Does The 360 Degree Tooth Cleaning Works

Contemp Clin Dent. 2022 Jul-Sep; 7(iii): 317–321.

Plaque removal efficacy of Colgate 360 toothbrush: A clinical study

Nageshwar Iyer

Department of Oral and Maxillofacial Surgery, Maharishi Markandeshwar Higher of Dental Sciences and Research, Maharishi Markandeshwar University, Mullana, Ambala, Haryana, India

Shalu Chandna

¹ Department of Periodontics and Oral Implantology, Maharishi Markandeshwar College of Dental Sciences and Research, Maharishi Markandeshwar University, Mullana, Ambala, Haryana, Republic of india

Abhishek Dhindsa

^two Section of Pediatric and Preventive Dentistry, Maharishi Markandeshwar College of Dental Sciences and Research, Maharishi Markandeshwar University, Mullana, Ambala, Haryana, Republic of india

Dhanashree Damle

³ Department of Orthodontics and Dentofacial Orthopedics, Maharishi Markandeshwar Higher of Dental Sciences and Enquiry, Maharishi Markandeshwar University, Mullana, Ambala, Haryana, India

Ashish Loomba

^two Department of Pediatric and Preventive Dentistry, Maharishi Markandeshwar College of Dental Sciences and Inquiry, Maharishi Markandeshwar University, Mullana, Ambala, Haryana, India

Abstruse

Aim:

The aim of this clinical study was to confirm the plaque removal efficacy of the Colgate 360 Whole Mouth Make clean Toothbrush.

Study Blueprint:

This was a single-center, monadic, case–controlled report with the seven days duration.

Materials and Methods:

A total of fourscore participants (56 male and 24 female) aged between 18 and 45 years with a minimum of 20 permanent teeth (excluding the third molars) without whatsoever prosthetic crowns and an initial plaque score of minimum one.5 every bit determined by Modified Quigley-Hein Plaque Index (1970) participated in the study. There were ii dropouts during the study elapsing, i male and 1 female. The participants were instructed to brush for one min, later on which plaque index was recorded once again. They were so instructed to brush their teeth twice a 24-hour interval for i min with the assigned toothbrush (Colgate 360 Whole Mouth Clean Toothbrush) and a commercially available fluoride toothpaste for the side by side seven days. On the 7^th day, all the participants were recalled for follow-upwards and plaque test. The plaque index scores (pre- and mail service-brushing) were recorded, tabulated, and analyzed statistically.

Results:

The hateful plaque indices reduced later on brushing both on day 1 and day 7. There was also a reduction in mean plaque indices from solar day 1 to 24-hour interval 7. All these reductions were statistically significant (P < 0.001). The reduction in plaque scores was independent of the gender of the participants even so female participants showed lower scores equally compared to male participants (P < 0.001).

Determination:

The present study demonstrated a significant reduction in plaque scores with the utilise of Colgate 360 Whole Mouth Clean Soft Toothbrush throughout the study period. Continued employ resulted in a farther meaning reduction in plaque scores irrespective of the gender of participants.

Fundamental words: Dentifrices, Plaque scores, toothbrush design

Introduction

Dental plaque is the primary etiological factor for dental caries, gingival, and periodontal diseases. Therefore, plaque command and proficient oral hygiene play a key role in the maintenance of oral wellness and prevention of these diseases.[1,2,three] When teeth are brushed with fluoride dentifrice, in that location is considerable testify of a caries reduction.[four,5] There are various plaque command methods including mechanical and chemical, but mechanical tooth-brushing method remains the nigh efficient and commonly used method. Various toothbrush designs have been introduced. These range from variations in shape and size of the head, number of tufts, number of bristles in each tuft, arrangement of the tufts, direction of bristles, material, diameter and length of the bristles, features of the neck similar flexibility, etc. Each variant claims its own advantage.[6,7,viii]

The aim of present study was to clinically admission the efficacy of manual Colgate 360 Whole Mouth Make clean Toothbrush in reducing dental plaque.

Materials and Methods

In this 1-week, unmarried-heart, monadic, example-controlled clinical written report, a total of 80 (56 male; 24 female) participants aged between xviii and 45 years, with a minimum initial plaque score of 1.5 every bit adamant by Modified Quigley-Hein Plaque Alphabetize (1970) were selected and included in the written report as per the inclusion and exclusion criteria. However, only 78 participants (55 male and 23 female) completed the study as there were two dropouts during the study duration, ane male and one female person.

