Dental plaque removal and motivation of a manual toothbrush versus an interactive power toothbrush in young people with fixed orthodontic appliances: a single examiner-blind randomized controlled clinical trial

2021 ◽  
pp. 43828-43831
Keyword(s):  
Clinical Trial ◽  
Controlled Clinical Trial ◽  
Orthodontic Appliances ◽  
Auxiliary Result ◽  
Plaque Score ◽  
Plaque Removal ◽  
Fixed Orthodontic Appliances ◽  
Manual Toothbrush ◽  
Treatment Contrast ◽  
Mouth Wash

Introduction: The goal of this 2-arm equal preliminary clinical trial was to decide the plaque expulsion efficacy (primary result) and the motivation assessment (auxiliary result) looking at a manual versus an interactive power toothbrush in orthodontic patients. Methods: Sixty teenagers with fixed orthodontic appliances who reported to the Department of Periodontics for routine oral prophylaxis in the both arches were randomized in a 1:1 proportion parallel, randomized, examiner-blindcontrolled clinical preliminary. Qualification criteria included in any event 16 characteristic teeth, 1-6 "center consideration zones," plaque score of ≥1.75, no serious caries, gingivits and periodontitis, no dental prophylaxis, no smoking, no anti-microbials, and no chlorhexidine mouth wash. Subjects were to brush solo with either an interactive power toothbrush (Oral-B Professional Care 6000, D36/EB20) with Bluetooth innovation or a customary manual toothbrush (Oral-B Indicator 35 delicate). Center consideration regions were each brushed for 10 extra seconds like inter-proximal spaces. Plaque removal was surveyed with the utilization of the Turesky Modification of the Quigley-Hein Plaque Index (TMQHPI) to decide change from standard at 2 weeks followed by 6 weeks. Supervised brushing at screening and post-treatment visits recorded real brushing times. Subject-revealed motivational viewpoints were recorded at screening and week 6. Results: Fifty-nine subjects between 13-17 years finished the investigation. The interactive power toothbrush gave significantly (P\0.001) more noteworthy plaque decrease versus the manual toothbrush at 2 and 6 week as indicated by the entire mouth TMQHPI. The treatment contrast in balanced mean plaque change from standard was 0.777 (95% CI 0.614-0.940) at week 2 and 0.834 (0.686-0.981) at week 6. Mean decreases in the quantity of center consideration regions were likewise significantly more noteworthy (P \0.001) in the power brush bunch at weeks 2 and 6. Brushing times increased significantly at weeks 2 and 6 (P #0.013) versus standard baseline in the interactive powertoothbrush group only.Subject-revealed motivation was significantly increased in the interactive power tooth brush group at week 6 as opposed to screening (P #0.005). Conclusions: An interactive power toothbrush produced increased brushing times and significantly more prominent plaque removal versus a manual brush.

scholarly journals A visual evaluation of oral plaque removal utilizing an adjunct enzyme pre-rinse in orthodontic subjects

2020 ◽  
Vol 90 (6) ◽  
pp. 844-850
Author(s):  
Jennifer Rose ◽  
Ahmed Ghoneima ◽  
Frank Lippert ◽  
Lisa Maxwell ◽  
George Eckert ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Repeated Measures ◽  
Orthodontic Appliances ◽  
Visual Evaluation ◽  
Double Blind ◽  
Plaque Score ◽  
Significance Level ◽  
Plaque Removal ◽  
Repeated Measures Analysis ◽  
Fixed Orthodontic Appliances

ABSTRACT Objective To determine if an adjunct proteolytic pre-rinse along with contemporary methods of dental cleaning may more effectively remove visual plaque in subjects with fixed orthodontic appliances. Materials and Methods Forty-three orthodontic subjects, ages 10 to 25, completed this single site, double-blind, crossover clinical trial. Subjects randomly received bromelain enzyme or a powdered-sugar placebo pre-rinse, followed by manual tooth brushing and use of a Waterpik. Subjects received the alternate pre-rinse during the subsequent visit. Baseline and residual plaque accumulation were recorded via disclosing tablet and digital photography. A single, blinded examiner scored visual plaque scores from randomized photographs. Treatment effects on composite plaque score were evaluated using repeated-measures analysis of variance. A 5% significance level was used for all tests. Results No significant differences in plaque scores were noted at baseline or post-rinse between the enzyme and placebo. The changes from baseline to post-rinse (P = .190), post-brushing (P = .764), and post-Waterpik (P = .882) were not significantly different between interventions. Significant reduction in plaque scores were observed in both arms of the study after brushing (P < .01) and waterjet use (P < .01). Neither age (P = .220) nor gender (P = .449) impacted plaque scores. Conclusions Use of a bromelain enzyme pre-rinse alone did not significantly enhance plaque removal. A significant reduction in retained plaque was observed with the application of brushing and or Waterpik.

