In Vitro Analysis of Enamel Abrasion Using a Novel Manual Nano-Bristle Toothbrush: An Atomic Force Microscopy Study
2024

Study on Enamel Abrasion from Different Toothbrushes

Sample size: 45 publication Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Prasad Mohan, Blaisie Rajula Prem, PL Ravishankar, Rao Sunanda, K Gayathri, V Mounika, Kodali Murali Venkata Rama Mohan, V Kalaivani, Soloman Gracelin, Nisha Nelofar

Primary Institution: SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology

Hypothesis

Nano-bristle brushes cause less enamel abrasion than soft and ultra-soft brushes.

Conclusion

Nano-bristle toothbrushes demonstrated the least enamel abrasion in this study, suggesting they may provide a gentle alternative for preserving enamel integrity.

Supporting Evidence

  • Nano-bristle toothbrushes caused a minimal increase in surface roughness (mean change: 4 nm).
  • Soft bristle toothbrushes caused a mean change of 14.08 nm in surface roughness.
  • Ultra-soft bristle toothbrushes caused a mean change of 14.86 nm in surface roughness.
  • AFM analysis confirmed that both soft and ultra-soft bristles caused greater enamel abrasion compared to nano-bristles.

Takeaway

This study found that using a special nano-bristle toothbrush is better for your teeth because it doesn't scratch them as much as regular soft or ultra-soft toothbrushes.

Methodology

This in vitro study involved 45 extracted human teeth assigned to three groups, each undergoing 10,000 brushing cycles with different toothbrush types, followed by AFM analysis of enamel surface roughness.

Limitations

The small sample size and reliance on a single technique to measure surface roughness limit the generalizability of the findings.

Participant Demographics

Extracted human teeth from patients with periodontal issues.

Statistical Information

P-Value

0.001

Confidence Interval

Lower: -5.06, Upper: -2.93

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.7759/cureus.75243

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