• The Journal of the Korean dental association
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• v.37 no.10 s.365
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• pp.766-771
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• 1999

칫솔은 치면에 부착된 프라그 등의 부착물을 물리적으로 제거하기에 가장 합리적이고 간편하게 사용할 수 있도록 설계된 구강청소용구이다. 가장 흔하지만 무심코 지나치기 쉬운 칫솔 칫솔의 역사와 칫솔의 종류, 1300억에 이르는 칫솔시장을 분석해 본다.

• Journal of Periodontal and Implant Science
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• v.35 no.1
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• pp.163-176
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• 2005

3개월 동안 사용한 마모된 칫솔의 마모 정도와 양상을 관찰하고, 새 칫솔과 마모된 칫솔의 잇솔질 전 ${\cdot}$ 후 치태제거효율을 single-use design으로 비교 ${\cdot}$ 평가하여 3개월 주기의 칫솔 교체 주기의 근거를 임상적으로 확인 해보고자 하였다. 치주적으로 건강한 치과 대학생 42명을 대상으로 설문지를 통해 잇솔질 습관을 조사하고, 3개월간 동일한 칫솔과 치약을 사용하게 하였다. 3개월 후 피시험자를 무작위로 두 군(I, II)으로 나누고, 치석제거술을 시행한 뒤 2주후에 내원하도록 하였으며 내원 전 48시간동안은 잇솔질을 하지 않도록 지시하였다. 2주후 I군은 새 칫솔을, II군은 마모된 칫솔을 사용하도록 하였으며 잇솔질 전 ${\cdot}$ 후에 각각 구강 내를 erythrosin으로 염색한 후 6개의 Ramfjord 치아의 plaque score를 Patient Hygiene Performance (PHP) index로 측정하였다. 2주간의 washout period 후에 다시 치석제거술을 시행한 뒤, I군이 마모된 칫솔을, II군은 새 칫솔을 사용하게 하여 동일한 방법으로 PHP index를 각각 측정하였다. 마모된 칫솔은 수거하여 brushing surface area의 면적으로 마모도를 평가하였다. 결과는 paired t-test와 Pearson's correlation analysis로 통계처리 하였다. 2명이 탈락하였고 잇솔질 전 ${\cdot}$ 후에 대한 전체 부위, 치간 부위, 변연치은 부위의 plaque score는 두 칫솔 모두 통계학적으로 유의성 있게 감소하였으며 (p<0.0001), 두 칫솔을 비교한 경우에는 새 칫솔이 마모된 칫솔보다 치태 감소량이 통계학적으로 유의성 있게 많았다 (p<0.0001). 칫솔의 마모도는 평균 50.6% 증가하였으며, 마모도 증가에 따른 치태 감소량에는 직선적인 상관관계가 있었으나 통계학적인 유의성은 없었다. (전체 부위 r=-0.58, p=0.72 / 변연치은 부위 r=-0.50, p=0.76). Single-use design에서 3개월 동안 마모된 칫솔은 치태제거 능력에 있어서 새 칫솔보다 덜 효율적이였다. 칫솔의 마모도는 구강 위생 관리에 영향을 미치는 중요한 요인이며, 마모된 칫솔은 정기적인 교체가 요구된다. 또한, 치간 부위를 포함한 변연치은 부위의 치태를 정확하게 평가할 수 있는 치태지수에 대한 연구가 필요하겠다.

• The Journal of the Korean dental association
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• v.46 no.12
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• pp.742-754
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• 2008

이 연구의 목적은 초기 및 중등도 치주염 환자에서 전동칫솔을 사용할 경우 임상 지수의 향상 정도와 치주원인균의 정량적 감소 효과를 12주의 연구 기간 동안 평가하는 것이다. $25{\sim}55$세의 환자 80명을 대상으로 12주 동안 진행하였으며, 치태지수 0.5 이상, 치은지수 0.5 이상을 나타내는 대상에서 일반 칫솔 혹은 전동칫솔 ($Sonicare^{(R)}$ Elite, Philips Oral Healthcare Inc., Snoqualmie, Washington, USA) 사용 군을 임의로 선정하였다. 하루 2회, 매 회 2분 간 사용하고, 각 군의 칫솔 사용을 교육하였다. 임상지수는 치태지수 (PI; Silness & $L{\ddot{o}}e$), 치은지수 (GI; $L{\ddot{o}}e$ & Silness), 탐침 후 출혈 부위 (%), 치주낭 깊이 부착소실을 초진 1, 4, 12주에 측정하였다. Interleukin-1 (IL-1), MMP-8과 치은연하치태샘플에서 채취한 4 종류의 치주원인균 (Actinomyces visco년, Porphyromonas gingivalis, Streptococcus sanguis, Tannerella forsythensis)에 대한 16S rRNA test는 초진, 1주, 12주에 측정하였다. 측정 결과 전동칫솔과 일반 칫솔 모두 임상지수의 유의한 감소가 나타났으며, 치은지수는 일반칫솔에 비해 전동칫솔에서 감소효과가 통계적으로 더 우수하게 나타났다 (p<0.001). 탐침 후 출혈의 감소는 전동칫솔에서 76.73%, 일반칫솔에서 44.57% 정도로 전동칫솔 군이 더 우수하게 나타났다. 치주낭 깊이 감소는 초진에 비해 전동칫솔 군에서 18.55%, 일반칫솔 군에서 14.81% 정도로 나타났으며, 초진과 비교하였을 때 부착수준의 향상 정도는 전동칫솔 25.24%, 일반 칫솔 16.94% 정도로 두 군 모두 통계적으로 유의하게 개선되었다 (p < 0.001). 두 군 모두 IL-1 beta, MMP-8 농도의 감소가 있었으며, 치주원인균 중 A.viscosus, P.gingivalis, T.forsythensis 역시 두 군 모두에서 초진에 비해 12주에 유의한 감소를 나타내었으나, S.sanguis는 전동칫솔 군에서만 12주에 유의한 감소가 있었다. 이상의 결과에서 12주 간의 연구 기간 동안 초기 및 중등도 치주염 환자에서 소니케어 전동칫솔의 사용은 임상지수 및 치주 원인균 감소에 통계적으로 유의한 개선 효과를 나타내었다.

