Plaque Removal Efficacy with Flared Bristles of the Toothbrush: A Prospective, Double-Blinded, Clinical Trial | ||
| Ain Shams Dental Journal | ||
| Volume 38, Issue 2, June 2025, Pages 785-790 PDF (1.17 M) | ||
| Document Type: Original articles | ||
| DOI: 10.21608/asdj.2024.328573.1584 | ||
| Authors | ||
| NUR IFFAH NABILAH BINTI ABDUL LATIB1; SEOW JIE XUAN2; VICTOR LOW CHUN KEONG3; Padmini Hari4; Ramanarayana Boyapati5; Tejaswin Polepalle* 6 | ||
| 1Graduate Awaiting Posting, Bachelor of Doctor in Dental Surgery, Faculty of dentistry, MAHSA university, Malaysia Ph. No +60169249848 | ||
| 2Graduate Awaiting Posting, Bachelor of Doctor in Dental Surgery, Faculty of dentistry, MAHSA university, Malaysia Ph. No +60193399150 E-mail I.D: Sjx0113@gmail.com | ||
| 33. VICTOR LOW CHUN KEONG Graduate Awaiting Posting Bachelor of Doctor in Dental Surgery Faculty of dentistry MAHSA university Malaysia, Ph. No +60129088549 | ||
| 4Adjunct Associate Professor Dept.of Periodontology Faculty of Dentistry Mahsa university Ph.no +919030135086 E-mail I.D: dr.haripadmini@gmail.com | ||
| 5Professor, Dept of Periodontology, Sibar Institute of Dental Sciences, Takkellapadu, Guntur, Andhra Pradesh,Pin code-522509. | ||
| 6Department of periodontology, Faculty of Dentistry, MAHSA University, Malaysia | ||
| Abstract | ||
| Aim: The aim of this study is to investigate the efficacy of regularly changing toothbrushes compared to using new and flared bristle toothbrushes on plaque removal during brushing. The study results can aid in educating patients and increasing awareness for appropriate recommendations regarding when to change toothbrushes. Materials and Methods: Forty participants were randomly selected and informed consent was obtained after providing a clear explanation about the study. All the participants underwent full mouth ultrasonic scaling at baseline, followed by recording baseline plaque scores and receiving oral hygiene instructions using the Modified Bass technique. All were provided identical toothbrushes and toothpaste. They were randomly divided into two groups: Group 1 changed toothbrushes every month for 3 months, and Group 2 used the same toothbrush for 3 months. One examiner allocated participants to groups based on randomization and scheduled review visits, recording bristle flaring. The other two examiners, blinded to group allocation, recorded plaque scores using the O'Leary Plaque Index (a measure of plaque accumulation) and adverse events. Toothbrush bristle flaring was verified and recorded using the Conforti Index at each visit. Results: In Group 1, toothbrush flaring and plaque scores did not change after each month. Group 2 exhibited increased toothbrush flaring at months two and three, with a corresponding increase in plaque scores after two months that progressively worsened after three months. Conclusion: In short, the proposed study conducted by clinical trial may determine whether participants (Group1) who change toothbrushes every month or participants (Group 2) who change toothbrushes at a period of two and three months brings any beneficial effect on plaque removal efficacy. For optimum plaque removal efficacy, it is crucial to change the toothbrush every two to three months before the flaring of toothbrushes starts. | ||
| Keywords | ||
| Plaque removal; Flared bristles; Toothbrush flaring; Plaque deposition | ||
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