What cultures don't use toothpaste?

Traditional Ways of Cleaning Teeth Around the World

While most of us reach for a toothbrush and tube of toothpaste every morning, millions of people across the globe rely on ancient, natural methods to keep their mouths clean. Far from modern dental care, some cultures have maintained oral hygiene for centuries using simple, time-tested tools—like twigs.

In many Muslim communities and parts of Africa, the miswak stick—often made from the Salvadora persica tree—has been used for generations. Also known as the "chewing stick," the miswak is more than just a tooth-cleaning tool; it's deeply rooted in religious tradition and daily practice. The Prophet Muhammad encouraged its use, making it a common sight in homes across the Middle East, South Asia, and North Africa.

The way it works is simple: one end of the twig is chewed until it frays into soft bristles, then rubbed gently against the teeth and gums. Over time, the natural compounds in the wood help reduce plaque, freshen breath, and even fight bacteria. Studies have shown that regular use of the miswak can be as effective as brushing with toothpaste—sometimes even more so in preventing gum disease.

Across parts of West and East Africa, similar twigs from local trees are used in the same way. These practices aren’t just about necessity—they reflect a deep connection to nature and tradition. Even today, in rural areas where toothpaste and toothbrushes may be hard to come by, these methods remain practical and culturally significant.

So while toothpaste dominates Western bathrooms, it’s far from universal. From desert villages to bustling city mosques, millions still clean their teeth the old-fashioned way—proving that sometimes, nature has already provided the best solution.