Rinsing effect of 60% bay leaf (Syzygium polyanthum wight) aqueous decoction in inhibiting the accumulation of dental plaque during fixed orthodontic treatment

Background: Fixed orthodontic appliance patients have a high risk to increasing plaque accumulation in tooth surface due to the presence of fixed appliance components. Using mouthwash with antibacterial agent from herbal material can control dental plaque accumulation. Bay leaf (BL) contains active compounds such as essential oil, tannin and flavonoid that have been known as an antibacterial agent. Purpose: The purpose of this study was to determine the effect of rinsing with 60% of BL aqueous decoction to the accumulation of dental plaque in fixed orthodontic appliance patients. Method: This research was an experimental clinical research with pretest and post-test control group design conducted on 20 subjects with age ranged between 18-25 years old. All subjects were undergoing the last stage (finishing) of fixed active orthodontic treatment. The subjects were instructed to rinse with 60% of BL aqueous decoction and 0.2% chlorhexidine as a control. Wash out period that needed between rinsing with 60% of BL aqueous decoction and rinsing with 0.2% chlorhexidine was 7 days. Each mouthwash used routinely for 7 days with same duration and intensity. Plaque scoring was measured before and after each treatment using Orthodontic Plaque Index (OPI). Result: One-way Anova test showed that there was a significant difference in the plaque index before and after treatment between the group of rinsing with 60% of BL aqueous decoction and group of rinsing with chlorhexidine (p<0.05). Conclusion: Rinsing with 60% BL aqueous decoction can decrease the accumulation of dental plaque in fixed orthodontic appliance patients.

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Effect of fixed-appliance orthodontic treatment on DMFT-index

Macedonian Pharmaceutical Bulletin ◽

10.33320/maced.pharm.bull.2020.66.02.008 ◽

2021 ◽

Vol 66 (2) ◽

pp. 81-86

Author(s):

Efka Zabokova-Bilbilova ◽

Emilija Sefanovska ◽

Aneta Mijoska ◽

Olga Kokoceva-Ivanovska

Keyword(s):

Oral Hygiene ◽

Orthodontic Treatment ◽

Oral Health Status ◽

Control Group ◽

Orthodontic Appliance ◽

Fixed Appliance ◽

Significant Difference ◽

Dmft Index ◽

Tooth Mousse ◽

Fixed Orthodontic Appliance

The aim of the study was to evaluate changes in dental status during fixed orthodontic treatment. A total of 60 patients with diagnosed malocclusion were included. Subjects were divided in 3 groups (20 subjects in each group). The first group was treated with dental cream GC Tooth Mousse, and the second group with Fluorogal - solution with a low concentration of fluoride (0.05% F). Control group comprised 20 patients. All subjects received precise instructions for oral hygiene and exclusion of dietary intake before fixed orthodontic appliance was placed and during each control. In our study clinical oral health status (DMFT-index) was registered before and at the end of the orthodontic treatment. The subjects treated with dental cream GC Tooth Mousse at the end of the orthodontic treatment had increased DMFT-index 5.85 in comparison to the beginning of the treatment, where the average value of the index was 5.25 (however, the difference was not statistically significant). A statistically significant difference between medium values of the DMFT-index before and after the orthodontic treatment was detected in the control group. The results of this study show that DMFT-index increased in a group of dental patients undergoing orthodontic therapy with fixed appliances. The patients must follow good instructions, motivation, and control of oral hygiene during the treatment. Key words: carious lesions, fixed orthodontic appliance

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Changes in dentofacial vertical dimension with class I before and after treatment orthodontic appliance with and without extractions of first four premolar teeth

Padjadjaran Journal of Dentistry ◽

10.24198/pjd.vol22no2.26853 ◽

2010 ◽

Vol 22 (2) ◽

Author(s):

Fitri Octavianti ◽

Jono Salim ◽

Bergman Thahar ◽

Endah Mardiati

Keyword(s):