• Journal of the korean academy of Pediatric Dentistry
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• v.43 no.4
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• pp.374-381
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• 2016

The purpose of this study is to compare the effectiveness of sonic and manual toothbrushes using the $L{\ddot{o}}e$ and Silness plaque index (PI). This was an examiner-blind, randomized study with a cross-over design. A total of 34 children (17 males and 17 females) aged 3-6 years were included. Subjects were randomly assigned to two groups: one group used the sonic brush for two weeks before using the manual brush for two weeks, while the other group used the manual brush for two weeks followed by the sonic brush. During each dental visit, plaque indices were recorded and compared to baseline. The results were analyzed using a paired t-test or Pearson correlation test (${\alpha}=0.05$). Thirty children (mean age 4.37 years) complied with the protocol and completed the study. The PI score was 0.09 lower compared to baseline after using a manual toothbrush and 0.26 lower after using the sonic brush. The reduction was statistically significantly greater in the sonic group (p < 0.05). In conclusion, the sonic toothbrush is more effective for reducing plaque than a manual toothbrush.

• Journal of the Korea Convergence Society
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• v.10 no.7
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• pp.55-62
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• 2019

This study analyzed 467patent for toothbrush that used for oral hearlth, registered for 10years from 2008 to 2017 at KIPRIS which can search patent. Based on the toothbush composition, 8categories were detailed information was subdivided. As a result showed that the most patents were patent for toothbrush bristle, patent for additional function, patent for electronic toothbrush, patent for toothbrush's head, patent for toothbrush in different form, patent for toothbrush's neck, patent for learning of brushing habits, patent for toothbrush's handle. The patent that has a variety of the section was a patent for additional function, the patent for toothbrush bristle was the highest that is 25 in 2012. The only increasing number of patents compared to toothbrush patents, which are decreasing slightly in 2017, was the Patent for learning of brushing habits and the patent for toothbrush's handle. As a result, from 2009, the number of patents for toothbrushes has increased and varied.

• Journal of Food Hygiene and Safety
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• v.30 no.3
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• pp.242-248
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• 2015

This study was performed to investigate the microbiological contamination on toothbrushes, toothbrush caps, and tooth cleaning cups in the child care centers and to evaluate the toxin genes, toxin production ability and antibiotic resistance of food-borne pathogens. The average number of total aerobic bacteria and fungi were 5.3 log CFU and 3.2 log CFU. Coliform bacteria were detected in 41 (54.7%) of 75 toothbrushes, 13 (44.8%) of 29 toothbrush caps, and 29 (44.6%) of 65 tooth cleaning cups. Salmonella spp. was not detected in all of samples but Bacillus cereus was isolated from 1 (1.3%) of 75 toothbrushes and 2 (3.1%) of 65 tooth cleaning cups. Staphylococcus aureus was detected in 1 (1.5%) of 65 tooth cleaning cups. The nheA, nheB, nheC, hblC, hblD, hblA and entFM toxin genes were possessed in B. cereus isolated from toothbrush which also produce NHE and HBL enterotoxins. S. aureus was resistant to ampicillin and penicillin, while B. cereus was resistant to ${\beta}-lactam$ antibiotics. These results indicated that the sanitary conditions of toothbrushes and tooth cleaning cups in the child care centers should be improved promptly. The UV sterilization after drying and then storage in dried condition is required to improve the sanitary condition of toothbrushes and tooth cleaning cups in the child care center.

