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At least 73 records · Page 4Linked to original sources

PubMed1998

Laboratory evaluation of the reach tooth & gum care toothbrush and three additional manual toothbrushes for subgingival access.

A new laboratory procedure has been developed to evaluate subgingival access efficacy (SAE) of toothbrush bristles using clinical toothbrushing motions and pressure-sensitive paper placed around simulated tooth shapes and gingival tissues under wet brushing conditions. Subgingival access is determined by measuring the maximum distance of the bristle marks from the brushing stroke on the pressure-sensitive paper under the simulated gingival tissues. Four manual toothbrushes (Reach Tooth & Gum Care, Colgate Total Design, Mentadent and Oral-B Advantage) with differing designs, bristle feathering or outside row dimensions were evaluated. Each toothbrush design was evaluated for 28 assessments on anterior and posterior tooth shapes. On overall assessments for subgingival access, the Reach Tooth & Gum Care toothbrush was significantly (p < 0.05-0.001) superior to the other three commercially available toothbrushes tested.

Analysis of Variance↗

PubMed1993

A comparative study of electric toothbrushes for the effectiveness of plaque removal in relation to toothbrushing duration. Timerstudy.

The purpose of the present study was to test the plaque-removing efficacy of 4 different toothbrushes in relation to duration of toothbrushing. The brushes studied were a manual toothbrush (M), a conventional electric toothbrush--the Blend-a-Dent (BL), the Interplak (IP) and the Braun Plak Control (BPC). For this study, 20 subjects were selected. The study was divided into 5 experiments which differed only in respect to the brushing time. The available time in experiment 1 through 5 was 7.5, 15, 30, 45, 90 s per quadrant respectively. Prior to each experiment, all subjects were asked to abstain from oral hygiene procedures for at least 24 h. The efficacy of toothbrushing in each experiment was studied while one investigator (MAL) brushed the teeth of the subjects. In each subject, all 4 brushes were tested. Each brush was assigned to a quadrant in a random order. No toothpaste was used throughout this study. The amount of dental plaque was evaluated before and after brushing by means of the Silness & Löe plaque index at 6 sites around each tooth investigated. The results show an increase in efficacy for all brushes varying from 7.5 s per quadrant to 90 s per quadrant (mean plaque reduction in terms of percentage 7.5 s-90 s: M = 40%-75%, BL = 45%-82%, BPC = 51%-94%, IP = 64%-92%). The IP removed significantly more plaque than the other 3 after 7.5 s of brushing. From 15 s through 90 s, the IP and BPC were equally effective.(ABSTRACT TRUNCATED AT 250 WORDS)

Dental Plaque↗

PubMed2004

A clinical comparison of an oscillating/rotating powered toothbrush and a manual toothbrush in patients with chronic periodontitis.

OBJECTIVES PRIMARY OBJECTIVE: To compare the relative efficacy of an oscillating/rotating powered toothbrush to that of a conventional manual toothbrush in a group of periodontal patients over a 16-month period with respect to plaque control. SECONDARY OBJECTIVE: To compare differences in pocket depth (PD) and bleeding index (BI) between the two groups over a 16-month period. MATERIAL AND METHODS: Forty patients were recruited to a 16-month, single-blind, two-group, randomised, parallel group clinical trial to compare the effects of manual and oscillating/rotating powered toothbrushes in a cohort of patients with chronic periodontitis. None of the patients had previous experience of using an oscillating/rotating brush and had a mean plaque index (PI) of > 2.0 (modified Quigley and Hein index) at baseline. Patients were stratified by gender, age and smoking status then randomised to using a manual or an oscillating/rotating brush for the duration of the study. Conventional non-surgical periodontal therapy was undertaken within the first month after baseline. PI was the primary outcome measure with PDs and BI also recorded at baseline and months 3, 6, 10 and 16. RESULTS: Mean full-mouth (FM) scores at baseline for oscillating/rotating brushing and manual brushing groups were as follows: PI, 3.4 and 3.5; BI, 1.7 and 1.5; and PD, 3.4 and 3.3. The mean reduction in FM scores from baseline to 16 months were: PI, 0.72 and 0.75; PD, 0.43 and 0.57; and BI, 0.74 and 0.83, respectively. Repeated measures ANOVA were used to compare differences between groups (adjusted for baseline levels) at months 3, 6, 10 and 16 and showed no statistically significant difference between groups for PI and PD (p > 0.05). A difference of 0.2 BI units was detected in favour of the manual brushing group (p = 0.04). CONCLUSION: Over a 16-month period, there were no differences in PI reduction or PD reduction between patients who underwent non-surgical management of chronic periodontal disease and used either an oscillating/rotating powered toothbrush or a conventional manual toothbrush. A difference in gingival bleeding reduction was detected in favour of the patients allocated the manual brush.