Orthodontic Treatment ◽

Vertical Dimension ◽

Class I ◽

Orthodontic Appliance ◽

Facial Height ◽

Mandibular Plane ◽

Significant Difference ◽

Before And After ◽

Lateral Cephalometry ◽

Fixed Orthodontic Appliance

Introduction: There are different opinions on the effect of extraction on the first four premolar teeth. The purpose of this study is to analyzed change of dentofacial vertical dimension before and after orthodontic treatment for two groups of patients treated with and without extractions of first four premolar teeth. Methods: A method by Sivakumar and Valiathan (2008) using lateral cephalometry on 20 extraction cases and 15 cases of non-extraction was employed. Tracing was conducted before and after orthodontic treatment and some 13 measurements were conducted manually using a protractor, i.e. mandibular plane angle, anterior facial height, lower anterior facial height, posterior facial height, facial height index, FH-U1, FH-U6, FL -L1, FL-L6, Svertical-U1, Svertical-U6, Pogvertical-L1-L6 Pogvertical. Statistical analysis using t-test with P> 0.05 for paired, Showed that there was no significant changes in dentofacial vertical dimension for malocclusion Class I cases before and after treatment for samples treated with and without extraction of the first four premolar teeth for both groups of samples. Results: No significant difference found in the dentofacial vertical dimension for the extraction and non-extraction groups of samples. Conclusion: orthodontic treatment for class I malocclusion cases, both with and without extraction, did not cause any significant difference in the dentofacial vertical dimension. Showed that there was no significant changes in dentofacial vertical dimension for class I malocclusion cases before and after treatment for samples treated with and without extraction of the first four premolar teeth for both groups of samples. Results: No significant difference found in the dentofacial vertical dimension for the extraction and non-extraction groups of samples. No significant difference found in the dentofacial vertical dimension for the extraction and non-extraction groups of samples. Conclusion: There are no changes in the vertical dimension of dentofacial before and after treatment in Class I with a retraction and extraction four first premolars fixed orthodontic appliance.

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Perbedaan pH Saliva Sebelum Dan Sesudah Mengunyah Permen Karet Xylitol Pada Pemakai Alat Orthodonti Cekat

Journal of Oral Health Care ◽

10.29238/ohc.v6i1.325 ◽

2018 ◽

Vol 6 (1) ◽

pp. 15-19

Author(s):

Gita Komala Dewi ◽

Susilarti Susilarti ◽

Almujadi Almujadi

Keyword(s):

Environmental Changes ◽

Salivary Flow ◽

Oral Bacteria ◽

Wilcoxon Test ◽

P Value ◽

Orthodontic Appliance ◽

Significant Difference ◽

Salivary Ph ◽

Before And After ◽

Fixed Orthodontic Appliance

Orthodontic treatment may lead to environmental changes in the oral cavity that may occur in a number of users of the orthodontic appliance, such as changes in bacterial concentration, salivary buffering capacity, salivary acidity (pH) and salivary flow rate. Xylitol stimulates salivary flow and helps restore saliva acid/base balance because it cannot be converted to acid by oral bacteria. To identify the difference in salivary pH before and after chewing xylitol gum in the users of fixed orthodontic appliance. This research is quasi-experimental with one group pretest-posttest design. Samples were students of SMA Kolombo Sleman who used a fixed orthodontic appliance. Data were analyzed using a Wilcoxon test. The salivary pH of the users of a fixed orthodontic appliance before chewing xylitol gum mostly belonged to acid criterion (43.8%), and the base criterion (34.3%). After chewing xylitol gum, the salivary pH of the users of fixed orthodontic appliance mostly belonged to a neutral criterion (78.1%). The results of the Wilcoxon test showed that the salivary pH before and after chewing gum xylitol in the users of fixed orthodontic appliance had a P value of 0.027 <α 0.05. There is a significant difference in salivary pH before and after chewing xylitol gum in users of fixed orthodontic appliance.

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Evaluation of a prevention programme efficiency for patients with fixed orthodontic appliances

Vojnosanitetski pregled ◽

10.2298/vsp1103214m ◽

2011 ◽

Vol 68 (3) ◽

pp. 214-219 ◽

Cited By ~ 4

Author(s):

Sava Matic ◽

Mirjana Ivanovic ◽

Predrag Nikolic

Keyword(s):

