Purpose: To evaluate the effect of adding a pulsating bristle action t
o the established oscillating/rotating action of the Braun Oral-B Ultr
a Plaque Remover (D9) on plaque removal. Materials and Methods: Plaque
removal was evaluated using the modified Quigley-Hein Plaque Index in
a double blind randomized, crossover study involving 32 healthy volun
teers without any dental training. After 2 weeks use of the D9 during
which time subjects received training in its use, subjects abstained f
rom oral hygiene for 48 hours. They were then assessed for plaque afte
r which they brushed their teeth using an experimental toothbrush rand
omly set to either the D9 oscillating/rotating action or to the new 3D
action with an additional pulsating movement of the brush head in the
direction of the long axis of the bristles. After brushing, plaque wa
s again evaluated. Following a further 2 weeks of normal home use of t
he D9, subjects returned and the procedure was repeated using the brus
h set in the second mode. Results: Both toothbrush actions were found
to be effective at removing plaque from all sites and surfaces in the
mouth. The 3D action was consistently more effective than that of the
D9, the difference being statistically significant for the whole mouth
, the upper jaw, the lingual surfaces and for all interproximal sites,
in particular in the upper jaw.