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Updated: Jul 15, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Clinical effectiveness of two different toothbrushes in the elderly
Ines Miolin1, Eva M Kulik, Catherine Weber
1Institute of Preventive Dentistry and Oral Microbiology, School of Dental Medicine, University of Basel, Switzerland. anders@miolin.com
The Superbrush, a novel three-headed toothbrush, demonstrated superior plaque removal on oral tooth surfaces for elderly individuals. While overall plaque removal was comparable to other toothbrushes, its effectiveness on specific surfaces offers a potential improvement for senior oral hygiene.
Area of Science:
- Dental hygiene research
- Geriatric oral health
Background:
- Maintaining oral health through proper tooth brushing is crucial.
- Elderly individuals often face challenges with manual dexterity, complicating effective tooth brushing.
Purpose of the Study:
- To evaluate the efficacy of the Superbrush, a three-headed toothbrush, in improving tooth-brushing effectiveness and ease for the elderly population.
- To compare the plaque-removing ability of the Superbrush against the Elmex interX and standard toothbrushes.
Main Methods:
- A balanced, operator-blind cross-over study involving 34 participants aged 65 and over.
- Assessment of plaque removal using the OHI (Quigley-Hein plaque index) and API (proximal plaque index).
- Professional tooth cleaning was performed before each toothbrush trial to ensure a baseline plaque-free state.
Main Results:
- The Superbrush showed significantly greater effectiveness in removing plaque from the oral surfaces of teeth compared to the Elmex interX and usual toothbrushes.
- Overall plaque removal was similar across all tested toothbrushes.
- Minimal differences in plaque removal were observed on posterior, anterior, and facial tooth surfaces.
Conclusions:
- The Superbrush offers a significant advantage for plaque removal on the oral surfaces of teeth in the elderly.
- While overall plaque removal efficacy is comparable, the Superbrush may enhance oral hygiene for seniors by targeting specific tooth surfaces more effectively.
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