Journal List > J Korean Acad Oral Health > v.38(2) > 1057628

Park, Park, Bae, Jin, and Baek: Comparing the efficacy of a high pressure spray oral hygiene appliance and a sonic vibration toothbrush in reducing dental plaque

Abstract

Objectives

This study aims to compare home care dental devices for their dental plaque removal ability.

Methods

A single blinded randomized crossover clinical study design was used to measure plaque index (Turesky Modification Quigley-Hein Plaque Index).

Results

All 3 groups showed a statistically significant decrease in the plaque index after usage (P<0.001). In manual tooth-brushing group, the teeth on the right dental arch showed a greater decrease in the plaque index than on the left arch (P=0.041). All appliances showed greater plaque reduction in the upper right posterior teeth than in the lower right posterior teeth (P=0.009, 0.004, 0.007).

Conclusions

The results of this study support development of more effective oral hygiene appliances and emphasis on oral hygienic education.

References

1. Singh G, Mehta DS, Chopra S, Khatri M. Comparison of sonic and ionic toothbrush in reduction in plaque and gingivitis. J Indian Soc Periodontol. 2011; 15:210–214.
crossref
2. Hugoson A. Effect of the Water Pik device on plaque accumulation and development of gingivitis. J Clin Periodontol. 1978; 5:95–104.
3. Goyal CR, Lyle DM, Qaqish JG, Schuller R. The addition of a water flosser to power tooth brushing: effect on bleeding, gingivitis, and plaque. J Clin Dent. 2012; 23:57–63.
4. Zimmer S, Nezhat V, Bizhang M, Seemann R, Barthel C. Clinical efficacy of a new sonic/ultrasonic tooth brush. J Clin Periodontol. 2002; 29:496–500.
5. Kim JB, Paik DI, Moon HS, Seo HS, Song YH. A study on the tooth abrasiveness and plaque removal effect of electric vibrative toothbrushing. J Korean Acad Oral Health. 1992; 16:74–83.
6. Kim HN, Kim MJ, Kim JE, Lee PH, Park SH, Park SH, et al. Effect of gingival health promotion and oral hygiene improvement for children using vibratory toothbrushes. J Korean Acad Oral Health. 2013; 37:59–64.
crossref
7. Turesky S, Gilmore ND, Glickman I. Reduced plaque formation by the chloromethyl analogue of vitamine C. J Periodontol. 1970; 41:41–43.
8. Sharma NC, Qaqish JG, He T, Walters PA, Grender JM, Biesbrock AR. Plaque and gingivitis reduction efficacy of an advanced pul-sonic toothbrush: a 4-week randomized and controlled clinical trial. Am J Dent. 2010; 23:305–310.
9. Zimmer S, Fosca M, Roulet JF. Clinical study of the effectiveness of two sonic toothbrushes. J Clin Dent. 2000; 11:24–27.
10. Tritten CB, Armitage GC. Comparison of a sonic and a manual toothbrush for efficacy in supragingival plaque removal and reduction of gingivitis. J Clin Periodontol. 1996; 23:641–648.
crossref
11. Swierkot K, Brusius M, Leismann D, Nonnenmacher C, Nüsing R, Lubbe D, et al. Manual versus sonic-powered toothbrushing for plaque reduction in patients with dental implants: an explanatory randomised controlled trial. Eur J Oral Implantol. 2013; 6:133–144.
12. Pelka AK, Nagler T, Hopp I, Petschelt A, Pelka MA. Professional brushing study comparing the effectiveness of sonic brush heads with manual toothbrushes: a single blinded, randomized clinical trial. Clin Oral Investig. 2011; 15:451–460.
crossref
13. Gorur A, Lyle DM, Schaudinn C, Costerton JW. Biofilm removal with a dental water jet. Compend Contin Educ Dent. 2009; 30:Spec No. S1–S6.

Table 1.
Baseline subject demographics
Waterpik® Sonicare® Manual toothbrush
Age* 26.6 (4.51) 27.1 (4.28) 26.9 (4.45)
Gender
Male 11 11 12
Female 2 2 1
Hander type
Right 13 13 13
Left 0 0 0

*Data presented mean (Standard deviation).

Data presented frequency.

Table 2.
Whole mouth mean of plaque index and plaque reduction
Before After Plaque reduction P-value
Waterpik® 3.32 (0.440) 2.57 (0.530) 0.75 (0.301) <0.001
Sonicare® 3.13 (0.885) 2.04 (0.770) 1.10 (0.464) <0.001
Manual toothbrush 3.16 (0.690) 2.05 (0.591) 1.11 (0.385) <0.001

Data presented mean (Standard deviation).

Table 3.
Mean of plaque index and plaque reduction on right and left dental arch
Right dental arch Left dental arch P-value
Before After Plaque reduction Before After Plaque reduction
Waterpik® 3.46 (0.67) 2.39 (0.75) 1.06 (0.56) 3.38 (0.74) 2.38 (0.83) 1.00 (0.42) 0.861
Sonicare® 3.38 (0.92) 1.89 (0.76) 1.49 (0.70) 3.25 (1.11) 1.99 (0.98) 1.27 (0.71) 0.505
Manual toothbrush 3.38 (0.82) 1.75 (0.65) 1.63 (0.60) 3.35 (0.71) 2.00 (0.63) 1.35 (0.58) 0.075

Data presented mean (Standard deviation).

Table 4.
Mean of plaque index and plaque reduction of posterior upper teeth
Posterior upper right dental arch Posterior upper left dental arch
Before After Plaque reduction Before After Plaque reduction
Waterpik® 3.14 (0.55) 2.22 (0.62) 0.92 (0.41) 3.09 (0.68) 2.31 (0.80) 0.78 (0.33)
Sonicare® 3.07 (0.80) 1.79 (0.59) 1.29 (0.56) 3.05 (0.99) 1.92 (0.84) 1.13 (0.64)
Manual toothbrush 3.05 (0.66) 1.77 (0.62) 1.28 (0.43) 3.09 (0.60) 1.93 (0.65) 1.15 (0.43)

Data presented mean (Standard deviation).

Table 5.
Mean of plaque index and plaque reduction of posterior lower teeth
Posterior lower right dental arch Posterior lower left dental arch
Before After Plaque reduction Before After Plaque reduction
waterpik® 3.24 (0.62) 2.48 (0.64) 0.76 (0.43) 3.42 (0.58) 2.69 (0.72) 0.73 (0.40)
Sonicare® 3.12 (1.01) 2.37 (0.95) 0.75 (0.51) 3.31 (0.82) 2.39 (0.88) 0.92 (0.51)
Manual toothbrush 3.28 (0.74) 2.26 (0.64) 1.03 (0.51) 3.30 (0.93) 2.35 (0.87) 0.95 (0.39)

Data presented mean (Standard deviation).

Table 6.
Mean of proximal plaque index and proximal plaque reduction
Before After Plaque reduction
waterpik® 3.74 (0.60) 2.94 (0.65) 0.79 (0.34)
Sonicare® 3.62 (0.96) 2.49 (0.89) 1.13 (0.46)
Manual toothbrush 3.54 (0.83) 2.42 (0.73) 1.12 (0.41)

Data presented mean (Standard deviation).

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