Adult↗

PubMed1998

A comparison of the efficacy of a novel electric toothbrush and a manual toothbrush in the treatment of gingivitis.

PURPOSE: To compare the efficiency of a new electric toothbrush featuring a novel three-dimensional brush head action, with a manual toothbrush, in resolving gingivitis which had been allowed to develop in a group of subjects prior to the treatment phase of the study. MATERIALS AND METHODS: This was a randomized split-mouth study. A total of 35 healthy non-dental students refrained from any oral hygiene on the lower jaw for a period of 21 days in order to develop gingivitis. They then brushed one quadrant of the lower jaw with the Braun Oral-B 3D Plaque Remover and the other with a manual toothbrush for a period of 4 weeks. Plaque and gingivitis were evaluated at the start of the study, after the 21 days of no oral hygiene, and after 1, 2, 3 and 4 weeks of brushing twice a day. RESULTS: At the end of the study, the 3D was found to be significantly more effective at reducing bleeding on probing (P < 0.05) for all sites combined and all individual sites. Plaque removal was also significantly more effective with the 3D. Subjects in the study reported that they preferred the 3D to the manual toothbrush and said that it would encourage them to brush for longer. It is concluded that the new Braun Oral-B 3D Plaque Remover offers advantages over a manual toothbrush in terms of plaque control and improvement of gingival condition.

Adolescent↗

PubMed2001

A comparative study of two powered toothbrushes and one manual toothbrush in young adults.

The aim of this 3-group, 3-treatment, single-blind, parallel group study was to evaluate and compare the efficacies of the Philips/Jordan HP735 powered toothbrush, the Braun/Oral-B D7 powered toothbrush, and the Oral-B Advantage B35 manual toothbrush in young adults (18-25 years). Full mouth mean (SD) modified Turesky Plaque Index (PI) and the Löe & Silness Gingival Index (GI) were recorded at baseline. After 24 hours abstinence from oral hygiene, the PI was recorded and each subject was given one of the test brushes with detailed instructions for use. Each subject then brushed under supervision for 90 seconds, during which time mean (SD) toothbrushing forces (TBF) were recorded. PIs were recorded immediately after brushing, and the subjects were then discharged for 6 weeks to use the allocated toothbrush at home. After 6 weeks, PI, GI and TBF were again recorded. There were no significant differences (ANOVA) for PI and GI between groups at baseline, or for PI following brushing at 24 hours. After 6 weeks, the powered brushes produced lower mean PI (SD) scores than the manual brushes, but the differences were significant only at interproximal sites. Mean GI scores for the HP735 group were similar at baseline and at 6 weeks, although for the other brushes the GI scores actually increased over this period. Mean (SD) TBF (grams/force) at baseline and 6 weeks, respectively, for the brushes were; HP735 233 (205), D7 159 (58), B35 279 (122) (p = 0.026): HP735 194 (86), D7 141 (57), B35 297 (113) (p = 0.0001). The within-group variability for the HP735 TBF reduced considerably over 6 weeks, which is possibly because of the click-force threshold feature of this brush.

Adolescent↗

PubMed2001

The safety and efficacy of a children's power toothbrush and a manual toothbrush in 6-11 year-olds.

