Comparative study of 3 types of toothbrushes in patients with fixed orthodontic appliances

Randomized clinical controlled trial on the effectiveness of conventional and orthodontic manual toothbrushes

“…Among them, only one 7 observed greater efficacy of orthodontic toothbrushes, and this difference was limited to the anterior region of the mouth, and was considered by the authors of the original study to be of small clinical significance. In addition, another 12 of these studies, using a similar experimental design and a slightly larger sample size (31 patients), was unable to verify the alleged superiority of orthodontic toothbrushes.…”

“…7,[11][12][13] None of them utilized a split-mouth design to control for confounding factors pertaining to each individual, such as age, lifestyle, diet changes, hormones and systemic factors. The present study also demonstrated the absence of statistically significant differences between VPI and GBI values at T 0 , which is a reflection of the homogeneity of the sample (Table 2).…”

“…This has been described in the literature as the Hawthorne effect. 17 Of the four studies 7,[11][12][13] from the "PubMed" database up to June 17, 2010, only two 7,12 actually compared manual orthodontic and conventional toothbrushes. Among them, only one 7 observed greater efficacy of orthodontic toothbrushes, and this difference was limited to the anterior region of the mouth, and was considered by the authors of the original study to be of small clinical significance.…”

Combined effects of repeated oral hygiene motivation and type of toothbrush on orthodontic patients:A blind randomized clinical trial

“…The PI system used in the present research was not specifically designed for orthodontic patients, even if it has been used in some studies conducted on orthodontic population. [28][29][30] Further investigations should use a more specific orthodontic PI system, such as the modified Silness and Loe index, and should analyze the effects of repeated OHI and motivation on PI score trends during the entire duration of orthodontic treatment in order to provide an orthodontic hygiene protocol.…”

Enhancement of Plaque Removal Efficiency in Children Brush Design or Awareness?

“…3,[22][23][24] Ayrıca ortodontik tedavi gören hastalarda, oral hijyeni geliştirmede pratik bir alternatif olacağı belirtilmiş olup, tek başına kullanıldığında ortodontik diş fırçalarına göre daha etkin plak temizlediği gözlemlenmiştir. 10,12 Engelli çocuklarda üç farklı diş fırçasının karşılaş-tırıldığı bir çalışmada, en başarılı elektrikli diş fır-çası bulunur iken, 3 boyutlu diş fırçasının da klasik fırçaya iyi bir alternatif olacağı öne sürülmüştür. 16 Bununla birlikte iki fırça arasında anlamlı bir fark bulunmayan çalışmalar da mevcuttur.…”