“Is powered toothbrush better than manual toothbrush in removing dental plaque?” – A crossover randomized double-blind study among differently abled, India

Abstract

Background:Although mechanical plaque removal is an effective method, powered toothbrushes are specially designed to benefit differently abled. Literature comparing plaque removal efficacy between manual and powered toothbrushes among differently abled is sparse.Study Design and Setting:A cross-over, randomized, double-blind study was conducted in differently abled institution.Materials and Methods:Twenty differently abled participants were randomly assigned to two groups of ten participants. Plaque removal efficacy of battery-operated powered toothbrush was compared with manual toothbrush in a single brushing on the 8th day. After a washout of 1 week, groups were switched. Assessment of plaque scores was done using Turesky's modification of Quigley-Hein plaque index.Statistical Analysis:Difference in plaque score between pre- and post-brushing in each group was compared using paired sample t-test.Results:In the pooled data analysis combining the results of Phase I and II, mean pre- and post-brushing plaque scores with manual toothbrush was 2.26 ± 0.4 and 1.93 ± 0.5, respectively, while with powered toothbrush, it was 2.21 ± 0.4 and 1.96 ± 0.4, respectively. However, difference in mean plaque reduction between manual and powered toothbrushes was not significant.Conclusion:Manual toothbrushes were equally effective compared to powered toothbrushes. Long-term studies precisely documenting cost-effectiveness and participant perception in the ease of use are recommended to validate our results.

Powered or manual toothbrushing for people with physical or intellectual disabilities – A systematic review

“…As the studies focused on the use of powered or manual toothbrushes, blinding those who brushed to the intervention was not possible. Based on a summary of the proposed criteria, the estimated potential ROB was low for eight studies [32][33][34][35][36]39,40,43 , moderate for five studies 29,30,37,38,41 , and high for three studies. 31,42,44…”

“…Comparisons with self-brushing participants Twelve comparisons described a total of 347 self-brushing participants; 37 teenagers and young adults with PD in two comparisons 31,32 and 310 children and adults (age range 6-79 years) with ID in 10 comparisons. 29,33,[37][38][39][41][42][43][44] The PD of the participants was described as Apert-syndrome with syndactyly in one study 31 and as differently abled and mentally undisturbed in the other.…”

“…29,33,[37][38][39][41][42][43][44] The PD of the participants was described as Apert-syndrome with syndactyly in one study 31 and as differently abled and mentally undisturbed in the other. 32 Both studies evaluated a single-brushing exercise in a cross-over design. The comparisons with participants with ID had a study duration of one week 39 up to 16 months.…”

“…Acceptance of a toothbrush can be considered conditional for its effectiveness. In the current review, only seven 29,30,[32][33][34]42,43 of the 16 included studies reported on the assessment of adverse effects of the PTB intervention.…”

Efektivitas Pemakaian Sikat Gigi Timer Dua Menit Terhadap Penurunan Skor Plak Gigi pada Anak Usia 7-8 Tahun

“…20 Berdasarkan penelitian Chandrashekar, dkk dengan subjek berjumlah 20 peserta menunjukan hasil; Pada fase I, rata-rata skor plak secara keseluruhan sebelum dan sesudah menyikat gigi adalah 2,26±0,4 dan 2,04±0,4. 21 Rata-rata dari skor plak sikat gigi manual sebelum dan sesudah menyikat gigi yaitu 2,41±0,3 dan 2,15±0,3. Sedangkan pada skor plak sikat gigi powered yaitu 2,11±0,4 dan 1,92±0,4.…”