Oral Hygiene ◽

Orthodontic Treatment ◽

Control Group ◽

Orthodontic Appliances ◽

Orthodontic Appliance ◽

Fixed Orthodontic Appliances ◽

The Difference ◽

School Of Dentistry ◽

Fixed Orthodontic Appliance ◽

Experimental Group

Background/Aim. Orthodontic treatment enables the establishment of functional occlusion and improvement of oral health, however, it increases the risk of periodontal disease development. The aim of this paper was to examine the efficiency of the applied programme for the prevention of gingivitis in children undergoing the fixed orthodontic appliance therapy and to determine the most efficient devices and techniques for maintaining oral hygiene during orthodontic treatment. Methods. The study included 80 patients of both genders - 60 patients comprised the experimental group and 20 patients comprised the control group. All of them were patients of the Clinic for Orthodontics at the School of Dentistry in Belgrade, aged between 13 and 18. The Silness-L?e Plaque Index (PI) was utilised for the assessment of oral hygiene quality and Silness-L?e Gingival Index (GI) and M?hlemann Papilla Bleeding Index (PBI) were utilised for the assessment of gingival state. Checkups were conducted as a single-blind study at the beginning and after the first, the third and the sixth month of the preventive and prophylactic programme. Results. During the observed period, a statistically significant change in PI, GI and PBI values was noticed (p < 0.005), as well as the difference in the dynamics of value changes during the periods between the observed groups. Conclusion. The preventive programme, applied to children undergoing the fixed orthodontic appliance therapy, had a positive effect both on oral hygiene quality and gingival state. The values of the examined parameters of the patients from the experimental group were significantly lower in comparison with those of the patients from the control group. The most efficient combination of devices for oral hygiene during orthodontic treatment was: a Curaprox CP5460 toothbrush, CD Ortho 60 orthodontic toothbrush and Curaprox CPS 14 interdental brush.

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Pengaruh Pasta Gigi yang Mengandung Katekin Gambir (Uncaria gambir Roxb) Terhadap Penurunan Indeks Plak Gigi

Andalas Dental Journal ◽

10.25077/adj.v8i2.144 ◽

2020 ◽

Vol 8 (2) ◽

pp. 57-63

Author(s):

Cimi Ilmiawati ◽

Nurhayati Nurhayati ◽

Bambang Bambang

Keyword(s):

Dental Plaque ◽

T Test ◽

Plaque Index ◽

Control Group ◽

Test Results ◽

Control Group Design ◽

Significant Difference ◽

Post Test ◽

Plaque Control ◽

Dental Plaque Index

Background: Dental plaque is a soft, structured, calcified layer of bacteria that accumulates and attaches to the surface of the tooth. Efforts are made to eliminate and prevent plaque on the surface of the tooth by plaque control. Plaque control can be done mechanically, chemically, or a combination of both. Chemical control is done by using toothpaste. Catechin gambier toothpaste are polyphenolic compounds that have antibacterial activity which can prevent adhesion, inhibit the enzyme activity of glucosyltransferase and kills plaque forming bacteria. Objective: To determine the effect of catechin gambier on decreasing dental plaque index. Methods: This study is a true experimental study with pre-test and post-test control group design, conducted in March – April 2019. The subjects of this study were 44 students of Faculty of Dentistry, Andalas University. The subjects were divided into two groups, one group used catechin gambier toothpaste and an control group used placebo. Plaque index was calculated using an Turesky-Gilmore-Glickman of Quingley-Hein. Data was analyzed by t-test. Results: Average of dental plaque index in treatment group was higher than placebo group. Independent t-test showed that there was significant difference of dental plaque index beetwen two groups (p<0,001). Conclusion: Catechin gambier toothpaste can reduce dental plaque index.

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Uji pelepasan ion nikel dan kromium pada beberapa braket stainless steel yang direndam di air laut

e-GIGI ◽

10.35790/eg.4.1.2016.11062 ◽

2016 ◽

Vol 4 (1) ◽

Author(s):

Cliff G. Lombo ◽

P. S. Anindita ◽

Juliatri .

Keyword(s):

