bristles (usually six to 10 in number) rotate in one direction and then the other, independently, with each tuft rotating in the opposite direction to that adjacent to it.</li> <li>Rotation oscillation, which has a brush action in which the brush head rotates in one direction and then the other.</li> <li>Circular, which has a brush action in which the brush head rotates in one direction only.</li> <li>Ultrasonic, which has a brush action where the bristles vibrate at ultrasonic frequencies (&gt; 20&#160;kHz).</li> <li>Ionic, which has a brush that aims to impart an electrical charge to the tooth surface with the intent of disrupting the attachment of dental plaque.<sup id="cite_ref-:1_10-0" class="reference"><a href="#cite_note-:1-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup></li></ul> <p>For some vibrating toothbrush designs, a brushing technique similar to that used with a manual toothbrush is recommended, whereas with brushes with a spinning head the recommended cleaning technique is to simply move the brush slowly from tooth to tooth.<sup id="cite_ref-11" class="reference"><a href="#cite_note-11"><span class="cite-bracket">&#91;</span>11<span class="cite-bracket">&#93;</span></a></sup> </p><p>Electric toothbrushes can also be classified according to the speed of their movements as standard power toothbrushes, sonic toothbrushes or <a href="/wiki/Ultrasonic_toothbrush" title="Ultrasonic toothbrush">ultrasonic toothbrushes</a>. If the motion of the toothbrush is sufficiently rapid to produce a hum in the <a href="/wiki/Audible_frequency" class="mw-redirect" title="Audible frequency">audible frequency</a> of human range (20&#160;Hz to 20,000&#160;Hz), it can be classified as a sonic toothbrush. Any electric toothbrush with movement faster than this limit can be classified as an ultrasonic toothbrush. Certain ultrasonic toothbrushes, such as the Megasonex and the Ultreo, have both sonic and ultrasonic movements.<sup id="cite_ref-12" class="reference"><a href="#cite_note-12"><span class="cite-bracket">&#91;</span>12<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Oscillating_rotating">Oscillating rotating</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Electric_toothbrush&amp;action=edit&amp;section=3" title="Edit section: Oscillating rotating"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Oral_B_iO_toothbrush.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/b/b8/Oral_B_iO_toothbrush.jpg/220px-Oral_B_iO_toothbrush.jpg" decoding="async" width="220" height="220" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/b/b8/Oral_B_iO_toothbrush.jpg/330px-Oral_B_iO_toothbrush.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/b/b8/Oral_B_iO_toothbrush.jpg/440px-Oral_B_iO_toothbrush.jpg 2x" data-file-width="3000" data-file-height="3000" /></a><figcaption>Oral-B iO toothbrush</figcaption></figure> <p>The oscillating rotating toothbrush is a type of electric toothbrush which was introduced by <a href="/wiki/Oral-B" title="Oral-B">Oral-B</a> in the 1990s.<sup id="cite_ref-:2_13-0" class="reference"><a href="#cite_note-:2-13"><span class="cite-bracket">&#91;</span>13<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-14" class="reference"><a href="#cite_note-14"><span class="cite-bracket">&#91;</span>14<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-15" class="reference"><a href="#cite_note-15"><span class="cite-bracket">&#91;</span>15<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-16" class="reference"><a href="#cite_note-16"><span class="cite-bracket">&#91;</span>16<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-:3_17-0" class="reference"><a href="#cite_note-:3-17"><span class="cite-bracket">&#91;</span>17<span class="cite-bracket">&#93;</span></a></sup> This type of toothbrush is not shaped like a conventional manual toothbrush. Instead, it is made of a small round brush head that oscillates and rotates to remove plaque. The shape of the brush head is very similar to the prophylaxis hand piece used by dental professionals to remove plaque in the dental office.<sup id="cite_ref-:4_18-0" class="reference"><a href="#cite_note-:4-18"><span class="cite-bracket">&#91;</span>18<span class="cite-bracket">&#93;</span></a></sup> This design enables the bristles to reach further into the hard-to-reach areas between the teeth to remove plaque. Some versions of the oscillating rotating toothbrush also involve a pulsating motion which enables a more three dimensional clean.