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Chew sticks are still used in some areas of the world. Some African tribes fray twigs only from a certain tree, the Salvadore persica, or "toothbrush tree." The American Dental Associaton discovered that frayed sticks often serve as toothbrushes for people in remote areas of the United States; in the South, they're known as "twig brushes." Dentists reported on one elderly man near Shreveport, LA, who had used frayed white elm sticks all his life and had plaque-free teeth and healthy gums.
The first bristle toothbrush, similar to today's, originated in China about 1498. The bristles, hand plucked from the backs of the necks of hogs living in the colder climates of Siberia and China (frigid weather causes hogs to grow firmer bristles), were fastened into handles of bamboo or bone. Traders to the Orient introduced the Chinese toothbrush to Europeans, who found hog bristles too irritatingly firm.
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Toothbrushes made of other animal hair, such as badger, experienced brief popularity. Many people preferred to pick their teeth clean after a meal with a stiff quill (as the Romans did), or to use specially manufactured brass or silver toothpicks. These metal toothpicks were less hazardous than hard natural-hair toothbrushes. Once the 19th Century French bacteriologist Louis Pasteur posted his theory of germs, the dental profession realized all anamial-hair toothbrushes, which retain moisture, eventually accumulate microscopic bacterial and fungal growth and could cause mouth infections. Nylon-bristle toothbrushes did not arrive until 1938 in the U.S.