Effect of instruction and motivation in the use of electric and manual toothbrushes in periodontal patients: a comparative study

Abstract

ABSTRACT:The aim of the present study was to evaluate the efficacy of manual and electric toothbrushes in plaque control in periodontal patients after proper instructions. Thirty six periodontal patients (mean age of 49 years, 21 females and 15 males) were included and completed the study (100% compliance). A single-blinded, randomized, controlled, cross-over clinical design was adopted, with the patients using during 2 periods of 14 days each the manual and/or electric toothbrush. Four subgroups of 9 individuals were studied: A1 -used manual toothbrush in both experimental periods; A2 -used the manual toothbrush during the first period and the electrical toothbrush during the second period; B1 -used electrical toothbrush during both periods; B2 -used the electrical toothbrush in the first period and the manual one in the second period. Brushing was performed during 14 days and at day 14 and 28 it was performed in the clinic, and timing of brushing was recorded without patients being aware. The Plaque Index (Silness, Löe, 1964) was used. Intra-group comparisons were performed by paired t-test and inter-group comparisons by independent sample t-test, with an alpha level of 0.05. The results showed no difference between the tested brushes neither for plaque nor for timing. However, re-instruction was detected as an important factor, since for all groups the second period, after reinstruction, showed lower plaque scores. It is concluded that professional advice and instruction and re-instruction seem more important in order to obtain good plaque control than the choice of toothbrush in subjects with periodontal disease. DESCRIPTORS: Periodontitis; Dental plaque; Toothbrushing. RESUMO:O objetivo do presente estudo foi avaliar a eficácia de escovas dentais manual e elétrica no controle de placa em pacientes periodontais após instruções apropriadas. Trinta e seis pacientes periodontais (média de idade de 49 anos, 21 mulheres e 15 homens) foram incluídos e completaram o estudo (100% de adesão). Um delineamento de ensaio clínico randomizado controlado cego e cruzado foi adotado, com pacientes usando durante 2 períodos de 14 dias cada escovas manuais e/ou elétricas. Quatro subgrupos de 9 indivíduos foram estudados: A1 -utilizou escova manual em ambos os períodos experimentais; A2 -utilizou a escova manual durante o primeiro, e a escova elétrica, no segundo período; B1 -usou escova elétrica em ambos os períodos; B2 -iniciou com escova elétrica e utilizou escova manual no segundo período. A escovação foi realizada durante 14 dias e, nos dias 14 e 28, essa foi realizada na clínica, e o tempo de escovação foi cronometrado sem que os pacientes soubessem. O Índice de Placa (Silness, Löe, 1964) foi utilizado. Comparações intragrupo foram realizadas por teste t pareado e intergrupo por teste t para amostras independentes, com um nível alfa de 0,05. Os resultados não identificaram diferenças entre as escovas testadas em relação à placa ou ao tempo utilizado. Entretanto, reinstrução foi detectada como um fator importante, uma vez ...

Safety of Oscillating‐Rotating Powered Brushes Compared to Manual Toothbrushes: A Systematic Review

“…No additional articles were identified for full‐text reading from a hand search of the references. Ultimately 35 articles (31 in vivo articles 15,19,32‐60 and four in vitro articles 61‐64 ) were determined to meet all eligibility criteria and were designated for data extraction and analysis. Publications by McCracken et al 47 and Heasman et al 58 presented the results of the same clinical trial but separately reported on either the gingival‐abrasion or brushing‐force outcomes, respectively; thus, this single trial is listed in the in vivo secondary results tables (Table 5) and the surrogate safety‐parameter tables (Tables 2 and 4).…”

Effect of sonic versus manual supervised toothbrushing on both clinical and biochemical profiles of patients with desquamative gingivitis associated with oral lichen planus: A randomized controlled trial

“…22 A recent systematic review concluded that powered toothbrushes are superior to manual toothbrushes in terms of removing plaque and improving gingival health but it reported a high level of heterogeneity among the studies. 24,25 Therefore, the aim of this study was to compare the effectiveness of an intensive plaque control programme with sonic or manual supervised toothbrushing in improving clinical and patient-centred outcomes, and in reducing GCF levels of MMP-1 and MMP-9 in patients affected by DG due to OLP. It is known that the ability to achieve low plaque levels by oral hygiene efforts depends on oral hygiene motivation and frequency.…”

Eficácia De Diferentes Tipos De Escovas Dentais Na Remoção Do Biofilme Bucal

“…Entretanto, foi observado ainda que apesar da preferência pela escova elétrica, havia receio na utilização inicial desta, devido à sensação de risco de machucar a gengiva transmitida pela movimentação própria da escova. Roscher (2004) utilizou em seu estudo apenas um tipo de dentifrício em todos os voluntários, enquanto utilizamos dois tipos, sendo um destinado ao público infantil e outro destinado ao adulto, ficando a escolha a critério do voluntário. Contudo, os dentifrícios selecionados para o presente estudo, apresentavam características semelhantes em relação aos abrasivos de sua composição, para evitar alteração nos resultados.…”