In the evolution of oral hygiene practices, the toothpick is the progenitor device. Although modern variations are used interdentally, with the current emphasis on plaque control rather than gingival massage and stimulation, the toothpick has been largely superseded by floss, interproximal brushes, and other supplementary aids. The natural hard bristle toothbrush and vigorous scrub brushing popular a generation ago have been replaced by soft bristle nylon brushes and gentler, more defined brushing procedures for plaque removal in the crevicular areas. Quantitative studies support the superiority of the current techniques in maintaining periodontal health with less trauma to the oral tissues.