A randomized clinical trial to evaluate the plaque removal efficacy of an oscillating-rotating toothbrush versus a sonic toothbrush in orthodontic patients using digital imaging analysis of the anterior dentition

Abstract

Objective: To compare the plaque removal efficacy of an oscillating-rotating electric toothbrush with an orthodontic brush head versus a sonic toothbrush in adolescent patients with fixed orthodontic appliances. Materials and Methods: This was a randomized, examiner-blind, replicate single-use, two-treatment, four-period, crossover study with a washout period between visits of approximately 24 hours. Forty-four adolescent patients with fixed orthodontic appliances in both arches were randomized based on a computer-generated randomization schedule to one of four toothbrush treatment sequences. The primary outcome was plaque score change from baseline, measured using digital plaque imaging analysis. Results: Baseline plaque levels for both brush treatments were high, covering more than 50% of the tooth area. Effective plaque removal was observed with both brush treatments (P < .001); however, the reduction in plaque with the oscillating-rotating toothbrush was statistically significantly greater (P = .017) compared with the sonic toothbrush. Conclusions: The study provides evidence for more effective plaque-removing efficacy of the oscillating-rotating toothbrush versus the sonic toothbrush among orthodontic patients.

An 8-week randomized controlled trial comparing the effect of a novel oscillating-rotating toothbrush versus a manual toothbrush on plaque and gingivitis

“…While significant benefits were seen with the novel O‐R electric brush versus the manual brush during this 8‐week study, longer‐term research would be useful to quantify benefits with further extended use. In addition, research among specific populations, such as studies done with earlier O‐R models among orthodontic patients and implant patients 33‐35 , would provide additional insights to the plaque removal efficacy and gingival health benefits of the toothbrush when compared to use of control brushes. Finally, the role of interactive features with use of the novel O‐R electric toothbrush will be evaluated in future research to understand if they provide improvements in brushing behavior seen with other interactive O‐R toothbrushes 36,37 .…”

Impacts of the Triple bristles three‐sided sonic powered toothbrush on tooth shade, plaque control and gingival health

“…Additional modifications to electric brushes incorporated multiple brushing settings, pulsations to enhance plaque removal and integrating interactive communication technologies that provide immediate feedback regarding the brushing process 10‐13 …”

Randomized controlled trial assessing plaque removal of an oscillating-rotating electric toothbrush with micro-vibrations

“…Since its introduction, numerous advances have been made to the O‐R toothbrush to further optimize plaque removal performance as well as improve patients’ brushing technique and compliance. These enhancements have included ‘3D’ pulsations to augment plaque disruption, new brush head configurations and filaments to enable patients to choose the best fit for their individual oral health needs, and distinct brushing mode settings for a customized brushing experience 7‐9 . Interactive features have also been introduced to share real‐time feedback to the user, initially via a wireless display and more recently using a Smartphone with app, by communicating information such as brushing force, time, and thoroughness.…”