This randomized controlled trial aimed to determine the effectiveness of a plaque removal by triple-headed manual toothbrush by comparing changes in Rustogi Modifiye Navy Plaque Index.

Participants will be divided into two groups and will be made to brush with different designed toothbrushes.

The researchers will compare the plaque removal efficiency of the brushes by comparing the changes in the plaque index of the intervention and control groups before and after brushing.

Inclusion Criteria:

• age ranging from 18-60 years;
• a minimum of 12 teeth;
• participants were wanted to be right-handers when toothbrushing to standardization.

Exclusion Criteria:

• Patients with systemic illnesses or conditions,
• smokers and individuals taking any medication that may affect periodontal health were not included in the study.
• Individuals who had previously been treated for periodontal disease in the past 6 months were also excluded.