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Comparison of the plaque removal efficacy of chewable, electric, and manual toothbrushes: A randomized clinical trial

Year 2023, Volume: 14 Issue: 2, 170 - 177, 15.08.2023

Tuğba Yiğit Fatih Karaaslan Umut Yiğit Ahu Dikilitaş

https://doi.org/10.22312/sdusbed.1279913

Abstract

Objective: A comparative evaluation of the plaque removal efficacy of manual, electric, and chewable toothbrushes.
Material-Method: Our randomized and examiner-blinded clinical study involved 90 dental students. The students were divided into three groups: manual, electric, and chewable toothbrush users. The plaque removal efficiency of the brushes was evaluated using the Turesky modification of the Quigley–Hein Index (TMQHI).
Results: Ninety participants, consisting of 32 males and 58 females, aged between 21 and 23 years (average age 220.47) were included in the study. The mean TMQHI score before brushing was 2.4±0.49 in the manual brushing group, 1.81±0.61 in the electric toothbrush group, and 1.93±0.6 in the chewable brush group. The mean for the manual brushing group was thus higher than that of the other two groups (p<0.001). The mean TMQHI score after brushing was 1.37±0.43 in the manual brushing group, 0.91±0.52 in the electric toothbrush group, and 1.31±0.67 in the chewable brush group. The effectiveness of the chewable brush in plaque removal in all regions of the mouth was lower than that of the other two (p<0.001). There was no statistical difference between the manual and electric toothbrushes.
Conclusion: The plaque removal efficiency of the chewable toothbrush was found to be lower than that of the electric and manual toothbrushes.

Keywords

chewable toothbrush dental plaque electric toothbrush manual toothbrush.

References

  • [1] Selwitz, R.H., Ismail, A.I., Pitts, N.B. 2007.Dental caries. Lancet, 369(9555), 51–59.
  • [2] Lamster, I.B. 2006. Antimicrobial mouthrinses and the management of periodontal diseases. Introduction to the supplement. J Am Dent Assoc, 137(Suppl), 5-9.
  • [3] Van Swol, R.L., Van Scotter, D.E., Pucher, J.J., Dentino, A.R. 1996. Clinical evaluation of an ionic toothbrush in the removal of established plaque and reduction of gingivitis. Quintessence Int, 27(1), 389-394.
  • [4] Sicilia, A., Arregui, I., Gallego, M., Cabezas, B., Cuesta, S. 2002. A systematic review of powered vs manual toothbrushes in periodontal cause-related therapy. J Clin Periodontol, 29(3), 39-54.
  • [5] Heanue, M., Deacon, S.A., Deery, C., et al. 2003. Manual versus powered toothbrushing for oral health. Cochrane Database Syst Rev, 1(1), CD002281.
  • [6] Van der Weijden, F.A., Campbell, S.L., Dörfer, C.E., González-Cabezas, C., Slot, D.E. 2011. Safety of oscillating-rotating powered brushes compared to manual toothbrushes: a systematic review. J Periodontol, 82(1), 5-24.
  • [7] Williams, K., Ferrante, A., Dockter, K., Haun, J., Biesbrock, A.R., Bartizek, R.D. 2004. One- and 3-minute plaque removal by a battery-powered versus a manual toothbrush. J Periodontol, 75(8), 1107-1113.
  • [8] Pujar, P., Subbareddy, V.V. 2013. Evaluation of the toothbrushing skills in children aged 6-12 years. Eur Arch Paediatr Dent, 14(1), 213-219.
  • [9] Rolly toothbrush. 2022. Rolly toothbrush on the go. Available from: http://www.rollybrush.co.uk/ (Accessed 4th November 2022).
  • [10] Joshi, A.V., Dixit, U.B. 2018. Effectiveness of plaque removal with an experimental chewable brush in children between age 9 and 13 years. Eur Arch Paediatr Dent. 19(6), 417-421.
  • [11] Bass, C.C. 1948. The optimum characteristics of toothbrushes for personal oral hygiene. Dent Items Interest, 70(1), 921-934.
  • [12] Turesky, S., Gilmore, N.D., Glickman, I. 1970. Reduced plaque formation by the chloromethyl analogue of victamine C. J Periodontol, 41(1), 41-43.
  • [13] Mladenovic, R., Cvetkovic, A., Martinovic, B., et al. 2019. Efficiency of chewable toothbrush in reduction of dental plaque in students. BMC Oral Health, 19(1), 1-7.
  • [14] Kayalvizhi, G., Radha, S., Prathima, G.S., Mohandoss, S., Ramesh, V., Arumugam, S.B. 2019. Comparative Evaluation of Plaque Removal Effectiveness of Manual and Chewable Toothbrushes in Children: A Randomized Clinical Trial. Int J Clin Pediatr Dent, 12(2), 107-110.
  • [15] Bezgin, T., Dag, C., Özalp, N. 2015. How effective is a chewable brush in removing plaque in children? A pilot study. J Pediatr Dent, 3(2), 41-45.
  • [16] Jeong, M.J., Shin, H.S., Jeong, S.J., Lim, D.S. 2017. Comparing Chewable and Manual Toothbrushes for Reducing Dental Plaque: A Pilot Study. J Dent Hyg Sci, 17(3), 267-274.
  • [17] Aravind, A., Peedikayil, F.C., Chandru, T.P., Kottayi, S. 2018. Comparative evaluation of plaque removal efficiency of manual, electric and chewable toothbrush in children: a pilot study. Int J Med Health Res, 4(9), 51-55.