PURPOSE: To evaluate and compare the oral hard and soft tissue safety and the plaque-removing efficacy of a children's power toothbrush (Braun Oral-B Kids' Power Toothbrush-D10) and a manual toothbrush in children from a general population. MATERIALS AND METHODS: Seventy children aged 6-11 yrs were enrolled into a single-blind, randomized, parallel-design study. At baseline, oral hard and soft tissues were evaluated and plaque was assessed on buccal and lingual surfaces of all fully erupted permanent and primary teeth using the Turesky Modification of the Quigley-Hein Plaque Index. Eligible subjects were randomized to use either a Braun Oral-B children's power toothbrush (D10) or a manual toothbrush for the duration of the study. Subjects were instructed to brush their teeth at home twice daily for 1 min each day for the 30-day study period. At baseline and after 15 and 30 days, plaque was assessed following 12-18 hrs of no oral hygiene. In addition, at each visit single-use plaque removal was evaluated after subjects had brushed their teeth for 1 min under supervision. Oral hard and soft tissues were assessed for safety before and after the supervised 1-min brushing at each visit. RESULTS: There were no pre-brushing oral hard and soft tissue abnormalities or post-brushing changes in oral tissues in either group. There were statistically significant reductions in mean plaque index for the whole mouth (P< 0.006), buccal surfaces (P < 0.0001) and anterior teeth (P< 0.008) from day 0 to day 30 in the D10 group, but not in the manual group. Greater mean changes in whole mouth plaque reduction were seen for the D10 group as compared to the manual group at days 15 and 30 (P< 0.05). Results from the single-use supervised brushing at each visit revealed that reductions in mean whole mouth plaque were statistically significant in both groups at each visit (P< 0.0001). There was statistically significantly greater plaque removal after a single brushing at day 0 in the D10 group compared with the manual group (P< 0.002), but the difference was not significant at days 15 and 30.

Analysis of Variance↗

PubMed2002

Effectiveness of a powered toothbrush compared with a manual toothbrush for orthodontic patients with fixed appliances.

Orthodontic patients with fixed appliances have an increased risk for caries and gingivitis. Therefore, the use of special toothbrushes and additional cleaning tools is recommended. The aim of this longitudinal study was to compare the plaque removal efficacy and reduction of gingivitis from using a powered toothbrush compared to a manual toothbrush in patients with fixed orthodontic appliances. Eighty subjects were included in the study with a mean age of 13.53 years. After a baseline examination, patients were randomly assigned to two groups and their teeth were professionally cleaned. The patients were assessed at baseline, two and four weeks using the QHI and SBI. The results showed a significantly superior plaque removal effect (p = 0.0001) and reduction of gingival inflammation (p < 0.05) in those patients using the powered versus the manual toothbrush. The findings were for both whole mouth and partial mouth assessments. In accordance with previous studies, it was demonstrated that the use of a powered toothbrush can be recommended for orthodontic patients with fixed appliances.

Adolescent↗

PubMedDate not supplied

A six-week study comparing the efficacy of a rotary electric toothbrush with a conventional toothbrush.

The rotary electric toothbrush, Rota-dent, is often recommended and used as an alternative to the conventional toothbrush. The purpose of this short-term study was to evaluate the effectiveness of the Rota-dent on plaque removal and gingival health in comparison to a conventional toothbrush. Twenty-four subjects were divided into two groups. For 6 weeks one group used the Rota-dent, while the other group used a conventional (Oral-B 40) toothbrush. Plaque and gingival indexes were evaluated each week. Results indicated that the Löe and Silness Gingival Index scores improved significantly for both groups. There was a significant improvement in plaque removal as measured by Turesky modification of the Quigley-Hein Plaque Index for the Rota-dent group, while there were no significant differences in the Silness and Löe Plaque Index for either group. Thus, both devices had a positive effect on gingival health, and the Rota-dent removed plaque better than a conventional toothbrush as measured by one but not another plaque index.

Dental Plaque↗

PubMed1977

A comparison of plaque removal by different toothbrushes and toothbrushing methods.

Six toothbrushing methods were evaluated using several kinds of toothbrushes. Two kinds of electric toothbrushes were tested also. Forty-two adults who had normal dentition and clinically healthy peridontal tissue, aged 20 to 34, 36 males and 6 females, volunteered for this study. The plaque score was calculated by the modified Volpe's method on which Suzuki et al. reported before. The scoring of the plaque was restricted to the six teeth (formula: see text) The average percentage of plaque removal from the total (labial and lingual) tooth surface by different toothbrushing methods was as follows: (1) 75.2 +/- 9.9% by the Fones method with a hard brush, (2) 71.7 +/- 11.1% by the Scrub method with a hard brush, (3) 67.4 +/- 12.5% by the modified Stillman's method with a hard brush, (4) 64.7 +/- 13.7% by the National electric toothbrush with a soft brush, (5) 62.9 +/- 13.6% by the Roll method with a hard brush (6) 58.1 +/- 16.3% by the Charters method with a brush of a medium hardness, (7) 55.2 +/- 10.2% by the Bass method with a brush of a medium harness. A similar tendency was obtained independently on the labial, lingual and papillary tooth surface. The hard brush was the most effective for the plaque removal by all kinds of brushing methods.

