An Evaluation of Plaque Removal Efficacy of Five Commercially Available Toothbrushes: A Comparative Clinical Study

Swarna Chakrapani^1, , Tejaswin Polepalle², Lakshmikanth Kolaparthy², RupaSruthi Kuntcham¹, Chaitanya Adurty¹ and Sindhuri Sirigadha¹

¹Department Of Periodontology, SIBAR Institute of Dental Sciences, Takkellapadu, Guntur, Andhra Pradesh, India

²Department of Periodontology, Sibar Dental College & Hospital, Guntur, Andhra Pradesh, India

Cite this paper:
Swarna Chakrapani, Tejaswin Polepalle, Lakshmikanth Kolaparthy, RupaSruthi Kuntcham, Chaitanya Adurty and Sindhuri Sirigadha. An Evaluation of Plaque Removal Efficacy of Five Commercially Available Toothbrushes: A Comparative Clinical Study. International Journal of Dental Sciences and Research. 2014; 2(6A):15-20. doi: 10.12691/ijdsr-2-6A-4

Abstract

Background and Objectives – The aim of the study is to compare the plaque removal efficacy of five commercially available tooth brushes. Materials & Methods –The study group consisted of 75 subjects with age ranging 17 to 27 years distributed into five groups- Group A [Colgate Supershine], Group B [Colgate Zig zag], Group C [Oral B Allrounder], Group D [Oral B Fresh Clean], Group E [Pepsodent double action]. Study was single blinded, randomized clinical trial. Turesky- Gilmore- Glickmann Modification of Quigley-Hein Plaque Index and Modified Sulcular bleeding index were assessed at baseline, 4 weeks and 8 weeks. Results – All brushes showed significant reduction in plaque score over 8 weeks. The percentage of plaque reduction from baseline to 4 weeks for Group A, B, C, D & E is 58.74, 61.95, 57.86, 50.28 & 53.59 respectively. The percentage of plaque reduction from baseline to 8 weeks for Group A, B, C, D & E is 67.83, 76.11, 62.86, 56.42 & 60.13 respectively. The percentage of plaque reduction from 4 weeks to 8 weeks for Group A, B, C, D & E is 22.03, 37.21, 11.86, 12.36 & 14.08 respectively. However, the reduction of plaque scores is greater in Group B [76%] when compared to other groups. Conclusion – Within the limitations of the study, the data derived from the study shows that all the tooth brushes has shown decrease in plaque scores. In comparison, Colgate Zig zag [Group B] has some beneficial effects in reduction of plaque scores.

Keywords:
toothbrush plaque bristle design

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]	Loe H, Theilade E, Jensen SB. Experimental gingivitis in man. J Periodontol1965; 36: 177-87.
[2]	Van der Weijden FA, Campbell SL, Dorfer CEet al. Safety of oscillating-rotating powered brushes compared to manual toothbrushes: a systematic review. J Periodontol2011; 82: 5-24.
[3]	Turesky S, Gilmore ND, Glickman I. Reduced plaque formation by the chloromethyl analogue of victamine C.J Periodontol 1970; 41: 41-3.
[4]	Mombelli A, Van Oosten MA, Schurch E Jr et al. The microbiota associated with successful or failing osseointegrated titanium implants. Oral MicrobiolImmunol 1987; 2: 145-51.
[5]	Moustafa MH, Shoeib MA, el-Din MS et al. Clinical evaluation of the efficacy of two different designs of toothbrushes in plaque removal. Egypt Dent J I986; 12: 131-50.
[6]	Mintel TE, Crawford J. The search for a superior toothbrush design technology. J Clin Dent 1992; 3: C1-C4.
[7]	Bergenholtz A, Gustafsson LB, Segerlund N et al. Role of brushing technique and toothbrush design in plaque removal. Scand J Dent Res 1984; 92: 344-51.
[8]	Staudt CB, Kinzel S, Hassfeld S et al. Computer based intra-oral image analysis of the clinical plaque removing capacity of 3 manual toothbrushes. J ClinPeriodontol 2001; 28: 746-52.
[9]	Frandsen A. Mechanical oral hygiene practices. In: Loe H, Kleinman M, editors. Dental plaque control measures and oral hygiene practices. 1st ed. IRL Press: Oxford; 1986. p. 93-116.
[10]	Jepsen S. Role of manual toothbrushes in effective plaque control: Advantages and limitations. In: Lang NP, Attstrom R, Love H, editors. Proceedings of European workshop on Mechanical plaque control. 1st ed. Quintessence Publishing: Illinois; 1983. p. 121-37.
[11]	Addy M. Measuring success in toothbrush design- An opinion and debate of concepts. Int Dent J 1998; 48: 509-18.
[12]	Rustogi KN, Curtis JP, Volpe AR et al. Refinement of the Modified Navy Plaque Index to increase plaque scoring efficiency at the gum line and interproximal tooth areas. J Clin Dent 1992; 3: C9-12.
[13]	Sharma NC, Galustians J, Rustogi KN et al.Comparative plaque removal efficacy of three toothbrushes in two independent clinical studies. J Clin Dent 1992; 3: C13-20.
[14]	Singh SM, Rustogi KN, McCool, JJ et al. Clinical studies regarding the plaque removal efficacy of manual toothbrushes. J Clin Dent 1992; 3: C21-8.
[15]	Sharma NC, Qaqish J, Walters PAet al. A clinical evaluation of the plaque removal efficacy of five manual toothbrushes. J Clin Dent 2010; 21: 8-12.
[16]	Turner PS, Surveyor AB, Turner FP. A clinical comparison of plaque removal of five manual toothbrushes. J Indian Dent Assoc 1999; 70: 77-81.
[17]	Kakar A, Kakar RC, Kakar K,et al. Plaque removing efficacy of a new design toothbrush with Zig-Zag bristle arrangement. J Indian Dent Assoc2002; 73: 29-34.
[18]	Forward GC. Role of toothpastes in the cleaning of teeth. Int Dent J 1991:41:164-70.
[19]	Rustogi KN, Volpe AR, Fishman Set al. Removal of 48-hour plaque by either brushing with dentifrices or water. J Dent Res 1984, 63: 312.
[20]	Keller SE, Manson-Hing LR. Clearance studies of proximal tooth surfaces. II: in vivo removal of interproximal plaque. Ala J Med Sci 1969; 6: 266-74.
[21]	Claydon N, Addy M. Comparison single-use plaque removal by toothbrushes of different designs. J ClinPeriodontol. 1996; 23: 1112-6.
[22]	Sharma NC, Goyal CR, Qaqish JG et al. Single-use plaque removal efficacy of three power toothbrushes. J Dent 2005; 33S1: 11-5.
[23]	Sharma NC, Qaqish JG, Galustians HJ et al. Plaque removal efficacy of two electric toothbrushes with different brush head designs. J Dent 2005; 33Suppl 1:17-21.
[24]	Fischman, SL. Current status of indices of plaque. J ClinPeriodontol. 1986; 13: 371-4.
[25]	Gibson MT, Joyston-Bechal S, Smales FC. Clinical evaluation of plaque removal with double headed toothbrush. J ClinPeriodontol. 1988: 15: 94-8.
[26]	Bay I, Kardel KK, Skouggard MR. Quantitative evaluation of the plaque-removing ability of different types of toothbrushes. J Periodontol. 1967; 38: 526-33.
[27]	Scopp IW, Cohen G, Cancro LP et al. Clinical evaluation of a newly designed contoured toothbrush. J Periodontol 1976; 47: 87-90.