E. Grossman et al., A COMPARATIVE CLINICAL-STUDY OF EXTRINSIC TOOTH STAIN REMOVAL WITH 2 ELECTRIC TOOTHBRUSHES [BRAUN D7 AND D9] AND A MANUAL BRUSH, American journal of dentistry, 9, 1996, pp. 25-29
Purpose: To evaluate the efficacy and safety of two oscillating/rotati
ng toothbrushes, (Braun Oral-B Plaque Remover - D7 and Braun Oral-B Ul
tra Plaque Remover - D9) and a manual toothbrush with respect to remov
ing extrinsic dental stain. Materials and Methods: This randomized, th
ree-way cross-over study investigated 24 subjects entering the trial,
which was divided into three, 5-day periods. Over the first 4 days of
the study, an intense chlorhexidine/tea rinsing regimen was employed t
o induce extrinsic tooth staining. On day 5, each subject was assessed
for tooth stain; they then brushed for a total of 2 minutes with one
of the three randomly allocated toothbrushes. Stain evaluations were r
epeated after 30 seconds, 1 and 2 minutes brushing, with the intensity
of stain, area of stain and number of sites with < 10% stained tooth
area, being recorded at each assessment. Results: Analysis of the resu
lts showed that the two electric toothbrushes were significantly bette
r at removing stain than the manual toothbrush. In addition, the D9 wa
s consistently more effective than the D7, with the difference with re
spect to stain area achieving statistical significance (P < 0.05) afte
r 2 minute's brushing. All three brushes were found to be safe, and th
ere was no evidence of any soft or hard tissue abrasion. It was conclu
ded that the oscillating/rotating electric toothbrushes were more effe
ctive in removing extrinsic dental stain than a manual brush, and that
compared with the D7, the newly designed Braun Oral-B Ultra Plaque Re
mover has an increased potential for stain removal.