The toothbrush is an oral hygiene instrument used to clean the teeth, gums, and tongue. It consists of a head of tightly clustered bristles mounted on a handle which facilitates the cleaning of hard to reach areas of the mouth.
Toothbrushes are available with different bristle textures, sizes, and forms. Most dentists recommend using a soft toothbrush since hard bristled toothbrushes can damage tooth enamel and irritate the gums.
Before the invention of the toothbrush a variety of oral hygiene measures had been used. This has been verified by excavations in which chew sticks, tree twigs, bird feathers, animal bones and porcupine quills were recovered.
The predecessor of the toothbrush is the chew stick. Chew sticks were twigs with frayed ends used to brush the teeth while the other end was used as a toothpick. The earliest chew sticks were discovered in Sumer Mesopotamia in 3500 BC, an Egyptian tomb dating from 3000 BC, and mentioned in Chinese records dating from 1600 BC. The Greeks and Romans used toothpicks to clean their teeth and toothpick like twigs have been excavated in Qin Dynasty tombs. Chew sticks remain common in Africa the rural Southern United States and in the Islamic world the use of chewing stick Miswak is considered a pious action and has been prescribed to be used before every prayer five times a day. Miswaks have been used by Muslims since 7th century.
The first bristle toothbrush resembling the modern one was found in China. Used during the Tang Dynasty (619–907), it consisted of hog bristles. The bristles were sourced from hogs living in Siberia and northern China because the colder temperatures provided firmer bristles. They were attached to a handle manufactured from bamboo or bone, forming a toothbrush. In 1223, Japanese Zen master Dōgen Kigen recorded on Shōbōgenzō that he saw monks in China clean their teeth with brushes made of horsetail hairs attached to an oxbone handle. The bristle toothbrush spread to Europe, brought from China to Europe by travellers. It was adopted in Europe during the 17th century. The earliest identified use of the word toothbrush in English was in the autobiography of Anthony Wood who wrote in 1690 that he had bought a toothbrush from J. Barret. Europeans found the hog bristle toothbrushes imported from China too firm and preferred softer bristle toothbrushes made from horsehair. Mass produced toothbrushes made with horse or boar bristle continued to be imported to England from China until the mid 20th century.