Korean J Orthod.  2009 Dec;39(6):383-392. 10.4041/kjod.2009.39.6.383.

Comparison of slim bristled and V-shaped orthodontic toothbrushes in patients with fixed orthodontic appliances

• Choi JH

• KMID: 1975782
• DOI: http://doi.org/10.4041/kjod.2009.39.6.383

Abstract

OBJECTIVE
The purpose of this study was to evaluate the efficacy of a slim bristled toothbrush compared with a V-shaped orthodontic toothbrush in patients with fixed orthodontic appliances. METHODS: Thirty four orthodontic patients receiving edgewise treatment were randomly assigned to two groups, a slim bristled toothbrush (Nano silver slim care) and a V-shaped toothbrush (Oral-B). Plaque index, gingival index and bleeding index were recorded at the beginning of the study (baseline), 2 weeks, 4 weeks and 6 weeks after new toothbrushes were supplied and the results were analyzed statistically. RESULTS: No statistically significant differences were found for plaque index, gingival index and bleeding index between toothbrush groups during the 6 weeks. Plaque and gingival indices were decreased at 2 weeks and 4 weeks but increased at 6 weeks in both toothbrush groups. Bleeding index in the V-shaped toothbrush group showed the lowest value at 2 weeks then increased at 4 weeks and 6 weeks but in the slim bristled toothbrush group decreased from 2 weeks through 6 weeks to under baseline levels. Patients in their twenties had significantly lower values than teenagers in the slim bristled toothbrush group (p < 0.013). CONCLUSIONS: The results would suggest that both of the toothbrushes are equally effective but the use of a slim bristled toothbrush may be of benefit in promoting gingival health for fixed orthodontic appliance patients in their twenties and over.

Keyword

Fixed orthodontic appliance; Slim bristled toothbrush; Oral hygiene; Periodontal health

MeSH Terms

Adolescent
Hemorrhage
Humans
Oral Hygiene
Orthodontic Appliances
Periodontal Index
Silver
Silver

Figure

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  Fig. 1 Toothbrushes used in this study. A, V-shaped orthodontic toothbrush; B, Nano-silver composite slim bristled toothbrush.

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  Fig. 2 Orthodontic modification of Plaque index: diagram to show the method for division of the tooth for plaque measurement.

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