People with a cognitive disability often struggle to become independent in their daily self-care – particularly, with regard to oral hygiene. As mundane as it may seem, correctly brushing your teeth requires a series of physically complex movements and considerable coordination. Swiv is a new toothbrush design that radically reduces the complexity of brushing, offering a unique pivoting brush head with bristles that cover every surface of the tooth simultaneously. During use, Swiv is moved along the teeth like a train riding on a track, one complete motion ensuring that every surface of each tooth is covered. Effective brushing becomes easier to perform as well as easier to learn.