scholarly journals A randomized clinical trial to evaluate the plaque removal efficacy of an oscillating-rotating toothbrush versus a sonic toothbrush in orthodontic patients using digital imaging analysis of the anterior dentition

2018 ◽  
Vol 89 (3) ◽  
pp. 385-390 ◽  
Author(s):  
Christina Erbe ◽  
Collin Jacobs ◽  
Malgorzata Klukowska ◽  
Hans Timm ◽  
Julie Grender ◽  
...  
Keyword(s):  
Primary Outcome ◽  
Orthodontic Appliances ◽  
Imaging Analysis ◽  
Plaque Score ◽  
Plaque Removal ◽  
Fixed Orthodontic Appliances ◽  
Adolescent Patients ◽  
Orthodontic Patients ◽  
Single Use ◽  
Electric Toothbrush

ABSTRACT Objective: To compare the plaque removal efficacy of an oscillating-rotating electric toothbrush with an orthodontic brush head versus a sonic toothbrush in adolescent patients with fixed orthodontic appliances. Materials and Methods: This was a randomized, examiner-blind, replicate single-use, two-treatment, four-period, crossover study with a washout period between visits of approximately 24 hours. Forty-four adolescent patients with fixed orthodontic appliances in both arches were randomized based on a computer-generated randomization schedule to one of four toothbrush treatment sequences. The primary outcome was plaque score change from baseline, measured using digital plaque imaging analysis. Results: Baseline plaque levels for both brush treatments were high, covering more than 50% of the tooth area. Effective plaque removal was observed with both brush treatments (P < .001); however, the reduction in plaque with the oscillating-rotating toothbrush was statistically significantly greater (P = .017) compared with the sonic toothbrush. Conclusions: The study provides evidence for more effective plaque-removing efficacy of the oscillating-rotating toothbrush versus the sonic toothbrush among orthodontic patients.

scholarly journals The Effect of Fixed Orthodontic Appliances and Fluoride Mouthwash on the Oral Microbiome of Adolescents – A Randomized Controlled Clinical Trial

PLoS ONE ◽  
2015 ◽  
Vol 10 (9) ◽  
pp. e0137318 ◽  
Author(s):  
Jessica E. Koopman ◽  
Nicoline C. W. van der Kaaij ◽  
Mark J. Buijs ◽  
Yassaman Elyassi ◽  
Monique H. van der Veen ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Oral Microbiome ◽  
Controlled Clinical Trial ◽  
Orthodontic Appliances ◽  
Randomized Controlled Clinical Trial ◽  
Randomized Controlled ◽  
Fixed Orthodontic Appliances

The effectiveness of waist-shaped and straight-shaped interdental brushes in cleaning implant overdenture attachments: a self-controlled clinical trial

2020 ◽  
Author(s):  
Qiuwen Chen ◽  
Yanjun Ge ◽  
Jinyou Chai ◽  
Hailan Feng ◽  
Jianzhang Liu ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Oral Hygiene ◽  
Respiratory Diseases ◽  
The Other ◽  
Controlled Clinical Trial ◽  
Cleaning Procedure ◽  
Plaque Removal ◽  
Line Angle ◽  
Implant Overdenture ◽  
Interdental Brush

Elderly patients often find it challenging to remove plaque accumulated on the attachments of implant overdentures (IOD) using conventional cleaning instruments. Further, excessive plaque accumulation can lead to peri-implant diseases and occasionally to respiratory diseases. Therefore, here, we aimed to compare the effectiveness of waist-shaped interdental brushes (WIB) with that of straight-shaped ones (SIB) in plaque removal from the locator attachments of IOD. Twenty participants with two locator attachments retaining mandibular IOD participated in this study. After the baseline cleaning, the participants refrained from oral hygiene maintenance for 3 days. A dentist cleaned one of the attachments using the WIB and the other attachment using the SIB. The pre- and post-cleaning modified plaque index (mPLI) scores were recorded. Following another 3 days free from oral hygiene maintenance, the trained participants repeated the same cleaning procedure using the WIB and SIB. Pre- and post-cleaning mPLI scores were recorded. Regardless of the type of brush used, the post-cleaning mPLI scores were lower than the pre-cleaning ones. After the cleaning procedure, the overall mean mPLI score was lower in the WIB group than in the SIB group. The post-cleaning mPLI scores at the line-angles and on the axial surfaces of the attachments were also lower in the WIB group than in the SIB group. There was no difference in the cleaning effectiveness between the dentist and participants when they used the same type of interdental brush. The WIB was significantly more efficient in plaque removal than the SIB, especially at the line-angle sites.

