Efficacy of power‐driven interdental cleaning tools: A systematic review and meta‐analysis

Edlund, Pia; Bertl, Kristina; Pandis, Nikolaos; Stavropoulos, Andreas

doi:10.1002/cre2.691

Cited by 7 publications

(9 citation statements)

References 38 publications

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“…Hence, there were low recommendations for using herbal preparations to substitute conventional oral hygiene products [ 36 ]. A recent meta-analysis showed that flossing, in addition to toothbrushing, reduced gingivitis compared to toothbrushing alone [ 37 , 38 ]. However, there was not enough evidence to support the effectiveness of flossing in preventing dental caries [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

Knowledge and attitude toward oral health behavior of overseas students during the COVID-19 pandemic

Susanti,

Pisarnturakit,

Sanchavanakit

2023

BMC Oral Health

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Background The COVID-19 pandemic has impacted overseas students, including their oral health. Due to movement restrictions, limited living allowances, dental treatment costs, and health insurance fees, overseas students might be more concerned about their oral health. The objective of the present study was to determine the association of knowledge and attitude toward oral healthcare behavior of overseas university students staying in Thailand between January 2020 to July 2022 and explore the experiences of their oral health problems. Methods A cross-sectional study was conducted using an online survey in English operated through the Google platform by convenience sampling among overseas Chulalongkorn University students. A newly developed self-administered questionnaire on knowledge and attitude toward oral health-related behavior and experiences in oral health problems was completed voluntarily. Descriptive statistics, Chi-square test, t-test, ANOVA, and Pearson correlations were employed using IBM SPSS version 29. Results Of 311 overseas students, 55.6% were male. The average age of students was 27.5 ± 4.5 years. 68.81% of students were from ASEAN countries, and 73.31% studied in non-health science programs. The study fields, health and non-health sciences, were associated with knowledge score (p < 0.001) and attitude score (p = 0.004), whereas the type of health insurance had an association with behavior score (p = 0.014) and the student’s perspective about dental visits (p = 0.014). Three hundred fifty-nine cases of oral health problems were experienced by 47.3% of overseas students. These problems consisted primarily of tooth hypersensitivity (21.2%), gingivitis (15.3%), caries (14%), cracked or broken tooth (10%), severe toothache (9%), fallen out filling (8%), and wisdom tooth pain (7.8%). There was an association between oral healthcare behavior and oral health problems (p < 0.001), and a negative correlation was found between behavior score and the number of oral health problems (p < 0.001, r=-0.204). Conclusion The oral healthcare habits of overseas university students correlated positively with knowledge and attitude. A negative correlation was observed between behavior and the number of oral health problems. Furthermore, studying in health science programs impacted students’ knowledge and attitude toward oral health, while dental treatment coverage insurance affected decisions for dental visits.

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Section: Discussionmentioning

confidence: 99%

Knowledge and attitude toward oral health behavior of overseas students during the COVID-19 pandemic

Susanti,

Pisarnturakit,

Sanchavanakit

2023

BMC Oral Health

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“…Systematic review assessment of the plaque removal ability was not performed because of the high heterogeneity of the included trials (Amarasena, Gnanamanickam, and Miller 2019;Pithon et al 2017), or found no positive plaque reduction effects (Edlund et al 2023;Gennai et al 2023;Husseini, Slot, and…”

Section: Oral Irrigation and Biofilm Removalmentioning

confidence: 99%

Oral Irrigation Devices: A Scoping Review

Sarkisova,

Morse,

Lee

et al. 2024

Clinical & Exp Dental Res

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ObjectivesSelf‐performed oral hygiene is essential for preventing dental caries, periodontal, and peri‐implant diseases. Oral irrigators are adjunctive oral home care aids that may benefit oral health. However, the effects of oral irrigation on oral health, its role in oral home care, and its mechanism of action are not fully understood. A comprehensive search of the literature revealed no existing broad scoping reviews on oral irrigators. Therefore, this study aimed to provide a comprehensive systematic review of the literature on oral irrigation devices and identify evidence gaps.MethodsThe Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta‐Analyses extension for Scoping Reviews guidelines were utilized to prepare the review. Four databases and eight gray literature sources were searched for English publications across any geographical location or setting.ResultsTwo hundred and seventy‐five sources were included, predominantly from scientific journals and academic settings. Most studies originated from North America. Research primarily involved adults, with limited studies in children and adolescents. Oral irrigation was safe and well‐accepted when used appropriately. It reduced periodontal inflammation, potentially by modulating the oral microbiota, but further research needs to clarify its mechanism of action. Promising results were reported in populations with dental implants and special needs. Patient acceptance appeared high, but standardized patient‐reported outcome measures were rarely used. Anti‐inflammatory benefits occurred consistently across populations and irrigant solutions. Plaque reduction findings were mixed, potentially reflecting differences in study designs and devices.ConclusionsOral irrigators reduce periodontal inflammation, but their impact on plaque removal remains unclear. Well‐designed, sufficiently powered trials of appropriate duration need to assess the clinical, microbiological, and inflammatory responses of the periodontium to oral irrigation, particularly those with periodontitis, dental implants, and special needs. Patient‐reported outcome measures, costs, caries prevention, and environmental impact of oral irrigation need to be compared to other oral hygiene aids.

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“…Studies exploring the integration of medicaments with WFs have shown promising results. Edlund et al [ 42 ] found that power-driven interdental aids, including WFs, significantly contributed to plaque removal when combined with appropriate medicaments. This highlights the potential of enhancing the benefits of water flossing by incorporating specific agents to address diverse oral health needs.…”

Section: Reviewmentioning

confidence: 99%

A Comparative Review of Water Flossers in Periodontal Therapy

Altalhi,

Alqahtani,

Alareefi

et al. 2023

Cureus

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This study investigated the efficacy of water flossers (WFs), devices used to irrigate the interdental and subgingival areas, compared to other interdental care methods, in the management of periodontal disease. A computerized PubMed search was conducted by the author, encompassing the years 1962 to 2023. The year 1962 was selected due to it being the introduction of the first WF. Keywords included "oral irrigator", "efficacy," and "water flossers." The review provided a broad comparative assessment of WFs, rather than an exhaustive detailed article review. We discussed the history and evolution of commercially available WFs and introduced a novel classification system. The research also evaluated the performance of WFs in comparison to traditional and novel interdental care methods, focusing on crucial clinical parameters such as plaque removal efficiency and reduction in gingival inflammation. The results of the study reveal that WFs appear to be superior in the management of periodontal disease and have demonstrated effectiveness in a variety of indices. However, it's worth noting that the author did not statistically analyze any of the data. We identified gaps in the literature and found opportunities for further clinical studies. These findings hold implications for optimal periodontal disease prevention and management, addressing the evolving landscape of oral care practices.

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Efficacy of power‐driven interdental cleaning tools: A systematic review and meta‐analysis

Cited by 7 publications

References 38 publications

Knowledge and attitude toward oral health behavior of overseas students during the COVID-19 pandemic

Knowledge and attitude toward oral health behavior of overseas students during the COVID-19 pandemic

Oral Irrigation Devices: A Scoping Review

A Comparative Review of Water Flossers in Periodontal Therapy

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