Factors affecting plaque removal include toothbrush type, brushing method, and brushing pressure. In this study, the conditions of brushing method and pressure, which are different in different brush types, were changed, and a comparative examination was performed to assess plaque removal rate.
Toothbrushes were classified into 3 types: flat, dome, and mountain-cutting. Artificial plaque was applied on the mandibular left first molar. The plaque removal rate was determined using a cleaning tester after 5 strokes of brushing with bristles of 20 mm length and pressures of 150, 200, and 250 gf by scrubbing and bath methods.
In the scrubbing method, the mountain-cutting toothbrush had a higher plaque removal rate compared to the other toothbrush types, at brushing pressures of 150 and 200 gf. With the flat toothbrush, as the brushing pressure increased, the brush spread evenly, increasing the contact area with the tooth surface, thereby increasing the plaque removal rate. In the bath method, when the brushing pressure was set to 200 or 250 gf, the mountain-cutting toothbrush had the highest plaque removal rate. It is considered that at low brushing pressures, mountain-shaped bristles do not spread, decreasing the contact area between the brush and the tooth surface, resulting in a low plaque removal rate.
However, with mountain-cutting toothbrushes, as the plaque removal rate is greatly affected by the brushing pressure, detailed brushing pressure guidance is considered necessary when teaching patients the brushing method.
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