scholarly journals Supragingival plaque removal with and without dentifrice: a randomized controlled clinical trial

2012 ◽  
Vol 23 (3) ◽  
pp. 235-240 ◽  
Author(s):  
Fabricio B. Zanatta ◽  
Raquel P. Antoniazzi ◽  
Tatiana M. P. Pinto ◽  
Cassiano K. Rösing
Keyword(s):  
Clinical Trial ◽  
Test Group ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Separate Analysis ◽  
Randomized Controlled Clinical Trial ◽  
Significance Level ◽  
Plaque Removal ◽  
Randomized Controlled ◽  
Removal Capacity

The aim of this study was to compare the efficacy of dental plaque removal by brushing with and without conventional dentifrice. Twenty-four students aged 17 to 28 years participated in this randomized controlled clinical trial. Quadrants 1-3 or 2-4 were randomly allocated to the test group (brushing without dentifrice) or control group (brushing with dentifrice). After 72 h of cessation of oral hygiene, Quigley & Hein (Turesky) plaque index was assessed before and after brushing by a calibrated and blind examiner. Overtime and intergroup comparisons were performed by Student's paired sample t-test at 5% significance level. The results showed that both groups after toothbrushing presented statistically significant reductions in plaque, with no differences between them (from 3.06 ± 0.54 to 1.27 ± 0.26 versus from 3.07 ± 0.52 to 1.31 ± 0.23). A separate analysis of the buccal and lingual aspects also showed no significant differences between groups. It may be concluded that the use of a conventional dentifrice during toothbrushing does not seem to enhance plaque removal capacity.

scholarly journals Oral Hygiene status among patients treated with fixed orthodontic appliance in the Department of Orthodontics in BSMMU

2019 ◽  
pp. 16-19
Author(s):  
Md Ali Kawsar ◽  
Marina Akhtar ◽  
Md Ahsan Habib ◽  
Zafrina Islam ◽  
Md Nurul Islam
Keyword(s):  
Oral Hygiene ◽  
Cross Sectional Study ◽  
Mean Value ◽  
Orthodontic Appliances ◽  
Cross Sectional ◽  
Dental Floss ◽  
Fixed Orthodontic Appliances ◽  
History Of ◽  
Mouth Wash ◽  
Medical University

Background: Oral hygiene maintenance is difficult for patients who are receiving fixed orthodontic treatment. Objective: The aim of the study was to find out deterioration of oral hygiene status during treatment of fixed orthodontic appliances in the Department of Orthodontics in BSMMU. Methodology: This cross sectional study was carried out in the Department of Orthodontics at Bang-  abandhu Sheikh Mujib Medical University, Dhaka from July 2013 to July 2014. All the patients taking treatment with fixed orthodontic appliances for more than 6 months were included as study population. During treatment in the OPD all the information of the patients’ oral hygiene maintenance like brush-  ing, dental floss use, use of mouthwash, and history of sugar consumption, taking sticky food were recorded.  The  Orthodontic  Plaque  Index  (OPI)  was  calculated  and  recorded.  In  addition  to  that frequency of brushing, type of tooth brush, technique of brushing and inter dental brush were also considered. Result: A total number of 100 patients were studied. Mean OPI was 81.78 (22.97). Mean value of OPI was 86.35 (13.27) among patients who brushed their teeth once a day but it was decreased gradually as the  patients  increased  frequency  of  toothbrush  use  per  day  and  became  85.74  (±26.12)  among  the patients who brushed their teeth thrice a day. Mean value of OPI was 81.98 (±23.27) who did not use dental floss and 75.00 (±7.00) who used dental floss once a day. Mean value of OPI was 84.65 (±23.10) who used inter dental brush irregularly but 35.00 (±0.00) who used it thrice a day. Mean value of OPI was 85.70 (±22.43) who did not use mouth wash whereas it reduced to 46.00 (±0.00) among them who used mouth wash thrice a day.  Conclusion: All the indexes of oral hygiene are increased in patients treated with fixed orthodontic appliances in the Department of Orthodontics in BSMMU. Ban J Orthod & Dentofac Orthop, April 2017; Vol-7 (1-2), P.16-19

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