Personal Care
Dental
Care
Toothpaste, floss, mouthwash, brushes and the small rituals around them. Twice a day, every day, for life, in the one part of the body built to take things in.
We looked at teeth the way we look at everything else: what is in it, what it does, and what the newest research says. Some of what we found is very old. Some of it arrived this year.
Tooth enamel is mostly one mineral, . It is the hardest thing the body makes, and it is not finished business: every day it loses a little mineral to acid and, given the chance, takes some back from saliva. Dentists call that tug of war remineralisation. We call it the whole point.
Three everyday things decide which way it goes. What you eat: a review of 55 studies found decay falls sharply when free sugars stay under 10% of the day’s calories, and further still under 5%, about five teaspoons. How you breathe: when sleepers in a University of Otago study were made to breathe through the mouth, the average pH in the mouth dropped from a neutral 7.0 to 6.6, and at times as low as 3.6, well below the 5.5 at which enamel starts to dissolve. And what you put on the brush.
Shake does not use fluoride. We are not pretending it does nothing: the largest review, Cochrane in 2019, found fluoride toothpaste reduces cavities. We simply think there is a better answer to the same question. In an 18-month double-blind trial, a hydroxyapatite toothpaste kept as many people free of new cavities as a fluoride one, without fluoride’s open questions. Feed teeth the mineral they are made of.
Sources: Moynihan & Kelly, Journal of Dental Research, Dec 2013 · Choi, Waddell, Lyons & Kieser, Journal of Oral Rehabilitation, 2016 · Walsh et al., Cochrane Database of Systematic Reviews, 2019 · Paszynska et al., Frontiers in Public Health, 2023
The Materials
What a toothpaste is actually made of
Turn any tube over and the list falls into seven jobs. Once you know the jobs, you can read any label in about ten seconds.
Scroll table sideways →
| The job | What you will usually see | What Shake looks for |
|---|---|---|
| Cleaning (the gentle scrub) | Hydrated silica, calcium carbonate, baking soda, charcoal, clay | Fine and natural. Hydroxyapatite and baking soda clean and feed. Charcoal now and again: lab studies found charcoal pastes the most abrasive. Mined minerals can carry lead, so a published lab test matters. |
| The “active” | Sodium fluoride, stannous fluoride, sodium monofluorophosphate | No added fluoride. Hydroxyapatite instead. |
| Foam | (SLS) | No SLS. Gentle coconut-derived foaming agents, such as sodium cocoyl glutamate, are fine. Foam is a feeling, not a cleaning step. |
| Sweetness | Saccharin, sucralose | Natural only: xylitol, stevia. Saccharin is Tier 2 on our list. |
| Colour | Titanium dioxide (white), Blue 1, Yellow 5 | Plant colour or none. Toothpaste does not need to be white to clean. |
| Keeping it moist | Sorbitol, glycerin | Fine. Glycerin can come from plants, animal fat or petrochemicals, and the label rarely says which. |
| The packet | Plastic tube | Glass jars, tablets, metal tubes and refills. |
Awareness
What to be mindful of
Six things worth knowing, with the evidence for each. Where the honest answer is “we don’t know yet”, we say so.
Fluoride
Shake takes a stand: no fluoride, especially for children, who swallow toothpaste. The US National Toxicology Program concluded in 2024, with moderate confidence, that higher fluoride exposure is linked to lower IQ in children. Florida and Utah have ended water fluoridation. And a small detail worth knowing: the Calc Fluor cell salt sold for teeth is calcium fluoride.
Source: Shake Repository, Fluoride (Tier 2) · NTP Monograph, Aug 2024
Foam that does nothing for teeth
SLS makes the bubbles. It does not clean any better, and it can irritate gums and the lining of the mouth in some people. In July 2026, class actions in California alleged that gum-health pastes from Crest, Sensodyne, Parodontax and Colgate Total contain this irritant. They are allegations, not findings. If you like a little lather, gentle coconut-derived foaming agents are a kinder choice.
Source: Oliver v. P&G (3:26-cv-03859), Garland v. Haleon (3:26-cv-03855), Fry v. Colgate-Palmolive (3:26-cv-03858), S.D. Cal.
Sweeteners and colours you don’t need
Saccharin, titanium dioxide and Blue 1 add taste or looks, not cleaning. A 2022 human trial found saccharin shifted gut bacteria and blood-sugar response in some people. Europe stopped allowing titanium dioxide in food in 2022 after its food-safety body could not rule out DNA damage. The US is phasing Blue 1 out of food by the end of 2026. All three are Tier 2 on our list, and titanium dioxide is Tier 1 for children.
Source: Suez et al., Cell, 2022 · EFSA, 6 May 2021 · HHS/FDA, 22 Apr 2025
Heavy metals in mined minerals
Lead, arsenic and cadmium are never on the label. They arrive inside the minerals that clean teeth: clay, calcium carbonate, even hydroxyapatite. Independent testing in 2025 found lead in nine out of ten toothpastes and powders tested, highest in clay-based “natural” powders. Europe prohibits all three in cosmetics; in the US there is no limit for toothpaste at all. That is why we built Shake Tested.
Source: Lead Safe Mama LLC, toothpaste chart, 22 Apr 2025 · EU Regulation 1223/2009 Annex II
Plastic, in the tube and the floss
Most toothpaste lives in a plastic tube, and most floss is a plastic thread. For years Oral-B Glide was coated with PTFE, the same family of chemicals as non-stick pans: in a 2019 study, women who used it had higher levels of one of these forever chemicals in their blood. Oral-B says it removed PTFE from all its floss in March 2026; other brands may still use it.
Source: Boronow et al., J Expo Sci Environ Epidemiol, 2019 (Silent Spring Institute) · Silent Spring Institute, 31 Mar 2026
Alcohol in mouthwash
Alcohol dries the mouth, and the mouth is an ecosystem. In a small 2024 study, three months of daily Listerine Cool Mint raised two bacteria linked to gum disease and lowered a group linked to blood-pressure regulation. The authors were careful not to overstate it. We would still rather leave the ecosystem standing.
Source: Laumen et al., Journal of Medical Microbiology, 2024
Conscious Alternatives
What to look for instead
The good news is that every one of these is easy to find, and most are cheaper than the bathroom cabinet suggests.
Hydroxyapatite
The mineral teeth are made of, in a paste. Matched fluoride in an 18-month trial. Look for “hydroxyapatite” or “nHA” on the front.
Gentle, natural cleaners
Baking soda reduced plaque in a review of 21 studies and neutralises acid. Charcoal, now and again, not every day.
Xylitol or stevia
Sweetness without saccharin. Xylitol comes from birch or corn.
A published lab test
A brand that publishes batch heavy-metal results from an accredited lab has nothing to hide. Those products carry our Shake Tested badge.
Glass, tablets, metal
Powder in a glass jar, tablets in a tin, or a recyclable metal tube.
Plant bristles and silk
Bamboo brushes with plant-based bristles (not boar hair), silk or plant-wax floss, and a copper or stainless-steel tongue cleaner.
Rituals
The miswak, a chewed stick from the Salvadora persica tree, has cleaned teeth for centuries. A 2019 review found its extract reduced plaque and decay-causing bacteria, only a little less than the medical mouthwash chlorhexidine. Some of the best things for a mouth are also the gentlest, and they make two minutes at the sink feel like something you do for yourself.
Wake the mouth
- Scrape the tongue, front to back, with copper or steel. Small trials found scrapers cut bad-breath compounds more than a toothbrush did.
- Brush with a mineral paste or powder, or reach for a miswak.
- A glass of water before coffee.
Oil pulling, then rest
- A spoon of pure coconut oil, with a drop of peppermint or clove if you like, swished gently around the teeth for as long as feels easy. Small trials found less plaque and fewer bacteria, as a companion to brushing, not a replacement.
- Spit it into the bin, not the sink: coconut oil sets in pipes.
- Brush, then breathe through the nose as you fall asleep.
Clove is rich in eugenol, a known fragrance allergen for some people. Sources: Jassoma, Baeesa & Sabbagh, BMC Oral Health, 2019 · Outhouse, systematic review, 2006 · oil-pulling systematic review, 2020; The Week fact check, Jul 2026
Nourish from within
Teeth are fed from the inside too
Enamel is rebuilt from what is in saliva, and saliva is built from what is on your plate.
Less sugar, more often
The clearest link in all of dentistry: decay falls as free sugars fall. How often matters as much as how much, because every sugary sip restarts the acid clock.
Source: Moynihan & Kelly, 2013
Vitamin D: get some sun
Skin makes vitamin D when sunlight reaches it, and vitamin D helps the body take in the calcium and phosphorus that build bones and teeth. Across 24 controlled trials in 2,827 children, vitamin D was linked to about 47% fewer cavities. Most trials are decades old, so read it as a strong hint rather than a final word. A little unhurried sun, without burning, is the oldest supplement there is.
Sources: NIH Office of Dietary Supplements, vitamin D fact sheet · Hujoel, Nutrition Reviews, 2012
First light, last light
Your body runs on a clock, and so does your mouth. Saliva, the mouth’s own repair fluid, flows most by day and falls away at night, which is why the evening brush matters most. Light sets the clock: in a study of 1,762 Brazilian adults, every half hour of morning sun was linked to a body clock about 23 minutes earlier. So walk outside at first light, and again as the sun goes down.
Sources: Kurtović et al., Clocks & Sleep, 2023 · Menezes-Júnior et al., BMC Public Health (cross-sectional)
Whole, mineral-rich food
Feed the body at the level of the cell: nutrient-dense whole food, a healthy balance of omega-3 to omega-6 fats, and minerals from the sea. This works on the whole body, not teeth alone, but a mouth is part of the body.
Source: Shake editorial research
What we don’t know yet
Iodine. Iodine painted onto children’s teeth showed promise in two small trials, but a 2015 review found the evidence insufficient, and we found no good study linking dietary iodine to cavities.
Cell salts. Calc Fluor, Calc Phos and Silica are sold for teeth. We found no clinical study on teeth. Calc Fluor is calcium fluoride, at homeopathic dilution.
Red light. In the dental chair there is evidence for sensitive teeth and healing. For home mouthpieces we found no published studies, no stated light strength and no stated approvals. Inconclusive, and we will say so until that changes.
Sources: UTHSCSA CAT on povidone-iodine · Twetman & Dhar, 2015 · Perio-Implant Advisory review of photobiomodulation · Heliored product page
Beyond the sink
Where toothpaste goes after you spit
Nearly everyone on the planet brushes, twice a day. What we rinse away reaches rivers and seas, and the tube outlives the paste by a very long time.
