Unrivaled plaque removal.

Yankell, S., Comparison of Plaque Removal and Safety of PerioSystem® (BROXO ® brush/irrigator) brushing to Interplak Brush. University of Pennsylvania, 1987.
Robertson, P., et al., A Study of the Effect of Four Oral Hygiene Methods on Plaque Accumulation. Accumulation Periodontal Health and Subgingival Microbiology". University of California at San Francisco, 1987.
Lange, D.E., Rager, H., Plagman, H., and Bauman, C., "Investigation on the effectiveness of Water Irrigating Devices on the Gingiva", Deutsche Zahnarzti and Dietschriff, 31, 399-404, 1976.
Manhold, John H.,Trefny, Cobb, Daniel, "Study of Plaque Removal versus Automatic Brushing", {ADR, 1973.

Studies clearly demonstrate the effectiveness of products in eliminating plaque. The Yankell study is of interest for the removal of dental plaque without toothpaste, as recommended by Interplak. Despite this, the BROXO ® brush, on its own, matched or improved the plaque removal of the Interplak brush. The researchers believe that if the study had been performed using the manufactured recommendations (toothpaste with BROXO ® toothbrush, none with Interplak) that the BROXO ® toothbrush would have shown a significant benefit for plaque removal. Additional protection against cavities would also be achieved through the use of toothpaste containing fluoride. Additional plaque removal could also have been produced by the use of the micro-fractionated irrigator.

The Robertson study compared the BROXO ® brush and irrigator, with and without irrigation, to traditional manual oral hygiene techniques. These techniques were performed under ideal conditions with thorough patient instruction and continuous patient reinforcement of brushing techniques. Another study showed that the average individual does not perform ideal home care (5-7 minutes) and may actually spend less than a minute brushing their teeth (Emling, Robert et al, "A Comparison of Estimated vs. Actual Brushing Time", U. of Pennsylvania, 1982). The BROXO ® brush/irrigator matched or improved the plaque removal efforts of other methods, even in these biased circumstances.



Additional plaque removal benefits of the patented Fractional Microjet Irrigator.

The micro-fractionated irrigator (BROXO ® irrigator) has been clinically proven to be more effective for removing loosened plaque and for interproximal cleansing than any irrigation device available. The irrigator and brush combination has been proven to provide significant advantages in loosened plaque removal and removal of debris from retention areas, compared to brushing alone.

Yankell, S.L et al, 'Pilot Study to Evaluate Pulsed Oral Irrigator Devices on Plaque Removal", American Association of Dental Research Abstract {ADR 1981.
Lange, D.E., Rager, H., Plagman, H., and Bauman, C., "Investigation on the effectiveness of Water Irrigating Devices on the Gingiva", Deutsche Zahnarzte and Dietschrift, 31, 399-404, 1976.
Lang, N.P. and Raber, K;, "Use of Oral Irrigators as Vehicle for the Application of Antimicrobial Agents in Chemical Plaque Control." J. Clin. Periodontology, 8:177-188, 1981.
The Yankell study documented significantly greater loosened plaque removal per second than monojet irrigators.

Lange documented that an additional 41% of plaque was removed when using the irrigator after brushing. Also documented significant improvement in tissue health.

These studies showed higher average plaque scores than those using the single-jet irrigator. Additionally, they documented that the micro-fractionated irrigator, without the use of anti-microbials, helped prevent the development of gingivitis.



Additionally, epidemiologic studies are available to document the existence of cultures with significant plaque formation without the presence of periodontal disease.

Palomino, H., " The Aymara of Western Bolivia: Occlusion, Pathology and characteristics of the dentition", J. Dent. Res., 1978, Mar 57 (3). P 459-67
Barret, M.J & Williamson, J.J., " Oral Health of Australia Aborigines", Aust, Dent, Journal, 1972, 17:37-50
Pereira, C.B. & Evans, H., "Occlusion and attrition of the primitive Yanomani Indians of Brazil", Dental Clinics of North America, 1975, Jul 19(3). P. 485-98.

These data support the likelihood that some factors other than plaque contribute significantly to the presence or absence of periodontal disease. Dr. Woog's 1954 theories of "biting" and tissue massage seem extremely viable in this light.