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| Name | Class |
|---|---|
| Khyber College of Dentistry (KCD) Peshawar | UNKNOWN |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bristle Brush Polishing Group | Experimental | 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. |
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| Rubber Cup Polishing Group | Experimental | 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. |
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| Air Polishing Group | Experimental | After ultrasonic scaling, teeth will be polished using sodium bicarbonate air polishing with an air polishing device in a circular motion for 10 seconds. |
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| Control Group | Active Comparator | Teeth in this group will undergo ultrasonic scaling only, with no additional polishing procedures. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bristle Brush Polishing | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Tooth Surface Roughness | The arithmetic mean roughness (Ra) and root mean square roughness (Rq) of the enamel surface will be measured using Scanning Electron Microscopy (SEM) analysis and ImageJ software. This will assess the effectiveness of different polishing techniques in reducing surface roughness after ultrasonic scaling. | Immediately after intervention (post-polishing SEM analysis). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Adam Khan, BDS | Khyber College of Dentistry, Peshawar | Principal Investigator |
| Syed Muaz Masoom Shah, BDS,MDS,PHD | Khyber College of Dentistry, Peshawar | Principal Investigator |
| Mehwish Rasool, BDS | Khyber College of Dentistry, Peshawar | Principal Investigator |
| Syed Muhammad Shabbir Ali Naqvi, PhD* | Khyber Medical University Peshawar | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Khyber College of Dentistry, Peshawar | Peshawar | Khyber Pakhtunkhwa | 25000 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35186274 | Background | 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. | |
| 35543379 | Background | 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. |
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The study will share de-identified individual participant data (IPD), including surface roughness measurements obtained from Scanning Electron Microscopy (SEM) analysis, as well as statistical findings related to different polishing techniques. The shared dataset will help researchers conduct secondary analyses and compare results with similar studies.
The data will be made available 6 months after the study's completion and will remain accessible for a period of 5 years to facilitate further research.
Access to the data will be granted to qualified researchers upon submission of a formal request that includes a research proposal outlining the intended use of the data. Requests will be reviewed by the study investigators and ethical review committee to ensure compliance with data privacy regulations.
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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.
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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.
| Rubber Cup Polishing | 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 | 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. |
|
| Ultrasonic Scaling | Procedure | Teeth in the control group will undergo ultrasonic scaling only, with no additional polishing procedures. |
|
| 33690911 | Background | 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. |
| 39003275 | Background | 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. |
| 29568167 | Background | 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. |
| ID | Term |
|---|---|
| D010510 | Periodontal Diseases |
| D014072 | Tooth Abrasion |
| D003773 | Dental Plaque |
| ID | Term |
|---|---|
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
| D057085 | Tooth Wear |
| D014076 | Tooth Diseases |
| D003741 | Dental Deposits |
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