Plastic tubes & microplastic exposure
The vast majority of conventional toothpaste is packaged in multi-layer plastic laminate tubes, one of the least recyclable packaging formats available. Layers of plastic bonded to a thin film of aluminium are almost impossible to separate, so household recycling rarely takes them. At least 1.5 billion tubes are thrown away each year. They do not biodegrade; plastic slowly breaks into smaller and smaller pieces.
Sources: Packaging World, on industry estimates of tube waste · Sierra Club, on tube recycling
What reaches the water
Toothpaste goes down the drain every morning and night, and treatment plants don’t catch everything. A 2023 review of studies in zebrafish, a standard test fish, found triclosan (an antibacterial once common in toothpaste) is now a widespread water contaminant and harmful to young fish at low levels. Foaming detergents are among the most common pollutants, and high doses of titanium dioxide damaged fish tissue in the lab. Lab doses are often higher than in rivers, so read it as a direction, not a verdict.
Source: Stachurski et al., International Journal of Molecular Sciences, 2023
The microbead lesson
Toothpaste once contained tiny plastic beads, for scrub and colour. They slipped through water treatment and into lakes and seas. In 2015 the United States banned plastic microbeads in rinse-off products, toothpaste included. Proof that when enough people notice, the ingredient list changes.
Source: Microbead-Free Waters Act of 2015 (Public Law 114-114); US FDA
What helps
Glass jars, tooth tablets, metal tubes and refills. A bamboo brush or a miswak. Ingredients that come from plants and minerals and break down gently. Oil from pulling goes in the bin, not the drain. Small swaps, made twice a day by billions of people, add up to something.
Source: Shake standards for dental care (A20)
Hot off the press
Dentistry is learning from nature
The newest ideas in dental science look a lot like the oldest ones: rebuild with what teeth are made of, and keep the mouth’s living balance.
Teeth that grow back
Toregem BioPharma in Japan is testing TRG035, an antibody that switches off a protein that stops tooth buds developing. The company says the first human trial, in adults, found it safe; no regrowth in people has been reported yet. Next is a trial in 24 children born missing teeth.
Source: Dentistry.co.uk, 18 Aug 2026
A toothpaste made from hair
At King’s College London, keratin from hair or wool formed a scaffold that drew minerals from saliva into an enamel-like coating, harder than resin, in the lab. People haven’t been tested yet.
Source: Gamea, Elsharkawy et al., Advanced Healthcare Materials, Aug 2025
AI as a second pair of eyes
Software that reads dental x-rays and highlights suspected cavities is now cleared by the US FDA, most recently for panoramic x-rays in December 2025. A second opinion, not a replacement for a careful dentist.
Source: Pearl, 18 Dec 2025
Rebalance, don’t scorch
Dentistry is moving from killing every bacterium to rebalancing them, with saliva tests and pre- and probiotics after cleaning. Early days: the key course declares an industry tie and asks for more controlled research.
Source: AAOSH, 10 Jul 2026
The Shelf, Scored
What sells, and what we would pick
We scored what Amazon USA shoppers actually buy, against our four pillars and the Shake toothpaste standard: a paste with added fluoride, a synthetic sweetener or a synthetic dye can score no higher than Worth a Pause, and is never a Shake Pick. Twenty-one of the thirty best sellers are held back by that rule. Every fluoride-free hydroxyapatite paste on the list scored at the top.
Shake Picks
The best of each kind on this page. Picks pass every part of the Shake toothpaste standard as far as the label shows: no fluoride, no SLS, no synthetic sweetener or colour, titanium dioxide included.
Paste
Davids Nano-Hydroxyapatite Sensitive + Whitening
100%Deeply Aligned
Shake Tested, below the line. Hydroxyapatite, calcium carbonate and baking soda, in a recyclable metal tube.
Tablets
NOBS Toothpaste Tablets
100%Deeply Aligned
Nano-hydroxyapatite in a chewable tablet, plastic free. Not yet lab tested.
See where to buyPowder
Georganics Mineral Toothpowder, Activated Charcoal
100%Deeply Aligned
Ten ingredients, all natural origin, in a glass jar with an aluminium lid. Charcoal: use now and again.
See where to buyAlready using something? Check it in ShakeUP and see which Shake Picks score higher.
Score what you useThe most sold
Amazon USA’s thirty best-selling toothpastes on 27 October 2026, in sales order, not score order. Ingredients come from each listing, or from the US drug label where the listing left them out. Open Read more on any row to see the four pillars and what we flagged. Note: the pillars show the paste before the toothpaste standard is applied; the score shows it after.
Scroll table sideways →
| Product | Shake score | Band | |
|---|---|---|---|
| Toothpaste and tablets | |||
Boka Nano-Hydroxyapatite ToothpasteAmazon USA #1 · Fluoride free · nano-hydroxyapatite, baking soda, xylitol, stevia · coconut-derived cleanserRead morePeople100Animals88Gaia88Frequency97 Flagged (tier): plastic tube (2) | 93.25% | Shake PickDeeply Aligned | See where to buy |
Crest 3D White Advanced, Luminous MintAmazon USA #2 · Shake toothpaste standard: contains added fluoride, a synthetic sweetener and a synthetic dye, so it can score no higher than Worth a PauseRead morePeople55.12Animals71.2Gaia71.2Frequency72 Flagged (tier): Fluoride (2) · SLS (3) · saccharin (2) · titanium dioxide (2) · Blue 1 (2) · plastic tube (2) | 67.38% | Worth a Pause | See where to buy |
Colgate Optic White AdvancedAmazon USA #3 · Hydrogen peroxide whitening · Shake toothpaste standard: contains added fluoride and a synthetic sweetener, so it can score no higher than Worth a PauseRead morePeople65.32Animals83.2Gaia83.2Frequency81 Flagged (tier): BHT (2) · fluoride (2) · SLS (3) · saccharin (2) · plastic tube (2) | 74% | Worth a Pause | See where to buy |
Davids Nano-Hydroxyapatite Sensitive + WhiteningAmazon USA #4 · Fluoride free · nano-hydroxyapatite, calcium carbonate, baking soda · recyclable metal tube · Shake Tested: lead 0.457 mg/kg, arsenic 0.202 mg/kg, both below the Shake line (0.5) · Lead Safe Mama, Apr 2025Read morePeople100Animals100Gaia100Frequency100 Nothing on the Shake list was found on this label. | 100% | Shake Tested Shake PickDeeply Aligned | See where to buy |
Sensodyne Repair & Protect WhiteningAmazon USA #5 · Shake toothpaste standard: contains added fluoride and a synthetic sweetener, so it can score no higher than Worth a PauseRead morePeople65.32Animals71.2Gaia71.2Frequency73 Flagged (tier): Fluoride (2) · SLS (3) · saccharin (2) · titanium dioxide (2) · plastic tube (2) | 70.18% | Worth a Pause | See where to buy |
Crest 3D White Deep Stain RemoverAmazon USA #6 · Ingredients from the CVS label · Shake toothpaste standard: contains added fluoride and a synthetic sweetener, so it can score no higher than Worth a PauseRead morePeople65.32Animals71.2Gaia71.2Frequency80 Flagged (tier): Fluoride (2) · SLS (3) · saccharin (2) · titanium dioxide (2) · plastic tube (2) | 71.93% | Worth a Pause | See where to buy |
Mouthology 10% Nano-HydroxyapatiteAmazon USA #7 · Fluoride free · xylitol · plant-derived cleanserRead morePeople100Animals88Gaia88Frequency96 Flagged (tier): plastic tube (2) | 93% | Shake PickDeeply Aligned | See where to buy |
Crest Pro-Health Advanced AntibacterialAmazon USA #8 · Stannous fluoride, from the OTC label · Shake toothpaste standard: contains added fluoride and a synthetic sweetener, so it can score no higher than Worth a PauseRead morePeople61.24Animals71.2Gaia71.2Frequency75 Flagged (tier): Fluoride (2) · SLS (3) · saccharin (2) · sodium citrate (3) · titanium dioxide (2) · plastic tube (2) | 69.66% | Worth a Pause | See where to buy |
Sensodyne Clinical White Stain ProtectorAmazon USA #9 · Shake toothpaste standard: contains added fluoride and a synthetic sweetener, so it can score no higher than Worth a PauseRead morePeople65.32Animals71.2Gaia71.2Frequency79 Flagged (tier): Fluoride (2) · SLS (3) · saccharin (2) · titanium dioxide (2) · plastic tube (2) | 71.68% | Worth a Pause | See where to buy |