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (May 2022)">citation needed</span></a></i>&#93;</sup> </p><p>The Oral-B iO toothbrush has a linear magnetic drive system.<sup id="cite_ref-:5_19-0" class="reference"><a href="#cite_note-:5-19"><span class="cite-bracket">&#91;</span>19<span class="cite-bracket">&#93;</span></a></sup> This system allows the concentration of energy to be at the tip of the brush bristles while using the oscillating rotating motion.<sup id="cite_ref-:5_19-1" class="reference"><a href="#cite_note-:5-19"><span class="cite-bracket">&#91;</span>19<span class="cite-bracket">&#93;</span></a></sup> The brush also allows for 3D tracking using artificial intelligence that connects the toothbrush with an app.<sup id="cite_ref-:5_19-2" class="reference"><a href="#cite_note-:5-19"><span class="cite-bracket">&#91;</span>19<span class="cite-bracket">&#93;</span></a></sup> This technology enables to the user to have instant feedback on their brushing efficacy and can track the data if the user wishes to bring the information to their dental professional for more personalized oral health instruction and education. Furthermore, the Oral-B iO toothbrush also has a smart pressure sensor which is electronically calibrated to let the user know if they are brushing with too much pressure, or not enough, and automatically adapts the oscillation speed to protect the teeth and gums when excess pressure is applied.<sup id="cite_ref-:5_19-3" class="reference"><a href="#cite_note-:5-19"><span class="cite-bracket">&#91;</span>19<span class="cite-bracket">&#93;</span></a></sup> </p><p>The safety of oscillating rotating toothbrushes has also been studied. Oscillating rotating toothbrushes are proven to be safe as compared to manual toothbrushes and are safe for both the hard and soft tissues of the oral cavity.<sup id="cite_ref-20" class="reference"><a href="#cite_note-20"><span class="cite-bracket">&#91;</span>20<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Sonic">Sonic</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Electric_toothbrush&amp;action=edit&amp;section=4" title="Edit section: Sonic"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure typeof="mw:File/Thumb"><a href="/wiki/File:Sonicare.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/3/33/Sonicare.jpg/150px-Sonicare.jpg" decoding="async" width="150" height="322" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/3/33/Sonicare.jpg/225px-Sonicare.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/3/33/Sonicare.jpg/300px-Sonicare.jpg 2x" data-file-width="1699" data-file-height="3648" /></a><figcaption>Sonic toothbrush (Sonicare)</figcaption></figure> <p>Sonic toothbrushes are a subset of electric toothbrushes with movement that is fast enough to produce <a href="/wiki/Vibration" title="Vibration">vibration</a> in the <a href="/wiki/Audible_range" class="mw-redirect" title="Audible range">audible range</a>. Most modern rechargeable electric toothbrushes from brands such as <a href="/wiki/Sonicare" title="Sonicare">Sonicare</a>, FOREO, and Oral-B fall into this category and typically have frequencies that range from 200 to 400&#160;Hz, that is 12,000–24,000 oscillations or 24,000–48,000 movements per minute. Because sonic toothbrushes rely on sweeping motion alone to clean the teeth, the movement that they provide is often high in <a href="/wiki/Amplitude" title="Amplitude">amplitude</a>, meaning that the length of the sweeping movements that they make is large. One study found that using a sonic toothbrush causes less abrasion to the gum when compared to the manual toothbrush.<sup id="cite_ref-21" class="reference"><a href="#cite_note-21"><span class="cite-bracket">&#91;</span>21<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Ultrasonic">Ultrasonic</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Electric_toothbrush&amp;action=edit&amp;section=5" title="Edit section: Ultrasonic"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure typeof="mw:File/Thumb"><a href="/wiki/File:Megasonex.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/0/07/Megasonex.jpg/150px-Megasonex.jpg" decoding="async" width="150" height="322" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/0/07/Megasonex.jpg/225px-Megasonex.