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MİKRO TİTREŞİMLİ DİŞ FIRÇASININ PLAK KALDIRMA ETKİNLİĞİNİN İN VİVO DEĞERLENDİRİLMESİ

PLAQUE REMOVAL EFFICACY OF MANUAL TOOTHBRUSH WITH MICROPULSE BRISTLES

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Abstract (2. Language): 
The objective of this in vivo study was to compare the plaque removal efficacy of manual toothbrush with micropulse bristles against conventional manual toothbrush and manual toothbrush followed by dental floss. Subjects were 12 healthy volunteers aged 20-21 years who were asked to abstain from all oral hygiene procedures for 24 hours. Dental plaque disclosing solution was applied (MIRA-2-TON, Hager Werken). Plaque was evaluated then using the Rustogi Modified Navy Index with which the facial and the lingual surfaces of the teeth were divided into 9 unequal areas accordingly. The clinical procedures were repeated before and after 2 minutes of toothbrushing with manual toothbrush only (Colgate 360°) and with manual toothbrush followed by dental floss (Satin Tape, Oral-B) and with manual toothbrush with micropulse bristles (Oral-B Pulsar, Oral-B). One examiner, blinded to the treatment sequences, performed all clinical measurements. The manual toothbrush removed 45% of the disto-proximal, 38% of the mesio-proximal plaque and 38% of the gingival plaque while, disto-proximal plaque, mesio-proximal plaque and gingival plaque were removed by manual toothbrush with dental floss in 64%, 48% and 51% respectively. Manual toothbrush with micropulse bristles reduced 81% of disto-proximal plaque, 61% of mesio-proximal plaque and 70% gingival plaque. Manual toothbrush with micropulse bristles has the highest rate in plaque removal in most areas and manual toothbrush followed by dental floss seems more effective than manual toothbrush alone.
Abstract (Original Language): 
Bu in vivo çalışmanın amacı, mikro titreşimli diş fırçalarının plak kaldırma etkinliklerim, geleneksel diş fırçaları ve geleneksel diş fırçalan ile diş ipinin birlikte kullanımlarının etkinlikleriyle karşılaştırmaktır. Çalışmaya 20-21 yaşlannda, hiçbir sistemik rahatsızlığı olmayan 12 sağlıklı gönüllü katılmış ve ölçümler öncesindeki 24 saat boyunca ağız hijyenine ilişkin hiçbir işlem yapmamalan sağlanmıştır. Diş yüzeylerindeki plak, özel bir solüsyon (MTRA-2-TON, Hager Werken) ile boyandıktan sonra, Rustogi Modifıye Navy indeksine göre skorlanmıştır. Tüm dişlerin dişin fasiyal ve lingual bölgeleri 9 ayn bölgeye ayrılmış ve her bölgede plağın varlığı T, yokluğu '0' olarak skorlanmıştır. Bu ölçümler aynı bireylere farklı zamanlarda, geleneksel bir diş fırçasıyla (Colgate 360°) fırçalama öncesi ve sonrası, geleneksel diş fırçasının (Colgate 360°) ve diş ipinin (Satin Tape, Oral-B) birlikte kullanımının öncesinde ve sonrasında, ve mikro titreşimli bir diş fırçasıyla (Oral-B Pulsar, Oral-B) fırçalama öncesi ve sonrası yapılmış ve kaydedilmiştir. Diş fırçalama süresi iki dakika olarak standardize edilmiştir. Ölçümler deneklerdeki hijyen işleminin ne olduğunu bilmeyen farklı bir araştırmacı tarafından yapılmıştır. Araştırmamızın sonuçlarına göre diş fırçası disto-proksimal plağın %45'ini, mesio-proksimal ve gingival plağın %38'ini kaldırırken, diş fırçası diş ipiyle birlikte kullanıldığında dısto-proksımal plağın %>64'ünü mesio-pro ks imal plâğın %>48'ını ve gingival ülaâm %51'ini kaldırmıştır Mikro titreşimli kılları olan dis fırçası ise disto üroksimal plağın %81'ini mesio proksimal plağın %51'ini ve gingival plağın %70'ını kaldırmıştır Mikro titreşimli kılları olan diş fırçası C02U bölgede en Yüksek plak kaldırma etkinliğim göstermiştir. Geleneksel dis fırçasıyla birlikte dis ipinin kullanımının da sadece geleneksel dış fırçasının kullanımına göre çoğu bölgede daha etkin bir şekilde plak kaldırdığı görülmüştür.
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