Effectiveness of a motionless ultrasonic toothbrush in reducing plaque and gingival inflammation in patients with fixed orthodontic appliances
Autor: | Waranuch Pitiphat, Thayika Saruttichart, Panida Thanyasrisung, Oranart Matangkasombut, Chalermpol Leevailoj, Pintu-on Chantarawaratit |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male Toothbrushing Plaque index Adolescent Dental Plaque Dentistry Orthodontics Dental plaque law.invention Streptococcus mutans 03 medical and health sciences 0302 clinical medicine Orthodontic Appliances law Humans Medicine Single-Blind Method Ultrasonics In patient 030212 general & internal medicine Gingival inflammation Saliva Gingival indices Cross-Over Studies business.industry Dental Plaque Index Ultrasonic toothbrush Original Articles Equipment Design 030206 dentistry medicine.disease Gingivitis Crossover study Treatment Outcome Biofilms Female Periodontal Index Toothbrush business |
Zdroj: | Angle Orthod |
ISSN: | 1945-7103 0003-3219 |
DOI: | 10.2319/042516-334.1 |
Popis: | Objective: To compare the effectiveness of a motionless ultrasonic toothbrush to a manual toothbrush in reducing dental plaque, gingival inflammation, and mutans streptococci in patients with fixed orthodontic appliances. Materials and Methods: Twenty-five orthodontic patients were recruited to this crossover study. The patients were randomized into two groups starting with manual or motionless ultrasonic toothbrushes for 30 days. After a 30-day washout period, the patients switched to the other toothbrush type for 30 days. Plaque and gingival indices were evaluated by two calibrated-blinded examiners before and after each 30-day period of brushing. Salivary samples were also collected for quantification of mutans streptococci. Results: On the bracket side, the motionless ultrasonic toothbrush showed a significantly higher mean plaque index bracket score after 30-day usage than baseline (P = .049), while the manual toothbrush group showed no difference between the before and after brushing periods (P = .10). The changes in plaque index bracket score were significantly more favorable in the manual toothbrush group than in the ultrasonic toothbrush group (P = .04). In contrast, no difference was observed on the nonbracket side. There was no significant difference in the changes of gingival index or the numbers of mutans streptococci between the two groups. Conclusion: Manual toothbrushing performed better than brushing with the motionless ultrasonic toothbrush in plaque removal on the bracket side in orthodontic patients. However, no difference was observed in terms of gingival status and the numbers of mutans streptococci. |
Databáze: | OpenAIRE |
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