A modern sonic toothbrush has two main purposes - to physically remove plaque from your teeth and to spread the foaming toothpaste thoroughly in your mouth so that it reaches all the spots between your teeth and gums. After using the Autobrush Pro for a week, I feel comfortable that it is comparable to my regular sonic toothbrush in plaque removal. Where the Autobrush Pro excels though is speading the foaming toothpaste throughout your mouth. The 360 design means that you are reaching all of your teeth at the same time with the circular motion. Toothpaste is put on 3 spots on the top and bottom sections so toothpaste is distributed more evenly. Most times when people brush, less toothpaste makes it to the top row of teeth or people natually tend to brush more on the front of their mouth vs the back. You will use more toothpaste. Toothpaste though is normally inexpensive and widely available. You can get effective options from the major manufacturers that do the job effectively at low cost. Overall, I was please with the results for both my teeth and gums. Remember, as always, no toothbrush replaces flossing.