Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
End-Morphology of Orthodontic Toothbrush Filaments: A Stereomicroscope Analysis: Cross-Sectional Research
Ortodontik Diş Fırçalarının Kıl Ucu Morfolojisi: Bir Stereo Mikroskop Analizi: Kesitsel Araştırma
Barış Can TELATARa , Gül YILDIZ TELATARb
aAkdeniz University Faculty of Dentistry, Department of Orthodontics, Antalya, Türkiye
bRecep Tayyip Erdoğan University Faculty of Dentistry, Department of Restorative Dentistry, Rize, Türkiye
Turkiye Klinikleri J Dental Sci. 2024;30(2):267-72
doi: 10.5336/dentalsci.2023-99606
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of this study was to examine and evaluate the form of filaments of four manuel orthodontic toothbrushes by stereomicroscope analysis. The existing literature lacks findings on the end morphology of orthodontic toothbrush bristles. Material and Methods: Eight samples from four different orthodontic toothbrush brands (Glimo Orthodontic Oral Care, Pearldent Ortho, Tepe Implant Orthodontic, Curoprox Ortho) were collected. After determining tuft numbers, two tufts from each toothrush head from the opposite sides collected by using a carbon disk and filaments from each sample were attached on a bristle paper with transparent tape. A total of 16 tufts were independently evaluated by an observer using a stereomicroscope (Zeiss Stemi 508, Germany) at 8x magnification. Bristle end morphologies were classified as acceptable and non-acceptable according to the Silverstone and Featherstone scale. Pearson's chi-square test was employed to analyze differences between toothbrush types. In instances where the estimated values did not reach sufficient levels, Monte Carlo simulation was used. The level of statistical significance was set at 0.05. Results: The bristle ends morphologies of Glimo and Pearldent toothbrushes were found to be 100% non-acceptable. There was a significant difference between toothbrush brands in terms of the distribution of bristle tip morphologies. (p=0.000). Specifically, 75.6% of Tepe brand filaments were deemed acceptable, while Curaprox exhibited an acceptable filament percentage of 48.2%. Conclusion: Among the evaluated toothbrush brands, Tepe emerged as the most acceptable orthodontic toothbrush, with 75.6% of filaments meeting the acceptable criteria. Conversely, Glimo and Pearldent displayed no acceptable bristle tip morphology.

Keywords: Orthodontic appliances; toothbrushing; microscopy
ÖZET
 Amaç: Bu çalışmanın amacı, 4 adet manuel ortodontik diş fırçasının filament formlarının stereo mikroskop analizi ile incelenerek değerlendirilmesidir. Güncel literatür taramasına göre; ortodontik diş fırçalarının kıl ucu morfolojisine dair bulgu yer almamaktadır. Gereç ve Yöntemler: Dört farklı ortodontik diş fırçası markasından (Glimo, Ortodontik Ağız Bakım, Pearldent Orto, Tepe İmplant Ortodontik, Curaprox Ortho) sekiz örnek toplandı. Demet sayıları belirlendikten sonra karbon disk kullanılarak her bir diş fırçalama başından karşılıklı ikişer demet toplandı ve her numuneden gelen filamentler şeffaf bantla Bristol kâğıdı üzerine yapıştırıldı. Toplam 16 demet stereo mikroskop (Zeiss Stemi 508, Almanya) kullanılarak 8x büyütmede bir gözlemci tarafından bağımsız olarak değerlendirildi. Kıl ucu morfolojileri Silverstone ve Featherstone sınıflandırmasına göre kabul edilebilir ve kabul edilemez olarak değerlendirildi. Farklı diş fırçası türlerine ilişkin bulgular arasındaki farklılıklar Pearson ki-kare testi ile analiz edildi. Tahmin edilen değerlerin yeterince büyük olmadığı durumlarda Monte Carlo simülasyonu kullanıldı. İstatistiksel anlamlılık düzeyi 0,05 olarak tanımlandı. Bulgular: Glimo ve Pearldent diş fırçalarının kıl ucu morfolojileri %100 kabul edilemez bulunmuştur. Kıl ucu morfolojilerinin dağılımı açısından diş fırçası markaları arasında anlamlı fark vardı (p=0,000). Buna göre; Tepe markasında filamentin %75,6'sı kabul edilebilir, Curaprox'ta %48,2 filament kabul edilebilir olarak bulunmuştur. Sonuç: İncelenen diş fırçası markaları arasından %75,6 kabul edilebilirlik oran ile en kabul edilebilir diş fırçası markası Tepe oldu. Diğer taraftan, Glimo ve Pearldent için kabul edilebilir kıl ucu morfolojisi görülmedi.

Anahtar Kelimeler: Ortodontik gereçler; diş fırçalama; mikroskopi
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