Introduction: People with special needs often have a high number of caries and periodontal diseases, related to difficulties in ensuring oral health care, access to dental treatment, and sometimes to the socioeconomic context. Objective: to argue the importance of making adapted toothbrushes for patients with special needs. Methods: a narrative bibliographic review was carried out through Google Scholar, of scientific articles published in the last ten years, in different digital databases such as: SciELO, Medline, Pubmed, digital libraries, in English and Spanish, using the following descriptors: "disability", "special needs", "oral hygiene", "mechanical and electric toothbrush", "bamboo toothbrush" "partial and/or total assistance". Development: the effectiveness of tooth brushing depends on the type of toothbrush, its use, the method and time of brushing, the use of mouthwash and/or dental floss. Although there are different methods for preventing plaque formation, the use of toothbrushes has proven to be the most effective way. This group includes patients with moderate or severe physical or mental disabilities and with significant motor limitations in the upper limbs. Many of
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