Adult↗

PubMed1997

Clinical and laboratory evaluation of powered electric toothbrushes: laboratory determination of relative interproximal cleaning efficiency of four powered toothbrushes.

The clinical brushing data from the paper entitled, Clinical and Laboratory Evaluation of Powered Electric Toothbrushes: In Vivo Determination of Average Force for Use of Manual and Powered Toothbrushes, by Boyd et al. in this Special Issue, were incorporated into a laboratory cleaning model. Utilizing a standardized brushing machine and a methyl methacrylate substrate, four powered brushing instruments were tested for cleaning efficiency: Rota-dent. Braun Oral-B. Interplak and Sonicare, and a manual toothbrush (Oral-B P40). The Sonicare powered brushing instrument was tested at the manufacturer's recommended brushing force of 0.5 N as well as a calculated force of 1.0 N. The results showed that the Rota-dent was more efficient (p < 0.01-0.001) in removing stain from both flat and interproximal surfaces than any of the other tested brushes. These results, together with those reported by McLey, et al. in Clinical and laboratory Evaluation of Powered Electric Toothbrushes: Laboratory Determination of Relative Abrasion of Three Powered Toothbrushes in this Special Issue, demonstrate that the rotary action Rota-dent instrument has the most efficient combination of low abrasion and high cleaning efficiency of the four powered brushes and the manual brush when all instruments were tested using clinically documented pressures.

Analysis of Variance↗

PubMed1998

A crossover clinical investigation of the safety and efficacy of a new oscillating/rotating electric toothbrush and a high frequency electric toothbrush.

PURPOSE: To compare the efficacy on plaque, gingivitis and calculus of an oscillating/rotating power toothbrush (Braun Oral-B Ultra Plaque Remover-D9) and a high frequency toothbrush (sonicare). MATERIALS AND METHODS: A 6-week, randomized crossover study was carried out. A total of 62 healthy adult subjects completed the study and were assessed for plaque control, gingival condition and calculus control. At the end of the study, subjects completed a questionnaire which assessed their preferences for the two devices. RESULTS: Both toothbrushes were found to be safe and effective, but a significantly lower gingival index (P = 0.002) and a lower calculus index (P = 0.022) was found in the D9 group. Assessment of patient preferences revealed that a significant majority of subjects in the study (65%) preferred the D9 to the high frequency toothbrush (27%). It is concluded that the D9 may offer greater potential for the maintenance of good gingival condition than the high frequency toothbrush, and that the greater preference for the D9 may be important with respect to long-term compliance. The implications of these findings are discussed.

Adult↗

PubMed2005

Assessing adherence with toothbrushing instructions using a data logger toothbrush.

OBJECTIVES: To evaluate patient compliance with toothbrushing instructions using a data logger and a brushing diary. METHODS: Dental patients were provided with powered toothbrushes modified to carry electronic data loggers. Demonstration of the most effective way to use the toothbrush was provided with instructions to brush for 2 minutes morning and evening. Data logger brushes were supplied for two episodes of 8 weeks. Brushing time was also recorded in a diary during episode 1. RESULTS: Data from 14 brushes (2,287 recordings) were used to evaluate compliance in episode 1 Nine brushes (1,526 recordings) were used in episode 2 A total of 2,333 brushing events were reported manually in the diaries. Data logger records during episode 1 showed that only 34% of events were compliant with the instruction of a 2 minute brushing time, 20% were partially compliant (within +/-30s of 2 minutes), and 46% of events were non-compliant (>30s from 2 minutes). The respective proportions for episode 2 were 24%, 24% and 52%. Diary data reported 58% of events as compliant with 42% non-compliant. CONCLUSIONS: Manually completed brushing diaries do not provide an accurate reflection of subjects' compliance with toothbrushing instructions.

Data Collection↗

PubMed1982

The good toothbrushing game: a school-based dental hygiene program for increasing the toothbrushing effectiveness of children.

