To brush your teeth efficiently you should use small circular movements with the brush held at 45 degrees to the tooth. Move systematically around the mouth, spending 30 seconds at each quadrant; upper right, upper left, lower right, lower left and covering all surfaces; front biting surface and back. A good technique should take 2 minutes and should be repeated twice daily. Be sure to use a pea size amount of toothpaste containing at least 1450pm of fluoride.