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/0/07/Megasonex.jpg/300px-Megasonex.jpg 2x" data-file-width="1699" data-file-height="3648" /></a><figcaption><a href="/wiki/Ultrasonic_toothbrush" title="Ultrasonic toothbrush">Ultrasonic toothbrush</a> (Megasonex)</figcaption></figure> <style data-mw-deduplicate="TemplateStyles:r1236090951">.mw-parser-output .hatnote{font-style:italic}.mw-parser-output div.hatnote{padding-left:1.6em;margin-bottom:0.5em}.mw-parser-output .hatnote i{font-style:normal}.mw-parser-output .hatnote+link+.hatnote{margin-top:-0.5em}@media print{body.ns-0 .mw-parser-output .hatnote{display:none!important}}</style><div role="note" class="hatnote navigation-not-searchable">Main article: <a href="/wiki/Ultrasonic_toothbrush" title="Ultrasonic toothbrush">Ultrasonic toothbrush</a></div> <p>The newest developments in this field are <a href="/wiki/Ultrasonic_toothbrush" title="Ultrasonic toothbrush">ultrasonic toothbrushes</a>, which use <a href="/wiki/Ultrasonic_wave" class="mw-redirect" title="Ultrasonic wave">ultrasonic waves</a> to clean the teeth. In order for a toothbrush to be considered "ultrasonic" it has to emit a wave at a minimum frequency of 20,000&#160;Hz or 2.4 million movements per minute. Typically, ultrasonic toothbrushes approved by the U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA) operate at a frequency of 1.6&#160;MHz, which translates to 192 million movements per minute. </p><p>Ultrasonic toothbrushes emit vibrations that are very high in <a href="/wiki/Frequency" title="Frequency">frequency</a> but low in <a href="/wiki/Amplitude" title="Amplitude">amplitude</a>. These vibrations break up bacterial chains that make up dental plaque and remove their methods of attachment to the tooth surface up to 5 mm below the gum line.<sup id="cite_ref-ReferenceA_22-0" class="reference"><a href="#cite_note-ReferenceA-22"><span class="cite-bracket">&#91;</span>22<span class="cite-bracket">&#93;</span></a></sup> </p><p>Some ultrasonic toothbrushes, such as the Emmi-Dent, provide only ultrasonic motion. Other ultrasonic toothbrushes, such as the Ultreo and the Megasonex, provide additional sonic vibration ranging from 9,000 to 40,000 movements per minute, comparable to a sonic toothbrush, in order to provide additional sweeping motion which facilitates removal of food particles and bacterial chain remnants. The sonic vibration in these ultrasonic toothbrushes may be lower in amplitude than that found in a comparable sonic toothbrush because the bacterial chains do not need to be removed through sonic vibration, simply swept away, as they have already been broken up by the ultrasound. </p><p>Because of the similarity of the terms "ultrasonic" and "sonic", there is some confusion in the marketplace and sonic toothbrushes are frequently mislabeled as ultrasonic ones. A toothbrush operating at a frequency or vibration of less than 20,000 Hz is a "sonic" toothbrush. It is called "sonic" because its operating frequency, for example 31,000 movements per minute, is within the human hearing range of between roughly 20&#160;Hz to about 20,000&#160;Hz. Only a toothbrush that emits <a href="/wiki/Ultrasound" title="Ultrasound">ultrasound</a>, or vibration at a frequency greater than the upper limit of human hearing, can be called an "ultrasonic" toothbrush. </p> <div class="mw-heading mw-heading2"><h2 id="Effectiveness">Effectiveness</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Electric_toothbrush&amp;action=edit&amp;section=6" title="Edit section: Effectiveness"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>In 2014, a <a href="/wiki/Cochrane_(organisation)" title="Cochrane (organisation)">Cochrane</a> review demonstrated that power toothbrushes remove more plaque and reduce gingival inflammation more than manual toothbrushes.<sup id="cite_ref-:1_10-1" class="reference"><a href="#cite_note-:1-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup> This review showed electric toothbrushes had greater effectiveness over manual ones. For example, plaque build-up and gingival inflammation were reduced by 11% and 6% respectively after one to three months of use.<sup id="cite_ref-:1_10-2" class="reference"><a href="#cite_note-:1-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup> After three months of use, the reduction observed was even greater – 21% reduction in plaque and 11% reduction in gingival inflammation.<sup id="cite_ref-:1_10-3" class="reference"><a href="#cite_note-:1-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup> Although the scale of these differences in a clinical setting remains questionable,<sup id="cite_ref-:1_10-4" class="reference"><a href="#cite_note-:1-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup> other reviews have reached similar conclusions.