There has been a serious lack of experimentally verified, effective dental hygiene programs in the schools. In and of themselves, the instruction-alone programs which comprise children's dental education do not produce proper toothbrushing skills. In the present study, a school-based contingency dental hygiene program designed to increase the effectiveness of children's toothbrushing skills at home was implemented with grade one and two classes. Each class was divided into teams and participated in the "Good Toothbrushing Game." Each day four children fron each team had the cleanliness of their teeth assessed according to the Simplified Oral Hygiene Index (Greene & Vermillion, 1964). The team with the lowest mean oral hygiene score was declared the daily winner. Winning teams received stickers and had their names posted. A multiple baseline across classrooms single-subject group design. (Hersen & Barlow, 1976, pp. 228-229) established that the good toothbrushing game greatly increased the effectiveness of children's oral hygiene skills. the treatment terminal levels for the grade one scores was 2.0 as compared to a baseline terminal level of 5.0 and for the grade two's was 2.3 compared to 5.7 at the end of baseline. A 9-mo follow-up indicated that these results were maintained. The data strongly suggest that proper implementation of behavioral principles is essential to the success of oral hygiene programs.

Behavior Therapy↗

PubMed1989

Effect of periodontal status of rotary electric toothbrushes vs. manual toothbrushes during periodontal maintenance. II. Microbiological results.

We compared the use of a rotary electric toothbrush with conventional toothbrushing for their effectiveness in modulating the subgingival microbiota. Forty subjects who had received periodontal treatment for moderate to advanced periodontitis and were on 3-month periodontal maintenance were divided into two equal groups matched for age and sex. One group used only the rotary tooth cleaner and the other group used conventional toothbrushing, dental floss, and toothpicks for 12 months. Subgingival plaque samples (two sites per patient) were taken from 10 subjects per group at baseline, 6 months, and 12 months and analyzed for percentage of obligate anaerobes and colony-forming units of black-pigmented Bacteroides, Fusobacterium, Actinomyces, Streptococcus, and Veillonella spp. The percentage of spirochetes and motile rods was determined by darkfield microscopy. Results showed that levels of obligate anaerobes, Fusobacterium, and Actinomyces and percentage of spirochetes and motile rods decreased significantly (P less than 0.05), while levels of Streptococcus spp. increased (P less than 0.05) for both groups. However, there was no significant difference between the two groups, indicating that the rotary tooth cleaner and conventional toothbrushing are equally effective in controlling gingivitis and fostering a less pathogenic microflora.

Adult↗

PubMed2002

Contamination of toothbrush at different time intervals and effectiveness of various disinfecting solutions in reducing the contamination of toothbrush.

The common devices used for oral hygiene measures are toothbrush, dentifrice and oral rinses. Present study was carried out to know the level of contamination of toothbrush after brushing and at the same time, to know the efficacy of various disinfecting solution in reducing their contamination. Thirty two children in the age group of 12-14, residing in Government Hostel were selected. They were divided into four groups of 8 each, and were supplied with toothbrushes. Toothbrushes were cultured to assess the contamination at different time intervals. Control group had shown the highest percentage of contamination. It was concluded that cleaning of the oral cavity is not the only procedure in maintaining the oral hygiene, the oral hygiene devices should also be kept clean.

Adolescent↗

PubMed2004

Interproximal plaque mass and fluoride retention after brushing and flossing--a comparative study of powered toothbrushing, manual toothbrushing and flossing.

PURPOSE: To determine differences in interproximal plaque mass and fluoride retention with different modes of toothbrushing and flossing. MATERIALS AND METHODS: Forty-seven subjects in good health used four treatments in a four-period, randomized, crossover design: 1) manual brushing only; 2) manual brushing and daily flossing; 3) electric brushing using a rotational oscillation toothbrush; and 4) electric brushing using a sonic toothbrush. Subjects used a standard sodium fluoride dentifrice during the eight-day experimental periods and a fluoride-free dentifrice during the seven-day washout periods between treatments. Interproximal plaque samples were taken on Day 1 and on Day 8, weighed, and analyzed for fluoride content. RESULTS: The amount of interproximal plaque was lowest with sonic brushing, which left 43-65% less plaque than all other treatments. Manual brushing and flossing yielded less plaque than manual brushing alone and rotational oscillation brushing. Differences were statistically significant (p < 0.05) for treatment; there was no time effect on plaque mass. For fluoride retention, at Day 1 sonic brushing gave at least 54% more fluoride in the interproximal plaque than all other treatments, which was significant. All treatments demonstrated a significant increase in fluoride concentration with time except manual brushing and flossing, which showed a significant decrease. At Day 8, the fluoride concentration was significantly higher for sonic brushing than for manual brushing or rotational oscillation brushing by over 40%, and all treatments exhibited significantly greater fluoride than the manual brushing and flossing combination. CONCLUSION: The mode of toothbrushing may impact the amount of plaque retained interproximally and its fluoride concentration.

