Effectiveness of Chewable Tooth Brush in Children-A Prospective Clinical StudyCorrespondence Address :
Dr. Lavanya Govindaraju,
Postgraduate Student, Department of Paediatric and Preventive Dentistry, Saveetha Dental College,
Chennai-600077, Tamil Nadu, India.
Introduction: Dental plaque is one of the aetiological factors in causation of dental caries. Effective removal of plaque can reduce the incidence of caries. Various agents for removing plaque has been introduced, of which, chewable brush is a recent advance. There is limited evidence assessing the effectiveness of using chewable brush in children.
Aim: The aim of this study was to evaluate the effectiveness of chewable brush in relation to efficiency in plaque removal and reduction in S.mutans counts in saliva.
Materials and Methods: Ten children of six-nine years with their first molars erupted were included in the study and the children were supervised for their normal brushing for 7 days. The baseline Oral Hygiene Index-Simplified (OHI-S), Plaque Index (PI) and Decay, Missing Filled Tooth Index (DMFT-I) were noted and the saliva sample was collected from the children. The sample was sent for microbiological examination of S.mutans count and the pH of the saliva was also determined. The children were advised to brush their teeth twice daily for seven days using chewable brush. On the seventh day, the indices were noted again and the saliva sample was collected and sent for microbiological examination. Statistical analysis was done using paired t-test to compare the pre and post-brushing index scores, S. mutans count and salivary pH.
Results: There was a significant reduction in the debris index (p<0.001), oral hygiene index (p<0.000), plaque index (p<0.001), pH of the saliva (p<0.037) and S. mutans level (p<0.006) before and after brushing with chewable brush. However, the calculus index remained unchanged (p=0.168).
Conclusion: Chewable brush can be used as an effective alternative to manual brushing in children.
Decay, Missing filled tooth index, Dental caries, Dental plaque
Lavanya Govindaraju, Deepa Gurunathan. EFFECTIVENESS OF CHEWABLE TOOTH BRUSH IN CHILDREN-A PROSPECTIVE CLINICAL STUDY. Journal of Clinical and Diagnostic Research [serial online] 2017 March [cited: 2017 Apr 25 ]; 11:ZC31-ZC34. Available from
Date of Submission: Sep 18, 2016
Date of Peer Review: Oct 29, 2016
Date of Acceptance: Nov 21, 2016
Date of Publishing: Mar 01, 2017
Financial OR OTHER COMPETING INTERESTS: None.
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