Abstract
Background: The deposition of plaque and calculus is the primary etiological factor for the gingival diseases caused by poor dental hygiene. To provide healthy gums & disease-free oral cavity among the population, toothbrushes with bristle having the extract of Neem and Charcoal supplied to evaluate the effectiveness of plaque removal efficacy for maintaining oral hygiene.
 Methodology: The patient was recruit to this study after obtaining informed consent from them. A Randomized clinical trial was conducted among 30 participants (male and female) in Sharad Pawar Dental College, between the ages of 33 to 44 years having at least 20 permanent teeth (excluding the third molars and crowns prosthesis). As per the Plaque Index given by Silness P. and Loe H., the first plaque range should be between <1 and >3 in 1970 is participated in the study. Following the randomization, each participant will provide a specific available toothbrush and asked to 1 minute of brushing, following which the plaque index was measured again. They were advised to brush their teeth two times a day for one minute with the allotted toothbrush in the morning and night after dinner with a commercially available toothpaste using a modified bass technique. At baseline, 7th day, and 15th day, the plaque index scores (before and after brushing) were collected, data was recorded and statistically analyzed.
 Expected Results: On day baseline, 7 days, and 15 days after brushing, the mean plaque indices decreased. There was also a decrease in mean plaque indices from day one to day seven and fifteen. These decreases were all statistically significant (P < 0.001).
 Conclusion: The current study demonstrated a significant changes in plaque scores with the use of toothbrushes with bristle containing Neem and Charcoal. The continues usage of the assigned toothbrush resulted in an even greater changes in plaque scores.
Highlights
The wide range of brushes available, as well as the continuous development of new toothbrushes, has grown into a scientifically developed instrument with advanced ergonomic designs, safe and hygienic materials that help us all
The current study demonstrated a significant changes in plaque scores with the use of toothbrushes with bristle containing Neem and Charcoal
EXPECTED RESULTS The effective usage of Neem, Charcoal toothbrush on oral hygiene in patients reporting to Sharad Pawar Dental College and Hospital will be assessed to find out the levels of oral hygiene after application of toothbrush containing the extract
Summary
The wide range of brushes available, as well as the continuous development of new toothbrushes, has grown into a scientifically developed instrument with advanced ergonomic designs, safe and hygienic materials that help us all. To provide healthy gums among the population toothbrushes having the extract can be supplied and study the effect of plaque removal for maintaining oral hygiene [1]. The purpose of this scientific research was to assess the effects of Neem and Charcoal extract toothbrush on maintaining oral hygiene and plaque removal. To provide healthy gums & disease-free oral cavity among the population, toothbrushes with bristle having the extract of Neem and Charcoal supplied to evaluate the effectiveness of plaque removal efficacy for maintaining oral hygiene. Each participant will provide a specific available toothbrush and asked to 1 minute of brushing, following which the plaque index was measured again They were advised to brush their teeth two times a day for one minute with the allotted toothbrush in the morning and night after dinner with a commercially available toothpaste using a modified bass technique.
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