Effect of Combination of Water Jet and Sonic Wave Toothbrush on Bacteria in Periodontal Pockets

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  • Akihiro YASHIMA
    Department of Periodontology, Tsurumi University School of Dental Medicine
  • Takuma SUZUKI
    Department of Periodontology, Tsurumi University School of Dental Medicine
  • Yuji MATSUSHIMA
    Department of Periodontology, Tsurumi University School of Dental Medicine
  • Kazuhiro GOMI
    Department of Periodontology, Tsurumi University School of Dental Medicine

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Other Title
  • 水流洗浄器と音波歯ブラシ併用が歯周ポケット内細菌へ与える影響

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Abstract

 Purpose: It is considered that a sonic wave toothbrush can remove plaque from periodontal pockets owing to its brushing action and high vibration. However, it is difficult to effectively remove plaque from the deeper areas of periodontal pockets, even though it is extremely important to control pathogens in periodontal pockets. Therefore, we examined the effect of a combination of water jet and sonic wave toothbrush on bacteria in periodontal pockets.<br> Method: We randomly divided 18 patients with periodontal pockets of 4-5 mm into two groups. In the test group, the subjects brushed their teeth with sonic wave toothbrushes from the buccal side and tongue palatal side for 10 s and then used a water jet for 10 s. Bacterial samples were collected before and after this procedure. We collected bacterial samples from a control group after the patients brushed with a sonic wave toothbrush and gargled. Quantitative and qualitative analyses were carried out using the polymerase chain reaction (PCR)-Invader method.<br> Results: There were no significant differences in the number of pathogens found individually in the periodontal pockets. However, when evaluated overall, there was a significant decrease in the number of pathogens in the periodontal pockets after treatment in the test group. There was an approximately 4-fold increase in the removal effect, leading to a larger decline in the number of pathogens in the periodontal pockets of the test group than those in the control group.<br> Conclusion: We consider that the combination of liquid flow force through the sonic wave toothbrush and the bubble water flow through the water jet was effective for removing the pathogens from the periodontal pockets.

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