Marvis Whitening MintAmazon USA #10 · Fluoride free, but saccharin and SLS · aluminium tube · Shake toothpaste standard: contains a synthetic sweetener, so it can score no higher than Worth a PauseRead morePeople71.44Animals83.2Gaia83.2Frequency80 Flagged (tier): Undisclosed fragrance (3) · SLS (3) · saccharin (2) · titanium dioxide (2) | 74% | Worth a Pause | See where to buy |
Sensodyne Extra Whitening Cool MintAmazon USA #11 · Shake toothpaste standard: contains added fluoride and a synthetic sweetener, so it can score no higher than Worth a PauseRead morePeople69.4Animals76Gaia76Frequency81 Flagged (tier): Fluoride (2) · saccharin (2) · titanium dioxide (2) · plastic tube (2) | 74% | Worth a Pause | See where to buy |
Colgate Cavity ProtectionAmazon USA #12 · Shake toothpaste standard: contains added fluoride and a synthetic sweetener, so it can score no higher than Worth a PauseRead morePeople75.52Animals83.2Gaia83.2Frequency69 Flagged (tier): Fluoride (2) · SLS (3) · saccharin (2) · plastic tube (2) | 74% | Worth a Pause | See where to buy |
Colgate Optic White Pro SeriesAmazon USA #13 · 5% hydrogen peroxide · Shake toothpaste standard: contains added fluoride and a synthetic sweetener, so it can score no higher than Worth a PauseRead morePeople65.32Animals83.2Gaia83.2Frequency77 Flagged (tier): BHT (2) · fluoride (2) · SLS (3) · saccharin (2) · plastic tube (2) | 74% | Worth a Pause | See where to buy |
Sensodyne Pronamel Gentle WhiteningAmazon USA #14 · SLS free · Shake toothpaste standard: contains added fluoride and a synthetic sweetener, so it can score no higher than Worth a PauseRead morePeople69.4Animals76Gaia76Frequency78 Flagged (tier): Fluoride (2) · saccharin (2) · titanium dioxide (2) · plastic tube (2) | 74% | Worth a Pause | See where to buy |
Tom’s of Maine Antiplaque & WhiteningAmazon USA #15 · Fluoride free · calcium carbonate, xylitol · contains SLSRead morePeople95.92Animals83.2Gaia83.2Frequency87 Flagged (tier): SLS (3) · plastic tube (2) | 87.33% | Aligned | See where to buy |
Colgate MaxFreshAmazon USA #16 · Shake toothpaste standard: contains added fluoride, a synthetic sweetener and a synthetic dye, so it can score no higher than Worth a PauseRead morePeople44.92Animals71.2Gaia71.2Frequency67 Flagged (tier): Fluoride (2) · SLS (3) · tartrazine (2) · saccharin (2) · titanium dioxide (2) · Blue 1 (2) · plastic tube (2) | 63.58% | Worth a Pause | See where to buy |
Colgate Total WhiteningAmazon USA #17 · Shake toothpaste standard: contains added fluoride and a synthetic sweetener, so it can score no higher than Worth a Pause · Shake Tested: lead 0.539 mg/kg, above the Shake line (0.5) · Lead Safe Mama, Apr 2025Read morePeople44.92Animals71.2Gaia71.2Frequency66 Flagged (tier): Lead (1, from the test) · fluoride (2) · SLS (3) · saccharin (2) · titanium dioxide (2) · plastic tube (2) | 63.33% | Shake Tested Worth a Pause | See where to buy |
LIVFRESH Toothpaste GelAmazon USA #18 · Fluoride free, but coloured with Blue 1 · Shake toothpaste standard: contains a synthetic dye, so it can score no higher than Worth a PauseRead morePeople89.8Animals88Gaia88Frequency87 Flagged (tier): Blue 1 (2) · plastic tube (2) | 74% | Worth a Pause | See where to buy |
Crest 3D White Advanced, Radiant MintAmazon USA #19 · Shake toothpaste standard: contains added fluoride, a synthetic sweetener and a synthetic dye, so it can score no higher than Worth a PauseRead morePeople55.12Animals71.2Gaia71.2Frequency75 Flagged (tier): Fluoride (2) · SLS (3) · saccharin (2) · titanium dioxide (2) · Blue 1 (2) · plastic tube (2) | 68.13% | Worth a Pause | See where to buy |
Ollie 10% Nano-HydroxyapatiteAmazon USA #20 · Fluoride free · plant-derived cleanserRead morePeople100Animals88Gaia88Frequency94 Flagged (tier): plastic tube (2) | 92.5% | Shake PickDeeply Aligned | See where to buy |
Crest Kids Cavity ProtectionAmazon USA #21 · Scored for a child (children swallow toothpaste) · Shake toothpaste standard: contains added fluoride, a synthetic sweetener and a synthetic dye, so it can score no higher than Worth a PauseRead morePeople0Animals59.2Gaia59.2Frequency64 Flagged (tier): Fluoride (2) · SLS (3) · saccharin (2) · titanium dioxide (1 for children) · Blue 1 (2) · plastic tube (2) | 45.6% | Reconsider | See where to buy |
Crest Pro-Health Advanced Deep CleanAmazon USA #22 · Shake toothpaste standard: contains added fluoride, a synthetic sweetener and a synthetic dye, so it can score no higher than Worth a PauseRead morePeople65.32Animals83.2Gaia83.2Frequency81 Flagged (tier): Fluoride (2) · SLS (3) · saccharin (2) · Blue 1 (2) · plastic tube (2) | 74% | Worth a Pause | See where to buy |
Crest Pro-Health Gum Detoxify PlusAmazon USA #23 · Stannous fluoride, from the OTC label · Shake toothpaste standard: contains added fluoride and a synthetic sweetener, so it can score no higher than Worth a PauseRead morePeople61.24Animals71.2Gaia71.2Frequency75 Flagged (tier): Fluoride (2) · SLS (3) · saccharin (2) · sodium citrate (3) · titanium dioxide (2) · plastic tube (2) | 69.66% | Worth a Pause | See where to buy |
Crest Pro-Health Gum DetoxifyAmazon USA #24 · Shake toothpaste standard: contains added fluoride and a synthetic sweetener, so it can score no higher than Worth a PauseRead morePeople61.24Animals71.2Gaia71.2Frequency75 Flagged (tier): Fluoride (2) · SLS (3) · saccharin (2) · sodium citrate (3) · titanium dioxide (2) · plastic tube (2) | 69.66% | Worth a Pause | See where to buy |
Arm & Hammer Advance WhiteAmazon USA #25 · Baking soda, with fluoride · Shake toothpaste standard: contains added fluoride and a synthetic sweetener, so it can score no higher than Worth a PauseRead morePeople75.52Animals83.2Gaia83.2Frequency77 Flagged (tier): Fluoride (2) · SLS (3) · saccharin (2) · plastic tube (2) | 74% | Worth a Pause | See where to buy |
Lumineux 10% Nano-HydroxyapatiteAmazon USA #26 · Fluoride free · plant-derived cleansersRead morePeople100Animals88Gaia88Frequency97 Flagged (tier): plastic tube (2) | 93.25% | Shake PickDeeply Aligned | See where to buy |
hello Antiplaque + WhiteningAmazon USA #27 · Fluoride free · xylitol, stevia · whitened with titanium dioxideRead morePeople79.6Animals76Gaia76Frequency89 Flagged (tier): Titanium dioxide (2) · erythritol (2) · plastic tube (2) | 80.15% | Aligned | See where to buy |
| Boka Kids Nano-Hydroxyapatite, Strawberry MangoAmazon USA #28 · We could not read its full ingredient list yet, so it carries no score | — | Not yet scored | See where to buy |
NOBS Toothpaste TabletsAmazon USA #29 · Fluoride free · nano-hydroxyapatite · plastic-free tabletsRead morePeople100Animals100Gaia100Frequency100 Nothing on the Shake list was found on this label. | 100% | Shake PickDeeply Aligned | See where to buy |
Colgate Total Whitening GelAmazon USA #30 · The gel version; the lab test was of the paste · Shake toothpaste standard: contains added fluoride, a synthetic sweetener and a synthetic dye, so it can score no higher than Worth a PauseRead morePeople65.32Animals83.2Gaia83.2Frequency75 Flagged (tier): Fluoride (2) · SLS (3) · saccharin (2) · Blue 1 (2) · plastic tube (2) | 74% | Worth a Pause | See where to buy |
Shake Picks
Floss that passes the Shake floss standard: silk or plant fibre, a plant wax, no PTFE, in a refillable glass or metal case. Silk comes from silkworms, so for a vegan choice look to corn fibre.
Silk floss
TreeBird Pure Silk Eco Floss, refillable glass
100%Deeply Aligned
Peace silk with candelilla wax, in a refillable glass dispenser.
See where to buyVegan floss
Bambaw Vegan Corn Floss, steel case
100%Deeply Aligned
Corn-based fibre with candelilla wax, in a refillable stainless-steel case.
See where to buySilk floss
Hugging Tree Silk Floss, refillable glass
100%Deeply Aligned
Mulberry silk, candelilla wax and organic peppermint, in refillable glass.
See where to buyThe most sold
Amazon USA’s best-selling floss and floss picks on 27 October 2026, in sales order. Water flossers are left off: Shake does not promote them (A21). Where a listing does not name its fibre, we score it as plastic, the worst evidenced case. Oral-B says it removed PTFE from all its floss in 2026.