Stainless Steel ◽

Orthodontic Treatment ◽

Soft Tissues ◽

Sea Water ◽

Control Group ◽

Orthodontic Appliance ◽

Orthodontic Bracket ◽

Vis Spectroscopy ◽

Main Components ◽

Fixed Orthodontic Appliance

Abstract: Orthodontics is the branch of dentistry that studies about how to prevent, protect, and care of malocclusion involving teeth, as well as skeletal and soft tissues of dentofacial region. Fixed orthodontic appliance is one of the means used to achieve the treatment goal. The use of orthodontic bracket is one of the main components in fixed orthodontic treatment which serves to deliver the required force on the teeth. This study aimed to determine the amount of Cr and Ni ions released from the stainless steel bracket (brand A, B, and C) immersed in sea water. This was a laboratory experimental study with a pre-experimental and nonequivalent control group designs. Samples were assayed using UV-Vis spectroscopy to determine the release of the metals: nickel and chromium. The samples consisted of 4 kinds of brand bracket immersed in sea water for 48 hours at a temperature of 37ºC. The results showed that the release of nickel and chromium ions in sea water varied in each sample. In sample A, the release of nickel 0.096 ppm and of chromium 0.202 ppm. In sample B, the release of nickel 0.154 ppm and of chromium 0.027 and. In sample C, the release of nickel 0,066 ppm and of chromium 0,019 ppm. The release of chromium in each sample was higher than the release of nickel. The results showed that there was no particular pattern of the released ions. This might be due to the different composition of the stainless steel brackets depending on the terms of each manufacturer.Keywords: bracket stainless steel, nickel and chromium, UV-Vis spectroscopy, seawaterAbstrak: Ortodonsia adalah cabang dari ilmu kedokteran gigi yang mempelajari tentang cara mencegah, melindungi, dan merawat maloklusi yang melibatkan gigi geligi, skeletal, dan jaringan lunak regio dentofasial. Alat ortodontik cekat merupakan salah satu cara yang digunakan untuk mencapai tujuan perawatan ontodontik. Penggunaan braket ortodonti merupakan salah satu komponen utama dalam perawatan ortodonti cekat yang berfungsi untuk menghantarkan gaya yang diperlukan pada gigi. Penelitian ini bertujuan untuk mengetahui besarnya ion Cr dan Ni yang terlepas pada braket stainless steel merek A, B, dan C yang direndam dalam air laut. Jenis penelitian yang digunakan ialah eksperimental laboratorik dengan rancangan pra eksperimental serta desain penelitian nonequivalent control group. Sampel diuji menggunakan spektroskopi UV-Vis untuk mengetahui pelepasan logam nikel dan cromium. Sampel terdiri dari 4 macam merek braket direndam dalam air laut selama 48 jam pada suhu 37ºC. Hasil penelitian menunjukkan terdapat pelepasan logam nikel dan kromium dalam air laut yang bervariasi di tiap sampel. Sampel A memiliki pelepasan nikel 0,096 ppm dan kromium 0,202 ppm; sampel B memiliki pelepasan nikel 0,154 ppm dan kromium 0,027; sampel C memiliki pelepasan nikel 0,066 ppm dan kromium 0,019 ppm. Pelepasan kromium pada tiap sampel lebih tinggi dibandingkan dengan pelepasan nikel. Hasil penelitian tidak menunjukan pola tertentu. Hal ini dapat disebabkan karena komposisi yang berbeda-beda dari braket stainless steel tergantung ketentuan masing-masing pembuatnya.Kata kunci: braket stainless steel, nikel dan cromium, spektroskopi UV-Vis, air laut

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The Development And Evaluation Of Water Irrigator For Plaque Removal

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v16i2.1111 ◽

2017 ◽

Vol 16 (2) ◽

Author(s):

Azrul Hafiz Abdul Aziz ◽

Nik Mohd Syahmi Zainuzzaman ◽

Nur Aliah Afifah Ibrahim ◽

Nadia Halib

Keyword(s):

Oral Hygiene ◽

Dental Plaque ◽

Tooth Brushing ◽

Tooth Surface ◽

Control Group ◽

Normal Person ◽

Plaque Score ◽

Before And After ◽

Cleaning Device ◽

Natural Teeth

Introduction: Patient undergoes orthodontic treatment with fixed appliances have more plaque retentive area compare to normal person. Therefore, this patient requires higher standard of oral hygiene care. One of adjunctive cleaning device for oral hygiene care is water irrigator. There are several types of water irrigator available in the market such as syringe type, electricity and battery operated. However, the problem is the available water irrigators are expensive. Materials and Methods: A prototype of water irrigator was designed and constructed in USIM. The water irrigator is faucet powered so that the pressure can be easily controlled by adjusting the tap. Four dental arches with orthodontics brackets were prepared using sets of natural teeth mounted on plaster of paris. Artificial plaque was prepared and grown on the dental arches. Plaque score was recorded based on Rustogi modification of navy plaque index (RMNPI) before and after irrigation with water irrigator. The procedure was repeated using toothbrush which act as control group. All the data were collected and analysed using SPSS version 22. Results: The initial mean plaque score for water irrigator was 6.34 and 2.54 after cleaning. While the initial mean plaque score for toothbrush was 6.04 and 3.71 after cleaning. This showed that there were significantly reduction of 60% and 39% plaque score after using water irrigator and tooth brushing respectively. Conclusion(s): In conclusion, both tooth brushing and the new water irrigator can significantly remove dental plaque accumulation on the tooth surface. However, water irrigator showed better results in removal of dental plaque accumulation.

