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The toothbrush is an instrument consisting of a small brush on a handle used to clean teeth through tooth brushing. Toothpaste, often containing fluoride, is commonly added to a toothbrush to aid in cleaning. Toothbrushes are offered with varying textures of bristles, and come in many different sizes and forms.Toothbrushes are often made from synthetic fibers, although natural toothbrushes are also known in many parts of the world.