Scroll table sideways →
| Product | Shake score | Band | |
|---|---|---|---|
| Shake Picks | |||
TreeBird Pure Silk Eco Floss, refillable glassShake Pick, outside the top 38 · Peace silk, candelilla wax, refillable glass dispenser. Silk is animal-derived (not vegan)Read morePeople100Animals100Gaia100Frequency100 Nothing on the Shake list was found. | 100% | Shake PickDeeply Aligned | See where to buy |
Hugging Tree Silk Floss, refillable glassShake Pick, outside the top 38 · Mulberry silk, candelilla wax, refillable glass. Silk is animal-derived (not vegan)Read morePeople100Animals100Gaia100Frequency100 Nothing on the Shake list was found. | 100% | Shake PickDeeply Aligned | See where to buy |
Public Goods Natural Silk Floss, glassShake Pick, outside the top 38 · Silk, candelilla wax, glass container. Silk is animal-derived (not vegan)Read morePeople100Animals100Gaia100Frequency100 Nothing on the Shake list was found. | 100% | Shake PickDeeply Aligned | See where to buy |
Bambaw Vegan Corn Floss, steel caseShake Pick, outside the top 38 · Plant-based corn PLA, candelilla wax, refillable stainless steel case. VeganRead morePeople100Animals100Gaia100Frequency100 Nothing on the Shake list was found. | 100% | Shake PickDeeply Aligned | See where to buy |
| Floss and floss picks, by sales | |||
Plackers Micro Line Floss PicksAmazon USA #1 · Made without PTFE; fibre and packaging not stated · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · single-use plastic floss pick (1) · microplastics in the mouth (3) | 66.23% | Worth a Pause | See where to buy |
Cocofloss Expanding Woven Dental FlossAmazon USA #2 · Recycled polyester; refillable plastic dispenser · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals76Gaia76Frequency72 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · microplastics in the mouth (3) | 74% | Worth a Pause | See where to buy |
Oral-B Glide Comfort Plus Dental FlossAmazon USA #5 · Oral-B removed PTFE in 2026; new fibre not named · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals76Gaia76Frequency72 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · microplastics in the mouth (3) | 74% | Worth a Pause | See where to buy |
Amazon Basics Mint Dental FlossersAmazon USA #6 · Fibre not stated · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · single-use plastic floss pick (1) · microplastics in the mouth (3) | 66.23% | Worth a Pause | See where to buy |
Oral-B Glide Mint Floss Picks, Scope Flavor (75)Amazon USA #7 · Oral-B removed PTFE in 2026 · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · single-use plastic floss pick (1) · microplastics in the mouth (3) | 66.23% | Worth a Pause | See where to buy |
DenTek Floss Picks, Advanced CleanAmazon USA #8 · Fibre not stated · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · single-use plastic floss pick (1) · microplastics in the mouth (3) | 66.23% | Worth a Pause | See where to buy |
Reach Waxed Dental Floss, MintAmazon USA #9 · Fibre not stated · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals76Gaia76Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · microplastics in the mouth (3) | 74% | Worth a Pause | See where to buy |
Oral-B Glide Deep Clean Cool Mint FlossAmazon USA #10 · Oral-B removed PTFE in 2026 · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals76Gaia76Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · microplastics in the mouth (3) | 74% | Worth a Pause | See where to buy |
Oral-B Glide Mint Floss Picks, Scope FlavorAmazon USA #11 · Oral-B removed PTFE in 2026 · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · single-use plastic floss pick (1) · microplastics in the mouth (3) | 66.23% | Worth a Pause | See where to buy |
Plackers Twin Line Floss PicksAmazon USA #12 · Made without PTFE · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · single-use plastic floss pick (1) · microplastics in the mouth (3) | 66.23% | Worth a Pause | See where to buy |
DenTek Kids Floss Picks, Wild FruitAmazon USA #13 · Scored for a child · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · single-use plastic floss pick (1) · microplastics in the mouth (3) | 66.23% | Worth a Pause | See where to buy |
BURST Expanding Dental FlossAmazon USA #14 · Refillable case of 95% recycled plastic · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals76Gaia76Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · microplastics in the mouth (3) | 74% | Worth a Pause | See where to buy |
Oral-B Glide Peppermint Floss PicksAmazon USA #15 · Oral-B removed PTFE in 2026 · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · single-use plastic floss pick (1) · microplastics in the mouth (3) | 66.23% | Worth a Pause | See where to buy |
Oral-B Super Floss Pre-Cut StrandsAmazon USA #17 · For braces and bridges · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals76Gaia76Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · microplastics in the mouth (3) | 74% | Worth a Pause | See where to buy |
REACH Ultraclean Access Flosser Refill HeadsAmazon USA #18 · Disposable snap-on heads · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · single-use plastic floss pick (1) · microplastics in the mouth (3) | 66.23% | Worth a Pause | See where to buy |
GuruNanda Fresh Floss Picks, CocomintAmazon USA #19 · Fibre not stated · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · single-use plastic floss pick (1) · microplastics in the mouth (3) | 66.23% | Worth a Pause | See where to buy |
Oral-B Glide Deep Clean Floss, Cool Mint (6 pack)Amazon USA #21 · Oral-B removed PTFE in 2026 · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals76Gaia76Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · microplastics in the mouth (3) | 74% | Worth a Pause | See where to buy |
GuruNanda Expanding Dental Floss, PeppermintAmazon USA #22 · Brand says plastic, PFAS free · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals76Gaia76Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · microplastics in the mouth (3) | 74% | Worth a Pause | See where to buy |
Platypus Orthodontic Flossers for Braces (30 x 2)Amazon USA #24 · For braces · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · single-use plastic floss pick (1) · microplastics in the mouth (3) | 66.23% | Worth a Pause | See where to buy |
EssentialFloss Mint Waxed Dental FlossAmazon USA #25 · Nylon, from the label · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals76Gaia76Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · microplastics in the mouth (3) | 74% | Worth a Pause | See where to buy |
GUM Soft-Picks AdvancedAmazon USA #27 · Interdental picksRead morePeople95.92Animals64Gaia64Frequency65 Flagged (tier): plastic dispenser (2) · single-use plastic floss pick (1) · microplastics in the mouth (3) | 72.23% | Worth a Pause | See where to buy |
The Humble Co. Floss Picks, Double ThreadAmazon USA #28 · Handle 53% plant-based · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · single-use plastic floss pick (1) · microplastics in the mouth (3) | 66.23% | Worth a Pause | See where to buy |
REACH Ultraclean Dental Floss, MintAmazon USA #30 · Pebax is a plastic · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals76Gaia76Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · microplastics in the mouth (3) | 74% | Worth a Pause | See where to buy |
Platypus Orthodontic Flossers for Braces (40)Amazon USA #31 · For braces · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · single-use plastic floss pick (1) · microplastics in the mouth (3) | 66.23% | Worth a Pause | See where to buy |
DrTung’s Smart Floss, CardamomAmazon USA #32 · Free of PTFE and petrochemical wax; fibre not stated · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals76Gaia76Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · microplastics in the mouth (3) | 74% | Worth a Pause | See where to buy |
GuruNanda 2-in-1 Floss Picks for BracesAmazon USA #33 · Brand says plastic, PFAS free · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · single-use plastic floss pick (1) · microplastics in the mouth (3) | 66.23% | Worth a Pause | See where to buy |
GRIN Double Flosspyx Floss PicksAmazon USA #35 · Recycled plastic · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · single-use plastic floss pick (1) · microplastics in the mouth (3) | 66.23% | Worth a Pause | See where to buy |
REACH Ultraclean Access Flosser Starter PackAmazon USA #37 · Reusable handle, disposable heads · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · single-use plastic floss pick (1) · microplastics in the mouth (3) | 66.23% | Worth a Pause | See where to buy |
GuruNanda Dual Slickers Floss PicksAmazon USA #38 · Dyneema (UHMWPE) · Shake floss standard: made with a plastic fibre, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency65 Flagged (tier): plastic dispenser (2) · plastic floss fibre (2) · single-use plastic floss pick (1) · microplastics in the mouth (3) | 66.23% | Worth a Pause | See where to buy |
Shake Picks
Rinses that pass the Shake mouthwash standard: no alcohol, no synthetic sweetener or dye, no fluoride. We leave antiseptics like CPC and chlorhexidine out of the Picks for daily use.
Oil pulling
GuruNanda Coconut Oil Pulling Mouthwash with Vitamins, Farmed Mint, 16 oz
92.75%Deeply Aligned
Coconut-derived oil with peppermint, spearmint and clove oils. Alcohol free.
See where to buyRinse
Davids Hydroxi Mouthwash Kit
92.75%Deeply Aligned
Hydroxyapatite, xylitol and plant oils, sweetened with stevia.
See where to buyTablets
SELFWISE Mouthwash Tablets, Nano-Hydroxyapatite
91.23%Deeply Aligned
Chew-and-swish tablets with hydroxyapatite and xylitol. Nothing to pour.
See where to buyThe most sold
Amazon USA’s best-selling mouthwash on 27 October 2026, in sales order. Ingredients come from each listing, or from the US drug label where the listing left the active ingredient out. Two listings showed no ingredients, so they are not scored yet. Note: the pillars show the rinse before the mouthwash standard is applied; the score shows it after.
Scroll table sideways →
| Product | Shake score | Band | |
|---|---|---|---|
| Shake Picks, outside the top 38 | |||
Davids Hydroxi Mouthwash KitShake Pick, outside the top 38Read morePeople100Animals88Gaia88Frequency95 Flagged (tier): plastic bottle (2) | 92.75% | Shake PickDeeply Aligned | See where to buy |
SELFWISE Mouthwash Tablets, Nano-HydroxyapatiteShake Pick, outside the top 38Read morePeople95.92Animals88Gaia88Frequency93 Flagged (tier): citric acid (3) · plastic bottle (2) | 91.23% | Shake PickDeeply Aligned | See where to buy |
| Mouthwash, by sales | |||
TheraBreath Fresh Breath Mouthwash, Icy Mint Flavor, Alcohol-Free, 16 Fl OzAmazon USA #1 · Shake mouthwash standard: contains a synthetic sweetener, so it can score no higher than Worth a PauseRead morePeople85.72Animals88Gaia88Frequency84 Flagged (tier): citric acid (3) · plastic bottle (2) · sucralose (2) | 74% | Worth a Pause | See where to buy |
TheraBreath Healthy Gums Oral Rinse, Clean Mint, 16 fl oz, 2-PackAmazon USA #2 · Active from the OTC label (otclabels.com) · Shake mouthwash standard: contains a synthetic sweetener, so it can score no higher than Worth a PauseRead morePeople79.6Animals76Gaia76Frequency70 Flagged (tier): plastic bottle (2) · sucralose (2) · cetylpyridinium chloride (2) | 74% | Worth a Pause | See where to buy |
TheraBreath Fresh Breath Mouthwash, Mild Mint Flavor, Alcohol-Free, 16 Fl OzAmazon USA #3Read morePeople100Animals88Gaia88Frequency92 Flagged (tier): plastic bottle (2) | 92% | Shake PickDeeply Aligned | See where to buy |
Listerine Cool Mint Antiseptic Mouthwash, Intense Mint, 33.8 fl. oz/1L x 2Amazon USA #4 · Shake mouthwash standard: contains a synthetic sweetener, a synthetic dye and alcohol, so it can score no higher than Worth a PauseRead morePeople69.4Animals88Gaia88Frequency81 Flagged (tier): sodium saccharin (2) · plastic bottle (2) · alcohol (2) · Green 3 (2) | 74% | Worth a Pause | See where to buy |
Listerine Cool Mint Alcohol Free Mouthwash, Mild Mint, 33.8 fl. oz/1 LAmazon USA #5 · Shake mouthwash standard: contains a synthetic sweetener and a synthetic dye, so it can score no higher than Worth a PauseRead morePeople65.32Animals83.2Gaia83.2Frequency78 Flagged (tier): sodium lauryl sulfate (3) · sodium saccharin (2) · plastic bottle (2) · sucralose (2) · Green 3 (2) | 74% | Worth a Pause | See where to buy |
