Effectiveness of electric or manual toothbrush in dental plaque removal in patients with fixed orthodontic appliances

2021 ◽  
Vol 128 (10) ◽  
pp. 475-478
Author(s):  
V.R.Y. Hollaar
Keyword(s):  
Dental Plaque ◽  
Orthodontic Appliances ◽  
Plaque Removal ◽  
Fixed Orthodontic Appliances ◽  
Manual Toothbrush

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 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 Changes in Distribution of Dental Biofilm after Insertion of Fixed Orthodontic Appliances

2021 ◽  
Vol 10 (23) ◽  
pp. 5638
Author(s):  
Urszula Kozak ◽  
Agnieszka Lasota ◽  
Renata Chałas
Keyword(s):  
Oral Hygiene ◽  
Dental Plaque ◽  
General Health ◽  
Control Group ◽  
Orthodontic Appliances ◽  
Fixed Appliance ◽  
Dental Biofilm ◽  
Supragingival Plaque ◽  
Fixed Orthodontic Appliances ◽  
The Impact

Good oral hygiene is an important factor in oral and general health, especially in orthodontic patients, because fixed appliances might impede effective oral hygiene and thus increase the risks of tooth decay, periodontal disease and general health complications. This study investigated the impact of fixed orthodontic appliances on the distribution of dental biofilm in teenagers. Supragingival plaque was assessed at T0, T1 and T2. The distribution of the biofilm was analyzed. Approximal Plaque Index (API) and Bonded Bracket Index (BBI) were used to measure the presence of dental plaque. After insertion of the fixed appliance, the dental plaque indices values in the orthodontically treated group were significantly higher (p < 0.05) than in the control group. Fixed orthodontic appliances caused significant changes in the distribution of the biofilm. This was characterized by the change of location of the dental plaque. In the orthodontic group, we observed an increase in the amount of the supragingival plaque on the vestibular surface of the teeth.

scholarly journals Effectiveness of a motionless ultrasonic toothbrush in reducing plaque and gingival inflammation in patients with fixed orthodontic appliances

2016 ◽  
Vol 87 (2) ◽  
pp. 279-285 ◽  
Author(s):  
Thayika Saruttichart ◽  
Pintu-on Chantarawaratit ◽  
Chalermpol Leevailoj ◽  
Panida Thanyasrisung ◽  
Waranuch Pitiphat ◽  
...  
Keyword(s):  
Mutans Streptococci ◽  
Plaque Index ◽  
Orthodontic Appliances ◽  
Gingival Inflammation ◽  
Fixed Orthodontic Appliances ◽  
Significant Difference ◽  
Before And After ◽  
Orthodontic Patients ◽  
Manual Toothbrush ◽  
Better Than

ABSTRACT Objective: To compare the effectiveness of a motionless ultrasonic toothbrush to a manual toothbrush in reducing dental plaque, gingival inflammation, and mutans streptococci in patients with fixed orthodontic appliances. Materials and Methods: Twenty-five orthodontic patients were recruited to this crossover study. The patients were randomized into two groups starting with manual or motionless ultrasonic toothbrushes for 30 days. After a 30-day washout period, the patients switched to the other toothbrush type for 30 days. Plaque and gingival indices were evaluated by two calibrated-blinded examiners before and after each 30-day period of brushing. Salivary samples were also collected for quantification of mutans streptococci. Results: On the bracket side, the motionless ultrasonic toothbrush showed a significantly higher mean plaque index bracket score after 30-day usage than baseline (P = .049), while the manual toothbrush group showed no difference between the before and after brushing periods (P = .10). The changes in plaque index bracket score were significantly more favorable in the manual toothbrush group than in the ultrasonic toothbrush group (P = .04). In contrast, no difference was observed on the nonbracket side. There was no significant difference in the changes of gingival index or the numbers of mutans streptococci between the two groups. Conclusion: Manual toothbrushing performed better than brushing with the motionless ultrasonic toothbrush in plaque removal on the bracket side in orthodontic patients. However, no difference was observed in terms of gingival status and the numbers of mutans streptococci.

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