Different powered toothbrushes for plaque control and gingival health

Abstract

Background: Powered brushes were first introduced commercially in the 1960s. A recent systematic review suggested the superiority of certain modes of powered over manual toothbrushing for plaque and gingivitis reduction. That review did not allow for direct comparison between different modes of powered toothbrush. Objectives: To compare different modes of powered toothbrushing against each other for plaque reduction and the health of the gingivae. Other factors to be assessed were calculus and stain removal, cost, dependability and adverse effects. EBSCO (1982 to 26 July 2010. There were no language restrictions. Selection criteria: Trials were considered for inclusion with the following criteria: random allocation of participants; no compromised manual dexterity; unsupervised powered toothbrushing for at least four weeks. The primary outcomes were the plaque and gingivitis scores after powered toothbrush use during trial period. Data collection and analysis: Data extraction was performed independently and in duplicate. The authors of trials were contacted to provide missing data where possible. The effect measure for each meta-analysis was

Knowledge, attitudes, and behaviors (KAB) related to brushing teeth with powered toothbrush among doctors: a cross-sectional study

“…[36][37][38] Systematic reviews have demonstrated that powered toothbrush was more effective for removing plaque and reducing gingivitis. [18][19]39 Moreover, there was no significant cause-and-effect relationship between the use of powered toothbrushes and soft tissue injury, and the reports of soft tissue injury were rare 40 . The safety of using powered toothbrush was reliable, tissue damage was only a small probability of events, and powered toothbrushes are just as safe as manual ones.…”

Comparative assessment of plaque removal and motivation between a manual toothbrush and an interactive power toothbrush in adolescents with fixed orthodontic appliances: A single-center, examiner-blind randomized controlled trial

“…Main findings in the context of the existing evidence, interpretation Although power toothbrushes with varying modes of operation are widely available (eg, sonic, side-to-side action), meta-analyses from the Cochrane Review Group have concluded that a single class-oscillating-rotating power toothbrushes-has substantiated greater reductions in plaque and gingivitis than side-to-side electric brushes and standard manual toothbrushes. 19,20 The power toothbrush used in the present study is in the family of oscillating-rotating power toothbrushes with statistically and clinically significant antiplaque and antigingivitis benefits documented in more than 250 laboratory and clinical published investigations. 21 Expanding on this established efficacy, the novel technology platform used in this clinical trial combines the interactive oscillating-rotating brush with Bluetooth technology.…”

“…Power (electric) toothbrushes have been evaluated across a broad array of population groups and study designs and have demonstrated similar or significantly greater (for the oscillating-rotating class) plaque removal compared with standard manual toothbrushes. [19][20][21][22][23][24][25][26] Some additionally offer options for targeted needs, such as orthodontic brush heads to improve interbracket cleaning.…”

Randomized in vivo trial evaluating plaque inhibition benefits of an advanced stannous‐containing sodium fluoride dentifrice used in conjunction with power brush technology

“…For example, in the UK, over 25% of households now contain a power toothbrush, while the equivalent figure in Germany is over 33% (manufacturer data). Research data on O/R power toothbrushes have been independently reviewed by the Cochrane Collaboration , who found evidence supporting the benefits of this type of power brushing technology for the reduction in plaque and gingivitis.…”

“…side‐to‐side or oscillating–rotating) . Many clinical studies have assessed the comparative clinical effectiveness of the various models, and a well‐documented comprehensive review of the results of comparative clinical studies has shown plaque control advantages for power brushes over manual toothbrushes, but only those power toothbrushes that have an oscillating–rotating action have shown consistent short‐ and long‐term benefits for plaque removal and gingivitis reduction .…”