Crest Mouthwash Pro Health Multi-Protection, 1L, 2 Pack, 6-in-1 BenefitsAmazon USA #6 · Shake mouthwash standard: contains added fluoride, a synthetic sweetener and a synthetic dye, so it can score no higher than Worth a PauseRead morePeople44.92Animals76Gaia76Frequency65 Flagged (tier): fluoride (2) · methylparaben (3) · sodium saccharin (2) · Blue 1 (2) · plastic bottle (2) · sucralose (2) · cetylpyridinium chloride (2) | 65.48% | Worth a Pause | See where to buy |
Colgate Peroxyl Antiseptic Mouth Sore Rinse, Alcohol Free, Mint, 16.9 fl ozAmazon USA #7 · Shake mouthwash standard: contains a synthetic sweetener and a synthetic dye, so it can score no higher than Worth a PauseRead morePeople89.8Animals88Gaia88Frequency87 Flagged (tier): sodium saccharin (2) · plastic bottle (2) | 74% | Worth a Pause | See where to buy |
Listerine Total Care Anticavity Mouthwash, Intense Mint, 33.8 fl. oz/1L x 2Amazon USA #8 · Shake mouthwash standard: contains added fluoride, a synthetic sweetener, a synthetic dye and alcohol, so it can score no higher than Worth a PauseRead morePeople49Animals88Gaia88Frequency77 Flagged (tier): fluoride (2) · sodium saccharin (2) · Blue 1 (2) · plastic bottle (2) · alcohol (2) · sucralose (2) | 74% | Worth a Pause | See where to buy |
Crest Pro-Health Advanced Mouthwash, Alcohol Free, Extra Whitening, EnergizingAmazon USA #10 · Shake mouthwash standard: contains added fluoride and a synthetic sweetener, so it can score no higher than Worth a PauseRead morePeople69.4Animals88Gaia88Frequency77 Flagged (tier): fluoride (2) · sodium saccharin (2) · plastic bottle (2) · sucralose (2) | 74% | Worth a Pause | See where to buy |
Biotene Oral Rinse Mouthwash for Dry Mouth, 33.8 fl ozAmazon USA #11 · Shake mouthwash standard: contains a synthetic sweetener, so it can score no higher than Worth a PauseRead morePeople85.72Animals88Gaia88Frequency85 Flagged (tier): methylparaben (3) · sodium saccharin (2) · plastic bottle (2) | 74% | Worth a Pause | See where to buy |
ACT Restoring Zero Alcohol Fluoride Mouthwash 33.8 fl. oz. Strengthens ToothAmazon USA #12 · Shake mouthwash standard: contains added fluoride, a synthetic sweetener and a synthetic dye, so it can score no higher than Worth a PauseRead morePeople38.8Animals76Gaia76Frequency73 Flagged (tier): fluoride (2) · tartrazine (2) · sodium saccharin (2) · plastic bottle (2) · sucralose (2) · Green 3 (2) · cetylpyridinium chloride (2) | 65.95% | Worth a Pause | See where to buy |
ACT Kids Anticavity Fluoride Rinse Wild Watermelon 16.9 fl. oz. Accurate DosingAmazon USA #13 · Scored for a child · Shake mouthwash standard: contains added fluoride, a synthetic sweetener and a synthetic dye, so it can score no higher than Worth a PauseRead morePeople31.15Animals76Gaia76Frequency75 Flagged (tier): fluoride (2) · tartrazine (2) · plastic bottle (2) · sucralose (2) · Green 3 (2) · cetylpyridinium chloride (2) | 64.54% | Worth a Pause | See where to buy |
CloSYS Ultra Sensitive Mouthwash, 32 Oz, Alcohol Free MouthwashAmazon USA #14Read morePeople95.92Animals88Gaia88Frequency72 Flagged (tier): citric acid (3) · plastic bottle (2) | 85.98% | Shake PickAligned | See where to buy |
Amazon Basics Antiseptic Mouthwash, Blue Mint, Fights Bad Breath, Plaque andAmazon USA #15 · Shake mouthwash standard: contains a synthetic sweetener, a synthetic dye and alcohol, so it can score no higher than Worth a PauseRead morePeople69.4Animals88Gaia88Frequency83 Flagged (tier): sodium saccharin (2) · plastic bottle (2) · alcohol (2) · Green 3 (2) | 74% | Worth a Pause | See where to buy |
Listerine Total Care Anticavity Mouthwash, Intense Mint, 33.8 fl. oz/1LAmazon USA #16 · Shake mouthwash standard: contains added fluoride, a synthetic sweetener, a synthetic dye and alcohol, so it can score no higher than Worth a PauseRead morePeople49Animals88Gaia88Frequency77 Flagged (tier): fluoride (2) · sodium saccharin (2) · Blue 1 (2) · plastic bottle (2) · alcohol (2) · sucralose (2) | 74% | Worth a Pause | See where to buy |
Listerine Total Care Alcohol Free Mouthwash, Mild Mint, 33.8 fl. oz/1LAmazon USA #17 · Shake mouthwash standard: contains added fluoride, a synthetic sweetener and a synthetic dye, so it can score no higher than Worth a PauseRead morePeople55.12Animals83.2Gaia83.2Frequency78 Flagged (tier): fluoride (2) · sodium lauryl sulfate (3) · sodium saccharin (2) · Blue 1 (2) · plastic bottle (2) · sucralose (2) | 74% | Worth a Pause | See where to buy |
TheraBreath Anticavity Fluoride Mouthwash, Sparkle Mint, 16 fl oz, 2-PackAmazon USA #18 · Shake mouthwash standard: contains added fluoride and a synthetic sweetener, so it can score no higher than Worth a PauseRead morePeople75.52Animals88Gaia88Frequency81 Flagged (tier): fluoride (2) · citric acid (3) · plastic bottle (2) · sucralose (2) | 74% | Worth a Pause | See where to buy |
GuruNanda Coconut Oil Pulling Mouthwash with Vitamins, Farmed Mint, 16 ozAmazon USA #19Read morePeople100Animals88Gaia88Frequency95 Flagged (tier): plastic bottle (2) | 92.75% | Shake PickDeeply Aligned | See where to buy |
Listerine Total Care Alcohol Free Mouthwash, Mild Mint, 33.8 fl. oz/1L x 2Amazon USA #20 · Shake mouthwash standard: contains added fluoride, a synthetic sweetener and a synthetic dye, so it can score no higher than Worth a PauseRead morePeople55.12Animals83.2Gaia83.2Frequency78 Flagged (tier): fluoride (2) · sodium lauryl sulfate (3) · sodium saccharin (2) · Blue 1 (2) · plastic bottle (2) · sucralose (2) | 74% | Worth a Pause | See where to buy |
ACT Kids Anticavity Fluoride Mouthwash, Bubble Gum Blowout, 16.9 fl. oz.Amazon USA #21 · Scored for a child · Fluoride active from the product title · Shake mouthwash standard: contains added fluoride, a synthetic sweetener and a synthetic dye, so it can score no higher than Worth a PauseRead morePeople58.69Animals76Gaia76Frequency83 Flagged (tier): fluoride (2) · sodium saccharin (2) · plastic bottle (2) · cetylpyridinium chloride (2) | 73.42% | Worth a Pause | See where to buy |
TheraBreath Deep Clean Mouthwash, Fresh Mint Flavor, 16 fl oz, 2-PackAmazon USA #22 · Shake mouthwash standard: contains a synthetic sweetener, so it can score no higher than Worth a PauseRead morePeople89.8Animals88Gaia88Frequency80 Flagged (tier): plastic bottle (2) · sucralose (2) | 74% | Worth a Pause | See where to buy |
Listerine Original Antiseptic Mouthwash, Intense Original, 33.8 fl. oz/1 LAmazon USA #23 · Shake mouthwash standard: contains alcohol, so it can score no higher than Worth a PauseRead morePeople89.8Animals88Gaia88Frequency88 Flagged (tier): plastic bottle (2) · alcohol (2) | 74% | Worth a Pause | See where to buy |
CloSYS Healthy Gums Mouthwash 32 Fl Oz, Anti-Gingivitis MouthwashAmazon USA #24 · Active from the OTC label (otclabels.com) · Shake mouthwash standard: contains a synthetic sweetener, so it can score no higher than Worth a PauseRead morePeople75.52Animals76Gaia76Frequency69 Flagged (tier): citric acid (3) · plastic bottle (2) · sucralose (2) · cetylpyridinium chloride (2) | 74% | Worth a Pause | See where to buy |
GuruNanda Teeth Whitening Dual Barrel Oxyburst MouthwashAmazon USA #25Read morePeople95.92Animals88Gaia88Frequency97 Flagged (tier): undisclosed fragrance (3) · plastic bottle (2) | 92.23% | Shake PickDeeply Aligned | See where to buy |
Listerine Alcohol Free Mouthwash Packets, Cool Mint, 0.33 fl. oz, 30 PackAmazon USA #26 · Shake mouthwash standard: contains a synthetic sweetener and a synthetic dye, so it can score no higher than Worth a PauseRead morePeople65.32Animals83.2Gaia83.2Frequency78 Flagged (tier): sodium lauryl sulfate (3) · sodium saccharin (2) · plastic bottle (2) · sucralose (2) · Green 3 (2) | 74% | Worth a Pause | See where to buy |
Listerine Gum Therapy Anti Gingivitis Mouthwash, Mint, 33.8 fl. oz/1LAmazon USA #27 · Shake mouthwash standard: contains a synthetic sweetener, a synthetic dye and alcohol, so it can score no higher than Worth a PauseRead morePeople59.2Animals88Gaia88Frequency75 Flagged (tier): sodium saccharin (2) · Blue 1 (2) · plastic bottle (2) · alcohol (2) · sucralose (2) | 74% | Worth a Pause | See where to buy |
Listerine Clinical Solutions Gum Health Mouthwash, Icy Mint, 33.8 fl. oz/1LAmazon USA #29 · Shake mouthwash standard: contains a synthetic sweetener, a synthetic dye and alcohol, so it can score no higher than Worth a PauseRead morePeople69.4Animals88Gaia88Frequency85 Flagged (tier): sodium saccharin (2) · plastic bottle (2) · alcohol (2) · sucralose (2) | 74% | Worth a Pause | See where to buy |
Parodontax Active Gum Health Mouthwash, Antiplaque and AntigingivitisAmazon USA #30 · Shake mouthwash standard: contains a synthetic sweetener and a synthetic dye, so it can score no higher than Worth a PauseRead morePeople59.2Animals76Gaia76Frequency73 Flagged (tier): sodium saccharin (2) · Blue 1 (2) · plastic bottle (2) · sucralose (2) · cetylpyridinium chloride (2) | 71.05% | Worth a Pause | See where to buy |
Amazon Basics Multi Action Antiseptic Oral Rinse, Alcohol-Free, AntiplaqueAmazon USA #31 · Shake mouthwash standard: contains a synthetic sweetener and a synthetic dye, so it can score no higher than Worth a PauseRead morePeople59.2Animals76Gaia76Frequency73 Flagged (tier): sodium saccharin (2) · Blue 1 (2) · plastic bottle (2) · sucralose (2) · cetylpyridinium chloride (2) | 71.05% | Worth a Pause | See where to buy |
Sensodyne Pronamel Intensive Enamel Repair Mouthwash, 16.9 fl oz (3 Pack)Amazon USA #32 · Shake mouthwash standard: contains added fluoride, a synthetic sweetener and a synthetic dye, so it can score no higher than Worth a PauseRead morePeople59.2Animals76Gaia76Frequency81 Flagged (tier): fluoride (2) · sodium saccharin (2) · Blue 1 (2) · plastic bottle (2) · cetylpyridinium chloride (2) | 73.05% | Worth a Pause | See where to buy |
GuruNanda Healthy Gums Mouthwash, Antigingivitis, Antiplaque, Mint, 16 ozAmazon USA #33 · Ingredients from the OTC label (otclabels.com)Read morePeople85.72Animals76Gaia76Frequency88 Flagged (tier): citric acid (3) · plastic bottle (2) · cetylpyridinium chloride (2) | 81.43% | Aligned | See where to buy |
Parodontax Active Gum Health Mouthwash, 3×16.9 Fl OzAmazon USA #34 · Shake mouthwash standard: contains a synthetic sweetener and a synthetic dye, so it can score no higher than Worth a PauseRead morePeople59.2Animals76Gaia76Frequency73 Flagged (tier): sodium saccharin (2) · Blue 1 (2) · plastic bottle (2) · sucralose (2) · cetylpyridinium chloride (2) | 71.05% | Worth a Pause | See where to buy |
CloSYS Mouthwash, 32 Ounce, Fresh Breath Mouthwash, 2 Pack, Gentle MintAmazon USA #35 · Shake mouthwash standard: contains a synthetic sweetener, so it can score no higher than Worth a PauseRead morePeople85.72Animals88Gaia88Frequency70 Flagged (tier): citric acid (3) · plastic bottle (2) · sucralose (2) | 74% | Worth a Pause | See where to buy |
TheraBreath Whitening Mouthwash, Dazzling Mint, 16 oz, 2-PackAmazon USA #36Read morePeople100Animals88Gaia88Frequency94 Flagged (tier): plastic bottle (2) | 92.5% | Shake PickDeeply Aligned | See where to buy |
GuruNanda Fresh Breath Travel MouthwashAmazon USA #37 · Shake mouthwash standard: contains a synthetic sweetener, so it can score no higher than Worth a PauseRead morePeople85.72Animals88Gaia88Frequency91 Flagged (tier): citric acid (3) · plastic bottle (2) · sucralose (2) | 74% | Worth a Pause | See where to buy |
Listerine Ultraclean Alcohol-Free Mouthwash, Mild Mint, 33.8 fl. oz/1LAmazon USA #38 · Shake mouthwash standard: contains a synthetic sweetener and a synthetic dye, so it can score no higher than Worth a PauseRead morePeople59.2Animals88Gaia88Frequency82 Flagged (tier): sodium saccharin (2) · Blue 1 (2) · plastic bottle (2) · sucralose (2) · Green 3 (2) | 74% | Worth a Pause | See where to buy |
Shake Picks
Brushes that pass the Shake toothbrush standard: a bamboo or wooden handle, no boar hair, soft bristles. Almost every bristle on the market is nylon, even the “plant-based” ones made from castor beans, so they still count against Animals and Gaia, and a little against People: a 2025 study estimated plastic brushes shed at least 2.3 million microplastic particles a year into the mouth. What that does to health is not yet known. The miswak is the one brush with nothing to throw away but a twig.
