Efficacy of Regular, Musical and Electric Toothbrushes in Plaque Removal in Children

Not Applicable

Completed

• Conditions: Children, Adult; Plaque
• Interventions: Device: Regular Toothbrush; Device: Musical toothbrush; Device: Electric toothbrush

• Registration Number: NCT06541743
• Lead Sponsor: Jouf University

Brief Summary

Tooth brushing is essential for maintaining oral hygiene, especially in children, who are at a critical stage for developing lifelong oral health habits. Establishing effective tooth brushing behaviors for school-aged children (6-12 years) is vital for long-term dental health. Consistent and effective tooth brushing is crucial for reducing supragingival plaque, which is key to preventing periodontal diseases and ensuring good oral hygiene. Despite the availability of various plaque control methods, tooth brushing remains the most effective and safest approach.

However, young children, particularly those under ten, often struggle with the dexterity and motivation needed for proper tooth brushing, resulting in inadequate plaque removal. Manual tooth brushing, though effective, can become monotonous and fail to engage children, making it difficult to establish regular brushing habits. Studies have shown that regular removal of supragingival plaque can significantly reduce both supra- and subgingival pathogenic species, underscoring the importance of effective plaque control.

Innovative solutions such as electric and musical toothbrushes have been developed to address these challenges.

Detailed Description

Electric toothbrushes enhance plaque removal through mechanical action, while musical toothbrushes aim to boost motivation and compliance by incorporating interactive elements like music and colorful designs. Musical toothbrushes play music for two minutes, encouraging children to brush for the recommended duration and making the activity more enjoyable. Previous research has shown varying levels of success with these advanced toothbrushes. For example, one of the recent study have found that musical toothbrushes significantly improved plaque control compared to regular ones. Similarly, other studies have reported substantial plaque reduction with musical toothbrushes. Furthermore, it has been observed that while both manual and powered toothbrushes improved clinical parameters, powered toothbrushes had a more significant impact on gingival health.

Despite these promising results, there is a lack of comprehensive comparative studies on the efficacy of regular, electric, and musical toothbrushes in children. This study aimed to address this gap by conducting a randomized clinical trial to evaluate and compare the effectiveness of these three types of toothbrushes in removing supragingival plaque in children aged 6-12 years.

To the best of our knowledge, this is the first clinical study wherein the comparisons had been made between regular, musical and electric toothbrushes. The findings will provide valuable insights into the most effective tools for promoting oral hygiene in children, potentially shaping future recommendations and practices in pediatric dentistry.

Study Timeline

• Study Start: 2024-01-01
• Primary Completion: 2024-03-01
• Study Completion: 2024-03-01
• Study First Submitted: 2024-07-17
• Status Verified: 2024-08
• Study First Submitted QC: 2024-08-04
• Last Update Submitted: 2024-08-04
• Study First Posted: 2024-08-07
• Last Update Posted: 2024-08-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 111

Inclusion Criteria

• Children aged 6-12 years;
• Cooperative children; and
• Children with a minimum of twenty teeth

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Exclusion Criteria

• Children with poor oral hygiene characterized by extrinsic stains or calculus deposits;
• Presence of any oral lesions;
• Presence of malocclusion; and
• Medically compromised patients

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Regular Toothbrush	Regular Toothbrush	Oral-B Chhota Bheem Toothbrush.
Musical Toothbrush	Musical toothbrush	Aqua White Musical Chhota Bheem Toothbrush.
Electric Toothbrush	Electric toothbrush	Oral-B Star Wars Kids Electric Toothbrush.

Primary Outcome Measures

Name	Time	Method
Plaque Index (Quigley and Hein)	45 days	Plaque assessments was conducted at baseline (day 0) and on days 15, 30, and 45. Participants were refrain from oral hygiene for 24 hours before each recall visit. During each visit, they were supposed to brush under supervision for two minutes with their assigned toothbrush and toothpaste. Plaque disclosure was achieved using a 5 mL disclosing solution for 15 seconds, followed by rinsing with 10 mL water for 10 seconds.; Quigley-Hain plaque index; 0; No plaque; 1; Isolated flecks of plaque at the gingival margin; 2; A continuous band of plaque up to 1mm at the gingival margin; 3; Plaque greater than 1mm in width and covering up to one third of the tooth surface; 4; Plaque covering from one thirds to two thirds of the tooth surface; 5; Plaque covering more than two thirds of the tooth surface

Trial Locations

Locations (1)

College of Dentistry, Jouf University; 🇸🇦 Sakaka, Al-Jouf, Saudi Arabia