• The Journal of the Korea Contents Association
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• v.16 no.2
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• pp.609-617
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• 2016

The purpose of this study is to investigate the wear index of toothbrush and related factors in the university students. A self-reported questionnaire was completed by 573 university students from March 16 to April 10, 2015. The questionnaire consisted of general characteristics of the subjects, wear index, and wear rate of the toothbrush. The wear index of 46.9 percent was above 0.400, and the average wear index was $0.403{\pm}0.20$. Overall, the wear index of the toothbrushes was high. 2. As a result of measuring the wear rate of the toothbrushes, the wear rate of 70.4 percent stood at 1 and 2. The average wear rate stood at $1.620{\pm}0.74$. Overall, the wear rate of the toothbrushes was high. 3. As for wear index and wear rate by gender, the wear index and wear rate of the toothbrushes used by the male students were larger than those of the toothbrushes used by the female students. The wear index and wear rate were significantly higher when the toothbrush replacement period was longer. Given the findings of the study, efficient oral health education on the right toothbrush management should be provided for college students to manage their toothbrushes properly.

• Journal of Digital Convergence
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• v.16 no.12
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• pp.505-510
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• 2018

This study aimed to compare the elimination effect of dental plaque between general toothbrushes and chewing toothbrushes, so as to investigate whether the chewing toothbrushes have the practicality as the alternatives of general toothbrushes and their utilities in the real life. The study subjects were 30 healthy adults in their 20s who maintained the good dental condition over 16 teeth without systemic diseases, and the decline rates of dental plaque index after usages of general and chewing toothbrushes were calculated. Upon the comparisons of dental plaque decline rates before and after the usages of general and chewing toothbrushes, PHI index was declined from 7.02 to 1.91 in case of the general toothbrush demonstrating dental plaque decline by 72.79%, while it was declined from 6.72 to 4.08 in the chewing toothbrush demonstrating decline by 39.29%. Currently, a variety of dental care items are available in the Korean market, hence, various studies are required on the dental care items so as for the people to properly choose the items.

• The korean journal of orthodontics
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• v.39 no.6
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• pp.383-392
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• 2009

Objective: The purpose of this study was to evaluate the efficacy of a slim bristled toothbrush compared with a V-shaped orthodontic toothbrush in patients with fixed orthodontic appliances. Methods: Thirty four orthodontic patients receiving edgewise treatment were randomly assigned to two groups, a slim bristled toothbrush (Nano silver slim care) and a V-shaped toothbrush (Oral-B). Plaque index, gingival index and bleeding index were recorded at the beginning of the study (baseline), 2 weeks, 4 weeks and 6 weeks after new toothbrushes were supplied and the results were analyzed statistically. Results: No statistically significant differences were found for plaque index, gingival index and bleeding index between toothbrush groups during the 6 weeks. Plaque and gingival indices were decreased at 2 weeks and 4 weeks but increased at 6 weeks in both toothbrush groups. Bleeding index in the V-shaped toothbrush group showed the lowest value at 2 weeks then increased at 4 weeks and 6 weeks but in the slim bristled toothbrush group decreased from 2 weeks through 6 weeks to under baseline levels. Patients in their twenties had significantly lower values than teenagers in the slim bristled toothbrush group (p < 0.013). Conclusions: The results would suggest that both of the toothbrushes are equally effective but the use of a slim bristled toothbrush may be of benefit in promoting gingival health for fixed orthodontic appliance patients in their twenties and over.

• Journal of Periodontal and Implant Science
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• v.34 no.1
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• pp.61-70
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• 2004

연구 목적: 3개월 간의 잇솔질에 따른 칫솔의 마모의 정도와 양상을 관찰하고, 이를 이용한 잇솔질 시의 치태 제거능력의 변화를 평가하여 일반적으로 권장되고 있는 3개월 주기의 칫솔 교체 주기의 근거를 실제 임상적으로 확인해보고자 하였다. 연구방법: 치주적으로 건강한 치과 대학생 52명을 대상으로 설문지를 통해 잇솔질 습관을 조사하고, 치석제거술을 시행하고 실험기간 동안 동일한 칫솔과 치약을 사용하게 하였다. 1주일 후와 2달과 3달째에 구강 내를 erythrosine으로 염색한 후 6개의 Ramfjord 치아의 plaque score를 측정하고, 3달 동안 사용한 칫솔을 수거하여 brushing surface area의 면적으로 마모도를 평가하였다. 결과: 6명이 탈락하였고 전체 부위의 plaque score는 1주 때와 비교하여 2,3 개월의 값이 통계학적으로 유의한 차이가 없었으나, 치간 부위의 plaque score는 3개월의 plaque score와 상관관계는 약하였다. 교체 주기, 잇솔질 횟수, 시간 등의 잇솔질 습관과 마모도의 연관성도 없었지만, 잇솔질 시간과 3개월째의 plaque score의 상관관계는 유의성 있는 결과를 보였다. 결론: 3개월 동안 사용한 칫솔의 치간 부위 치태제거 능력은 감소하였으며, 이의 임상적 영향에 대한 장기간의 연구가 필요하겠다.