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Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2025, vol. 31, issue3
Subject Area: Dental Medicine
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DOI: 10.5272/jimab.2025313.6339
Published online: 14 July 2025
Original article
J of IMAB. 2025 Jul-Sep;31(3):6339-6344
EFFECTIVENESS OF VARIOUS TOOTHBRUSHES ON GINGIVAL HEALTH IN CHILDREN
Hristina Tankova
, Zornitsa Lazarova,
Department of Pediatric Dentistry, Faculty of Dental Medicine, Medical University - Sofia, Bulgaria.
ABSTRACT:
Purpose: Comparative evaluation of manual, electric, sonic and ultrasonic toothbrush effectiveness on children's gingival status.
Material and methods: The study involved 106 children aged 11 to 13 years, divided into four groups according to the type of toothbrush used. A group based preventive program for motivation and training was developed for each type of toothbrush. The program was assessed over four visits, during which the gingival status was recorded at each visit using the Full Mouth Bleeding Score (FMBS) index with the aid of an electronic periodontal probe.
Results: Values of bleeding on probing were reduced by half (baseline FMBS -26-29% to 14% at the end of study) at the end of the study in all study groups.
Conclusion: The establishment of effective oral hygiene behaviors through comprehensive instruction in the appropriate use of various toothbrush modalities is fundamental to the maintenance of gingival health in children.
Keywords: manual toothbrush, powered toothbrushes, children's gingival health, children's periodontal prevention,
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Please cite this article as: Tankova H, Lazarova Z. Effectiveness of various toothbrushes on gingival health in children. J of IMAB. 2025 Jul-Sep;31(3):6339-6344. [Crossref - 10.5272/jimab.2025313.6339]
Correspondence to: Hristina Tankova, Department of Pediatric Dentistry, Faculty of Dental Medicine, Medical University – Sofia; 1, St. Georgi Sofiisky Str., Sofia, Bulgaria; E-mail: la_svetichi@yahoo.com
REFERENCES:
1. Sağlam G, Dağ A. Gingival and periodontal diseases in children. J Dent Sci Educ. 2023 Jun;1(2):55-60. [Crossref]
2. Califano JV, Committee AAP. Position paper: periodontal diseases of children and adolescents. J Periodontol. 2003 Nov;74(11):1696-704. [PubMed]
3.AAPD. Classification of periodontal diseases in infants, children, adolescents, and individuals with special health care needs. The Reference Manual of Pediatric Dentistry. Chicago: AAPD. 2023; p.493-507. [Internet]
4. Teles FR, Teles RP, Uzel NG, Song XQ, Torresyap G, Socransky SS, et al. Early microbial succession in redeveloping dental biofilms in periodontal health and disease. J Periodontal Res. 2012 Feb;47(1):95-104. [PubMed]
5. Tonetti MS, Eickholz P, Loos BG, Papapanou P, van der Velden U, Armitage G, et al. Principles in prevention of periodontal diseases: consensus report of group 1 of the 11th European Workshop on Periodontology on Effective Prevention of Periodontal and Peri‐Implant Diseases. J Clin Periodontol. 2015 Apr;42 Suppl 16:S5-S11. [PubMed]
6. Mandova VD, Stefanov RS. Case-Control Study to Evaluate the Oral Hygiene Habits in 31 Children with Hemophilia in Bulgaria Using the Oral Health Impact Profile-14 (OHIP-14) Questionnaire. Med Sci Monit Basic Res. 2022 Apr 21;28:e936560. [PubMed ]
7. Mlenga F, Mumghamba EG. Oral hygiene practices, knowledge, and self-reported dental and gingival problems with rural-urban disparities among primary school children in Lilongwe, Malawi. Int J Dent. 2021 Mar 9;2021:8866554. [PubMed]
8. Saxer UP, Yankell SL. Impact of improved toothbrushes on dental diseases. I. Quintessence Int. 1997 Aug;28(8):513-25. [PubMed]
9. Claydon N, Addy M. Comparative single-use plaque removal by toothbrushes of different designs. J Clin Periodontol. 1996 Dec;23(12):1112-6. [PubMed]
10. Mühlemann HR, Son S. Gingival sulcus bleeding—a leading symptom in initial gingivitis. Helv Odontol Acta. 1971 Oct;15(2):107-13. [PubMed]
11. Tankova H, Lazarova Z. Comparative evaluation of manual and powered toothbrushes on oral hygiene in adolescents: a group-based preventive study. Int J Sci Res. 2025 May;14(5):1371-7. [Crossref]
12. Damle SG, Patil A, Jain S, Damle D, Chopal N. Effectiveness of supervised toothbrushing and oral health education in improving oral hygiene status and practices of urban and rural school children: a comparative study. J Int Soc Prevent Communit Dent. 2014 Sep;4(3):175-81. [PubMed]
13. Goyal CR, Qaqish J, He T, Grender J, Walters P, Biesbrock AR. A randomized 12-week study to compare the gingivitis and plaque reduction benefits of a rotation-oscillation power toothbrush and a sonic power toothbrush. J Clin Dent. 2009; 20(3):93-8. [PubMed]
14. Klukowska M, Grender JM, Goyal CR, Mandl C, Biesbrock AR. 12-week clinical evaluation of a rotation/oscillation power toothbrush versus a new sonic power toothbrush in reducing gingivitis and plaque. Am J Dent. 2012 Oct;25(5):287-92. [PubMed]
15. Klukowska M, Grender JM, Conde E, Goyal C. A 12-week clinical comparison of an oscillating-rotating power brush versus a marketed sonic brush with self-adjusting technology in reducing plaque and gingivitis. J Clin Dent. 2013; 24(2):55-61. [PubMed]
16. Ccahuana-Vasquez RA, Conde EL, Cunningham P, Grender J, Goyal C, Qaqish J. An 8-week clinical comparison of an oscillating-rotating electric rechargeable toothbrush and a sonic toothbrush in the reduction of gingivitis and plaque. J Clin Dent. 2018 Mar;29(1):27-32. [PubMed]
17. Digel I, Kern I, Geenen EM, Akimbekov N. Dental plaque removal by ultrasonic toothbrushes. Dent J (Basel). 2020 Mar 23;8(1):28. [PubMed]
18. Takenouchi A, Otani E, Satoho Y, Kakegawa Y, Arai H, Matsukubo T. Comparison of the effects of ultrasound toothbrushes with different frequencies on oral hygiene: a randomized-controlled clinical trial. Int J Dent Hyg. 2021 Nov;19(4):376-81. [PubMed]
19. Aykol-Sahin G, Ay-Kocabas B, Mert B, Usta H. Effectiveness of different types of toothbrushes on periodontal health in orthodontic patients with gingivitis: a randomized controlled study. BMC Oral Health. 2024;24(1):1289. [PubMed]
20. Grossman E, Proskin H. A comparison of the efficacy and safety of an electric and a manual children's toothbrush. J Am Dent Assoc. 1997 Apr;128(4):469-74. [PubMed]
21. Davidovich E, Ccahuana-Vasquez RA, Timm H, Grender J, Zini A. Randomised clinical study of plaque removal efficacy of an electric toothbrush in primary and mixed dentition. Int J Paediatr Dent. 2021 Sep;31(5):657-63. [PubMed]
Received: 26 January 2025
Published online: 14 July 2025