No, BugBrush is used in addition to parental cleaning. There is no replacement for an adult cleaning a child’s teeth, however due to the difficulties many parents face in teeth cleaning; this is often the only way they can get bristles in their child’s mouth. You can use BugBrush with or without toothpaste, as long as the child is getting their recommended fluoride amount during the morning/evening it doesn’t matter if this is via BugBrush or a standard toothbrush.