Inclusion criteria

• Male and female participants, aged between 18 and 45 years

• Availability for consummate duration of the study

• Proficient general health

• Minimum of 20 uncrowned permanent natural teeth (excluding tertiary molars)

• Initial plaque index of at to the lowest degree 1.5 equally determined by the use of the Modified Quigley-Hein Plaque Index

• Signed informed consent form.

Exclusion criteria

• Presence of orthodontic bands

• Presence of partial removable dentures

• Tumor(s) of the soft or hard tissues of the oral cavity

• Advanced periodontal disease (purulent exudate, tooth mobility, and/or extensive loss of periodontal zipper or alveolar bone)

• Five or more carious lesions requiring immediate restorative treatment

• Use of antibiotics any time during the 1 calendar month prior to entry into the study

• Participation in any other clinical study or test panel within the 1 month prior to entry into the study

• Pregnant women or women who are breastfeeding

• History of allergies to dentifrice products and/or personal care products

• Medical condition which prohibits non eating/drinking for four h.

Materials used

• Disclosing agent (Alpha Plac; Two-Tone disclosing agent, DPI, Mumbai)

• Colgate 360 Whole Mouth Make clean Soft Toothbrush.

Prior to reporting to the testing facility for baseline plaque examination, participants refrained from all oral hygiene measures (i.e., toothbrushes, dentifrices, oral cavity rinses, dental floss, irrigation devices, etc.) for 12 h and from eating, drinking, or smoking for 4 h. After the application of disclosing agent, each tooth was divided into six surfaces, three facially and three lingually as follows: (1) Mesiofacial, (two) midfacial, (iii) distofacial, (four) mesiolingual, (five) mid-lingual, and (6) distolingual. Plaque scores were recorded using Modified Quigley-Hein Plaque Alphabetize.

Participants were instructed to brush for 1 min, after which they were examined over again for recording the plaque index. They were then instructed to castor their teeth twice a day for i min with their assigned toothbrush (Colgate 360 Whole Mouth Clean Soft Toothbrush) and commercially available fluoride toothpaste for the side by side vii days. On the 7^thursday twenty-four hours, the participants were recalled for follow-up and plaque test (like to baseline assessment). These plaque scores were recorded, tabulated, and subjected to statistical analysis.

Results

Tabular array 1 shows the demographic distribution of participants enrolled for the study. P = 0.18 demonstrated the equality of mean age of male and female person participants by t-test. Tabular array 2 shows the pre- and mail service-brushing mean plaque scores of all the participants on day 1 and day 7. The initial plaque score (prebrushing) on 24-hour interval 1 was held as the baseline reference for comparing. The mean plaque scores had comparable variance. Progressive reduction in mean plaque scores was observed across all participants every bit depicted in Graph 1. Tabular array 3 (two-fashion ANOVA) shows the departure in hateful plaque scores between male and female person participants which were statistically significant (P < 0.0001). The reduction in mean plaque scores was also highly significant (P < 0.0001). In general, the female participants recorded bottom plaque scores at all-fourth dimension intervals. Tables ​ 4 and ​ 5 bear witness the individual differences and percent reductions in mean plaque scores. Past brushing for ane min with Colgate 360 Whole Rima oris Make clean Soft Toothbrush, a hateful plaque score ranging from 21% to 28% was seen. With continuous utilize of this toothbrush for ane week, a further reduction from 38% to 44% was observed earlier brushing on the vii^th day. A 66–67% reduction was observed after brushing on day seven. Table 6 (Tukey honest significant difference [HSD] test) compares private mean scores and demonstrates statistical significance of private differences between mean plaque scores (P < 0.01).