Çiğnenebilir, elektrikli ve manuel diş fırçalarının plak uzaklaştırma etkinliklerinin karşılaştırılması: Randomize klinik çalışma

Year 2023, Volume: 14 Issue: 2, 170 - 177, 15.08.2023

Tuğba Yiğit Fatih Karaaslan Umut Yiğit Ahu Dikilitaş

https://doi.org/10.22312/sdusbed.1279913

Abstract

Amaç: Manuel, elektrikli ve çiğnenebilir diş fırçalarının plak uzaklaştırma etkinliklerinin karşılaştırmalı olarak değerlendirilmesidir.
Materyal- Metot: Randomize ve araştırmacı-kör klinik çalışmamıza 90 diş hekimliği öğrencisi dahil edildi. Öğrenciler manuel, elektrikli ve çiğnenebilir diş fırçası kulananlar olarak 3 gruba ayrıldı. Fırçaların plak uzaklaştırma etkinliği, Quigley-Hein İndeksinin Turesky modifikasyonu (TMQHI) kullanılarak değerlendirildi.
Bulgular: Yaşları 21-23 arasında (ortalama yaş 220,47), 32 erkek ve 58 kadın olmak üzere 90 katılımcı çalışmaya dahil edildi. Fırçalama öncesi ortalama TMQHI skoru manuel diş fırçası grubunda 2,4±0,49, elektrikli diş fırçası grubunda 1,81±0,61 ve çiğnenebilir diş fırçası grubunda 1,93±0,6 olarak tespit edildi. Fırçalamadan önceki plak miktarı ortalaması, manuel diş fırçası grubunda diğer iki gruptan daha yüksekti (p<0.001). Fırçalama sonrası ortalama TMQHI skoru manuel diş fırçası grubunda 1,37±0,43, elektrikli diş fırçası grubunda 0,91±0,52 ve çiğnenebilir diş fırçası grubunda 1,31±0,67 olarak tespit edildi. Çiğnenebilir diş fırçasının tüm bölgelerdeki plak uzaklaştırma etkinliği diğer diş fırçalarına göre düşük bulunurken (p<0.001), manuel ve elektrikli diş fırçaları arasında istatistiksel olarak fark yoktur.
Sonuç: Çiğnenebilir diş fırçasının plak uzaklaştırma etkinliği elektrikli ve manuel diş fırçalarına göre daha düşük bulunmuştur.

Keywords

Çiğnenebilir diş fırçası dental plak elektrikli diş fırçası manuel diş fırçası.

