A toothbrushing monitoring device for a user includes a sensor coupled with the toothbrush for measuring toothbrushing patterns, a recording device coupled with the sensor, and a comparator. The recording device records data relating to the user's preferred toothbrushing patterns in a first mode, which is used to establish toothbrushing pattern reference data. The comparator compares toothbrushing patterns measured by the sensor and the toothbrushing pattern reference data, which may be output to an output device. In one example, the sensor consists of only an accelerometer.