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Updated: May 22, 2026

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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Brushing skills and plaque reduction using single- and triple-headed toothbrushes
Liran Levin1, Yael Marom, Malka Ashkenazi
1Faculty of Medicine, Technion IIT, Haifa, Israel. liranl@technion.ac.il
Quintessence International (Berlin, Germany : 1985)
|April 26, 2012
Summary
A triple-headed toothbrush improved brushing skills and plaque removal compared to a single-headed toothbrush in young adults. This design facilitates easier toothbrushing and better oral hygiene outcomes.
Area of Science:
- Dental hygiene
- Oral health research
- Biomedical engineering
Background:
- Effective toothbrush design is crucial for optimal oral hygiene.
- Understanding how different toothbrush designs impact brushing technique and plaque removal is essential for public dental health.
Purpose of the Study:
- To compare the effectiveness of manual single-headed and triple-headed toothbrushes.
- To evaluate the impact of toothbrush design on brushing skills and plaque removal in young adults.
Main Methods:
- 200 young adults were randomized to use either a single-headed or triple-headed manual toothbrush.
- Plaque Index (PI) and Toothbrushing Performance Skill Index (TB-PS-I) were measured before and after instruction.
- Participants brushed without instruction initially, then received personalized instruction.
Main Results:
- Triple-headed toothbrushes showed higher plaque removal efficacy compared to single-headed ones, both before and after instruction.
- After instruction, the triple-headed toothbrush group demonstrated significantly improved toothbrushing performance skill (TB-PS-I).
- Initial uninstructed brushing revealed higher Plaque Index scores for the single-headed toothbrush group.
Conclusions:
- The triple-headed toothbrush design facilitates easier and more effective plaque removal.
- This toothbrush design may enhance brushing skills and improve overall oral hygiene in young adults.
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