Effect of electric, ultrasonic and manual toothbrushes on biofilm removal and gingivitis control

in vitro and parallel randomized controlled clinical trial study

Authors

DOI:

https://doi.org/10.20396/bjos.v20i00.8659280

Keywords:

Gingivitis, Oral hygiene, Toothbrushing

Abstract

Aim: To evaluate the effect of manual (M), electric (E) and ultrasonic (US) toothbrushes on the removal of oral biofilm and control of gingivitis. Also, the roughness and tooth wear production were evaluated in vitro. Methods: For the in vitro analyses, thirty bovine dentin specimens were submitted to a 3-month brushing simulation (9 minutes) with the three types of toothbrushes (n = 10). Subsequently, a randomized controlled clinical trial was performed with 36 patients divided into 3 groups according to the toothbrushes used (n = 12). Gingival index, visible plaque index and the volume of crevicular fluid were evaluated at baseline and 3 months after the beginning of the toothbrush use. Furthermore, the performance of the biofilm removal per brushing cycle of 1 and 3 minutes with each toothbrush was made monthly until the end of the experiment. Results: The US group had the highest dentin wear. Clinically, the US group had a lower plaque index at 3 months than the M group. The M group also showed less biofilm removal efficiency from the second month of follow-up and more worn bristles at the end of the 3 month period than the E and US groups. Conclusion: The ultrasonic, electric and manual toothbrushes showed no differences in gingivitis control in the present study. The ultrasonic and electric toothbrushes had a more significant effect on biofilm removal than a manual toothbrush, but the ultrasonic toothbrush promoted greater dentin tissue wear.

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Author Biographies

Thamiris Cirelli, São Paulo State University

Department of Diagnosis and Surgery, São Paulo State University – UNESP, School of Dentistry at Araraquara, Araraquara, SP, Brazil.

Guilherme José Pimentel Lopes de Oliveira, São Paulo State University

Department of Diagnosis and Surgery, São Paulo State University – UNESP, School of Dentistry at Araraquara, Araraquara, SP, Brazil.

Andressa Vilas Boas Nogueira, São Paulo State University

Department of Diagnosis and Surgery, São Paulo State University – UNESP, School of Dentistry at Araraquara, Araraquara, SP, Brazil.

Isis Jordão Pinheiro Ribaldo, São Paulo State University

Department of Diagnosis and Surgery, São Paulo State University – UNESP, School of Dentistry at Araraquara, Araraquara, SP, Brazil.

Emelly Yukiko Diz Furuta, São Paulo State University

Department of Diagnosis and Surgery, São Paulo State University – UNESP, School of Dentistry at Araraquara, Araraquara, SP, Brazil.

Joni Augusto Cirelli, São Paulo State University

Department of Diagnosis and Surgery, São Paulo State University – UNESP, School of Dentistry at Araraquara, Araraquara, SP, Brazil.

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Published

2021-02-18

How to Cite

1.
Cirelli T, Oliveira GJPL de, Nogueira AVB, Ribaldo IJP, Furuta EYD, Cirelli JA. Effect of electric, ultrasonic and manual toothbrushes on biofilm removal and gingivitis control: in vitro and parallel randomized controlled clinical trial study. Braz. J. Oral Sci. [Internet]. 2021Feb.18 [cited 2021Oct.27];20(00):e219280. Available from: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8659280

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