An image analysis method of measuring the effectiveness of a toothbrush in reaching the interproximal spaces of teeth is described. Artificial teeth are coated with a stain that approximates real plaque and then brushed with a toothbrush on a brushing machine. The teeth are then removed and turned sideways so that the interproximal surfaces can be imaged. The areas of stain that have been removed within masked regions that define the interproximal regions are measured and reported. These areas correspond to the interproximal areas of the tooth reached by the toothbrush bristles. The image analysis method produces more precise results (10-fold decrease in standard deviation) in a fraction (22%) of the time as compared to our prior visual grading method.