Justin Redman was a former reporter for Select on NBC News.
How to pick a manual toothbrush, according to the ADA
These manual toothbrushes can be as effective as electric toothbrushes — if used correctly.


According to the ADA, the structure of the toothbrush and softness of the bristles are significant to choosing the best toothbrush for you.
Multi-leveled or angled bristles remove plaque better than flat-cut bristles
Soft bristles are still preferable to medium bristles — medium bristles can remove biofilm but they may contribute to gingival abrasion
In addition, the ADA gives certain toothbrushes the Seal of Acceptance, which requires that manufacturers present scientific evidence to the ADA regarding its products’ safety and efficacy. The ADA Council on Scientific Affairs then reviews that evidence to ensure it meets the organization’s standards before handing that product its seal. Below, we gathered soft-bristled manual toothbrushes with notable design features — like varied bristles or an angled head — that have earned the ADA Seal of Acceptance and are available across major retailers.
This toothbrush is two-sided: One end has the “ultra-soft” bristles while the other end has a four-tiered tongue cleaner, which the company says helps to “attack bad breath and odor-causing bacteria at the source” by scraping away tongue debris.
Radius sells multiple toothbrushes for kids that are ADA-accepted. The Totz Plus toothbrush is meant for children ages 3 and up — it has a non-slip grip on the handle and a “cornerless” oval brush head, which the company says makes it suitable for kids with sensitive mouths. Their Kidz Brush, that’s made for children 6 and older, has an irregular, ergonomic handle shape and an extra-large brush head.
This adult toothbrush has an ergonomic handle similar to the Kidz Brush and adults can choose between the left- and right-handed version. The neck is made from rubber, which, according to the company, is flexible to allow the brush to hit hard-to-reach places.
This brush has a unique shape: The head is convex and curves the brush away from the palate, which the company says can help the brush hit your back molars and reduce gagging. The bristles vary in length, with the longest ones in the middle and shortest at the top and bottom, which the company says helps the bristles stay in contact with your teeth.
This toothbrush’s bristles are in the shape of a V, longer on the outer edges and shorter in the middle, creating a gap for your teeth to fit in — the company says that positioning the brush this way helps the bristles keep a 45-degree angle toward the gumline at all times.
The Forever Brush line of ADA-accepted adult toothbrushes from Radius is notable for its large, replaceable brush heads.
The Big Brush has a similar handle to the Flex Brush, with an ergonomic shape and a choice of left- and right-handed handles.
The Tour Travel Brush is foldable — the handle doubles as a case for the head.
The Source Brush has a reversible handle — so it works for both left- and right-handed people — that’s made from upcycled hemp.
Whether you choose a manual or electric toothbrush, the ADA recommends some specific brushing techniques, in addition to using toothpaste and flossing.
Use a toothbrush with soft bristles
Brush for two minutes, twice a day
Angle the toothbrush 45 degrees relative to the gumline
Replace the toothbrush when bristles are frayed or after 3 to 4 months, whichever comes sooner
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