Clinical efficacy of a novel radiofrequency toothbrush for tooth stain reduction and tooth whitening

Levi, Liora; Silman, Zmira; Evans, Veronica; Shehata, Marina A.; Alonso-Ryan, Juliana R.; Phillips, Thais Santiago; Ugwokaegbe, Precious C.; Farokhi, Moshtagh R.

doi:10.1016/j.adaj.2021.09.006

Cited by 4 publications

(10 citation statements)

References 19 publications

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“…For this reason, the result of the present study can be presumed to be responsible for the observation in another previous study that investigated the effect of this RF-utilizing toothbrush on stain deposits on the tooth surface and reported a more significant reduction in extrinsic dental stains with RF-utilizing toothbrush compared with the control sonic vibratory toothbrush. 14 These previous studies and the present study further support the beneficial effects of this unique technological feature, which utilizes RF energy that streams on the tooth surface during brushing.…”

Section: Discussionsupporting

confidence: 85%

“…Previous studies have shown that this RF-utilizing toothbrush significantly reduces extrinsic tooth stains, plaque, and calculus. 14 15 22 However, no studies have established the mechanism by which the RF energy causes the reduction in dental plaque deposits. Thus, the present study investigated the effects of bipolar RF energy applied through a power toothbrush on the dental plaque's structural morphology and the bacteria's ultrastructure.…”

Section: Discussionmentioning

confidence: 99%

“…They can be categorized according to the kind of movement of the bristles (vibrational, oscillation-rotational, or circular); speed of movement (sonic or ultrasonic); type of electric current, direct or alternating current (electronic or ionic toothbrushes) 9 21 ; and whether it is powered by a unique technology (radiofrequency [RF] energy). 14…”

Section: Introductionmentioning

confidence: 99%

“…[10][11][12] Thus, the unique characteristics of these powered toothbrushes have established their efficacy in reducing stains and deposits from dental surfaces. [13][14][15] Studies have also demonstrated that powered toothbrushes are as safe to use as manual toothbrushes with no adverse effects on the soft and hard oral tissues when regular forces are applied during brushing. [16][17][18][19][20] Currently many types of powered toothbrushes are available.…”

Section: Introductionmentioning

confidence: 99%

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Investigation of the effects of Bipolar Radiofrequency Energy on the Structural Morphology of Dental Plaque

et al. 2023

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Objectives To investigate the effects of radiofrequency (RF) energy, applied through a power toothbrush, on the structural morphology of dental plaque and its bacteria components. Previous studies showed that a toothbrush powered by RF (ToothWave) effectively reduces extrinsic tooth stains, plaque, and calculus. However, the mechanism by which it reduces dental plaque deposits is not fully established. Materials and Methods Multispecies plaques at sampling time points of 24, 48, and 72 hours were treated with the application of RF using ToothWave with the toothbrush bristles 1 mm above the plaque surface. Groups that underwent the same protocol but without RF treatment served as paired controls. Confocal laser scanning microscope (CLSM) was used to determine cell viability at each time point. Plaque morphology and bacteria ultrastructure were viewed using scanning electron microscope (SEM) and transmission electron microscope (TEM), respectively. Statistical Analysis Data were analyzed statistically using analysis of variance (ANOVA) and Bonferroni post-tests. Results At each time, RF treatment significantly (p < 0.05) reduced the viable cells in plaque and caused a substantial disruption of plaque morphology, while the untreated plaque had intact morphology. Cells in treated plaques showed disrupted cell walls, cytoplasmic material, huge vacuoles, and heterogeneity in electron density, while these organelles remained intact in untreated plaques. Conclusion The application of RF via a power toothbrush can disrupt plaque morphology and kill bacteria. These effects were enhanced by the combined application of RF and toothpaste.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Investigation of the effects of Bipolar Radiofrequency Energy on the Structural Morphology of Dental Plaque

et al. 2023

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“…whitening and removal of stains, three studies,Milleman et al (2020),Shehadeh et al (2021), andAmaechi et al (2022), have all demonstrated significant benefits in the reduction of teeth stains and whitening of teeth shade Milleman et al (2020). and Amaechi et al (2022) compared the RF toothbrush to a conventional electric toothbrush, whileShehadeh et al (2021) evaluated the effect of an RF toothbrush without mechanical vibration.…”

mentioning

confidence: 99%

The influence of radio frequency‐based toothbrush on the accumulation of calculus and periodontal health: A randomized double‐blind controlled prospective study

