Doctors say otherwise as there is ingredients in the miswak that gives it advantage over toothbrush and paste.

I have some friends who claim that there is no significance of using Miswaak over toothpaste nowadays. They state that using toothpaste instead of miswaak carries the same reward. According to them, the miswaak was recommended by Prophet Muhammad (blessings and peace of Allah be upon him) as there was no alternative then.