ABSTRACT
Purpose@#This study was conducted to compare dental plaque scores obtained through clinical examinations and various imaging techniques, as well as to assess the effectiveness of herbal and conventional toothpastes for plaque removal. @*Materials and Methods@#Thirty volunteers were divided into 3 groups. Each group was given a different toothpaste (from 2 herbal toothpastes and a conventional toothpaste) with which to brush their teeth for 21 days. Both initially and after brushing, dental plaque samples were collected, and plaque on the buccal surfaces of anterior teeth was scoredusing several imaging systems after staining with a disclosing agent. Specifically, digital dental photography, intraoral digital scanning, and FluoreCam imaging were employed to capture intraoral images. The Turesky Modified QuigleyHein Plaque Index was used for clinical examination and image analysis. Quantitative polymerase chain reactionanalyses and correlational assessments between clinical examination and imaging scores were conducted before and after toothpaste use. The Shapiro-Wilk test and Pearson correlations were utilized. @*Results@#The lowest mean value was observed in the clinical examination without staining, while the highest was obtained using the FluoreCam method. No significant change was found in the level of any microorganism assessed following toothpaste use (P<0.05), with the exception of a decrease in S. mutans levels after using conventional toothpaste (P<0.05). @*Conclusion@#Herbal toothpaste demonstrated plaque-removal effectiveness comparable to that of conventional toothpaste. The use of imaging methods for measuring plaque index has been suggested as a means to educate patients about plaque control and promote ongoing oral care.
ABSTRACT
Objective To determine quantitatively the amount of demineralization and the ability of commercially available products and an experimental cream to inhibit or reverse orthodontic related demineralization. Methods A total of 20 patients who were 25–35 years old and having orthodontic treatment for 6–8 months were chosen. Caries risk assessments were done for each patient and ones with “moderate risk” were included. Patients with fixed orthodontic appliances were divided into 4 groups (5 patients each) including one control and 3 study groups. All patients used same toothpaste 2 times a day during the 3 weeks study period. Additional to the toothpaste first study group used MI Paste Plus (GC, Tokyo, Japan), second study group used Remin Pro (Voco, Cuxhaven, Germany) and third group used an experimental remineralizing cream per day for 3 weeks. Maxillary central and lateral incisors of each patient were examined by FluoreCam (Daraza Therametric Technologies, USA) device. The examinations were performed at baseline and at the end of 1st, 2nd and 3rd weeks. Results According to the FluoreCam measurements the control group showed significant amount of demineralization at the end of 3 weeks, moreover the amount of demineralization has gradually increased in time. At the end of the study all 3 study groups showed significant amount of remineralization and the amount of remineralization for all the 3 study groups has gradually increased in time. However the amount of remineralization for 3rd study group was lesser than the 1st and 2nd study groups. The remineralization amounts for the 1st and 2nd study groups were determined to be identical. Conclusions This study demonstrated that demineralization is measurable around orthodontic brackets and the demineralization can be completely inhibited and/or reversed by the use of commercially available remineralization products.