Khoury

Giladi

Ginesin

et al. 2023

Clinical & Exp Dental Res

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ObjectivesThe use of a toothbrush with radio frequency (RF) has shown to be of benefit regarding the reduction of plaque, calculus, and dental staining and improving teeth shade compared to conventional powered and manual toothbrushes. Aim: To evaluate the efficacy of the RF toothbrush in the reduction of calculus accumulation and its effect on periodontal parameters as well as subject satisfaction as compared to an identical sham‐tooth brush.Materials and MethodsPatients who are under a strict maintenance program were included. Patients were allocated to test (RF toothbrush) or control (sham) randomly and were examined at baseline, one and three months. Clinical photos were taken and a consequential calculus assessment via ImageJ software. Clinical assessment included the following: plaque index (PI), bleeding on probing (BOP), probing pocket depth (PPD), and recession (REC). Patient satisfaction was assessed via a questionnaire.ResultsFifty‐eight patients (29 control, 29 test) were included. At baseline mean PPD, BOP, PI, REC, and calculus accumulation were similar between the groups. Mean buccal calculus was lower in the test group at one month 4.0% versus 6.7%, p < .05. Calculus accumulation within the groups was lower in the test group at 1 and 3 months when compared to baseline at the buccal aspect (2.8% vs. 8.9%, p < .05% and 3.8% vs. 8.9%, p < .05) and lingual aspect (6.7% vs. 16.5%, p < .05% and 8.9% vs. 16.5%, p < .05). No statistically significant results were found regarding periodontal parameters PPD, BOP, PI, and REC. No difference was found between groups regarding patient satisfaction.ConclusionRF seems to have an additive effect on preventing calculus accumulation on the buccal aspect of anterior mandibular teeth at 1 month. Nevertheless, at 3 months, no difference between the toothbrushes is seen regarding calculus formation and maintaining periodontal health (ClinicalTrials.gov, Identifier NCT04640857).

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Innovations in oral hygiene tools: a mini review on recent developments

Palanisamy

2024

Front. Dent. Med

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BackgroundThis review examines advancements in oral hygiene aids and their impact on gingival and periodontal health. As periodontal diseases are widespread, effective hygiene is vital. Enhancements in traditional tools and innovations have improved oral hygiene status. Clinical evidence confirms these innovations improve gingival and periodontal health, though proper use and patient adherence are crucial.MethodologyA comprehensive literature search was conducted using MeSH terms like “Gingivitis/prevention & control*”, “Dental Plaque/prevention & control*”, “Dentifrices”, “Electrical Equipment and Supplies*”, “Toothbrushing”, “Equipment Design”, “Anti-Infective Agents/therapeutic use”, “Oils, Volatile/therapeutic use”, “Dental Devices, Home Care”, “Dentifrices*/therapeutic use”, “Vibration”, “Gingivitis*/drug therapy”, “Gingivitis*/prevention & control”, “Gingival Hemorrhage/prevention & control”, “Anti-Inflammatory Agents/pharmacology”, “Chlorhexidine/pharmacology”, “Mouthwashes/pharmacology”, “Anti-Bacterial Agents/pharmacology”, “Mouthwashes/therapeutic use”, “Anti-Infective Agents, Local*/therapeutic use”, “Mouthwashes/chemistry*”, “Plant Extracts/therapeutic use*”, “Sodium Dodecyl Sulfate/therapeutic use*”, “Treatment Outcome”, “Oral Hygiene/methods”, “Toothpastes/therapeutic use*”, “Hyaluronic Acid/therapeutic use”, “Chronic Periodontitis*/therapy”, “Periodontal Attachment Loss/therapy”, “Probiotics*/therapeutic use”, “Oral Hygiene*”, “Periodontal Index” and so on. This search utilized PubMed and Google Scholar, restricted to English-language publications from 2018 to 2024. The screening process involved reviewing titles, abstracts, and keywords, focusing on randomized clinical trials only. Inclusion criteria focused on novel innovations in conventional oral hygiene methodologies. A total of 86 randomized clinical trial articles met the inclusion criteria.ResultsRecent innovations in traditional oral hygiene tools have markedly enhanced oral hygiene levels and patient compliance. These newer innovations demonstrate substantial efficacy in plaque control and gingival health. Clinical outcomes underscore their pivotal role in improving oral hygiene standards, promoting reduced gingivitis and enhanced patient adherence to oral care regimens.ConclusionAdvanced oral hygiene aids significantly improve gingival and periodontal health. However, patient adherence and correct usage are crucial for their optimal performance. Incorporating advanced oral hygiene aids into daily practices is essential for achieving optimal periodontal health, and continuous education is necessary to ensure their effective use.

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Clinical efficacy of a novel radiofrequency toothbrush for tooth stain reduction and tooth whitening

Cited by 4 publications

References 19 publications

Investigation of the effects of Bipolar Radiofrequency Energy on the Structural Morphology of Dental Plaque

Investigation of the effects of Bipolar Radiofrequency Energy on the Structural Morphology of Dental Plaque

The influence of radio frequency‐based toothbrush on the accumulation of calculus and periodontal health: A randomized double‐blind controlled prospective study

Innovations in oral hygiene tools: a mini review on recent developments

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