Can traditional oral hygiene methods compete with conventional toothbrushes in effectiveness?

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  • Author(s): Almutairi W;Almutairi W; Duane B; Duane B
  • Source:
    Evidence-based dentistry [Evid Based Dent] 2024 Sep; Vol. 25 (3), pp. 154-155. Date of Electronic Publication: 2024 Jun 28.
  • Publication Type:
    Journal Article; Randomized Controlled Trial
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Nature Publishing Group Country of Publication: England NLM ID: 100883603 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1476-5446 (Electronic) Linking ISSN: 14620049 NLM ISO Abbreviation: Evid Based Dent Subsets: MEDLINE
    • Publication Information:
      Publication: <2004->: London : Nature Publishing Group
      Original Publication: London : British Dental Journal, c1998-
    • Subject Terms:
      Toothbrushing*/instrumentation ; Oral Hygiene*/instrumentation ; Oral Hygiene*/methods ; Gingivitis*/prevention & control ; Dental Plaque*/prevention & control ; Salvadoraceae*; Humans ; Female ; Male ; Adult ; Single-Blind Method ; Malaysia ; Dental Plaque Index ; Young Adult
    • Abstract:
      Design: The study was designed as a single-blinded, parallel, randomized controlled trial to compare the effectiveness of the Salvadora persica toothbrush (MTB), Salvadora persica chewing stick (MCS), and a standard toothbrush (STB) in controlling plaque and gingivitis. A total of 78 participants were randomly divided into three groups and instructed to use their assigned oral hygiene tool in a standardized manner for three.
      Case Selection: Participants were non-dental students and staff of Universiti Kebangsaan Malaysia, Kuala Lumpur Campus, selected through convenience sampling. They met specific inclusion criteria, such as being systemically healthy, having ≥20 teeth, and having a Basic Periodontal Examination score of 0, 1, or 2, with no periodontal pockets greater than 5.5 mm.
      Data Analysis: Clinical outcomes were measured using the Plaque Index (PI) and Periodontal Inflamed Surface Area (PISA) at baseline, one-, and three-weeks post-intervention. Data analysis was performed using mixed-model analysis of variance for continuous variables and Fisher's exact test for categorical variables.
      Results: All three groups showed significant improvements in plaque levels and severity of gingivitis from baseline to three weeks post-intervention. The MCS group demonstrated a significant improvement in mean PISA values of the anterior teeth compared to the MTB and STB groups. However, there was no significant difference in plaque level reduction or overall gingivitis severity among the three groups. This indicates that when used correctly, Salvadora persica toothbrushes and chewing sticks are as effective as standard toothbrushes in plaque control and gingival health.
      Conclusions: The study concludes that both Salvadora persica toothbrushes and chewing sticks can serve as effective alternatives to the standard toothbrush for plaque control and gingival health. This showcases the beneficial anti-plaque and anti-gingivitis properties of Salvadora persica. However, the effectiveness of these oral hygiene tools is contingent upon the correct usage techniques.
      (© 2024. The Author(s).)
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    • Publication Date:
      Date Created: 20240628 Date Completed: 20240927 Latest Revision: 20240930
    • Publication Date:
      20240930
    • Accession Number:
      PMC11436366
    • Accession Number:
      10.1038/s41432-024-01030-6
    • Accession Number:
      38942941