Manual or electric toothbrush: which should I choose?

As a UK dentist, one of the questions I hear most often is: Should I be using an electric toothbrush instead of a manual one? The truth is, both can be effective if used properly—but electric toothbrushes offer some clear benefits that can make a real difference, especially for certain patients. Here's why I often recommend them:

1. Better at Removing Plaque

Electric toothbrushes—particularly those with oscillating or rotating heads—are generally better at removing plaque. Clinical studies show they can reduce plaque by around 20% more than manual brushing over a few months. That extra cleaning power helps prevent gum disease and tooth decay, especially in those hard-to-reach areas.

2. Built-in Features That Help

Many electric brushes include:

·       Timers that ensure you brush for the full two minutes

·       Pressure sensors that alert you if you’re brushing too hard, protecting your enamel and gums

These features encourage better brushing habits, even if you're not thinking about it.

3. Easier to Use

Electric toothbrushes do most of the work for you, which can be really helpful if:

·       You have limited hand or wrist movement (e.g. arthritis)

·       You’re caring for children

·       You find brushing technique difficult to maintain

4. More Personalised Options

Electric toothbrushes often offer:

·       A variety of brush heads for different needs (e.g. braces, sensitive teeth)

·       Brushing modes for whitening, gum care, or sensitivity

This means you can tailor your brushing experience to suit your specific dental concerns.

5. Encourages Consistency

With features like multiple brushing modes, visual timers, or even app connectivity, electric toothbrushes make brushing feel a bit more engaging—especially for children and teens. If it helps encourage regular, thorough brushing, it’s a win in my book.

Manual vs Electric: Key Differences in Brief

·       Plaque Removal: Electric brushes are more effective overall, especially in tricky spots

·       Brushing Time: Electric models usually have built-in timers; manual brushes don’t

·       Brushing Pressure: Electric versions often include pressure sensors to protect your gums

·       Ease of Use: Electric brushes are easier for those with limited dexterity

·       Customisation: Electric brushes offer a range of heads and settings; manual brushes don’t

·       Cost: Manual brushes are cheaper and more portable, but electric ones are a worthwhile investment

·       Portability: Manual brushes are lighter and don’t require charging or batteries

So, Which Should You Choose?

If you’re brushing thoroughly twice a day and your dentist is happy with your oral health, then a manual toothbrush can serve you just fine. But for many people—especially those with braces, gum issues, or trouble with technique—an electric toothbrush can offer noticeable benefits. It’s a small change that can have a big impact on your oral health over time.