The manufacturing companies add campaigns, had turn this to a big confusing mess to consumers. Here is the menu, we have manual, and powered brushes, with bristles that could be flat, dome shape, rippled, etc.., we have soft, medium and hard bristles, we have small, medium and large bristle size. For handles we have straight, angled and flexi grip handles, etc. The best toothbrush is one that fits your mouth and allows you to reach all teeth surfaces easily. Both manual and powered toothbrushes can effectively clean your teeth. Powered brushes could help a person with special need to brush with ease .Children may find that brushing with a powered toothbrush is fun. Whether you decide on manual or powered, choose a toothbrush that you like and find easy to use. Brushing should be done twice a day, for two minutes to thoroughly clean all the surfaces of your teeth, especially before going to bed. Some studies have suggested that sonic brushes provide superior brushing quality. To sum it up, for a manual brushes I suggest a small head, with soft bristle, angled handle brush. The fancy Sonic brushes all are nicely designed and do a great job. The spinning powered brushes I’m not big on those, mainly because you loose your dexterity and tactile sensation while brushing, however they might be more useful for kids.