Adult↗

PubMed2005

Plaque removal using a battery-powered toothbrush compared to a manual toothbrush.

OBJECTIVE: To evaluate the effectiveness of battery-powered tooth brushing in removing plaque in Kuwaiti children. METHODOLOGY: The subjects were 30 boys, aged 9-11 years. Prior to the start of the study, the children had never used a battery-powered toothbrush. At baseline, plaque accumulation was assessed for manual tooth brushing and battery-powered tooth brushing (Oral-B Kids battery-powered). All subjects then used the battery-powered toothbrush for two weeks at home. Plaque accumulation was again assessed for both manual and battery-powered tooth brushing. Plaque accumulation was assessed using the Soparkar modification of the Quigley-Hein Plaque Index. Differences in pre- and post-tooth brushing plaque, and change from baseline, were the outcome measures evaluated. RESULTS: At baseline, there was no difference in plaque removal between battery-powered tooth brushing and manual tooth brushing, either in difference between pre- and post-tooth brushing plaque measures (p = 0.44) or in percentage change (p = 0.51). After two weeks of use, there was a statistically significant difference in plaque removal between battery-powered tooth brushing and manual tooth brushing, both in the difference between pre- and post-tooth brushing plaque measures (p = 0.01) and in percentage change (p = 0.006). Mean plaque removal by manual tooth brushing was 0.97 +/- 0.45, and mean plaque removal by battery-powered toothbrush was 1.23 +/- 0.56. Mean percentage change in plaque removal by manual tooth brushing was 33.5 +/- 16.05, and mean plaque removal by battery-powered tooth brushing was 43.0 +/- 18.82, which represented a 9.5% improvement for battery-powered tooth brushing compared to manual tooth brushing. CONCLUSION: After two weeks use of a battery-powered toothbrush, the plaque removal was enhanced compared to baseline and to manual tooth brushing. Battery-powered tooth brushing also enhanced manual tooth brushing ability.

Child↗

PubMed2005

Comparative study of plaque removal efficacy of twin-motor sonic toothbrush with floating bristles and conventional powered toothbrushes in posterior teeth.

PURPOSE: To compare twin-motor sonic toothbrushes (TST) with conventional sonic (CST) and electric (CET) toothbrushes in terms of plaque removal efficacy. METHODS: A single-blind, triple-treatment cross-over study was conducted involving 36 participants. Each subject refrained from brushing for 24 hours; subsequently, subjects were screened for dental plaque in premolars and molars with the Rustogi Modified Navy Plaque Index. Plaque removal efficacy was determined according to percentage of plaque score reduction in a single toothbrushing under supervision for 2 minutes at the base of whole tooth surfaces and approximal areas. RESULTS: 35 subjects completed this study. No meaningful difference in pre-brushing plaque score was observed among the three toothbrushes. In molars, TST (48.3+/-3.3%) was higher in plaque removal efficacy relative to CST (40.4+/-2.4%, P= 0.0064) and CET (36.7+/-2.8%, P= 0.0001). This trend was obvious in approximal areas of the lingual aspect of the mandible; 24.8% for TST versus 13.4% for CST (P= 0.0048) and 15.0% for CET (P= 0.0168). In premolars, TST displayed the greatest plaque removal efficacy, although the difference was significant exclusively for comparison with CET. These findings indicate that TST is more efficacious than CST and CET in terms of removal of plaque from molars, in particular, at approximal areas in the lingual aspect of the mandible, possibly due to new functions such as floating bristles and twin magnetic motors, which produce sonic vibration.

Adult↗