Manual versus powered toothbrushing for oral health

Heanue, Mike; Deacon, Scott; Deery, Chris; Robinson, Peter G.; Walmsley, A. D.; Worthington, Helen V; Shaw, William C.

doi:10.1002/14651858.cd002281

Cited by 114 publications

(81 citation statements)

References 101 publications

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“…A Cochrane review found that only small improvements were found in plaque accumulation with oscillating powered brushes over manual brushes. 28 No conclusions were made related to their effectiveness related to the management of dental caries. A review of the literature related to flossing and dental caries revealed that self-flossing failed to reveal effectiveness in caries reduction.…”

Section: Strategies For Managing a Cariogenic Biofilmmentioning

confidence: 99%

The cariogenic dental biofilm: good, bad or just something to control?

Wolff¹,

Larson

2009

Braz. oral res.

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This paper discusses the role of dental biofilm and adjunctive therapies in the management of dental caries. Dental biofilm is a site of bacterial proliferation and growth, in addition to being a location of acid production. It also serves as a reservoir for calcium exchange between the tooth and saliva. The salivary pellicle, a protein-rich biofilm layer, regulates the reaction between tooth surface, saliva and erosive acids. The protective effects of this pellicle on enamel are well established. However, understanding the effects of the pellicle/biofilm interaction in protecting dentin from erosive conditions requires further research. Saliva interacts with the biofilm, and is important in reducing the cariogenic effects of dental plaque as acidogenic bacteria consume fermentable carbohydrates producing acids that may result in tooth demineralization. Adequate supplies of healthy saliva can provide ingredients for successful remineralization. Strategies for managing the cariogenic biofilm are discussed with emphasis on the effectiveness of over-the-counter (OTC) products. However, since many toothpaste components have been altered recently, new clinical trials may be required for true validation of product effectiveness. A new generation of calcium-based remineralizing technologies may offer the ability to reverse the effects of demineralization. Nevertheless, remineralization is a microscopic subsurface phenomenon, and it will not macroscopically replace tooth structure lost in a cavitated lesion. Optimal management of cavitations requires early detection. This, coupled with advances in adhesive restorative materials and microsurgical technique, will allow the tooth to be restored with minimal destruction to nearby healthy tissue

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Section: Strategies For Managing a Cariogenic Biofilmmentioning

confidence: 99%

The cariogenic dental biofilm: good, bad or just something to control?

Wolff¹,

Larson

2009

Braz. oral res.

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show abstract

“…Haydar 4 quoted by Mackenzie is about efficacy of a toothbrush with a special design, whilst the systematic reviews [5][6][7] quoted concern powered brushing. Whilst we know that different toothbrush designs -including powered brushes -may have an effect on plaque control, the focus of our study was on standard manual brushes which the vast majority of the global population use.…”

Section: Bilateral Guidelinesmentioning

confidence: 99%

“…5 Huntley states that undergraduate orthodontic curriculum experiences appear to be allowed to wither by those who teach it -would that be by the orthodontic specialists by any chance?…”

mentioning

confidence: 99%

Anaesthesia: Bilateral guidelines

2015

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“…Furthermore, which method is most safely tolerated by patients with a cerebral injury has not been established. Electric toothbrushes are best at removing dental plaque, [5][6][7] but their use could overstimulate critically ill patients and therefore be detrimental, especially for patients with compromised intracranial dynamics.…”

Section: =4mentioning

confidence: 99%