Abstract: Toothbrush training systems and methods are disclosed. A toothbrush training system can include a toothbrush, a reward generator, and means to communicate a musical reward to a user of the toothbrush. The toothbrush can be in communication with a sensor in varying ways. The reward generator can be configured to generate the musical reward based on a signal from the sensor. A method can include providing a user with a cue to clean his/her teeth using a toothbrush; sensing movement, orientation or acceleration of the toothbrush; generating a musical reward for the user based on sensed movement, orientation or acceleration of the toothbrush; and communicating the musical reward to the user.