The Effect of Bristle Brush, Rubber Cup, and Air Polishing on Tooth Surface Roughness of Scaled Teeth

NCT ID: NCT06857474

Last Updated: 2026-01-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-01

Study Completion Date

2025-12-15

Brief Summary

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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

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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.

Conditions

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Periodontal Diseases Tooth Abrasion Dental Plaque

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

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 Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers
This study follows a double-blind approach where both the SEM technician capturing micrographs and the analyst evaluating surface roughness will be blinded to the specific group allocations.

Study Groups

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Bristle Brush Polishing Group

After ultrasonic scaling, teeth will be polished using a bristle brush attached to a low-speed contra-angle handpiece with prophylaxis paste in a circular motion for 10 seconds.

Group Type EXPERIMENTAL

Bristle Brush Polishing

Intervention Type PROCEDURE

After ultrasonic scaling, teeth will be polished using a bristle brush attached to a low-speed contra-angle handpiece with prophylaxis paste in a circular motion for 10 seconds.

Rubber Cup Polishing Group

After ultrasonic scaling, teeth will be polished using a rubber cup attached to a low-speed contra-angle handpiece with prophylaxis paste in a circular motion for 10 seconds.

Group Type EXPERIMENTAL

Rubber Cup Polishing

Intervention Type PROCEDURE

After ultrasonic scaling, teeth will be polished using a rubber cup attached to a low-speed contra-angle handpiece with prophylaxis paste in a circular motion for 10 seconds.

Air Polishing Group

After ultrasonic scaling, teeth will be polished using sodium bicarbonate air polishing with an air polishing device in a circular motion for 10 seconds.

Group Type EXPERIMENTAL

Air Polishing

Intervention Type PROCEDURE

After ultrasonic scaling, teeth will be polished using sodium bicarbonate air polishing with an air polishing device in a circular motion for 10 seconds.

Control Group

Teeth in this group will undergo ultrasonic scaling only, with no additional polishing procedures.

Group Type ACTIVE_COMPARATOR

Ultrasonic Scaling

Intervention Type PROCEDURE

Teeth in the control group will undergo ultrasonic scaling only, with no additional polishing procedures.

Interventions

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Bristle Brush Polishing

After ultrasonic scaling, teeth will be polished using a bristle brush attached to a low-speed contra-angle handpiece with prophylaxis paste in a circular motion for 10 seconds.

Intervention Type PROCEDURE

Rubber Cup Polishing

After ultrasonic scaling, teeth will be polished using a rubber cup attached to a low-speed contra-angle handpiece with prophylaxis paste in a circular motion for 10 seconds.

Intervention Type PROCEDURE

Air Polishing

After ultrasonic scaling, teeth will be polished using sodium bicarbonate air polishing with an air polishing device in a circular motion for 10 seconds.

Intervention Type PROCEDURE

Ultrasonic Scaling

Teeth in the control group will undergo ultrasonic scaling only, with no additional polishing procedures.

Intervention Type PROCEDURE

Eligibility Criteria

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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.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Khyber College of Dentistry (KCD) Peshawar

UNKNOWN

Sponsor Role collaborator

Khyber Medical University Peshawar

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Adam Khan, BDS

Role: PRINCIPAL_INVESTIGATOR

Khyber College of Dentistry, Peshawar

Syed Muaz Masoom Shah, BDS,MDS,PHD

Role: PRINCIPAL_INVESTIGATOR

Khyber College of Dentistry, Peshawar

Mehwish Rasool, BDS

Role: PRINCIPAL_INVESTIGATOR

Khyber College of Dentistry, Peshawar

Syed Muhammad Shabbir Ali Naqvi, PhD*

Role: PRINCIPAL_INVESTIGATOR

Khyber Medical University Peshawar

Locations

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Khyber College of Dentistry, Peshawar

Peshawar, Khyber Pakhtunkhwa, Pakistan

Site Status

Countries

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Pakistan

References

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Al-Amri I, Albounni R, Binalrimal S. Evaluation of the effect of soft drinks on the surface roughness of dental enamel in natural human teeth. F1000Res. 2021 Nov 10;10:1138. doi: 10.12688/f1000research.55556.1. eCollection 2021.

Reference Type BACKGROUND
PMID: 35186274 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 35543379 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 33690911 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 39003275 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 29568167 (View on PubMed)

Other Identifiers

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KMU/DIR/CTU/2024/014

Identifier Type: -

Identifier Source: org_study_id

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