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Comparative Evaluation of Effect of Excessive Adhesive Flash Formed from Two Orthodontic Adhesives on Clinical Periodontal Status of Patients Undergoing Fixed Orthodontic Appliance Therapy

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2021/529 ◽

2021 ◽

Vol 10 (32) ◽

pp. 2582-2586

Author(s):

Kritika Pankaj Suroliya ◽

Priyanka Niranjane ◽

Ranjit Haridas Kamble ◽

Murtaza Shabbir Hussain ◽

Saurabh Hemant Shingnapurkar ◽

...

Keyword(s):

Plaque Index ◽

Tooth Surface ◽

Orthodontic Appliance ◽

Adhesive Resin ◽

Periodontal Status ◽

Orthodontic Adhesives ◽

Group A ◽

Group B ◽

A Site ◽

Fixed Orthodontic Appliance

BACKGROUND Increased accumulation of dental plaque and inflammatory response during treatment is due to the appearance of new retentive places around the components of fixed appliances attached to the teeth. During bonding procedures, there is certain amount of adhesive left on the tooth surface invariably around the margins between bracket and enamel interface called excessive adhesive flash (EAF), which may act as a plaque retentive area. We wanted to evaluate and compare the effect of EAF formed from two different orthodontic bonding adhesives on clinical periodontal status of patients undergoing fixed orthodontic appliance therapy. METHODS 20 patients indicated for treatment with fixed stainless steel preadjusted edgewise appliance were selected for the study. A split mouth design was followed where each patient’s teeth were divided into 2 groups; Group A: Teeth of right side bonded with non-tooth coloured orthodontic adhesive resin (Transbond XT Plus) – 1st and 4th quadrants; Group B: Teeth of left side bonded with tooth-coloured orthodontic adhesive resin (Transbond XT) - 2nd and 3rd quadrants. Clinical periodontal status was assessed by measuring Muhlemann modified papillary bleeding index, Turesky Gilmore Glickman modification of Quigley Hein Plaque Index, and a modification of the Orthodontic Plaque Index, before bonding (T0) and 1 week after bonding the appliance (T1). RESULTS Readings at T1 had significantly increased compared to T0 indicating increased plaque retention. However, difference between the indices for both groups at T1 was not statistically significant. CONCLUSIONS The excessive adhesive flash is a site for increased plaque accumulation, irrespective of the composite being tooth coloured or non-tooth coloured. KEY WORDS EAF, Adhesives, Split Mouth

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PERBANDINGAN EFEKTIVITAS PASTA GIGI HERBAL DENGAN PASTA GIGI NON HERBAL TERHADAP PENURUNAN INDEKS PLAK GIGI

e-GIGI ◽

10.35790/eg.3.2.2015.10020 ◽

2015 ◽

Vol 3 (2) ◽

Author(s):

Edward S. Oroh ◽

Jimmy Posangi ◽

Vonny N. S. Wowor

Keyword(s):