Table 1

Age- and gender-wise distribution of participants

Table two

Hateful plaque scores

Table three

Two-way ANOVA for significance of difference in mean plaque score between genders and time intervals

Table four

Departure between mean plaque scores

Table 5

Percentage reduction in mean plaque scores

Table half-dozen

Critical values for Tukey honest significant difference test for significance of individual differences between mean plaque scores

Discussion

Dental plaque is a major etiological cistron in the causation of dental caries and plaque-induced gingival diseases. Mechanical removal by means of toothbrush, toothpaste, and mouth rinses helps in checking pathogenic plaque build-up; thereby, preventing these diseases. Effective and therapeutic plaque control is an of import attribute of personal hygiene. The use of an appropriately designed toothbrush has been documented as an constructive tool amongst plaque control measures. Colgate 360 Whole Mouth Clean Soft Toothbrush is one such attempt to revolutionize the mechanical plaque command among the home-based personal intendance regimens. The advent of newer toothbrushes with technological advances and infinitesimal modifications in designs is a constant improver to the already existing toothbrush consumer market.[9,ten] Thus, a well-designed clinical trial to test a newer brush design is a primary requirement to validate the effectiveness in mechanical plaque removal. Therefore, this study was undertaken to assess the clinical effectiveness of Colgate 360 Whole Rima oris Clean Soft Toothbrush in reducing plaque score in written report participants over a follow-up of 1 week. The study pattern was designed to be brusk-term, unmarried-centre, and monadic to reduce the bias error and to control confounding variables similar bailiwick compliance.[11] Another major problem associated with these studies is "Hawthorne effect,"[12] that is, participants brush more consciously and overzealously on the 24-hour interval of examination. To overcome such a problem, participants were refrained from all oral hygiene measures (i.e., toothbrushes, dentifrices, mouth rinses, dental floss, irrigation devices, etc.) for a standardized period of at least 12 h prior to plaque score interpretation.

Dental plaque is usually colorless, transparent, and not visible to naked centre simply can be easily detected by using disclosing solution or tablet. In the present study, a two-tone disclosing solution was chosen as it stains immature plaque as pinkish and mature plaque as blue or purple.[13]

The sample size of a minimum of 60 was determined based on a standard deviation for the response measure of 0.4, a significance level of alpha = 0.05, and an 80% level of power. The study was powered to find a minimal statistically significant deviation between the report group means of xx%. The sample size calculation utilized historical information from previous studies. Because a ten% dropout ratio, eighty participants were taken into the report out of which only two dropouts was observed.

Constructive tooth-brushing depends on a number of factors including motivation, frequency of tooth-brushing, method, type of dentifrice, and transmission dexterity.[14] Thus, in this study, participants were motivated and instructed to use the given toothbrush and fluoridated dentifrice but with the aforementioned tooth-brushing method, they have been doing earlier.

In the clinical studies, levels of plaque can be assessed by using various plaque indices, which quantify the amount of plaque present on the surfaces of teeth. Modified Quigley-Hein Plaque Alphabetize is the most commonly used plaque index in which plaque is assessed on facial and lingual surfaces of all teeth after disclosing agent. This index is popular due to their ease of use, bottom time, and no specialized equipment requirement.[15]

The results of the report demonstrate an unequivocal efficacy of Colgate 360 Whole Mouth Clean Soft Toothbrush in ensuring plaque control. The male participants achieved nearly a 22% reduction in hateful plaque scores, while the female person participants achieved mean plaque reduction of nearly 28% on day 1. After continuous use of the toothbrush for a week, the male participants showed a further reduction to nearly 44%, while the female person participants showed almost 38% reduction prebrushing on 24-hour interval 7. However, both male and female participants showed a 66-67% reduction in plaque scores postbrushing on 24-hour interval vii. This shows a sustained adequacy of the toothbrush in improving and maintaining appropriate plaque command. The statistically highly meaning (p < 0.0001) reduction in plaque index with time and beyond all participants demonstrates loftier efficacy of Colgate 360 Whole Mouth Clean Soft Toothbrush in effective plaque command. A two-way ANOVA and private comparisons by Tukey HSD test were plant advisable in gaining statistical relevance to the analysis.

Conclusion

The present written report showed a significant reduction in plaque scores with the use of Colgate 360 Whole Mouth Clean Soft Toothbrush. Connected use resulted in further pregnant reduction in plaque scores irrespective of gender of participants.

Therefore, it can be concluded that Colgate 360 Whole Mouth Clean Soft Toothbrush has an effective brush pattern that aids in significant improvement in plaque command, oral hygiene status and therefore, prevention and control of caries and periodontal disease.

Financial back up and sponsorship

Nil.

Conflicts of interest

In that location are no conflicts of interest.

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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5004543/#:~:text=Therefore%2C%20it%20can%20be%20concluded,of%20caries%20and%20periodontal%20disease.

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