Miswak
Zenia Sewak Natural Miswak Toothbrush
85.25%Aligned
A Salvadora persica twig: chew the tip into bristles, trim, repeat.
See where to buyBamboo brush
Sea Turtle Plant-Based Bristles, Bamboo Toothbrushes, Soft Natural Toothbrush
75.23%Aligned
Bamboo handle with castor-bean bristles.
See where to buyBamboo brush
VIVAGO Bamboo Toothbrushes 10 Pack
75.23%Aligned
Bamboo handle, soft nylon bristles, 10 pack.
See where to buyThe most sold
Amazon USA’s thirty best-selling manual toothbrushes on 27 October 2026, in sales order. A plastic handle or head caps a brush at Worth a Pause. Where a listing does not say how it is packed, we score plastic packaging.
Scroll table sideways →
| Product | Shake score | Band | |
|---|---|---|---|
| Manual toothbrushes, by sales | |||
Colgate Extra Clean Medium Toothbrushes, 6 PackAmazon USA #1 · plastic handle, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals64Gaia64Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · microplastics in the mouth (3) | 63.48% | Worth a Pause | See where to buy |
Amazon Basics Clean Plus Toothbrushes, Soft, Full, 10 Count, 1 PackAmazon USA #2 · plastic handle, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals64Gaia64Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · microplastics in the mouth (3) | 63.48% | Worth a Pause | See where to buy |
GuruNanda Butter On Gums Toothbrush, ADA Accepted Manual Toothbrushes withAmazon USA #3 · plastic handle, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals64Gaia64Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · microplastics in the mouth (3) | 63.48% | Worth a Pause | See where to buy |
Reach Essentials Medium Toothbrushes with Toothbrush Caps, 6 CountAmazon USA #4 · plastic handle, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals64Gaia64Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · microplastics in the mouth (3) | 63.48% | Worth a Pause | See where to buy |
Oral-B Cavity Defense 123 Black Toothbrush � Medium (Pack of 4)Amazon USA #5 · plastic handle, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals64Gaia64Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · microplastics in the mouth (3) | 63.48% | Worth a Pause | See where to buy |
Oral-B 3D White Deep Stain Remover toothbrushes, 4 Count Toothbrush MediumAmazon USA #6 · plastic handle, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals64Gaia64Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · microplastics in the mouth (3) | 63.48% | Worth a Pause | See where to buy |
Colgate Wisp Disposable Toothbrushes for Travel, Pack of 4, 96 Total CountAmazon USA #7 · disposable plastic toothbrush, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · single-use plastic (1) · microplastics in the mouth (3) | 57.48% | Reconsider | See where to buy |
Oral-B 3D White Manual Toothbrush, 4-Pack, Stain Eraser, Soft BristleAmazon USA #8 · plastic handle, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals64Gaia64Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · microplastics in the mouth (3) | 63.48% | Worth a Pause | See where to buy |
cleaings® 48 Pcs Disposable Mini ToothbrushAmazon USA #9 · disposable plastic toothbrush, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · single-use plastic (1) · microplastics in the mouth (3) | 57.48% | Reconsider | See where to buy |
NIMBUS Extra Soft Toothbrushes for Sensitive Teeth (Regular, 5 Pack)Amazon USA #10 · plastic handle, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals64Gaia64Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · microplastics in the mouth (3) | 63.48% | Worth a Pause | See where to buy |
MOUTHWATCHERS Dr Plotkas Soft Bristle Flossing Toothbrush Manual SoftAmazon USA #11 · plastic handle, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals64Gaia64Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · microplastics in the mouth (3) | 63.48% | Worth a Pause | See where to buy |
MOUTHWATCHERS Soft Flossing Manual Toothbrush, Adults, Pack of 2, AssortedAmazon USA #12 · plastic handle, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals64Gaia64Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · microplastics in the mouth (3) | 63.48% | Worth a Pause | See where to buy |
Colgate 360 Advanced Whitening Toothbrush with Medium Bristles, 2 PackAmazon USA #13 · plastic handle, nylon bristles, paper packaging · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals76Gaia76Frequency30 Flagged (tier): nylon bristles (2) · plastic handle or body (2) · microplastics in the mouth (3) | 69.48% | Worth a Pause | See where to buy |
Mini Disposable Toothbrushes with Toothpaste and Toothpick, Tongue CleanersAmazon USA #14 · disposable plastic toothbrush, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · single-use plastic (1) · microplastics in the mouth (3) | 57.48% | Reconsider | See where to buy |
Colgate Gum Expert Toothbrush for Sensitive Gums, Extra Soft, 2 PackAmazon USA #15 · plastic handle, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals64Gaia64Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · microplastics in the mouth (3) | 63.48% | Worth a Pause | See where to buy |
Colgate 360 Advanced Clean Floss Tip Soft Toothbrushes, 6 PackAmazon USA #16 · plastic handle, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals64Gaia64Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · microplastics in the mouth (3) | 63.48% | Worth a Pause | See where to buy |
GuruNanda Disposable Travel Toothbrush 1.0, Fluoride Free Toothpaste, 70 ctAmazon USA #17 · disposable plastic toothbrush, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · single-use plastic (1) · microplastics in the mouth (3) | 57.48% | Reconsider | See where to buy |
Colgate Total Active Prevention Soft Whitening Toothbrush, 2 PackAmazon USA #18 · plastic handle, nylon bristles, paper packaging · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals76Gaia76Frequency30 Flagged (tier): nylon bristles (2) · plastic handle or body (2) · microplastics in the mouth (3) | 69.48% | Worth a Pause | See where to buy |
VIVAGO Bamboo Toothbrushes 10 PackAmazon USA #19 · bamboo handle, nylon bristlesRead morePeople95.92Animals76Gaia76Frequency53 Flagged (tier): plastic packaging (2) · nylon bristles (2) · microplastics in the mouth (3) | 75.23% | Shake PickAligned | See where to buy |
GuruNanda Butter on Gums Charcoal Toothbrush – 8000+ SoftexTM Bristles forAmazon USA #20 · plastic handle, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals64Gaia64Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · microplastics in the mouth (3) | 63.48% | Worth a Pause | See where to buy |
Sea Turtle Plant-Based Bristles, Bamboo Toothbrushes, Soft Natural ToothbrushAmazon USA #21 · bamboo handle, castor-bean nylon bristlesRead morePeople95.92Animals76Gaia76Frequency53 Flagged (tier): plastic packaging (2) · nylon bristles (2) · microplastics in the mouth (3) | 75.23% | Shake PickAligned | See where to buy |
Colgate 360 Soft Toothbrushes, 4 PackAmazon USA #22 · plastic handle, nylon bristles, paper packaging · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals76Gaia76Frequency30 Flagged (tier): nylon bristles (2) · plastic handle or body (2) · microplastics in the mouth (3) | 69.48% | Worth a Pause | See where to buy |
Amazon Basics Orbit Toothbrushes, Soft Bristles, Full Size, 4 Count, AssortedAmazon USA #24 · plastic handle, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals64Gaia64Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · microplastics in the mouth (3) | 63.48% | Worth a Pause | See where to buy |
GuruNanda Disposable Travel Toothbrush 2.0, Fluoride Free Toothpaste, 21 ctAmazon USA #25 · disposable plastic toothbrush, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · single-use plastic (1) · microplastics in the mouth (3) | 57.48% | Reconsider | See where to buy |
Extra Toothbrush for Sensitive Gums, Micro Fur Manual Toothbrush with 20000Amazon USA #26 · plastic handle, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals64Gaia64Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · microplastics in the mouth (3) | 63.48% | Worth a Pause | See where to buy |
GUM Folding Travel Toothbrush, Soft Bristle, Compact Head, 1 Count (6 Pack)Amazon USA #27 · plastic handle, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals64Gaia64Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · microplastics in the mouth (3) | 63.48% | Worth a Pause | See where to buy |
Colgate Sensitive Expert Toothbrush, Extra Soft, 2 PackAmazon USA #28 · plastic handle, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals64Gaia64Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · microplastics in the mouth (3) | 63.48% | Worth a Pause | See where to buy |
Zenia Sewak Natural Miswak ToothbrushAmazon USA #29 · miswak stickRead morePeople100Animals88Gaia88Frequency65 Flagged (tier): plastic packaging (2) | 85.25% | Shake PickAligned | See where to buy |
Curaprox CS 5460 Ultra-Soft Toothbrush, Random Colors, 3-Pack, Swiss MadeAmazon USA #30 · plastic handle, nylon bristles · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals64Gaia64Frequency30 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · microplastics in the mouth (3) | 63.48% | Worth a Pause | See where to buy |
| Also a Shake Pick | |||
SEWAK AL-FALAH Miswak, Traditional Natural Toothbrush, 10 Pack, IndividuallyShake Pick, outside the top 30 · miswak stickRead morePeople100Animals88Gaia88Frequency65 Flagged (tier): plastic packaging (2) | 85.25% | Shake PickAligned | See where to buy |
Electric toothbrushes
The honest picture. Electric brushes clean better: a Cochrane review of 56 trials found 21% less plaque and 11% less gum inflammation after three months. They also cost the planet most: in a 2020 life-cycle study, the electric brush had the highest impact in 15 of 16 categories, from the battery, motor and plastic heads. So the cleaning costs nothing on People, the e-waste counts against Animals and Gaia, and, as with every plastic brush, the bristles count a little against People for the microplastics they shed in the mouth. If you use one, keep the handle for years and recycle it as e-waste. Brush heads are left off this list.
