Effectiveness of a single-tuft toothbrush for control of newly formed dental biofilm

Authors

  • Iohana Hasegawa Faculdade São Leopoldo Mandic
  • Camila Veríssimo Faculdade São Leopoldo Mandic
  • Victor Angelo Montalli Faculdade São Leopoldo Mandic
  • Marcelo Sperandio Universidade de São Paulo
  • Daiane Cristina Peruzzo Faculdade São Leopoldo Mandic

DOI:

https://doi.org/10.20396/bjos.v15i2.8648761

Keywords:

Dental plaque. Biofilms. Oral hygiene.

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.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biographies

Iohana Hasegawa, Faculdade São Leopoldo Mandic

Graduanda do curso de Odontologia pela Faculdade e Pesquisas Odontológicas São Leopoldo Mandic.

Camila Veríssimo, Faculdade São Leopoldo Mandic

Cirurgiã dentista formada pela Faculdade de Odontologia São Leopoldo Mandic. Realizou iniciação científica na área de Anestesiologia, Farmacologia e Terapêutica com estudos direcionados a avaliação do conhecimento e da habilidade de cirurgiões-dentistas sobre manobras de ressuscitação cardiorrespiratória (RCP) utilizando o desfibrilador externo automático (DEA), no Programa de Iniciação Científica (PIC) sob o número 06/13, entre agosto de 2013 e julho de 2014.

Victor Angelo Montalli, Faculdade São Leopoldo Mandic

Graduado em Odontologia pela Faculdade São Leopoldo Mandic, mestre em Patologia Bucal pela Faculdade São Leopoldo Mandic, doutor em Ciências Médicas pela Faculdade de Ciências Médicas da Universidade Estadual de Campinas (UNICAMP). Atualmente é Docente Pesquisador na Faculdade São Leopoldo Mandic, vinculado à Graduação e Pós Graduação. Tem experiência em patologias que acometem o sistema estomatognático.

Marcelo Sperandio, Universidade de São Paulo

Graduado em Odontologia pela Universidade de São Paulo, mestrado em Estomatologia (MSc in Experimental Oral Medicine) - Kings College London - Universidade de Londres e doutorado em Estomatologia e Patologia Bucal - Kings College London - Universidade de Londres.

Daiane Cristina Peruzzo, Faculdade São Leopoldo Mandic

Possui graduação em Odontologia pela Universidade Luterana do Brasil, mestrado em Clínica Odontológica pela Universidade Estadual de Campinas, doutorado em Clínica Odontológica pela Universidade Estadual de Campinas e pós-doutorado em Implantodontia pelo Centro de Pesquisas Odontológicas São Leopoldo Mandic.

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.

Downloads

Published

2017-04-20

How to Cite

1.
Hasegawa I, Veríssimo C, Montalli VA, Sperandio M, Peruzzo DC. Effectiveness of a single-tuft toothbrush for control of newly formed dental biofilm. Braz. J. Oral Sci. [Internet]. 2017 Apr. 20 [cited 2022 Aug. 17];15(2):113-8. Available from: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8648761

Issue

Section

Article