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Clinical assessment of the INTERPLAK toothbrush vs a conventional brush plus floss.

Thirty clinical recall patients from the University of Missouri at Kansas City School of Dentistry participated in a 4-week study to determine the long-term effectiveness of the INTERPLAK Home Plaque-Removal Instrument compared to manual brushing and flossing. Patients were divided into two groups, with each group using the INTERPLAK device for 2 months and the manual brush for 2 months. Patients were assessed according to measured indices for plaque, bleeding, crevice depth, and calculus. The study found that both kinds of brushes significantly reduced plaque, bleeding, and crevice depth; however, only the INTERPLAK brush reduced calculus. Improvements on all indices were greater for the INTERPLAK device than they were for manual brushing and flossing. At the end of the 4 months, most patients indicated that they would continue to use the INTERPLAK device.

Adult↗

Cleaning effect of toothbrushing with three different toothpastes and water.

The cleaning effect of three different toothpastes and water was studied in vivo using a laser reflexion technique. Ten healthy persons formed the test group. Light reflexion measurements on the upper front teeth were performed before and after the removal of a 72-hour plaque-pellicle. The results suggest that the toothpaste containing sodium bicarbonate as abrasive was less effective than a toothpaste containing aluminium silicate, calcium carbonate and dicalcium-phosphate dihydrate or silicon dioxide and dicalcium phosphate dihydrate. The abrasivity of the toothpastes was compared in vitro. The in vitro results correspond quite well to the in vivo findings.

Acrylic Resins↗

Clinical and laboratory evaluation of powered electric toothbrushes: comparative efficacy of two powered brushing instruments in furcations and interproximal areas.

The purpose of this study was to compare the efficacy of two powered brushing instruments (Rota-dent, Pro-Dentec Inc. and Interplak, Bausch and Lomb Inc.) for control of plaque and gingivitis in interproximal spaces and furcations. Thirty-five patients, randomly selected from a pool of post-active therapy, periodontal surgical cases, completed this study. A split-mouth design was utilized in this twelve-week trial with each patient acting as his/her own control. Subjects alternately brushed one-half of their mouths with each of the instruments: a crossover in the brushing pattern occurred at six weeks. Single-blind clinical assessments were made by a calibrated investigator at baseline, six and twelve weeks. Gingival Index (GI), Plaque Index (PI) and Papillary Bleeding Index (PBI) were determined in interproximal and furcation areas. Mean percent reductions from baseline for GI, PI and PBI at the end of twelve weeks were 72%, 61% and 70%, respectively for the Rota-dent, and 46%, 43% and 27%, respectively for the Interplak. One-way analyses of variance (ANOVA) and co-variance (ANCOVA) indicate that the Rota-dent was significantly more effective (p < 0.001) than the Interplak in controlling plaque and gingivitis in furcation and interproximal areas with clinically relevant differences in all indices measured.

Adult↗

Meswak: the natural toothbrush.

The use of a wood stick (meswak or chewing stick) for brushing the teeth continues to be an important tool for oral hygiene care in many Afro-Asian communities. It is inexpensive, customary and used for religious reasons as well. Despite the wide use of meswak, information on its chemical and pharmaceutical contents are scant, particularly in regard to an anticaries effect. In the present study, sticks from Salvadora persica, the most common source for meswak, were analyzed for their soluble and total content of fluoride, calcium, phosphorus and silica. Results showed that the fluoride released from meswak soaked in water was negligible (< 0.07 microgram/ml). Approximately 39% of the total fluoride in the sticks was in a form that could be leached out. The leached calcium and phosphorus averaged 582 micrograms/ml and 34 g/ml, respectively, representing 19.6% and 26.4% of their total content in the sticks. There was a substantial amount of silica in the ashes of meswak. It appears that meswak is probably not particularly active against caries through its fluoride content, but it does act as a brush for removing dental plaque and polishing the teeth.

Calcium↗