
Background: Among different plaque controlling methods tooth brushing is the primary and most important measure to remove dental plaque and to maintain good oral hygiene. Effective tooth brushing is dependent on multiple factors. Toothbrush grip among different factors affecting tooth brushing is less well studied and documented. Aim and Objective: The aim of the present study is to evaluate the effectiveness of plaque removing ability with tooth brush grip in children aged 6-10 year. The objectives are to investigate effectiveness of tooth brush grip and to assess plaque reduction after standardizing brushing time and standardized brushing motion at different interval. Materials and Methods: Participants were selected on the basis of inclusion and exclusion criteria. Pre brushing plaque index were calculated for different tooth brush grip. Participants were given tooth brush and tooth paste and asked to brush as they do at home for standardized time. Immediate post brushing plaque index was calculated. Participants and their parents were taught a standard tooth brushing motion (modified stillman) and asked to brush at home twice daily for 7 days under strict parental guidance. After 7 days plaque index were calculated. Difference in plaque index for each grip were calculated and statistical analysis was done. Result and conclusion: Plaque reduction has a direct correlation with tooth brush grip. Distal oblique type of tooth brush grip is most prevalent and most effective type.