Keywords
How to Cite
Abstract
Aim: To compare the effectiveness of a single-tuft toothbrush (STB) with conventional toothbrushes (CT) to control dental biofilm neoformation in the dentogingival area. Methods: For this cross-sectional prospective blind study, 20 periodontally healthy subjects were selected and randomly divided into 4 groups: STB; CT; CHX - chlorhexidine mouthwash (positive control) and PS - placebo mouthwash (negative control). The subjects were instructed to use only the assigned care method for 72 h with a 7-day washout period between experiments. The evaluated parameters were visible and disclosed plaque indices (PI and DPI), gingival bleeding index (GBI) at baseline (T-0) and at the end of each experimental period (T-72). Results: Data analysis demonstrated that at T-0 no difference was observed for any of the parameters (p>0.05); after 72 h, CT, STB and CHX showed equivalente effectiveness at controlling biofilm. When the PI data were analyzed, between T-0 and T-72, STB was similar to CT and CHX (p<0.05), whereas for DPI, STB was significantly superior to the other methods. Except for PS, all methods yielded similar results for GBI (p<0.05). Conclusions: The tested STB was effective at controlling short-term dental biofilm neoformation on the dentogingival area.References
Loe H, Theilade E, Jensen SB. Experimental gingivitis in man. J Periodontol. 1965 May-Jun;36:177-87.
Lang NP, Schätzle MA, Löe H. Gingivitis as a risk factor in periodontal disease. J Clin Periodontol. 2009 Jul;36 Suppl 10:3-8. doi: 10.1111/j.1600051X.2009.01415.x.
Peruzzo DC, Gimenes JH, Taiete T, Casarin RC, Feres M, Sallum EA, et al. Impact of smoking on experimental gingivitis. A clinical, microbiological and immunological prospective study. J Periodontal Res. 2016 Mar 3. doi: 10.1111/jre.12363.
Arweiler NB, Henning G, Reich E, Netuschil L. Effect of an aminefluoride-triclosan mouthrinse on plaque regrowth and biofilm vitality. J Clin Periodontol. 2002 Apr;29(4):358-63.
Deacon SA, Glenny AM, Deery C, Robinson PG, Heanue M, Walmsley AD, et al. Different powered toothbrushes for plaque control and gingival health. Cochrane Database Syst Rev. 2010 Dec 8;(12):CD004971. doi: 10.1002/14651858.CD004971.pub2.
Van der Weijden FA, Slot DE. Efficacy of homecare regimens for mechanical plaque removal in managing gingivitis a meta review. J Clin Periodontol. 2015 Apr;42 Suppl 16:S77-91. doi: 10.1111/jcpe.12359.
Gomes LK, Sarmento CF, Seabra FR, Santos PB, Pinheiro FH. Randomized clinical controlled trial on the effectiveness of conventional and orthodontic manual toothbrushes. Braz Oral Res. 2012 JulAug;26(4):360-5.
Sharma S, Yeluri R, Jain AA, Munshi AK. Effect of toothbrush grip on plaque removal during manual toothbrushing in children. J Oral Sci. 2012;54(2):183-90.
Klukowska M, Grender JM, Conde E, Ccahuana-Vasquez RA, Ram Goyal C. A randomized clinical trial evaluating gingivitis and plaque reduction of an oscillating-rotating power brush with a new brush head with angled bristles versus a marketed sonic brush with self-adjusting technology. Am J Dent. 2014 Aug;27(4):179-84.
Ashkenazi M, Salem NF, Garon S, Levin L. Evaluation of Orthodontic and Triple-headed Toothbrushes When Used Alone or in Conjunction with Single-tufted Toothbrush in Patients with Fixed Lingual Orthodontic Appliances. A Randomized Clinical Trial. N Y State Dent J. 2015 Apr;81(3):31-7.
Bergenholtz A, Brithon J. Plaque removal by dental floss or toothpicks. An intra-individual comparative study. J Clin Periodontol. 1980 Dec;7(6):51624.
Lindhe J, Karring T, Lang NP. [Clinical Periodontology and Implant Dentstry]. 5. ed. Rio de Janeiro (RJ): Guanabara Koogan; 2010. p.689. Portuguese.
Hujoel PP, Cunha-Cruz J, Banting DW, Loesche WJ. Dental flossing and interproximal caries: a systematic review. J Dent Res. 2006 Apr;85(4):298-305.
Bogren A, Teles RP, Torresyap G, Haffajee AD, Socransky SS, Wennström JL. Clinical and microbiologic changes associated with the combined use of a powered toothbrush and a triclosan/copolymer dentifrice: a 3-year prospective study. J Periodontol. 2007 Sep;78(9):1708-17.
Ferraz C, Gomes CAS, Gomes R, Rached RSGA, Toleso BEC. [Mechanical control of bacterial plaque with conventional and single tuffed brushes]. Rev Assoc Paul de Cir Dent.1987;41(4):206-9. Portuguese.
Rapp GE, Toledo BEC, Neto CB, Abi Rached RSG. [Effect of the intracrevicular techniques by Bass and Unitufo with or without dental flossing on the interproximal gingiva: histomorphological analysis in humans]. Rev Odontol UNESP. 1997;26(2):325-36. Portuguese.
Franceschini C, Oppermann RV. [Effect of the intracrevicular techniques by Bass and Unitufo with or without dental flossing on the interproximal gingiva: histomorphological analysis in humans]. Rev Bras Odontol 1987;44:2-7. Portuguese.
