In vitro comparison of cleaning efficacy and force of cylindric interdental brush versus an interdental rubber pick
Abstract Background Interdental brushes (IDB) are according to the actual evidence the first choice for cleaning interdental areas (IDR). Their size should be chosen individually according to the IDR morphology. However, interdental rubber picks (IRP) are appreciated better by the patients and are h...
Main Authors: | , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2021-04-01
|
Series: | BMC Oral Health |
Subjects: | |
Online Access: | https://doi.org/10.1186/s12903-021-01558-4 |
id |
doaj-d6d521cec9a1410cade73bca67cb0432 |
---|---|
record_format |
Article |
spelling |
doaj-d6d521cec9a1410cade73bca67cb04322021-04-18T11:43:47ZengBMCBMC Oral Health1472-68312021-04-012111910.1186/s12903-021-01558-4In vitro comparison of cleaning efficacy and force of cylindric interdental brush versus an interdental rubber pickChristian Graetz0Kristina Schoepke1Johanna Rabe2Susanne Schorr3Antje Geiken4David Christofzik5Thomas Rinder6Christof E. Dörfer7Sonja Sälzer8Clinic of Conservative Dentistry and Periodontology, University of KielClinic of Conservative Dentistry and Periodontology, University of KielClinic of Conservative Dentistry and Periodontology, University of KielClinic of Conservative Dentistry and Periodontology, University of KielClinic of Conservative Dentistry and Periodontology, University of KielClinic of Conservative Dentistry and Periodontology, University of KielInstitute of Mechatronics, Computer Science and Electrical Engineering, Kiel University of Applied SciencesClinic of Conservative Dentistry and Periodontology, University of KielClinic of Conservative Dentistry and Periodontology, University of KielAbstract Background Interdental brushes (IDB) are according to the actual evidence the first choice for cleaning interdental areas (IDR). Their size should be chosen individually according to the IDR morphology. However, interdental rubber picks (IRP) are appreciated better by the patients and are hence becoming more and more popular but the evidence regarding their efficacy is still limited. The aim of this in vitro study was to measure the experimental cleaning efficacy (ECE) and force (ECF) during the use of interdental brushes versus newer wireless types with rubber filaments (IRP), both fitted and non-fitted for different IDR. Methods The medium size of a conical IRP (regular, ISO 2) with elastomeric fingers versus four sizes (ISO 1, 2, 3, 4) of cylindric IDB with nylon filaments (all Sunstar Suisse SA, Etoy, Switzerland) were tested. Interdental tooth surfaces were reproduced by a 3D-printer (Form 2, Formlabs Sommerville, MA, USA) according to human teeth and matched to morphologically equivalent pairs (isosceles triangle, concave, convex) fitting to three different gap sizes (1.0 mm, 1.1 mm, 1.3 mm). The pre-/post brushing situations at IDR (standardized, computer aided ten cycles) were photographically recorded and quantified by digital image subtraction to calculate ECE [%]. ECF were registered with a load cell [N]. Results Overall, a higher ECE was recorded for IDB compared to IRP (58.3 ± 14.9% versus 18.4 ± 10.1%; p < 0.001). ECE significantly depended on the fitting of the IDB. ECE was significant higher in isosceles triangle compared to concave and convex IDR for both IDB and IRP (p ≤ 0.001). ECF was lower for IDB (0.6 ± 0.4N) compared to IRP (0.8 ± 0.5N; p ≤ 0.001). ECE in relation to ECF increases with smaller IDB. For IRP highest values of ECF were found in the smallest IDR. Conclusions Within the limitations of an in vitro study, size fitted IDB cleaned more effectively at lower forces compared to conical IRP.https://doi.org/10.1186/s12903-021-01558-4Oral hygieneInterdental brushesMechanical plaque controlInterdental cleaning efficacy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Christian Graetz Kristina Schoepke Johanna Rabe Susanne Schorr Antje Geiken David Christofzik Thomas Rinder Christof E. Dörfer Sonja Sälzer |
spellingShingle |
Christian Graetz Kristina Schoepke Johanna Rabe Susanne Schorr Antje Geiken David Christofzik Thomas Rinder Christof E. Dörfer Sonja Sälzer In vitro comparison of cleaning efficacy and force of cylindric interdental brush versus an interdental rubber pick BMC Oral Health Oral hygiene Interdental brushes Mechanical plaque control Interdental cleaning efficacy |