<sup id="cite_ref-23" class="reference"><a href="#cite_note-23"><span class="cite-bracket">&#91;</span>23<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-24" class="reference"><a href="#cite_note-24"><span class="cite-bracket">&#91;</span>24<span class="cite-bracket">&#93;</span></a></sup> Another large review of studies also concluded that power toothbrushes were more effective in removing plaque than manual brushes for children.<sup id="cite_ref-25" class="reference"><a href="#cite_note-25"><span class="cite-bracket">&#91;</span>25<span class="cite-bracket">&#93;</span></a></sup> For patients with limited manual dexterity or where difficulty exists in reaching rear teeth, electric toothbrushes may be especially beneficial.<sup id="cite_ref-26" class="reference"><a href="#cite_note-26"><span class="cite-bracket">&#91;</span>26<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-27" class="reference"><a href="#cite_note-27"><span class="cite-bracket">&#91;</span>27<span class="cite-bracket">&#93;</span></a></sup> </p><p>With regards to the effectiveness of different electric toothbrushes, the oscillation rotation models have been found to remove more plaque than manual toothbrushes.<sup id="cite_ref-28" class="reference"><a href="#cite_note-28"><span class="cite-bracket">&#91;</span>28<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-:4_18-1" class="reference"><a href="#cite_note-:4-18"><span class="cite-bracket">&#91;</span>18<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-:3_17-1" class="reference"><a href="#cite_note-:3-17"><span class="cite-bracket">&#91;</span>17<span class="cite-bracket">&#93;</span></a></sup> More specific studies have also been conducted demonstrating oscillating rotating toothbrush effectiveness to be superior to manual toothbrushes for patients undergoing orthodontic treatment.<sup id="cite_ref-29" class="reference"><a href="#cite_note-29"><span class="cite-bracket">&#91;</span>29<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-30" class="reference"><a href="#cite_note-30"><span class="cite-bracket">&#91;</span>30<span class="cite-bracket">&#93;</span></a></sup> Only the oscillating rotating power toothbrush was able to consistently provide statistically significant benefit over manual toothbrushes in the 2014 Cochrane Review.<sup id="cite_ref-:1_10-5" class="reference"><a href="#cite_note-:1-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup> This suggests that oscillating rotating power toothbrushes may be more effective than other electric toothbrushes. More recent evidence also supports this as new studies suggest that oscillating rotating toothbrushes are more effective than high frequency sonic power toothbrushes.<sup id="cite_ref-31" class="reference"><a href="#cite_note-31"><span class="cite-bracket">&#91;</span>31<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-:2_13-1" class="reference"><a href="#cite_note-:2-13"><span class="cite-bracket">&#91;</span>13<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-32" class="reference"><a href="#cite_note-32"><span class="cite-bracket">&#91;</span>32<span class="cite-bracket">&#93;</span></a></sup> Overall, oscillating rotating toothbrushes are effective in reducing gingival inflammation and plaque.<sup id="cite_ref-33" class="reference"><a href="#cite_note-33"><span class="cite-bracket">&#91;</span>33<span class="cite-bracket">&#93;</span></a></sup> </p><p>Other factors that influence effectiveness amongst electric toothbrushes involve factors such as the amount of time spent brushing and the condition of the brush head. Manufacturers recommend that heads be changed every three months or as soon as the brush head has visibly deteriorated.<sup id="cite_ref-34" class="reference"><a href="#cite_note-34"><span class="cite-bracket">&#91;</span>34<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-35" class="reference"><a href="#cite_note-35"><span class="cite-bracket">&#91;</span>35<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Power_source_and_charging">Power source and charging</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Electric_toothbrush&amp;action=edit&amp;section=7" title="Edit section: Power source and charging"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Modern electric toothbrushes run on low voltage, 12 V or less. A few units use a step-down <a href="/wiki/Transformer" title="Transformer">transformer</a> to power the brush, but most use a battery, usually but not always rechargeable and non-replaceable, fitted inside the handle, which is hermetically sealed to prevent water