Erovic Ademovski S, Lingström P, Winkel E, Tangerman A, Persson GR, Renvert S. Comparison of different treatment modalities for oral halitosis. Acta Odontol Scand. 2012 May;70(3):224-33. doi: 10.3109/00016357.2011.635601.
Ademovski SE, Persson GR, Winkel E, Tangerman A, Lingström P, Renvert S. The short-term treatment effects on the microbiota at the dorsum of the tongue in intra-oral halitosis patients--a randomized clinical trial. Clin Oral Investig. 2013 Mar;17(2):463-73. doi: 10.1007/ s00784-012-0728-y.
Peruzzo DC, Jandiroba PF, Nogueira Filho Gda R. Use of 0.1% chlorine dioxide to inhibit the formation of morning volatile sulphur compounds (VSC). Braz Oral Res. 2007 Jan-Mar;21(1):70-4.
Sälzer S, Slot DE, Dörfer CE, Van der Weijden GA. Comparison of triclosan and stannous fluoride dentifrices on parameters of gingival inflammation and plaque scores: a systematic review and meta-analysis. Int J Dent Hyg. 2015 Feb;13(1):1-17. doi: 10.1111/idh.12072.
Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J. 1975 Dec;25(4):229-35.
Re D, Augusti G, Battaglia D, Giannì AB, Augusti D. Is a new sonic toothbrush more effective in plaque removal than a manual toothbrush? Eur J Paediatr Dent. 2015 Mar;16(1):13-8.
Sharma NC, Qaqish J, Walters PA, Grender J, Biesbrock AR. A clinical evaluation of the plaque removal efficacy of five manual toothbrushes.
J Clin Dent. 2010;21(1):8-12.
Wilder RS, Bray KS. Improving periodontal outcomes: merging clinical and behavioral science. Periodontol 2000. 2016 Jun;71(1):65-81. doi: 10.1111/prd.12125.
Lee DW, Moon IS. The plaque-removing efficacy of a single-tufted brush on the lingual and buccal surfaces of the molars. J Periodontal Implant Sci. 2011 Jun;41(3):131-4. doi: 10.5051/jpis.2011.41.3.131.
Eberhard J, Grote K, Luchtefeld M, Heuer W, Schuett H, Divchev D, et al. Experimental gingivitis induces systemic inflammatory markers in young healthy individuals: a single-subject interventional study. PLoS One. 2013;8(2):e55265. doi: 10.1371/journal.pone.0055265.
Friedman MT, Barber PM, Mordan NJ, Newman HN. The "plaque-free zone" in health and disease: a scanning electron microscope study. J Periodontol. 1992 Nov;63(11):890-6.
Bergström J. Photogrammetric registration of dental plaque accumulation in vivo. Acta Odontol Scand. 1981;39(5):275-84.
Quirynen M, van Steenberghe D. Is early plaque growth rate constant with time? J Clin Periodontol. 1989 May;16(5):278-83.
Maliska AN, Weidlich P, Gomes SC, Oppermann RV. Measuring early plaque formation clinically. Oral Health Prev Dent. 2006;4(4):273-8.
Branco P, Weidlich P, Oppermann RV, Rösing CK. Early supra- and subgingival plaque formation in experimental gingivitis in smokers and never-smokers. Oral Health Prev Dent. 2015;13(1):13-20. doi: 10.3290/j. ohpd.a32669.
Pretty IA, Edgar WM, Smith PW, Higham SM. Quantification of dental plaque in the research environment. J Dent. 2005 Mar;33(3):193-207.
Muniz FW, Sena KS, de Oliveira CC, Veríssimo DM, Carvalho RS, Martins RS. Efficacy of dental floss impregnated with chlorhexidine on reduction of supragingival biofilm: a randomized controlled trial. Int J Dent Hyg. 2015 May;13(2):117-24. doi: 10.1111/idh.12112.
Van Strydonck DA, Slot DE, Van der Velden U, Van der Weijden F. Effect of a chlorhexidine mouthrinse on plaque, gingival inflammation and staining in gingivitis patients: a systematic review. J Clin Periodontol. 2012 Nov;39(11):1042-55. doi: 10.1111/j.1600-051X.2012.01883.x.
Herrera D, Roldán S, Santacruz I, Santos S, Masdevall M, Sanz M. Differences in antimicrobial activity of four commercial 0.12% chlorhexidine mouthrinse formulations: an in vitro contact test and salivary bacterial counts study. J Clin Periodontol. 2003 Apr;30(4):307-14.
Papaioannou W, Vassilopoulos S, Vrotsos I, Margaritis V, Panis V. A comparison of a new alcohol-free 0.2% chlorhexidine oral rinse to an established 0.2% chlorhexidine rinse with alcohol for the control of dental plaque accumulation. Int J Dent Hyg. 2015 Oct 9. doi: 10.1111/idh.12182.
Segreto VA, Collins EM, Beigwanger BB, De la Rosa M, Issacs RL, Lang NP, et al. A comparison of mouthrinses containing two concentrations of chlorhexidine. J Periodontol Res. 1986;21(suppl):23-32.
Arora V, Tangade P, T L R, Tirth A, Pal S, Tandon V. Efficacy of dental floss and chlorhexidine mouth rinse as an adjunct to toothbrushing in removing plaque and gingival inflammation - a three way cross over trial. J Clin Diagn Res. 2014 Oct;8(10):ZC01-4. doi: 10.7860/JCDR/2014/8807.4943.
The Brazilian Journal of Oral Sciences uses the Creative Commons license (CC), thus preserving the integrity of the articles in an open access environment.
Downloads