author_facet |
Christian Graetz Kristina Schoepke Johanna Rabe Susanne Schorr Antje Geiken David Christofzik Thomas Rinder Christof E. Dörfer Sonja Sälzer |
author_sort |
Christian Graetz |
title |
In vitro comparison of cleaning efficacy and force of cylindric interdental brush versus an interdental rubber pick |
title_short |
In vitro comparison of cleaning efficacy and force of cylindric interdental brush versus an interdental rubber pick |
title_full |
In vitro comparison of cleaning efficacy and force of cylindric interdental brush versus an interdental rubber pick |
title_fullStr |
In vitro comparison of cleaning efficacy and force of cylindric interdental brush versus an interdental rubber pick |
title_full_unstemmed |
In vitro comparison of cleaning efficacy and force of cylindric interdental brush versus an interdental rubber pick |
title_sort |
in vitro comparison of cleaning efficacy and force of cylindric interdental brush versus an interdental rubber pick |
publisher |
BMC |
series |
BMC Oral Health |
issn |
1472-6831 |
publishDate |
2021-04-01 |
description |
Abstract Background Interdental brushes (IDB) are according to the actual evidence the first choice for cleaning interdental areas (IDR). Their size should be chosen individually according to the IDR morphology. However, interdental rubber picks (IRP) are appreciated better by the patients and are hence becoming more and more popular but the evidence regarding their efficacy is still limited. The aim of this in vitro study was to measure the experimental cleaning efficacy (ECE) and force (ECF) during the use of interdental brushes versus newer wireless types with rubber filaments (IRP), both fitted and non-fitted for different IDR. Methods The medium size of a conical IRP (regular, ISO 2) with elastomeric fingers versus four sizes (ISO 1, 2, 3, 4) of cylindric IDB with nylon filaments (all Sunstar Suisse SA, Etoy, Switzerland) were tested. Interdental tooth surfaces were reproduced by a 3D-printer (Form 2, Formlabs Sommerville, MA, USA) according to human teeth and matched to morphologically equivalent pairs (isosceles triangle, concave, convex) fitting to three different gap sizes (1.0 mm, 1.1 mm, 1.3 mm). The pre-/post brushing situations at IDR (standardized, computer aided ten cycles) were photographically recorded and quantified by digital image subtraction to calculate ECE [%]. ECF were registered with a load cell [N]. Results Overall, a higher ECE was recorded for IDB compared to IRP (58.3 ± 14.9% versus 18.4 ± 10.1%; p < 0.001). ECE significantly depended on the fitting of the IDB. ECE was significant higher in isosceles triangle compared to concave and convex IDR for both IDB and IRP (p ≤ 0.001). ECF was lower for IDB (0.6 ± 0.4N) compared to IRP (0.8 ± 0.5N; p ≤ 0.001). ECE in relation to ECF increases with smaller IDB. For IRP highest values of ECF were found in the smallest IDR. Conclusions Within the limitations of an in vitro study, size fitted IDB cleaned more effectively at lower forces compared to conical IRP. |
topic |
Oral hygiene Interdental brushes Mechanical plaque control Interdental cleaning efficacy |
url |
https://doi.org/10.1186/s12903-021-01558-4 |
work_keys_str_mv |
AT christiangraetz invitrocomparisonofcleaningefficacyandforceofcylindricinterdentalbrushversusaninterdentalrubberpick AT kristinaschoepke invitrocomparisonofcleaningefficacyandforceofcylindricinterdentalbrushversusaninterdentalrubberpick AT johannarabe invitrocomparisonofcleaningefficacyandforceofcylindricinterdentalbrushversusaninterdentalrubberpick AT susanneschorr invitrocomparisonofcleaningefficacyandforceofcylindricinterdentalbrushversusaninterdentalrubberpick AT antjegeiken invitrocomparisonofcleaningefficacyandforceofcylindricinterdentalbrushversusaninterdentalrubberpick AT davidchristofzik invitrocomparisonofcleaningefficacyandforceofcylindricinterdentalbrushversusaninterdentalrubberpick AT thomasrinder invitrocomparisonofcleaningefficacyandforceofcylindricinterdentalbrushversusaninterdentalrubberpick AT christofedorfer invitrocomparisonofcleaningefficacyandforceofcylindricinterdentalbrushversusaninterdentalrubberpick AT sonjasalzer invitrocomparisonofcleaningefficacyandforceofcylindricinterdentalbrushversusaninterdentalrubberpick |
_version_ |
1721521988295458816 |