The Two Main Technologies
When shopping for an electric toothbrush, you'll encounter two primary technologies: oscillating-rotating (championed by Oral-B) and sonic (led by Philips Sonicare). Understanding how each works can help you choose the best option for your needs.
Oscillating-Rotating Technology
Oscillating-rotating brushes feature a small, round brush head that rotates rapidly back and forth. Some models add pulsating movements, which the manufacturer calls "3D cleaning."
How It Works
The brush head spins in one direction, then reverses direction thousands of times per minute. This creates a mechanical scrubbing action that physically dislodges plaque from tooth surfaces. Premium models add up-and-down pulsations to help break up plaque before the rotating bristles sweep it away.
Key Characteristics
- Small, round brush head: Approximately the size of a single tooth, allowing precise cleaning of individual teeth
- Speed: Typically 7,000-8,000 rotations per minute
- Sensation: You can feel the brush actively scrubbing each tooth
- Technique: Hold the brush head on each tooth for a moment before moving to the next
Best For
- Those who want to feel the brush actively cleaning
- People who prefer thorough, tooth-by-tooth cleaning
- Users with crowded or crooked teeth (the small head navigates tight spaces)
Sonic Technology
Sonic toothbrushes use high-frequency vibrations to clean teeth. The brush head looks similar to a traditional manual toothbrush but vibrates at incredibly high speeds.
How It Works
Sonic brushes vibrate side-to-side at frequencies between 200-400 Hz (24,000-48,000 movements per minute). This rapid movement creates a dynamic fluid action - essentially, the brush agitates saliva and toothpaste to create cleaning action that extends slightly beyond where the bristles actually touch.
Key Characteristics
- Elongated brush head: Covers more surface area, similar in shape to a manual toothbrush
- Speed: Up to 31,000-62,000 brush movements per minute (depending on the model)
- Sensation: A buzzing, vibrating feeling that many describe as gentler
- Technique: Small, gentle back-and-forth strokes along the teeth
Best For
- Those with sensitive teeth or gums
- People who prefer a gentler brushing experience
- Users transitioning from manual brushing (similar brush head shape)
Head-to-Head Comparison
| Feature | Oscillating | Sonic |
|---|---|---|
| Brush head shape | Small, round | Elongated |
| Movement type | Rotating + pulsating | Side-to-side vibration |
| Sensation | Scrubbing | Buzzing/vibrating |
| Gum gentleness | Good with pressure sensor | Generally gentler |
| Main brand | Oral-B | Philips Sonicare |
What Does the Research Say?
Both technologies are clinically proven to be more effective than manual brushing. When comparing the two technologies directly:
- A Cochrane review found that oscillating-rotating brushes remove slightly more plaque than sonic brushes in short-term studies
- However, long-term studies show minimal difference in oral health outcomes
- Both technologies are equally effective at reducing gum disease when used correctly
The conclusion from dental professionals is that both technologies work well, and the best choice is the one you'll actually use consistently and correctly.
Making Your Decision
Choose Oscillating If:
- You want to feel the brush actively cleaning each tooth
- You have crowded teeth or tight spaces
- You prefer a thorough, methodical cleaning style
- You don't mind the smaller brush head
Choose Sonic If:
- You have sensitive teeth or gums
- You prefer a gentler brushing experience
- You want a familiar brush head shape
- You prefer the feel of high-frequency vibrations
Key Takeaways
- Oscillating brushes rotate back and forth; sonic brushes vibrate side-to-side
- Both technologies are significantly better than manual brushing
- Research shows minimal difference in long-term outcomes
- Sonic is generally gentler; oscillating provides more "scrubbing" sensation
- The best choice is the one you'll use correctly and consistently
Still unsure which technology is right for you? Take our quiz to get a personalised recommendation based on your specific needs and preferences.