Early in human history, people used anything that they could find to keep their teeth clean. Usually a thin, sharp object, like a stick, was used to pick out food left between teeth. Chewing on the end of certain sticks would fray the wood, making a kind of brush, which could then be rubbed across the teeth. (Even today, members of primitive tribes chew sticks to keep their teeth clean. The constant chewing produces more saliva than usual, which helps wash food away.) Later, people found that if they rubbed abrasive elements, like salt or chalk, across their teeth, they could get rid of grime. They also used water and pieces of rough cloth to clean their teeth. Toothpicks made of all kinds of materials also became popular. Rich people had jeweled toothpicks made of gold and silver. Toothbrushes for the wealthy, with fancy handles and hog bristles, came into use in the eighteenth century.
Only much later, when cheaper, woodenhandled toothbrushes were made, and the importance of good dental hygiene became known, did most people start to regularly use them.