Efficacy of ultrasonic, electric and manual toothbrushes in patients with fixed orthodontic appliances

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dc.contributor.authorCosta, Mauricio Ribeiro [UNESP]
dc.contributor.authorSilva, Vanessa Camila [UNESP]
dc.contributor.authorMiqui, Miriam Nakatani
dc.contributor.authorSakima, Tatsuko
dc.contributor.authorSpolidório, Denise Madalena Palomari [UNESP]
dc.contributor.authorCirelli, Joni Augusto [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionAssocia Ção Paulista DDS Cirurgiões-Dentistas
dc.date.accessioned2014-05-27T11:22:25Z
dc.date.available2014-05-27T11:22:25Z
dc.date.issued2007-03-01
dc.description.abstractObjective: This crossover study compared the efficacy of an ultrasonic toothbrush for the reduction of plaque, gingival inflammation, and levels of Streptococcus mutans, in relation to an electric and a manual toothbrush. Materials and Methods: Twenty-one patients with orthodontic appliances were divided into three groups. All patients were evaluated by a periodontist and samples of saliva were collected for quantification of S mutans. The patients received their first brushes with appropriate instructions. For each crossover leg, patients used each toothbrush for a period of 30 days. At the end of each washout period, participants received a periodontal evaluation and new samples of saliva were collected. After 15 days of using their own toothbrushes, patients received the next toothbrushes in the experimental sequence. Results: The ultrasonic brush group presented significant improvement in the reduction of visible plaque on the buccal surfaces (-6.36%, P = .007). The counts of S mutans decreased in the electric (2.04 × 105 to 1.36 × 105 colony-forming units [CFU]/mL) and ultrasonic (2.98 × 105 to 1.84 × 105 CFU/mL) groups. There were no statistical differences among the three brushes for the clinical and microbiological parameters evaluated. Conclusions: This study did not demonstrate that the ultrasonic toothbrush was better in reducing gingival inflammation in adolescent orthodontic patients, but plaque scores were lowered on buccal surfaces of teeth with orthodontic brackets. In addition, S mutans counts were markedly decreased in the electric and ultrasonic groups, which should be related to a reduced risk of oral disease. © 2006 by The EH Angle Education and Research Foundation, Inc.en
dc.description.affiliationSão Paulo State University-Araraquara Dental School Department of Diagnosis and Surgery Division of Periodontics, São Paulo
dc.description.affiliationSão Paulo State University-Araraquara Dental School Department of Diagnosis and Surgery, São Paulo
dc.description.affiliationAssocia Ção Paulista DDS Cirurgiões-Dentistas, Araraquara, SP
dc.description.affiliationSão Paulo State University-Araraquara Dental School Department of Physiology and Pathology, Araraquara, São Paulo
dc.description.affiliationSão Paulo State University-Araraquara Dental School Department of Diagnosis and Surgery, Rua Humaitá, 1680, Araraquara, SP 14801-903
dc.description.affiliationUnespSão Paulo State University-Araraquara Dental School Department of Diagnosis and Surgery Division of Periodontics, São Paulo
dc.description.affiliationUnespSão Paulo State University-Araraquara Dental School Department of Diagnosis and Surgery, São Paulo
dc.description.affiliationUnespSão Paulo State University-Araraquara Dental School Department of Physiology and Pathology, Araraquara, São Paulo
dc.description.affiliationUnespSão Paulo State University-Araraquara Dental School Department of Diagnosis and Surgery, Rua Humaitá, 1680, Araraquara, SP 14801-903
dc.format.extent361-366
dc.identifierhttp://dx.doi.org/10.2319/0003-3219(2007)077[0361:EOUEAM]2.0.CO;2
dc.identifier.citationAngle Orthodontist, v. 77, n. 2, p. 361-366, 2007.
dc.identifier.doi10.2319/0003-3219(2007)077[0361:EOUEAM]2.0.CO;2
dc.identifier.issn0003-3219
dc.identifier.lattes2628593693450121
dc.identifier.scopus2-s2.0-33947263591
dc.identifier.urihttp://hdl.handle.net/11449/69564
dc.language.isoeng
dc.relation.ispartofAngle Orthodontist
dc.relation.ispartofjcr1.592
dc.relation.ispartofsjr1,267
dc.rights.accessRightsAcesso restrito
dc.sourceScopus
dc.subjectElectric toothbrushes
dc.subjectFixed orthodontic appliance
dc.subjectOral hygiene
dc.subjectStreptococcus mutans
dc.subjectadolescent
dc.subjectbacterial count
dc.subjectchild
dc.subjectclinical trial
dc.subjectcontrolled clinical trial
dc.subjectcontrolled study
dc.subjectelectricity
dc.subjectepidemiology
dc.subjectfemale
dc.subjecthuman
dc.subjectinstrumentation
dc.subjectmale
dc.subjectmicrobiology
dc.subjectorthodontic device
dc.subjectrandomized controlled trial
dc.subjectsaliva
dc.subjecttooth brushing
dc.subjecttooth plaque
dc.subjectultrasound therapy
dc.subjectAdolescent
dc.subjectChild
dc.subjectColony Count, Microbial
dc.subjectDental Plaque
dc.subjectElectricity
dc.subjectEpidemiologic Methods
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectOrthodontic Appliances
dc.subjectSaliva
dc.subjectToothbrushing
dc.subjectUltrasonic Therapy
dc.titleEfficacy of ultrasonic, electric and manual toothbrushes in patients with fixed orthodontic appliancesen
dc.typeArtigo
dcterms.licensehttp://www.angle.org/page/permissions
unesp.author.lattes2628593693450121
unesp.author.orcid0000-0003-2376-1024[5]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Odontologia, Araraquarapt

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