The efficacy of different oral hygiene techniques on plaque control in children: a comparative study

Background. Oral diseases are highly prevalent among children, and effective toothbrushing plays a crucial role. However, there is still no consensus on the optimal methodology. The aim of this study is to provide practical evidence. Objective. To compare the effects of circular, horizontal, and modified vertical brushing methods (vibration techniques) on plaque control, improvement of gingival condition, and treatment adherence in children, as well as to propose recommendations for enhancing the effectiveness of hygiene education. Materials and methods. A randomized single-blind controlled trial was conducted. Forty-five children aged 6 to 12 years were divided into three groups and underwent a two-week training course. Following this, the Plaque Index (PI), Gingival Bleeding Index (GBI), and adherence level (compliance) were assessed. Results: showed a comparable reduction in the Plaque Index (PI) across all groups, but the circular method provided the greatest reduction in PI at 65.6%. The circular method group also achieved the best Gingival Bleeding Index (16.6%) and the highest compliance level (89.2%). Conclusion. All three methods demonstrated comparable clinical outcomes. However, the circular method significantly outperformed the others in terms of adherence and acceptance by children. Thus, the simple and convenient circular method is recommended as the preferred approach for establishing a long-term effective toothbrushing habit and improving oral health in school-aged children.