DOI: 10.4103/jiaphd.jiaphd_16_25 ISSN: 2319-5932

Evaluating the Efficacy of Natural Toothbrush versus Synthetic Toothbrush in Gingivitis Patients – A Comparative Clinical Study

Kurinchichelvan Ramalingam, Madhushriee Venkatesan, Narthika Bathirasamy, K. Mohamed Adhil, Swetha Saminathan, Josephine Flora

Abstract

Background:

The consistent and thorough removal of plaque with daily brushing and flossing is crucial for preventing tartar buildup and maintaining overall oral hygiene. To control plastic pollution and as a step toward a greener environment, we can start using natural, biodegradable bamboo toothbrushes as an alternative to synthetic, nonbiodegradable toothbrushes.

Aim:

The aim of the study was to compare the efficacy of natural toothbrush (biodegradable bamboo toothbrush) versus synthetic toothbrush in patients with gingivitis.

Materials and Methods:

The study was conducted among 30 patients with gingivitis, including 15 patients in each group. The duration of the study was 90 days, 45 days for each toothbrush. At baseline, case history and scores of gingival, plaque, and oral hygiene index simplified (OHIS) indices were recorded. Full mouth ultrasonic scaling was done. A demonstration of the modified bass method of brushing technique was given, and they were instructed to use the assigned toothbrush technique. A brushing chart was given to mark as soon as they brush in the morning and at night. The patients in Group A were instructed to use a bamboo toothbrush for the first 45 days and a synthetic toothbrush for the next 45 days, and the patients in Group B were instructed to use a synthetic toothbrush for the first 45 days and a bamboo toothbrush for the next 45 days. They were given an appointment on the 45 th day and 90 th day for recording the indices.

Results:

To determine the importance of study parameters between the groups, the data were examined using unpaired “ t ” and analysis of variance; to determine the significance of study parameters within the group, the paired t -test was employed . There was a difference in mean plaque, gingival, and OHIS scores between the bamboo toothbrush group and the synthetic toothbrush group, but it was not statistically significant.

Conclusion:

The study results revealed that the biodegradable bamboo toothbrushes are as effective at removing plaque and maintaining oral hygiene as nonbiodegradable synthetic ones. Natural toothbrushes are equally effective as conventional toothbrushes for plaque removal, also eco-friendly and biodegradable. Therefore, people can switch to bamboo toothbrushes to reduce the impact of plastics on the environment without sacrificing oral care.

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