ObjectiveIn children, manual dexterity poses a problem with the use of manual tooth brushes (MB), resulting in inefficient plaque removal. Recently, novel chewable brushes (CB) have been introduced which could overcome this problem but are less researched in children. The objective of this study is to assess and compare the plaque removal effectiveness of CB with that of MB.Materials and methodsA total of 60 patients aged 8 to 10 years were enrolled in a single-blinded randomized clinical trial. At baseline, disclosing solution was applied and the Turesky modification of the Quigley–Hein index (TQHI) plaque index and Loe and Silness gingival index were recorded. The subjects were randomly divided into two groups as group I (MB) and group II (CB) and they were instructed to use their respective brushes for a period of 1 week. For statistical comparison, the difference (prebrushing minus postbrushing) in average scores was calculated. Data were evaluated by the independent t test and paired t test, with p < 0.05.ResultsThe overall plaque scores reduced from 1.71 ± 0.4 to 0.79 ± 0.24 when using CB and from 1.64 ± 0.64 to 1.13 ± 0.47 when using MBs. On lingual tooth surfaces, CB showed a plaque reduction of 38.70 ± 11.04 to 12.60 ± 4.79 compared to less reduction from 37.43 ± 14.26 to 28.73 ± 11.37 for MB. The overall gingival scores were also reduced from 0.33 ± 0.51 to 0.09 ± 0.07 when using CB and from 0.30 ± 0.33 to 0.19 ± 0.23 when using MB. Differences in scores between the two brushes were statistically significant (p = 0.0001).ConclusionIt was concluded that the experimental CB was able to remove a significant amount of plaque, particularly on the lingual surfaces, and reduced gingival index scores, thereby improving oral hygiene and gingival health status.How to cite this articleKayalvizhi G, Radha S, et al. Comparative Evaluation of Plaque Removal Effectiveness of Manual and Chewable Toothbrushes in Children: A Randomized Clinical Trial. Int J Clin Pediatr Dent 2019;12(2):107–110.
Bio-based nanocomposites of poly (butylene adipate-co-terephthalate) (PBAT)/silver oxide (Ag 2 O) were prepared by the composite film casting method using chloroform as the solvent.The prepared Ag 2 O at different ratios (1, 3, 5, 7, and 10 wt%) is incorporated in the PBAT.The PBAT nanocomposite films were subjected to structural, thermal, mechanical, barrier, and antimicrobial properties. The electron micrographs indicated uniform distribution of Ag 2 O in the PBAT matrix. However, the images indicated agglomeration of Ag 2 O particles at 10 wt% loading. The thermal stability of the nanocomposite films increased with Ag 2 O content.The tensile strength and elongation of the composite films were found to be higher than those of PBAT and increased with Ag 2 O content up to 7 wt%. The PBAT-based nanocomposite films showed the lower oxygen and water vapor permeability when compared to the PBAT film.Antimicrobial studies were performed against two food pathogenic bacteria, namely, Klebsiella pneumonia and Staphylococcus aureus.
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