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1.
An oral hyegene instrument, the origins of which are the mons pubis of the female genitalia.
I pulled out one of my wifes pubes and got that chunk of meat out of my teeth with that Tennessee Toothpick
by GringoTENN October 06, 2008
 
2.
Using a packet of sugar as a toothpick to clean your teeth
The man grabbed a Tennessee toothpick off the table so he could clean his chompers....giddy'up!
by Arthur T. Scumwell III Esq. May 21, 2010