International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 12 , ISSUE 5 ( September-October, 2019 ) > List of Articles

Original Article

Plaque Removal Efficacy of Different Toothbrushes: A Comparative Study

Neha Aggarwal, Sunil Gupta, Rashu Grover, Karan Bansal

Keywords : Multidirectional toothbrush, Plaque, Plaque removal, Plaque scores, Ultrasonic toothbrush

Citation Information : Aggarwal N, Gupta S, Grover R, Bansal K. Plaque Removal Efficacy of Different Toothbrushes: A Comparative Study. Int J Clin Pediatr Dent 2019; 12 (5):385-390.

DOI: 10.5005/jp-journals-10005-1669

License: CC BY-NC 4.0

Published Online: 00-10-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim and objective: This study aimed to compare the plaque removal efficacy of different toothbrushes and to ascertain the most efficient mechanical mean for daily plaque removal so as to maintain oral health in a preeminent way. Study design: It was a randomized controlled clinical trial consisting of 60 subjects divided into three groups (group I ultrasonic and sonic toothbrush, group II multidirectional toothbrush, and group III manual toothbrush) with 20 in each group. Prebrushing and postbrushing plaque scores were recorded at weekly intervals for four weeks using Turesky modification of Quigley and Hein plaque index. Results: Statistically significant differences (p < 0.001) existed in mean percent reduction of pre-day 1 to pre-day 28 mean percent reduction in plaque values of the ultrasonic toothbrush group (111.92 ± 25.20), the multidirectional toothbrush group (189.06 ± 52.70), and the manual toothbrush group (42.34 ± 14.77). Similar results were found in post-day 1 to post-day 28 mean percent reduction in plaque values. Conclusion: Group II (i.e., multidirectional toothbrush) showed maximum mean percent reduction in prebrushing and postbrushing plaque scores at the end of four weeks when compared with the baseline values followed by ultrasonic toothbrush and manual toothbrush.


  1. Jardim JJ, Alves LS, et al. The history and global market of oral home-care products. Braz Oral Res 2009;23(1):17–22. DOI: 10.1590/S1806-83242009000500004.
  2. Re D, Augusti G, et al. Is a new sonic toothbrush more effective in plaque removal than a manual toothbrush? Eur J Paediatr Dent 2015;16(1):13–18. DOI: 10.1007/s40368-014-0139-7.
  3. Mourad PD, Roberts FA, et al. Synergistic Use of Ultrasound and Sonic Motion for Removal of Dental Plaque Bacteria. Compend Contin Educ Dent 2007;28(7):354–358.
  4. Mielczarek A, Klukowska M, et al. A novel power toothbrush with multi-directional, triple zone cleaning technology. Am J Dent 2012;25(Sp Is A):3–9.
  5. Haffajee AD, Thompson M, et al. Efficacy of manual and powered toothbrushes (I). Effect on clinical parameters. J Clin Periodontol 2001;28(10):937–946. DOI: 10.1034/j.1600-051x.2001.028010937.x.
  6. Pelka AK, Nagler T, et al. Professional brushing study comparing the effectiveness of sonic brush heads with manual toothbrushes: a single blinded, randomized clinical trial. Clinical oral investigations 2011;15(4):451–460. DOI: 10.1007/s00784-010-0411-0.
  7. Forgas-Brockmann LB, Carter-Hanson C, et al. The effects of an ultrasonic toothbrush on plaque accumulation and gingival inflammation. J Clin Periodontol 1998;25(5):375–379. DOI: 10.1111/j.1600-051X.1998.tb02458.x.
  8. Sharma NC, Klukowska M, et al. A 4-week clinical comparison of a novel multi-directional power brush to a manual toothbrush in the reduction of gingivitis and plaque. Am J Dent 2012;25(14A): 27–32.
  9. Cugini M, Thompson M, et al. Correlations between two plaque indices in assessment of toothbrush effectiveness. J Contemp Dent Pract 2006;7(5):1–9. DOI: 10.5005/jcdp-7-5-1.
  10. Biesbrock AR, Bartizek RD, et al. Clinical evaluations of plaque removal efficacy: an advanced rotating-oscillating power toothbrush versus a sonic toothbrush. J Clin Dent 2007;18(4):106–111.
  11. Kallar S, Pandit IK, et al. Plaque removal efficacy of powered and manual toothbrushes under supervised and unsupervised conditions: a comparative clinical study. J Indian Soc Pedod Prev Dent 2011;29(3):235–238. DOI: 10.4103/0970-4388.85832.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.