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| Product | Shake score | Band | |
|---|---|---|---|
| Electric and battery toothbrushes, by sales | |||
Oral-B Pro 1000 Rechargeable Electric Toothbrush, BlackAmazon USA #1 · plastic handle, plastic brush head, nylon bristles, rechargeable battery · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency44 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · battery and motor (e-waste) (2) · microplastics in the mouth (3) | 60.98% | Worth a Pause | See where to buy |
Philips Sonicare 4100 Rechargeable Electric Toothbrush, 1 Brush Head, WhiteAmazon USA #2 · plastic handle, plastic brush head, nylon bristles, rechargeable battery · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency44 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · battery and motor (e-waste) (2) · microplastics in the mouth (3) | 60.98% | Worth a Pause | See where to buy |
Aquasonic Black Series Ultra Whitening ToothbrushAmazon USA #5 · plastic handle, plastic brush head, nylon bristles, rechargeable battery · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency44 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · battery and motor (e-waste) (2) · microplastics in the mouth (3) | 60.98% | Worth a Pause | See where to buy |
Oral-B Rechargeable Electric Toothbrush, iO Limited Simple Clean, 3 CleaningAmazon USA #13 · plastic handle, plastic brush head, nylon bristles, rechargeable battery · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency44 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · battery and motor (e-waste) (2) · microplastics in the mouth (3) | 60.98% | Worth a Pause | See where to buy |
Sonic Electric Toothbrush for Adults, USB Rechargeable Sonic Toothbrush withAmazon USA #15 · plastic handle, plastic brush head, nylon bristles, rechargeable battery · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency44 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · battery and motor (e-waste) (2) · microplastics in the mouth (3) | 60.98% | Worth a Pause | See where to buy |
Aquasonic Vibe Series Ultra-Whitening ToothbrushAmazon USA #17 · plastic handle, plastic brush head, nylon bristles, rechargeable battery · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency44 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · battery and motor (e-waste) (2) · microplastics in the mouth (3) | 60.98% | Worth a Pause | See where to buy |
Oral-B iO Series 3 Limited Deep Clean Rechargeable Electric Toothbrush forAmazon USA #20 · plastic handle, plastic brush head, nylon bristles, rechargeable battery · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency44 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · battery and motor (e-waste) (2) · microplastics in the mouth (3) | 60.98% | Worth a Pause | See where to buy |
Oral-B 3D White Action Power Toothbrush, 1 Count (Colors May Vary)Amazon USA #23 · plastic handle, plastic brush head, nylon bristles, AA batteries · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency44 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · battery and motor (e-waste) (2) · microplastics in the mouth (3) | 60.98% | Worth a Pause | See where to buy |
Oral-B Toothbrush, Vibrating Plaque Remover Pulsar, Vibrating BatteryAmazon USA #24 · plastic handle, plastic brush head, nylon bristles, AA batteries · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency44 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · battery and motor (e-waste) (2) · microplastics in the mouth (3) | 60.98% | Worth a Pause | See where to buy |
7AM2M Sonic Electric Toothbrush for Adults and Kids High Power RechargeableAmazon USA #25 · plastic handle, plastic brush head, nylon bristles, rechargeable battery · Scored for a child · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency44 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · battery and motor (e-waste) (2) · microplastics in the mouth (3) | 60.98% | Worth a Pause | See where to buy |
Aquasonic Icon Micro-Vibrating Manual ToothbrushAmazon USA #28 · plastic handle, plastic brush head, nylon bristles, rechargeable battery · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency44 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · battery and motor (e-waste) (2) · microplastics in the mouth (3) | 60.98% | Worth a Pause | See where to buy |
Philips Sonicare 5900 Rechargeable Electric Toothbrush, 2 Brush Head, WhiteAmazon USA #30 · plastic handle, plastic brush head, nylon bristles, rechargeable battery · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency44 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · battery and motor (e-waste) (2) · microplastics in the mouth (3) | 60.98% | Worth a Pause | See where to buy |
Oral-B Pulsar Pro-Health Expert Clean, Battery electric toothbrush, 2 countAmazon USA #23 · plastic handle, plastic brush head, nylon bristles, AA batteries · Shake toothbrush standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals52Gaia52Frequency44 Flagged (tier): plastic packaging (2) · nylon bristles (2) · plastic handle or body (2) · battery and motor (e-waste) (2) · microplastics in the mouth (3) | 60.98% | Worth a Pause | See where to buy |
Sources: Yaacob et al., Cochrane, 2014 · Duane and colleagues, British Dental Journal, 2020
Shake Picks
Tools that pass the Shake tools standard: copper or stainless steel that lasts for years, or a miswak. In a small trial, a tongue scraper cut bad-breath compounds by 75%, against 45% for a soft toothbrush.
Copper scraper
Pure Copper Tongue Scraper for Adults and Kids – 4 Pack Premium Ayurvedic
85.25%Aligned
Pure copper. Lasts for years.
See where to buySteel scraper
Mouthology Tongue Scraper for Adults (2 Pack), Reduce Bad Breath, Metal
85.25%Aligned
Stainless steel, two pack.
See where to buyMiswak
SEWAK AL-FALAH Miswak, Traditional Natural Toothbrush, 10 Pack, Individually
85.25%Aligned
Ten natural miswak sticks, individually sealed.
See where to buyThe most sold
Amazon USA’s thirty best-selling tongue cleaners on 27 October 2026, in sales order. Plastic scrapers count against Animals and Gaia; disposable plastic ones count most.
