IS TOOTHPASTE NECESSARY? A STUDY ON THE ADDED BENEFIT OF DENTIFRICES ON PLAQUE REMOVAL AND GINGIVAL INDEX SCORE

This study aimed to evaluate whether the addition of non-fluoridated toothpaste provides any added advantage in reducing plaque and improving gingival health compared to brushing with water alone. Methods A randomized controlled trial was conducted at the Department of Periodontology, Sardar Begum Dental College, from April 2024 to October 2024. A total of 71 participants were randomly allocated into two groups: Group A brushed with a soft-bristle toothbrush and water only (n=35), while Group B brushed with a soft-bristle toothbrush and non-fluoridated toothpaste (n=36). All participants were instructed in the modified Bass technique using a model. Plaque Index (PI) and Gingival Index (GI) were recorded at baseline and after two weeks. Data were analyzed using paired and independent t-tests, with p < 0.05 considered statistically significant. Results: Both groups showed significant reductions in plaque and gingival scores after two weeks of brushing (p < 0.05 for intragroup comparisons). However, intergroup analysis revealed no significant difference between the brush-only group and the brush + non-fluoridated toothpaste group for either PI (p = 0.81) or GI (p = 0.76). Percentage reductions were comparable across groups, indicating similar efficacy. Conclusion The findings suggest that the mechanical action of toothbrushing, when performed using proper technique, is the key factor in plaque control and gingival health improvement. The use of non-fluoridated toothpaste did not provide any additional benefit beyond brushing with water.