[Intermaxillary apparatus].
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OBJECTIVE: The objective of this series of laboratory studies was to assess a new triple-head toothbrush, the DR BEST FreiKopf, compared to the Oral-B 40 toothbrush, for interproximal access efficacy (IAE), gingival margin cleaning (GMC), and subgingival access (SA) as measures of toothbrush efficacy. METHODOLOGY: In each procedure, six toothbrushes of each product were tested four times for a total of twenty-four tests on each toothbrush design. In the IAE assay, the tooth brushing technique involved independent evaluations of each toothbrush in a vertical or horizontal brushing motion, tooth shapes simulating anterior and posterior teeth, and a brushing weight of 250 g. The brushing apparatus was set to brush 15 seconds at two strokes per second with a 50 mm stroke. In the GMC assay, the tooth brushing technique involved independent evaluations of each toothbrush in a horizontal brushing motion, tooth shapes simulating posterior teeth, and a brushing weight of 500 g. Simulated gingivae were prepared from self-curing dental acrylic. The brushing apparatus was set to brush for 60 seconds at two strokes per second with a 15 mm stroke. In the SA evaluations, the tooth shapes simulating posterior teeth were used, as well as a brushing weight of 500 g for 60 seconds at two strokes per second with a 15 mm stroke. All readings were measured with 3x magnification by one investigator. RESULTS: The mean IAE value on anterior and posterior tooth shapes, with vertical and horizontal brushing, and overall, was significantly (p < 0.001) higher for the triple-head toothbrush than for the Oral-B 40 toothbrush. In the GMC assay, the triple-head toothbrush had a significantly (p < 0.001) superior mean value compared to the Oral-B 40 product tested. In the SA study, the triple-head toothbrush was significantly (p < 0.001) superior compared to the Oral-B 40 toothbrush product tested. CONCLUSIONS: The triple-head toothbrush has demonstrated superiority to a traditional flat-head toothbrush for access into interproximal areas, and for removing deposits from the gingival margin, as well as below the gumline, in these laboratory assays.
The mechanical stability of crowns or bridges as well as frameworks for removable partial dentures depends on factors like thickness and metal structure. The biological compatibility can be influenced by porosities and soldered joints. Radiological testing is a non-destructive method to check defects in dental castings. As dental precious metal alloys have high X-ray absorption, testing of high gold alloys should be performed with a suitable X-ray machine at a tube voltage of 120 kV since the X-ray penetration of dental X-ray units using a tube voltage of 70 to 80 kV is not high enough for these alloys. As the absorption of Co-Cr alloys and of titanium is much lower, these materials can be tested with a dental X-ray apparatus. The radiographs show location and size of metal defects. They enable an examination of metal thickness and content of porosities. Metal defects reducing the biological compatibility or cast stability can be detected prior to clinical fitting.