Effect of a single-tufted toothbrush on the control of dental biofilm in orthodontic patients: A randomized clinical trial

Int J Dent Hyg. 2018 Nov;16(4):512-518. doi: 10.1111/idh.12360. Epub 2018 Aug 20.

Abstract

Objective: To compare the effect of a single-tufted toothbrush combined or not with a conventional toothbrush to control dental biofilm in healthy orthodontic patients.

Materials and methods: Twenty orthodontic patients were randomly assigned to receive three different treatments: Group 1-conventional toothbrush; Group 2-single-tufted toothbrush and Group 3-combination of single-tufted and conventional toothbrushes. Stained plaque index (SPI), visible plaque index (VPI) and gingival bleeding index (GBI) were recorded. The data were analysed by Kolmogorov-Smirnov test. Wilcoxon test was used for intragroup comparison and Friedman test for the intergroup comparison (α = 5%).

Results: Intragroup analysis showed that VPI and SPI significantly decreased (P < 0.05) after 72 hour in Group 3. Anterior and posterior teeth did not show any significant statistical differences after 72 hour (P > 0.05), but VPI values in the labial surfaces were different to Group 3 (P < 0.05) in comparison with the other groups after 72 hour. Group 3 showed a statistically significant reduction (P < 0.05) for SPI in the interproximal surfaces when compared with Group 1.

Conclusion: The combination of single-tufted and conventional toothbrushes was effective for controlling dental biofilm formation in orthodontic patients.

Keywords: oral hygiene; orthodontic appliances; toothbrushing.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Biofilms / growth & development*
  • Dental Plaque Index
  • Female
  • Humans
  • Male
  • Oral Hygiene / instrumentation*
  • Orthodontic Appliances / microbiology*
  • Periodontal Index
  • Prospective Studies
  • Statistics, Nonparametric
  • Time Factors
  • Toothbrushing / instrumentation*
  • Young Adult