Discussion
gingivitis
GINGIVITIS, PLAQUE
According to the clinical results of this study, there was no significant difference between the three different types of oral hygiene tools in the reduction of the means of plaque scores and severity of gingivitis from baseline to three weeks following the intervention, suggesting that all three oral hygiene tools were equally effective in terms of good plaque control and gingival status. It thus has further highlighted that the outcomes of this trial were in accordance with the previously reported literature.Research showed that Several studies claimed the difficult handling of In the present study, PISA values for the anterior teeth of the MCS group demonstrated a statistically significant difference compared to the posterior teeth. Interestingly, a statistically significant improvement in the severity of gingivitis of the anterior teeth was also obtained in the MCS group when compared with the MTB and STB groups. Although an earlier study justified that effective This clinical trial presents an evident limitation of using a convenient sample population. Selection bias should be considered as highly driven participants with good oral hygiene status were more likely to participate. Age and gender were also not considered during randomization of the sample population. Hence, apart from being highly motivated and compliant, the ability to generalize the findings of this study is limited by the strict criteria of the participants involved, who were highly motivated and compliant. Nevertheless, efforts were made to minimize confounding factors among the participants. Participants with dental backgrounds, i.e., dental students, hygienists, and dentists, were excluded from the study to ensure the homogenous nature of all groups. The non-significant differences between the demographic characteristics and clinical parameters at baseline also supported the homogeneity among the participants at the beginning of the study.Apart from that, the improvement in clinical parameter outcomes of the present study could be due to the well-recognized Hawthorne effect. The improvement in participants’ oral hygiene status as the result of their awareness of participating in this clinical trial, irrespective of the treatment modality [The current trial was not designed to assess the anticariogenic property of the oral hygiene tools, and therefore, cannot indicate effective equivalence between the 