Turesky Modification Of Quigley-Hein Plaque Index Research Articles

Effectiveness of chewable toothbrushes compared to manual toothbrushes in removing dental plaque - A systematic review and meta-analysis.

Chewable toothbrushes (CT) are considered an effective tool for dental plaque removal; however, their effectiveness is still uncertain compared to Manual toothbrushes (MT). To evaluate the effectiveness of CT compared to MT in dental plaque removal. Studies comparing the efficiency of CT and MT in dental plaque removal measured by Turesky Modification of Quigley-Hein Plaque Index (TMQHI), Quigley-Hein Plaque Index (QHI), or Silness Loe Plaque Index (SLPI) were identified in PubMed, Medline Web of Science, Google Scholar, and the CENTRAL. Results and effect sizes estimate are presented as mean difference, and subgroup analysis is presented separately for non-randomised interventional studies and randomised intervention studies. Risk of bias was assessed using the Cochrane risk of bias tool (ROBINS-I and ROB2 tool). A total of 10 studies were included in the systematic review, whereas six out of 10 studies were included in the meta-analysis. Both CT and MT were effective in plaque reduction over time when compared individually using the TMQHI and SLPI scores. The overall pooled summary showed no difference in CT and MT's dental plaque removal ability when measured using the TMQHI score. Similarly, there was no difference in CT and MT's dental plaque removal ability when measured using the SLPI score. There is no significant difference in CT and MT's plaque removal ability. Therefore, CT should only be recommended for children and individuals with a disability or manual dexterity. Chewable toothbrushes (CT) are considered an effective tool for dental plaque removal.

Plaque Removal Efficiency of Chewable Toothbrushes among 10-12-yearold Children: A Randomized Control Trial.

ABSTRACTAim and Objectives:Toothbrushing is one of the most important factors in controlling plaque accumulation and dental caries. There are vast varieties of toothbrushes available in the market. This study was designed to evaluate the effectiveness of novel chewable toothbrushes as compared to manual toothbrushes in plaque removal among 10–12-year-old children.Materials and Methods:This randomized controlled trial was conducted on 40 healthy children aged between 10 and 12 years of age who were randomly assigned to either of the groups: Group I––Chewable Toothbrushes and Group II––Manual Toothbrushes. Following oral prophylaxis, baseline records of oral hygiene indices (Simplified oral hygiene index (OHI-S) in indexed teeth and Turesky modification of Quigley Hein plaque index (TMQHI) were taken. Baseline Saliva samples were collected and sent for Streptococcus mutans counts. Children were then instructed to use their respective toothbrush twice daily for a week. Oral hygiene indices and S. mutans counts were repeated after 1 week.Results:Differences in pre-brushing and post-brushing plaque scores and salivary S. mutans counts were statistically significant when compared using paired-sample t test and independent-sample t test. There was a significant reduction in salivary S. mutans counts after using both chewable and manual toothbrushes. However, there was no statistically significant difference between the two groups (P = 0.08).Conclusion:Chewable toothbrushes are equally effective in plaque control when compared to manual toothbrushes. These can be a reliable alternative for children who lack manual dexterity.

Cleansing efficacy of waist-shaped inter-dental brushes. A randomized-controlled crossover study.

ObjectiveTo compare the cleansing efficacy of waist‐shaped versus cylindric inter‐dental brushes in patients receiving supportive periodontal therapy.Materials and methodsAfter sample size estimation, 20 periodontal maintenance patients diagnosed with periodontitis stage 3 were recruited. Brushing efficacy of waist‐shaped and cylindric inter‐dental brushes was evaluated in a randomized‐controlled, examiner‐blinded, two‐period crossover study by assessment of the Turesky modification of Quigley‐Hein plaque index (T‐QHI) and the papillary bleeding index (PBI) at four sites per tooth.ResultsSeventeen probands with 1,474 tooth sites finished the study. At baseline, median of overall T‐QHI scores was 1.4 (interquartile range 1.38–1.92). After 1 month, T‐QHI for waist‐shaped inter‐dental brushes was 1.24 (1.03–1.52); in 15 individuals, T‐QHI 0 was the grade most often measured. T‐QHI for cylindric brushes was 1.71 (1.18–2.29; p = .042), with T‐QHI 0 being the grade most often measured only in seven individuals. The odds ratio for establishing plaque‐free inter‐dental sites with waist‐shaped relative to cylindric brushes was 1.8 [95% CI 1.6–1.9] (p < .001; logistic regression analysis). There were no statistically significant differences between PBI levels of waist‐shaped and cylindric brushes.ConclusionThis study has demonstrated the superiority in cleansing efficacy of waist‐shaped over cylindric inter‐dental brushes in individuals receiving supportive periodontal treatment.