Clinical efficacy of two manual toothbrushes on plaque and bleeding indices

Document Type : Original Article(s)

Authors

1 Assistant Professor, Oral and Dental Diseases Research Center AND Kerman Social Determinants on Oral Health Research ‎Center AND Department of Periodontics, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran

2 General Dentist, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran

Abstract

BACKGROUND AND AIM: The mechanical removal of plaque by tooth brushing is the most effective way for prevention of caries and periodontal diseases. Some studies indicate that the design and shape of toothbrush could be the effective for this point. The aim of this study was to compare the efficacy of a Classic toothbrush with a Superbrush toothbrush in controlling plaque and gingival bleeding over a 2-week period of brushing.METHODS: This study was a crossover clinical trial, involving 30 healthy individuals who were dental students of both sexes, randomly divided equally into two groups with simple method: group A (Classic Toothbrush; Soft, Tepe, Sweden) and group B (Superbrush Toothbrush; Soft, Dentaco AS, Haukeland, Norway). After taking an informed consent, the baseline O’Leary plaque index (PI) and bleeding point index (BPI) was recorded, and the subjects were given common toothpaste (Crest). A prophylaxis was performed to achieve the PI of zero and then the demonstration of Bass technique was given to each subject. Each group started the experiment with a different type of toothbrush for 1 week which followed by 1 week of wash-out. After that, each group switched to the next type of toothbrush for 1 week. All subjects had to refrain from other oral hygiene procedures for the duration of the study. The results were analyzed statistically by independent t-test and paired t-test. A statistical significance was set at the 95% confidence level (P < 0.050).RESULTS: Superbrush showed a significant reduction of both PI ‎(P = 0.050, P < 0.050) and BPI (P = 0.001) at 7 and 14th days with respect to the baseline. The analysis revealed that the Superbrush was significantly a more effective in removing plaque as compared to the Classic toothbrush (P < 0.010), while according to the BPI, there were no statistically significant differences between the two brushes (P = 0.185, P > 0.050).CONCLUSION: The results showed the efficacy of Superbrush toothbrush in a significant reduction of PI and BPI, so it can be suggested to patients as an alternative to the Classic toothbrush.

Keywords

References

  1. Juan SP. Dental caries and periodontal disease (prevention and control methods). J Philipp Dent Assoc 1999; 51(1): 29-36.
  2. Axelsson P, Lindhe J. Effect of controlled oral hygiene procedures on caries and periodontal disease in adults. J Clin Periodontol 1978; 5(2): 133-51.
  3. Narang S, Inamdar N, Khan S, Narang A, Agrawal R, Neha N. Evaluation of the efficacy of a conventional bristle brush and cross-action brush in routine oral hygiene practice: a comparative study. J Orofac Res 2012; 2(1): 9-14.
  4. Palenstien Helderman WH. Microbial etiology of periodontal disease. Journal of Clinical Periodontology 1981; 8(4): 261-80.
  5. Jain Y. A comparison of the efficacy of powered and manual toothbrushes in controlling plaque and gingivitis: a clinical study. Clin Cosmet Investig Dent 2013; 5: 3-9.
  6. O'Leary TJ. Oral hygiene agents and procedures. J Periodontol 1970; 41(11): 625-9.
  7. Gibson JA, Wade AB. Plaque removal by the Bass and Roll brushing techniques. J Periodontol 1977; 48(8): 456-9.
  8. Bergenholtz A, Gustafsson LB, Segerlund N, Hagberg C, Ostby N. Role of brushing technique and toothbrush design in plaque removal. Scand J Dent Res 1984; 92(4): 344-51.
  9. Wilkins EM. Clinical practice of the dental hygienist. Philadelphia, PA: Lippincott Williams & Wilkins; 1999.
  10. Frandsen A. Mechanical oral hygiene practices. In: Kleinman DV, Editor. Dental plaque control measures and oral hygiene practices: proceedings from a state-of-the-science workshop. Oxford, UK: Oxford University Press; 1986. p. 93-116.
  11. Kakamami S, Navrozoglou M, Nilsson A, Nilsson L, Oolsson J. Clinical plaque removal performance of two manual toothbrushes: Oral_B Crossaction and a convertional toothbrush. J of Odontology 2004; 12: 543-50.
  12. Babaie N, Noori Bayat S, Jani G, Safipour H. Comparison of the efficacy of oral b cross action, panberes cross action and panberes classic for bass plaque control technique using o' Leary plaque index. J Dent Sch 2013; 31(4): 234-41.
  13. Levin L, Marom Y, Ashkenazi M. Brushing skills and plaque reduction using single- and triple-headed toothbrushes. Quintessence Int 2012; 43(6): 525-31.
  14. Ketabi M, Esfahanian V, Talebi MR. A comparison of the efficacy of double headed and single headed toothbrush using bass method. The Journal of Islamic Dental Association of Iran 2013; 15(2): 61-7. [In Persian].
  15. Oliveira LB, Zardetto CG, Rocha R, Rodrigues CR, Wanderley MT. Effectiveness of triple-headed toothbrushes and the influence of the person who performs the toothbrushing on biofilm removal. Oral Health Prev Dent 2011; 9(2): 137-41.
  16. Yaghini J, Birang R, Amjadi MR, Bateni E, Zalaghi E. Comparative evaluation of the efficacy of three toothbrush designs on Bass plaque control technique. J Isfahan Dent Sch 2010; 6(4): 512-25. [In Persian].
  17. Danser MM, Timmerman MF, Jzerman Y, Piscaer MI, van der Velden U, van der Weijden GA. Plaque removal with a novel manual toothbrush (X-Active) and the Braun Oral-B 3D Plaque Remover. J Clin Periodontol 2003; 30(2): 138-44.
  18. Versteeg PA, Timmerman MF, Paraskevas S, van der Weijden GA. Evaluation of several brushing motion combinations in relation to plaque-removing efficacy with Oral-B Cross Action Power: a professional brushing study. Int J Dent Hyg 2006; 4(4): 204-8.
  19. Sharma NC, Qaqish JG, Galustians HJ, Cugini M, Thompson MC, Warren PR. Plaque removal efficacy and safety of the next generation of manual toothbrush with angled bristle technology: results from three comparative clinical studies. Am J Dent 2005; 18(1): 3-7.
  20. Zimmer S, Didner B, Roulet JF. Clinical study on the plaque-removing ability of a new triple-headed toothbrush. J Clin Periodontol 1999; 26(5): 281-5.
  21. Parizi MT, Mohammadi TM, Afshar SK, Hajizamani A, Tayebi M. Efficacy of an electric toothbrush on plaque control compared to two manual toothbrushes. Int Dent J 2011; 61(3): 131-5.
Journal of Oral Health and Oral Epidemiology
Volume 5, Issue 1 - Serial Number 1
117
January 2016
Pages 34-39

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History

  • Receive Date: 01 November 2015
  • Revise Date: 26 April 2024
  • Accept Date: 12 March 2019

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