damage. While early NiCd battery toothbrushes used metal tabs to connect with the charging base, some toothbrushes use <a href="/wiki/Inductive_charging" title="Inductive charging">inductive charging</a>. </p> <div class="mw-heading mw-heading2"><h2 id="Environmental_concerns">Environmental concerns</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Electric_toothbrush&amp;action=edit&amp;section=8" title="Edit section: Environmental concerns"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>According to <a href="/wiki/Friends_of_the_Earth" title="Friends of the Earth">Friends of the Earth</a>, "Disposable electric toothbrushes are one example of a terrible product ... it's virtually impossible to separate out the tech from the batteries and plastic casing which means valuable and often toxic materials are dumped in landfill or burnt in incinerators."<sup id="cite_ref-BBC_36-0" class="reference"><a href="#cite_note-BBC-36"><span class="cite-bracket">&#91;</span>36<span class="cite-bracket">&#93;</span></a></sup> A study published in British Dental Journal found <a href="/wiki/Climate_change" title="Climate change">climate change</a> potential of the electric toothbrush was 11 times greater than the bamboo toothbrush. The bamboo toothbrush was, however, not the most environmentally sustainable toothbrush, contrary to popular belief because using them just stops land from being put to better use such as helping biodiversity, or in growing forests to <a href="/wiki/Carbon_offset" class="mw-redirect" title="Carbon offset">offset carbon emissions</a>. A plastic manual replaceable head toothbrush was probably the best, according to the study.<sup id="cite_ref-:6_9-1" class="reference"><a href="#cite_note-:6-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Optional_features">Optional features</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Electric_toothbrush&amp;action=edit&amp;section=9" title="Edit section: Optional features"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-heading mw-heading3"><h3 id="Timer">Timer</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Electric_toothbrush&amp;action=edit&amp;section=10" title="Edit section: Timer"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Many modern electric toothbrushes have a timer that buzzes, or briefly interrupts power, typically after two minutes, and sometimes every 30 seconds. This is associated with a customary recommendation to brush for two minutes, 30 seconds for each of the four quadrants of the mouth. </p> <div class="mw-heading mw-heading3"><h3 id="Display">Display</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Electric_toothbrush&amp;action=edit&amp;section=11" title="Edit section: Display"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Some electric toothbrushes have <a href="/wiki/Liquid_crystal_display" class="mw-redirect" title="Liquid crystal display">LCD</a> screens that show brushing time and sometimes smiley face <a href="/wiki/Icon_(computing)" title="Icon (computing)">icons</a> or other images to encourage optimal brushing. These features could encourage people to brush more accurately.<sup id="cite_ref-Daniel_E._Jolly,_Professor_of_Clinical_Dentistry_College_of_Dentistry_The_Ohio_State_University._37-0" class="reference"><a href="#cite_note-Daniel_E._Jolly,_Professor_of_Clinical_Dentistry_College_of_Dentistry_The_Ohio_State_University.-37"><span class="cite-bracket">&#91;</span>37<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Pressure_sensor">Pressure sensor</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Electric_toothbrush&amp;action=edit&amp;section=12" title="Edit section: Pressure sensor"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Brushing teeth too hard causes enamel and gum damage. Most modern top-end sonic toothbrushes come with a pressure sensor, which prevents users from brushing too aggressively. There are two types of pressure sensors. Some sensors produce a sound warning and some immediately stop movements of the sonic toothbrush when it is used too aggressively. Some electric brushes, such as the Oral-B oscillating rotating brush, simultaneously coach the user to brush with optimal pressure during the brushing experience itself using AI and Bluetooth technology. </p> <div class="mw-heading mw-heading3"><h3 id="Ultrasound_indicator">Ultrasound indicator</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Electric_toothbrush&amp;action=edit&amp;section=13" title="Edit section: Ultrasound