Stomatologist № 4 (31) – 2018, pp. 58-63                                                                                                                               Scientific publications

Comparative evaluation of the effectiveness in plaque removal from the tooth surface by electric toothbrushes with different types of bristle movement

V.G. Atrushkevitcha,V.N. Tsareva, L.U.Orekhovab, L.A. Elizovac, E.S. Lobodad
aMD, PhD, DMSci, Professor, A.I. Yevdokimov Moscow State University for Medicine and Dentistry, Moscow, Russia
bMD, PhD, DMSci, Professor, Pavlov First Saint Petersburg State Medical University, Saint Petersburg, Russia
cMD, PhD, A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia
dMD, PhD, Associate Professor, Pavlov First Saint Petersburg State Medical University, Saint Petersburg, Russia

https://doi.org/10.32993/stomatologist.2018.4(31).11

ABSTRACT
Supportive periodontal therapy (SPT) is an important factor in maintaining the results of active treatment of periodontal disease. Selection of effective personal hygienic tools is very important in addition to the formation of sustainable hygienic skills in patients.
The aim of the study is a comparative assessment of the quality of mechanical removal of a native microbial biofilm with toothbrushes with different types of head rotation and a manual toothbrush.
Objects and methods. The extracted teeth were fixed in plaster models, and the vestibular surface of the three teeth was processed for 10 seconds without the use of toothpaste. Tooth № 1 was a control (biofilm was not removed), tooth № 2 was cleaned with a manual toothbrush with an imitation of the Brass method, tooth № 3 was cleaned with a brush with oscillating-rotating movements of bristles. Tooth №4 was brushed with a toothbrush with vibrating types of bristles motion. The enamel-cementum junction of the tooth was taken strictly from the vestibular surface along the central axis of the tooth for studying in a scanning electron microscope.
Conclusions. A complete cleaning of the tooth enamel surface from microbial biofilms is not achieved after using a manual toothbrush. Toothbrushes with oscillating-rotating movements of bristles create the phenomenon of “sweeping” of the biofilm fragments into the area of the cementum-enamel junction. The vibrating types of bristles motion maximally clean the cervical area of the tooth.

Keywords: microbial biofilms, periodontitis, electric toothbrushes.

References

  1. Ippolitov E.V., Didenko L.V., TcarevN. Osobennosti morfologii bioplyonki parodonta pri vospalitel’nyh zabolevaniyah dyosen (hronicheskij kataral’nyj gingivit, hronicheskij parodontit, kandida-associirovannyj parodontit) po dannym ehlektronnoj mikroskopii [Features of the morphology of periodontal biofilms in inflammatory diseases of the gums (chronic catarrhal gingivitis, chronic periodontitis, candida-associated periodontitis) according to electron microscopy]. Klinicheskaya laboratornaya diagnostika. – Clinical laboratory diagnostics, 2015, vol. 60, no. 12, pp. 59–64.
  2. Rybal’chenko O.V., Orlova O.G., Vishnevskaya O.N. [et al.] Osobennosti formirovaniya bakterial’nyh bioplyonok v usloviyah kosmicheskogo polyota [Features of the formation of bacterial biofilms in space flight]. Zhurnal mikrobiologii, ehpidemiologii i immunobiologii. – Journal of Microbiology, Epidemiology and Immunobiology, 2017, no. 6, pp. 3–10.
  3. Tcarev V.N., Ippolitov E.V., Trefilov A.G., Arutyunov S.D., Pivovarov A.A. Osobennosti adgezii anaehrobnyh parodontopatogennyh bakterij i gribov Candida albicans k ehksperimental’nym obrazcam bazisnoj stomatologicheskoj plastmassy v zavisimosti ot sherohovatosti poverhnosti i sposoba polirovki [Features of adhesion of anaerobic periodontopathogenic bacteria and fungi Candida albicans to experimental samples of basic dental plastic, depending on the surface roughness and method of polishing]. Zhurnal mikrobiologii, ehpidemiologii i immunobiologii. – Journal of microbiology, epidemiology and immunobiology, 2014, no. 6, pp. 21–27.
  4. Тсarev V.N., Atrushkevich V.G., Ippolitov E.V., Podporin M.S. Sravnitel’nyj analiz antimikrobnoj aktivnosti parodontal’nyh antiseptikov s ispol’zovaniem avtomatizirovannoj sistemy kontrolya rosta mikroorganizmov v rezhime real’nogo vremeni [Comparative analysis of antimicrobial activity of periodontal antiseptics using an automated system for controlling the growth of microorganisms in real time]. Parodontologiya. – Periodontics, 2017, no. 1, pp. 4–10.
  5. Mager D.L., Ximenez-Fyvie L.A., Haffajee A.D., Socransky S.S. Distribution of selected bacterial species on intraoral surfaces. J Clin Periodontol., 2003, no. 30(7), pp. 644–654, doi.org/10.1034/j.1600-051x.2003.00376.x
  6. Teles R., Teles F., Frias-Lopez J., Paster B., Haffajee A. Lessons learned and unlearned in periodontal microbiology. Periodontol, 2000–2013, no. 62(1), pp. 95–162, doi.org/10.1111/prd.120107.
  7. König J., Storcks V., Kocher T., Bössmann K., Plagmann H.C. Anti-plaque effect of tempered 0.2% chlorhexidine rinse: an in vivo study. J Clin Periodontol, 2002, no. 29(3), pp. 207–210, doi.org/10.1034/j.1600–051x.2002.290304.x
  8. Costa F.O., Cota L.O., Lages E.J., Lima Oliveira A.P., Cortelli S.C., Cortelli J.R., Lorentz T.C., Costa J.E. Periodontal risk assessment model in a sample of regular and irregular compliers under maintenance therapy: a 3-year prospective study. J Periodontol, 2012, no. 83(3), pp. 292–300, doi.org/10.1902/jop.2011.110187

Correspondence to: Е-mail: atrushkevichv@mail.ru

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