Clinical trial NCT06857474: The Effect of Bristle Brush, Rubber Cup, and Air Polishing on Tooth Surface Roughness of Scaled Teeth
Official title: The Effect of Bristle Brush, Rubber Cup, and Air Polishing on Tooth Surface Roughness of Scaled Teeth: A Randomized Controlled Trial Study Using Scanning Electron Microscope: Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Periodontal Diseases
Tooth Abrasion
Dental Plaque
Keywords: Tooth roughness
Dental polishing
Bristal Brush
Periodontology
Lead sponsor: Khyber Medical University Peshawar
Sponsor class: OTHER
Collaborators: name: Khyber College of Dentistry (KCD) Peshawar
First posted: 2025-03-04
Enrollment: 56
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The study compares the effects of three different polishing methods (bristle brush, rubber cup, and air polishing) on tooth surface roughness in a randomized controlled trial with a control group.
Primary purpose: TREATMENT

Brief summary: This study investigates the effects of three polishing methods using a bristle brush, rubber cup, and air polishing on the surface roughness of scaled human teeth. The study aims to determine which polishing method is most effective in minimizing roughness and preventing plaque accumulation, thus contributing to improved oral health practices.

Detailed description: Tooth surface roughness influences plaque retention and periodontal health. Polishing after scaling helps smoothen enamel surfaces, reducing bacterial adhesion. While various studies have assessed polishing techniques, there are inconsistencies in findings, particularly regarding air polishing vs. rubber cup polishing. Additionally, most studies focus on bovine teeth or indirect restorative materials rather than extracted human teeth. Using a randomized controlled trial (RCT) design, 56 extracted teeth will be divided into four groups: a control group (no polishing) and three experimental groups subjected to different polishing techniques. Surface roughness will be analyzed using a Scanning Electron Microscope (SEM). This study aims to fill these research gaps and provide region-specific data by determining which polishing method is most effective in minimizing roughness and preventing plaque accumulation, thus contributing to improved oral health practices.

Eligibility criteria: Inclusion Criteria:

* Extracted human teeth with intact buccal or lingual surfaces.
* Patients with a history of trauma affecting the oral cavity will be eligible, provided they meet other criteria (e.g., intact buccal or lingual surfaces).
* Male and female patients aged 18 years and above.

Exclusion Criteria:

* Teeth with restorations, caries, fractures, or significant developmental defects (e.g., amelogenesis imperfecta, dentinogenesis imperfecta , fluorosis etc).
* Patients with systemic disease such as diabetes mellitus, cardiovascular disorders or any other condition will be excluded.
* Mentally impaired patient.
* Patients who have undergone scaling and polishing within the last 3 months.

Primary outcomes:
measure: Tooth Surface Roughness
timeFrame: Immediately after intervention (post-polishing SEM analysis).
Secondary outcomes:
Other outcomes:
Locations:
city: Peshawar
country: Pakistan
facility: Khyber College of Dentistry, Peshawar
state: Khyber Pakhtunkhwa
Study officials:
affiliation: Khyber College of Dentistry, Peshawar
name: Adam Khan, BDS
role: PRINCIPAL_INVESTIGATOR
affiliation: Khyber College of Dentistry, Peshawar
name: Syed Muaz Masoom Shah, BDS,MDS,PHD
role: PRINCIPAL_INVESTIGATOR
affiliation: Khyber College of Dentistry, Peshawar
name: Mehwish Rasool, BDS
role: PRINCIPAL_INVESTIGATOR
affiliation: Khyber Medical University Peshawar
name: Syed Muhammad Shabbir Ali Naqvi, PhD*
role: PRINCIPAL_INVESTIGATOR
References:
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citation: Mohabatpour F, Chen X, Papagerakis S, Papagerakis P. Novel trends, challenges and new perspectives for enamel repair and regeneration to treat dental defects. Biomater Sci. 2022 Jun 14;10(12):3062-3087. doi: 10.1039/d2bm00072e.
citation: Jakubovics NS, Goodman SD, Mashburn-Warren L, Stafford GP, Cieplik F. The dental plaque biofilm matrix. Periodontol 2000. 2021 Jun;86(1):32-56. doi: 10.1111/prd.12361. Epub 2021 Mar 10.
citation: Wei Y, Dang GP, Ren ZY, Wan MC, Wang CY, Li HB, Zhang T, Tay FR, Niu LN. Recent advances in the pathogenesis and prevention strategies of dental calculus. NPJ Biofilms Microbiomes. 2024 Jul 13;10(1):56. doi: 10.1038/s41522-024-00529-1.
citation: Chowdhary Z, Mohan R. Efficiency of three different polishing methods on enamel and cementum: A scanning electron microscope study. J Indian Soc Periodontol. 2018 Jan-Feb;22(1):18-24. doi: 10.4103/jisp.jisp_40_17.