References

  • [1] Selwitz, R.H., Ismail, A.I., Pitts, N.B. 2007.Dental caries. Lancet, 369(9555), 51–59.
  • [2] Lamster, I.B. 2006. Antimicrobial mouthrinses and the management of periodontal diseases. Introduction to the supplement. J Am Dent Assoc, 137(Suppl), 5-9.
  • [3] Van Swol, R.L., Van Scotter, D.E., Pucher, J.J., Dentino, A.R. 1996. Clinical evaluation of an ionic toothbrush in the removal of established plaque and reduction of gingivitis. Quintessence Int, 27(1), 389-394.
  • [4] Sicilia, A., Arregui, I., Gallego, M., Cabezas, B., Cuesta, S. 2002. A systematic review of powered vs manual toothbrushes in periodontal cause-related therapy. J Clin Periodontol, 29(3), 39-54.
  • [5] Heanue, M., Deacon, S.A., Deery, C., et al. 2003. Manual versus powered toothbrushing for oral health. Cochrane Database Syst Rev, 1(1), CD002281.
  • [6] Van der Weijden, F.A., Campbell, S.L., Dörfer, C.E., González-Cabezas, C., Slot, D.E. 2011. Safety of oscillating-rotating powered brushes compared to manual toothbrushes: a systematic review. J Periodontol, 82(1), 5-24.
  • [7] Williams, K., Ferrante, A., Dockter, K., Haun, J., Biesbrock, A.R., Bartizek, R.D. 2004. One- and 3-minute plaque removal by a battery-powered versus a manual toothbrush. J Periodontol, 75(8), 1107-1113.
  • [8] Pujar, P., Subbareddy, V.V. 2013. Evaluation of the toothbrushing skills in children aged 6-12 years. Eur Arch Paediatr Dent, 14(1), 213-219.
  • [9] Rolly toothbrush. 2022. Rolly toothbrush on the go. Available from: http://www.rollybrush.co.uk/ (Accessed 4th November 2022).
  • [10] Joshi, A.V., Dixit, U.B. 2018. Effectiveness of plaque removal with an experimental chewable brush in children between age 9 and 13 years. Eur Arch Paediatr Dent. 19(6), 417-421.
  • [11] Bass, C.C. 1948. The optimum characteristics of toothbrushes for personal oral hygiene. Dent Items Interest, 70(1), 921-934.
  • [12] Turesky, S., Gilmore, N.D., Glickman, I. 1970. Reduced plaque formation by the chloromethyl analogue of victamine C. J Periodontol, 41(1), 41-43.
  • [13] Mladenovic, R., Cvetkovic, A., Martinovic, B., et al. 2019. Efficiency of chewable toothbrush in reduction of dental plaque in students. BMC Oral Health, 19(1), 1-7.
  • [14] Kayalvizhi, G., Radha, S., Prathima, G.S., Mohandoss, S., Ramesh, V., Arumugam, S.B. 2019. Comparative Evaluation of Plaque Removal Effectiveness of Manual and Chewable Toothbrushes in Children: A Randomized Clinical Trial. Int J Clin Pediatr Dent, 12(2), 107-110.
  • [15] Bezgin, T., Dag, C., Özalp, N. 2015. How effective is a chewable brush in removing plaque in children? A pilot study. J Pediatr Dent, 3(2), 41-45.
  • [16] Jeong, M.J., Shin, H.S., Jeong, S.J., Lim, D.S. 2017. Comparing Chewable and Manual Toothbrushes for Reducing Dental Plaque: A Pilot Study. J Dent Hyg Sci, 17(3), 267-274.
  • [17] Aravind, A., Peedikayil, F.C., Chandru, T.P., Kottayi, S. 2018. Comparative evaluation of plaque removal efficiency of manual, electric and chewable toothbrush in children: a pilot study. Int J Med Health Res, 4(9), 51-55.
There are 17 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Araştırma Articlesi
Authors

Tuğba Yiğit 0000-0002-8742-9031

Fatih Karaaslan 0000-0002-9899-3316

Umut Yiğit 0000-0001-8080-2932

Ahu Dikilitaş 0000-0003-4130-2526

Publication Date August 15, 2023
Submission Date April 9, 2023
Published in Issue Year 2023 Volume: 14 Issue: 2

Cite

Vancouver Yiğit T, Karaaslan F, Yiğit U, Dikilitaş A. Comparison of the plaque removal efficacy of chewable, electric, and manual toothbrushes: A randomized clinical trial. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2023;14(2):170-7.
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SDÜ Sağlık Bilimleri Dergisi, makalenin gönderilmesi ve yayınlanması dahil olmak üzere hiçbir aşamada herhangi bir ücret talep etmemektedir. Dergimiz, bilimsel araştırmaları okuyucuya ücretsiz sunmanın bilginin küresel paylaşımını artıracağı ilkesini benimseyerek, içeriğine anında açık erişim sağlamaktadır.