# Effect of toothbrush type on biofilm and periodontal health in orthodontic patients

## TL;DR

Sonic toothbrushes are more effective at reducing biofilm and improving gum health in orthodontic patients compared to other brush types.

## Contribution

Demonstrates that sonic toothbrushes outperform powered and manual brushes in periodontal health for orthodontic patients.

## Key findings

- Sonic brushes reduced biofilm on orthodontic brackets more than powered or manual brushes.
- Subjects using sonic brushes showed better plaque and gingival index scores.
- Metallic brackets had less biofilm formation compared to ceramic or composite resin brackets.

## Abstract

The sonic brush lowered the growth of biofilm on orthodontic brackets more successfully than both powered and manual toothbrushes
did. We show that the subjects in Group C (Sonic tooth brushes) achieved the most substantial progress in plaque index and gingival
index scores as well as bleeding on probing results. The biofilm formation on orthodontic brackets was least prominent on metallic
brackets as opposed to ceramic or composite resin brackets. People using sonic or powered toothbrushes followed their oral hygiene
instructions correctly. Thus, Patients undergoing orthodontic treatment should use sonic toothbrushes for achieving their best
periodontal health.