This study compares the immediate plaque removal efficacy of the natural Miswak versus a traditional manual toothbrush using the Modified Bass technique among orthodontic patients. The main question it aims to answer is: Are there statistically significant differences in the post-brushing plaque index reduction between the dental arch side cleaned with Miswak and the contralateral side cleaned with a manual toothbrush?
Patients aged between 18 and 30 years old.
Presence of fixed orthodontic appliances (brackets and wires) on both upper and lower arches.
Good general systemic health with the absence of any medical conditions that might affect oral health status.
Presence of advanced or aggressive periodontal diseases.
Current smokers.
Use of antimicrobial or antibacterial mouthwashes within 24 hours prior to the study session.
Systemic antibiotic intake within the past 2 weeks preceding the experiment.