Dentists often debate whether brushing with an electric toothbrush or ______________________ is more effective for plaque removal.

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writing

Which choice completes the text so that it conforms to the conventions of Standard English?

A

using a manual one

B

a manual toothbrush

C

the use of a manual one

D

to use a manual one

Correct Answer: A

Choice A is the best answer. The sentence compares "brushing" (gerund) to "using" (gerund). This maintains parallel structure.

Choice B is incorrect because it compares an action ("brushing") to an object ("toothbrush"). Choice C is incorrect because "the use" is a noun, which breaks the parallel with the gerund "brushing." Choice D is incorrect because it compares a gerund to an infinitive ("to use").