Efficiency of Chewable Toothbrush in Reduction of Dental Plaque in Students

Rasa Mladenovic; Andrijana Cvetkovic; Brankica Martinovic; Kristina Mladenovic; Milan Zivkovic; Zoran Arsic; Sasa Mladenovic; Tanja Zecevic Lukovic; Dragana Dakovic


BMC Oral Health. 2019;19(58) 

In This Article


Dental plaque, also known as dental biofilm, represents a non-mineral community of microorganisms organized in the organic mucopolysaccharide matrix and is the main etiological factor for the formation of caries and periodontal diseases.[1]

Maintaining oral hygiene is an important factor in the fight against dental caries and periodontal diseases, especially for urban and civilized people, who consume refined foods. The level of oral hygiene affects the microbial accumulation on the teeth, and the control of deposits is the basis for the prevention of oral diseases.[2]

Numerous studies have shown that there is a positive correlation between level of education and oral health status.[3,4] Therefore, students represent an important group of population that can be examined to assess oral health, awareness and habits among young people and educated groups.[5]

According to the recommendations of the oral health protocol, it is ideal to brush your teeth twice a day for continuous care,[6,7] whereas a conventional toothbrush can be as effective as an electric brush with the proper brushing technique.[8,9]

In addition to conventional and electric toothbrushes, chewable, toothbrushes that are chewed like a chewing gum can also be found on the market. Some of them contain a very high concentration of Xylitol (95%) - a natural sweetener that is very effective in preventing the formation of caries.[10]

The aim of this study was to compare the effectiveness of chewable toothbrush and a conventional brush in the student population.