Random Sampling ◽

Test Group ◽

Simple Random Sampling ◽

T Test ◽

Plaque Index ◽

Tooth Surface ◽

Significant Difference ◽

Before And After ◽

Plaque Control ◽

Paired T Test

Abstract: Plaque control is an attempt to remove and prevent the plaque accumulation on the tooth surface. Brushing teeth is an effective method in controlling plaque. Plaque control is equipped by additional active ingredients in toothpaste form. The addition of herbal ingredients in toothpaste expected to inhibit the growth of plaque because it as the ability to inhibit the growth of microbes. This study aimed to compare the effectiveness of herbal toothpaste and non herbal toothpaste in reducing plaque index. This was a quasy experimental study using a pretest-postest group design. Thirty subjects were taken by simple random sampling method and divided into 2 groups. Fifteen subjects of first group used herbal toothpastes and 15 subjects of the second group used non herbal toothpaste. This study held on one day only. Plaque indices were recorded according to Loe and Sillness plaque index. Paired t-test was used to compare the effectiveness of herbal toothpaste and non herbal toothpaste in reducing plaque index. The result showed that there was statistically significant difference reductions of plaque index before and after intervention of both group. Paired t-test statistical test showed p=0,000 (p<0,05) that indicated there were statistically significant difference beetwen plaque index of brushing with herbal toothpaste and non herbal toothpaste. Conclusion: There was differences in effectiveness between herbal toothpaste and non herbal toothpaste in reducing plaque index. Herbal toothpaste was more effective to reduce plaque index.Keywords: herbal toothpaste, non herbal toothpaste, plaque indexAbstrak: Pengendalian plak merupakan upaya membuang dan mencegah penumpukan plak pada permukaan gigi. Menyikat gigi merupakan metode yang efektif dalam mengendalikan plak gigi. Penambahan kandungan herbal pada pasta gigi diharapkan dapat menghambat pertumbuhan plak karena memiliki kemampuan menghambat pertumbuhan mikroba. Penelitian ini bertujuan untuk mengetahui perbandingan efektivitas pasta gigi herbal dengan pasta gigi non herbal terhadap penurunan indeks plak. Penelitian ini merupakan penelitian quasy experimental dengan rancangan pre test post test group. Tiga puluh sampel diambil dengan metode simple random sampling dan dibagi dalam dua kelompok. Lima belas sampel pada kelompok pertama menggunakan pasta gigi herbal dan 15 sampel pada kelompok kedua menggunakan pasta gigi non herbal. Penelitian ini dilaksanakan hanya dalam satu hari. Indeks plak diukur berdasarkan indeks plak Loe and Sillness. Uji t berpasangan digunakan untuk membandingkan perbandingan efektivitas pasta gigi herbal dengan yang non herbal terhadap penurunan indeks plak gigi. Hasil penelitian menunjukkan terdapat perbedaan yang signifikan penurunan indeks plak gigi sebelum dan sesudah intervensi pada kedua kelompok. Uji t berpasangan menunjukkan p=0,000 (p<0,05) yang berarti terdapat perbedaan bermakna antara penggunan pasta gigi herbal dan pasta gigi non herbal terhadap penurunan indeks plak gigi. Pasta gigi herbal lebih efektif menurunkan indeks plak dibandingkan pasta gigi non herbal.Kata kunci: pasta gigi herbal, pasta gigi non herbal, indeks plak gigi

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Sari Buah Naga Super merah (Hylocereus costaricensis) Sebagai Pewarna Alami Plak Gigi

Jurnal Material Kedokteran Gigi ◽

10.32793/jmkg.v7i1.278 ◽

2018 ◽

Vol 7 (1) ◽

pp. 28

Author(s):

Betrik Sefyana Mangiri ◽

Sinar Yani ◽

Silvia Anitasari

Keyword(s):

Thin Layer ◽

Dental Plaque ◽

Fruit Juice ◽

T Test ◽

Plaque Index ◽

Tooth Surface ◽

Dragon Fruit ◽

Significant Difference ◽

Second Period ◽

Paired T Test

Dental plaque is a colorless thin layer, is not easily visible on the tooth surface and it causes caries. Disclosing solution is the material that can help us to see dental plaque. Chemical disclosing solution, which now exists, has several disadvantages so we need to develop natural disclosing solution. One of the ingredients in natural disclosing solution that has been studied for its effect is betacyanin, which is contained in super-red dragon fruit (Hylocereus costaricensis). This study aim to observe the coloring effect of super-red dragon fruit juice. The experimental was conducted by measuring plaque index of 20 people, who were not to clean their teeth for 24 hours (two periods), and were eaten the same foods in each period. Examination of plaque index at the end of the first period used chemical disclosing solution contains of erythrosine (FDC Red #3) and the second period used super-red dragon fruit juice. The datas were analyzed by Paired T-test. The results of the plaque index score at the first (2.47815 ± 0.811497), the second (2.7731 ± 1.0512) and did not find a significant difference (p > 0.05). The ability of super-red dragon fruit to coloring dental plaque has no difference with chemical disclosing solution, so it can be used as a natural disclosing solution.

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