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| Product | Shake score | Band | |
|---|---|---|---|
| Tongue cleaners, by sales | |||
Tongue Scraper for Adults with Multicolor Travel Cases (2 Pack), 100%Amazon USA #1 · stainless steel tongue scraperRead morePeople100Animals88Gaia88Frequency65 Flagged (tier): plastic packaging (2) | 85.25% | Shake PickAligned | See where to buy |
Cafhelp 2-Pack Tongue Scraper, 100% 304 Surgical Stainless Steel TongueAmazon USA #2 · stainless steel tongue scraperRead morePeople100Animals88Gaia88Frequency65 Flagged (tier): plastic packaging (2) | 85.25% | Shake PickAligned | See where to buy |
Mouthology Tongue Scraper for Adults (2 Pack), Reduce Bad Breath, MetalAmazon USA #3 · stainless steel tongue scraperRead morePeople100Animals88Gaia88Frequency65 Flagged (tier): plastic packaging (2) | 85.25% | Shake PickAligned | See where to buy |
GRIN Tongue Cleaner, 48 Count, Disposable Tongue Cleaner, Hygienic ScraperAmazon USA #4 · disposable plastic tongue cleaner · Shake tools standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals64Gaia64Frequency30 Flagged (tier): plastic packaging (2) · single-use plastic (1) · microplastics in the mouth (3) | 63.48% | Worth a Pause | See where to buy |
GuruNanda Tongue Scraper for Adults (2 Pack) with Travel Case, 420Amazon USA #5 · stainless steel tongue scraperRead morePeople100Animals88Gaia88Frequency65 Flagged (tier): plastic packaging (2) | 85.25% | Shake PickAligned | See where to buy |
Tung Tongue Cleaning Kit with Brush & Gel for Fresh Breath, USA MadeAmazon USA #6 · reusable plastic tongue cleaner · Shake tools standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals76Gaia76Frequency30 Flagged (tier): plastic packaging (2) · plastic handle or body (2) · microplastics in the mouth (3) | 69.48% | Worth a Pause | See where to buy |
GRIN Tongue Cleaner, 32 Count, Disposable Tongue Cleaner, Hygienic ScraperAmazon USA #7 · disposable plastic tongue cleaner · Shake tools standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals64Gaia64Frequency30 Flagged (tier): plastic packaging (2) · single-use plastic (1) · microplastics in the mouth (3) | 63.48% | Worth a Pause | See where to buy |
Papablic Baby Tongue Cleaner for Infant Oral Aged 0-2, Disposable, 40 PackAmazon USA #8 · gauze and paper tongue cleaner (disposable) · Scored for a babyRead morePeople100Animals88Gaia88Frequency65 Flagged (tier): plastic packaging (2) | 85.25% | Shake PickAligned | See where to buy |
Tongue Brush, Tongue Scraper, Tongue Cleaner, Tongue Scraper Brush, TongueAmazon USA #9 · reusable plastic tongue cleaner · Shake tools standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals76Gaia76Frequency30 Flagged (tier): plastic packaging (2) · plastic handle or body (2) · microplastics in the mouth (3) | 69.48% | Worth a Pause | See where to buy |
Stainless Tongue Scraper Set for AdultsAmazon USA #10 · stainless steel tongue scraperRead morePeople100Animals88Gaia88Frequency65 Flagged (tier): plastic packaging (2) | 85.25% | Shake PickAligned | See where to buy |
Tongue Scraper for Adults, 100% Stainless Steel Tongue Scrubber for BadAmazon USA #11 · stainless steel tongue scraperRead morePeople100Animals88Gaia88Frequency65 Flagged (tier): plastic packaging (2) | 85.25% | Shake PickAligned | See where to buy |
Tongue Scraper Cleaner 100% BPA Free Tongue Scrapers with Travel Handy CaseAmazon USA #12 · reusable plastic tongue cleaner · Shake tools standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals76Gaia76Frequency30 Flagged (tier): plastic packaging (2) · plastic handle or body (2) · microplastics in the mouth (3) | 69.48% | Worth a Pause | See where to buy |
2 Pack Tongue Scraper for Adults, Reduce Bad Breath, Tongue Cleaner withAmazon USA #13 · stainless steel tongue scraperRead morePeople100Animals88Gaia88Frequency65 Flagged (tier): plastic packaging (2) | 85.25% | Shake PickAligned | See where to buy |
Pure Copper Tongue Scraper for Adults and Kids – 4 Pack Premium AyurvedicAmazon USA #14 · copper tongue scraperRead morePeople100Animals88Gaia88Frequency65 Flagged (tier): plastic packaging (2) | 85.25% | Shake PickAligned | See where to buy |
Tung Plastic Tongue Cleaning Brush, Tongue Cleaner, USA Made, 2-PackAmazon USA #15 · reusable plastic tongue cleaner · Shake tools standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals76Gaia76Frequency30 Flagged (tier): plastic packaging (2) · plastic handle or body (2) · microplastics in the mouth (3) | 69.48% | Worth a Pause | See where to buy |
GUM Tongue Cleaner with Tongue Scraper, 1 Count (3 Pack)Amazon USA #16 · reusable plastic tongue cleaner · Shake tools standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals76Gaia76Frequency30 Flagged (tier): plastic packaging (2) · plastic handle or body (2) · microplastics in the mouth (3) | 69.48% | Worth a Pause | See where to buy |
DenTek Orabrush Tongue Scraper, Gentle Tongue Cleaner Brush, 2ctAmazon USA #17 · reusable plastic tongue cleaner · Shake tools standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals76Gaia76Frequency30 Flagged (tier): plastic packaging (2) · plastic handle or body (2) · microplastics in the mouth (3) | 69.48% | Worth a Pause | See where to buy |
2 Pack Tongue Scraper, 100% Surgical 304 Stainless Steel Tongue Cleaner forAmazon USA #18 · stainless steel tongue scraperRead morePeople100Animals88Gaia88Frequency65 Flagged (tier): plastic packaging (2) | 85.25% | Shake PickAligned | See where to buy |
2 Pack Tongue Scraper for Adults, Stainless Steel Tongue CleanersAmazon USA #19 · stainless steel tongue scraperRead morePeople100Animals88Gaia88Frequency65 Flagged (tier): plastic packaging (2) | 85.25% | Shake PickAligned | See where to buy |
Arista Copper Tongue Scraper for Adults & KidsAmazon USA #20 · copper tongue scraperRead morePeople100Animals88Gaia88Frequency65 Flagged (tier): plastic packaging (2) | 85.25% | Shake PickAligned | See where to buy |
GRIN Tongue Cleaner Strap, 48 Count, Disposable Tongue Cleaner, Hygienic DualAmazon USA #21 · disposable plastic tongue cleaner · Shake tools standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals64Gaia64Frequency30 Flagged (tier): plastic packaging (2) · single-use plastic (1) · microplastics in the mouth (3) | 63.48% | Worth a Pause | See where to buy |
Metal Tongue Scraper for Adults, 3 Pcs Stainless Steel Tongue Cleaner SetAmazon USA #22 · stainless steel tongue scraperRead morePeople100Animals88Gaia88Frequency65 Flagged (tier): plastic packaging (2) | 85.25% | Shake PickAligned | See where to buy |
BodyAccel Tongue Cleaner Gel with Tongue BrushAmazon USA #23 · reusable plastic tongue cleaner · Shake tools standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals76Gaia76Frequency30 Flagged (tier): plastic packaging (2) · plastic handle or body (2) · microplastics in the mouth (3) | 69.48% | Worth a Pause | See where to buy |
Copper Tongue ScraperAmazon USA #24 · copper tongue scraperRead morePeople100Animals88Gaia88Frequency65 Flagged (tier): plastic packaging (2) | 85.25% | Shake PickAligned | See where to buy |
100 Pack Baby Tongue Cleaner and Oral Cleaner, Disposable Baby ToothbrushAmazon USA #25 · gauze and paper tongue cleaner (disposable) · Scored for a babyRead morePeople100Animals88Gaia88Frequency65 Flagged (tier): plastic packaging (2) | 85.25% | Shake PickAligned | See where to buy |
DrTung’s Stainless Steel Tongue ScraperAmazon USA #26 · stainless steel tongue scraperRead morePeople100Animals88Gaia88Frequency65 Flagged (tier): plastic packaging (2) | 85.25% | Shake PickAligned | See where to buy |
Mspan Tongue Scraper Cleaner BrushAmazon USA #27 · reusable plastic tongue cleaner · Shake tools standard: made with a plastic handle, head or body, so it can score no higher than Worth a PauseRead morePeople95.92Animals76Gaia76Frequency30 Flagged (tier): plastic packaging (2) · plastic handle or body (2) · microplastics in the mouth (3) | 69.48% | Worth a Pause | See where to buy |
Boka Stainless Steel Tongue ScraperAmazon USA #28 · stainless steel tongue scraperRead morePeople100Animals88Gaia88Frequency65 Flagged (tier): plastic packaging (2) | 85.25% | Shake PickAligned | See where to buy |
RONAVO Tongue Scraper for Adults, Two Colors Designed for Couples, Cure BadAmazon USA #29 · stainless steel tongue scraperRead morePeople100Animals88Gaia88Frequency65 Flagged (tier): plastic packaging (2) | 85.25% | Shake PickAligned | See where to buy |
Tongue Scraper For AdultsAmazon USA #30 · stainless steel tongue scraperRead morePeople100Animals88Gaia88Frequency65 Flagged (tier): plastic packaging (2) | 85.25% | Shake PickAligned | See where to buy |
Source: Pedrazzi et al., Journal of Periodontology, 2004
For brands
Make something that belongs on this shelf?
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Featured Brand
Georganics
A small British maker that took toothpaste back to its bones: minerals, a little oil, nothing to foam and nothing to colour. The charcoal powder scores 100%: ten ingredients, all of natural origin, COSMOS Natural certified, vegan, in a glass jar with an aluminium lid and a cardboard box. Their floss is plant-wax coated and refillable.
We featured it because it shows how little a toothpaste needs. Charcoal is best used now and again, and like every mineral product it would be stronger still with a published heavy-metal test. We have asked.
See where to buy · Charcoal powderSee where to buy · Peppermint powderSee where to buy · Floss refill
Source: georganics.com product page, read 27 Oct 2026 · scored in ShakeUP under the Shake toothpaste standard
Brand
RiseWell PRO
89.95% Aligned
Hydroxyapatite and nano-hydroxyapatite with a botanical blend, xylitol and stevia, fluoride free. It also contains erythritol (Tier 2) and comes in a plastic tube. RiseWell Kids was tested by Lead Safe Mama in 2025: lead 0.026 mg/kg, far below our line.
See where to buyBrand
Boka
93.25% Deeply Aligned
Amazon USA’s number-one toothpaste right now, and fluoride free: nano-hydroxyapatite, baking soda, coconut oil and cardamom. Two Boka flavours were tested in 2025, lead 0.027 and 0.032 mg/kg.
See where to buyBrand
Davids
100% Deeply Aligned
The only product on this page carrying the Shake Tested seal for this exact formula: lead 0.457 mg/kg, just below our 0.5 line, and arsenic 0.202. Honest numbers, close to the line, worth watching.
See where to buyMaterial Awareness
Four words worth learning
Almost every toothpaste label reduces to four words. Learn these and you can read any tube in the shop.
, the mineral your teeth are made of. , the foam. , the mainstream active. , our badge for a product with a published lab test for heavy metals.
Check any toothpaste you already own in ShakeUP. It now applies the Shake toothpaste standard, and it shows the Shake Tested badge when we hold a lab result for that product.
Two brushings a day for eighty years comes to 58,400. Nobody gets every one right, and nobody needs to. Swap the paste when the tube runs out. Add the oil one evening a week. Scrape the tongue tomorrow morning.
Teeth are always rebuilding. Give them something to rebuild with.
Words on this page
We would rather explain a word than avoid it. Tap any dotted term above, or read them here.
- Hydroxyapatite
- The calcium phosphate mineral that makes up most of tooth enamel and bone. In toothpaste, often as “nano-hydroxyapatite” (nHA), tiny particles that settle into the surface of enamel.
- Sodium lauryl sulfate (SLS)
- The foaming agent in most toothpastes. It makes bubbles, not cleaner teeth, and can irritate gums in some people. Tier 3 on our list.
- Fluoride
- The active in most mainstream toothpaste (sodium fluoride, stannous fluoride, monofluorophosphate). Trials show it reduces cavities; Shake chooses hydroxyapatite instead, which matched it in a trial. Tier 2 on our list.
- Shake Tested
- Our badge for a product with a heavy-metal result from an accredited lab. Sage means below the Shake line (lead 0.5 mg/kg, from Germany’s guidance for toothpaste); clay means above it. One test covers one product as tested.
Scored under the ShakeUp Standard Operating Manual v1.9 with the Shake toothpaste standard (OPS-v12 A20 and A21) and Shake Tested (A19). Sales ranks read from amazon.com Best Sellers in Toothpaste, 27 October 2026. Ingredient lists from the Amazon listings, the US drug labels (CVS, otclabels.com) and the brands’ own sites, read at the time of scoring. Images on this page are AI-generated.
Affiliate disclosure. Shake earns commission on some links across this site. It never changes a score.
