Provided is an automatic control type electric toothbrush, comprising a toothbrush head (20) and a toothbrush handle (10) connected by means of a driving shaft (12), wherein the toothbrush handle (10) is provided with a gesture sensor, a control module and a driving mechanism; and the control module can control the driving mechanism to drive the driving shaft (12), and same also drives the toothbrush head (20) to rotate clockwise or anticlockwise according to gesture data acquired from the gesture sensor, so that the toothbrush head (20) rotates in the direction from teeth root to dental crown. The automatic control type electric toothbrush can realize the purpose of automatically brushing teeth along the teeth, and can protect the gingivae, thus achieving automated treatment without manual control by a user, and therefore improving user experience.