author = {Ananda, S. and Mythri, H. and Saxena, Sudhanshu. and Prashant, G. and Chandu, G.}, title = {{Plaque removal efficacy of tooth brushes with different bristle designs - A four period cross over study }}, journal ={Journal of Indian Association of Public Health Dentistry}, volume ={7}, number ={13}, pages = {64-69}, year = {2009}, abstract ={Background: It is well documented, that mechanical plaque control can prevent gingivitis, periodontitis and dental caries. As on today in the market there are numerous manual toothbrush bristle designs and the media abounds with claims of superiority for dental plaque removal by individual brands. Objectives: 1. To check the plaque-removal efficacy of toothbrushes with different bristle designs. 2. To inter - compare the efficacy of dental plaque removal between the toothbrushes. Methodology: A total of 12 subjects used four different types of commercially available manual toothbrushes with different bristle designs. The subjects were assessed for dental plaque prior to brushing, according to the criteria's of Turkeys and Gilmore modification of Quigley-Hein plaque index using two tone disclosing agent. After which the subjects were asked to brush for 2 minutes, and again scored for dental plaque using the same index. Results: There was a significant reduction in the dental plaque scores after tooth brushing with all the tooth brushes tested but there was no statistically significant difference between the different toothbrush bristle designs. Conclusion: The study emphasizes that it is the ability of the individual that is of paramount importance to tooth cleaning and variations in manual toothbrush bristle design play a trivial role by comparison. When making recommendations to patients, the dental professional must consider factors related to patient compliance and hygiene efficiency, as they also play an important role in treatment outcomes.}, URL ={https://journals.lww.com/aphd/pages/default.aspx/article.asp?issn=2319-5932;year=2009;volume=7;issue=13;spage=64;epage=69;aulast=Ananda;t=6}, eprint ={https://journals.lww.com/aphd/pages/default.aspx/article.asp?issn=2319-5932;year=2009;volume=7;issue=13;spage=64;epage=69;aulast=Ananda;t=6} }