The manual toothbrush that we are familiar with today is the latest incarnation of a personal hygiene tool that has been in use for centuries. The original toothbrush was a sharpened twig made of sweet smelling wood. Then in 15th century China a bone handle brush embedded with hog bristles was invented that ultimately replaced the twig. Now the electronic brush is the highest on the evolutionary ladder of toothbrush evolution. The ADA states that a manual toothbrush is perfectly fine for those who have a good flossing and brushing technique, which unfortunately most patients do not have. The electric toothbrush action can be anywhere from 6,000 to 30,000 strokes per minute which can vastly improve the quality of brushing while leaving the gum and tooth structure safe. Most models also have a timer that helps to train the user to brush for the adequate amount of time. Electric toothbrushes are beneficial to any age patient, but particularly children and the elderly. Children are inconsistent with brushing, and the electric brush helps even out the quality of their homecare. For elderly patients who for a variety of health reasons have lost the ability to brush well the electric brush can make up the difference. Overall the electric toothbrush is a better choice than a manual toothbrush.