indicator"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Because ultrasonic frequencies are beyond the <a href="/wiki/Audible_range" class="mw-redirect" title="Audible range">audible range</a> and the amplitude of movement emitted by an ultrasonic toothbrush is typically too small to be perceived, the ultrasound is imperceptible to humans and it may not be apparent that a brush running if pure ultrasound is turned on. Ultrasonic toothbrushes may include an indicator to notify the user that ultrasound is being emitted. </p> <div class="mw-heading mw-heading3"><h3 id="Bluetooth">Bluetooth</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Electric_toothbrush&amp;action=edit&amp;section=14" title="Edit section: Bluetooth"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p><a href="/wiki/Bluetooth" title="Bluetooth">Bluetooth</a> connectivity enables data to be transmitted from an electric toothbrush to another Bluetooth device, such as a smartphone. The brush can send data to a <a href="/wiki/Mobile_app" title="Mobile app">mobile app</a> such as how long it has been brushing for and if too much pressure has been applied when brushing. The app can in turn send data back to the brush such as changing the cleaning modes available, and cleaning time. The sharing of data between toothbrush and smartphone is intended to assist the user in creating better brushing technique and habits. This technology enables coaching for the user as it tracks where the user brushes, how long in each area, and consequently, can identify areas where the user commonly misses. Electric toothbrush models that currently utilise Bluetooth include the Oral-B Pro 6000, Pro 6500, Pro 7000 and Genius 9000, Oral-B iO as well as Phillips Sonicare Diamond Clean Smart. </p> <div class="mw-heading mw-heading2"><h2 id="Cleaning_modes">Cleaning modes</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Electric_toothbrush&amp;action=edit&amp;section=15" title="Edit section: Cleaning modes"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Most sonic toothbrushes come with different cleaning modes and intensity levels. Cleaning modes are designed for special types of cleaning efficiency. Some of the most well known are Sensitive, Daily care, Whitening and Tongue cleaning. </p><p>Certain toothbrushes that offer both ultrasonic and sonic motion allow for the intensity of the sonic motion to be reduced, or even for the sonic motion to be turned off entirely so that only ultrasound is emitted. Since ultrasound movements are very low in amplitude, this setting may be indicated for patients who may not be suitable candidates for typical sonic or power toothbrush vibration but need the additional cleaning power of an ultrasonic toothbrush, such as patients who have recently undergone periodontal surgery. </p> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Electric_toothbrush&amp;action=edit&amp;section=16" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239009302">.mw-parser-output .portalbox{padding:0;margin:0.5em 0;display:table;box-sizing:border-box;max-width:175px;list-style:none}.mw-parser-output .portalborder{border:1px solid 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.reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist"> <div class="mw-references-wrap mw-references-columns"><ol class="references"> <li id="cite_note-1"><span class="mw-cite-backlink"><b><a href="#cite_ref-1">^</a></b></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://patents.google.com/patent/US2196667A/en">"Electric toothbrush"</a>. <i>Google Patents</i>. 13 December 1937<span class="reference-accessdate">. Retrieved <span class="nowrap">25 September</span> 2020</span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=unknown&amp;rft.jtitle=Google+Patents&amp;rft.atitle=Electric+toothbrush&amp;rft.date=1937-12-13&amp;rft_id=https%3A%2F%2Fpatents.google.com%2Fpatent%2FUS2196667A%2Fen&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AElectric+toothbrush" class="Z3988"></span></span> </li> <li id="cite_note-2"><span class="mw-cite-backlink"><b><a href="#cite_ref-2">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFFridus_van_der_WeijdenDagmar_Else_Slot" class="citation news cs1">Fridus van der Weijden; Dagmar Else Slot. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20170715113825/http://www.dental-tribune.com/articles/specialities/dental_hygiene/10403_the_effectiveness_of_toothbrushing.html">"The effectiveness of toothbrushing"</a>. <i>Dental Tribune</i>. 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