Randomised clinical study of plaque removal efficacy of an electric toothbrush in primary and mixed dentition

Davidovich, Esti; Ccahuana-Vásquez, Renzo Alberto; Timm, Hans; Grender, Julie; Zini, Avi

doi:10.1111/ipd.12753

Cited by 12 publications

(14 citation statements)

References 18 publications

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“…However, group 3 where no intervention was implemented mainly averaged fair in the oral hygiene status. Such results correspond to a study in literature where similar oral hygiene improvement has been found in intellectually disabled children by using oral hygiene educational interventions [ 33 ]. The use of electronic toothbrushes has been studied and proved effective for the better removal of plaque in children.…”

Section: Discussionsupporting

confidence: 91%

Impact of Oral Health Educational Interventions on Oral Hygiene Status of Children with Hearing Loss: A Randomized Controlled Trial

Moin

Saadat²,

Rafique

et al. 2021

BioMed Research International

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Introduction. Oral health is considered as one of the essential components of the overall health of every individual. Maintaining oral health is a gradual process that requires commitment. Children who require special care such as hearing impairment experience difficulty in maintaining oral health primarily due to communication difficulties. This study is aimed at using different interventions to evaluate the improvement of oral hygiene in hearing impaired children. Materials and Methods. Fifty-nine children were recruited in this study that were allocated randomly into each group with twenty children as follows: group 1: pictorial, group 2: video, and group 3: control. Mean plaque and gingival scores were noted before and after the use of different interventions. Oral hygiene was categorized as “excellent,” “good,” and “fair.” Gingival health was categorized as “healthy,” “mild gingivitis,” and “moderate gingivitis.” Results. Thirty-four children (57.6%) were from 12-13 years of age bracket, and 25 (42.4%) belonged to 14-16 years of age. Regarding gender, there were 37 (62.7%) males and 22 (37.3%) females. About comparison of mean gingival and plaque scores before and after interventions in each group, a significant difference was found in group 1 ( p < 0.001 ) and group 2 ( p < 0.001 ), as compared to group 3 where the difference in scores was not significant ( p > 0.05 ). Conclusion. Maintaining oral health requires the compliance of individuals to perform different methods of preventive dentistry, such as tooth brushing and use of dental floss. The use of different oral hygiene educational interventions such as pictorial and video methods have been proven and useful for hearing impaired children in improving oral health.

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Section: Discussionsupporting

confidence: 91%

Impact of Oral Health Educational Interventions on Oral Hygiene Status of Children with Hearing Loss: A Randomized Controlled Trial

Moin

Saadat²,

Rafique

et al. 2021

BioMed Research International

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“…The importance of toothbrushing in reducing plaque, gingivitis, and caries in children is well-documented [ 24 , 25 , 26 ]; however, few studies differentiate with regard to the type of toothbrush that might be most beneficial for pediatric populations. While toothbrushing research among children is limited, the findings of this study are consistent with published clinical studies and meta-analyses demonstrating the superior plaque removal efficacy of electric toothbrushes versus manual brushes in young children [ 18 , 19 , 20 ]. Our findings, which are strongly in favor of the oscillating-rotating electric toothbrush, suggest the importance of brush technology type is key to maintaining and improving oral hygiene, managing plaque, and preventing gingivitis.…”

Section: Discussionsupporting

confidence: 86%

“…In this retrospective, cross-sectional study, patient records of 1000 healthy children aged 2.5 to 7 years who visited a pediatric dental clinic in Tel Aviv, Israel from April to June 2019 and met all inclusion criteria, including having complete records, were reviewed by a trained and experienced specialist in pediatric dentistry [ 19 , 20 ]. The sample was limited to 1000 children prior to the study.…”

Section: Methodsmentioning

confidence: 99%

Factors Associated with Dental Plaque, Gingivitis, and Caries in a Pediatric Population: A Records-Based Cross-Sectional Study

Davidovich

Grender

Zini

2020

IJERPH

Self Cite

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This retrospective, cross-sectional study evaluated dental records of 1000 healthy children to determine factors associated with plaque, gingivitis, and caries. A logistic model for plaque and gingivitis (mild versus moderate/severe) and caries (yes/no) was carried out separately for each variable using the following potential factors: Age, Gender, Brush Type, Starting Age of Brushing, Brushing Frequency, and Bite Type. Data from 998 children (median age: 4 years, 10 months (range: 2.5–7 years)) were analyzed. Sixty-four percent were manual toothbrush users; 36% were oscillating-rotating electric toothbrush users. For plaque and gingivitis, but not caries, Brush Type was more impactful than Brushing Frequency. Age influenced the severity of plaque and gingivitis, with increases in the odds of having moderate/severe plaque or gingivitis associated with increasing age. The probability of caries increased until approximately age 5 and then decreased until age 7. Oscillating-rotating brush users were more likely to present with less plaque, gingivitis, and caries, with 6.0, 5.1, and 1.4 times greater odds of having mild (versus moderate/severe) plaque, less severe gingivitis, and being caries-free, respectively, than manual brush users. Similarly, brushing twice daily and starting brushing at an earlier age were associated with better oral health outcomes. Children with anterior bite abnormalities had increased odds of developing moderate/severe plaque and gingivitis than children with normal anterior bites. Gender was not a statistically significant factor associated with plaque, gingivitis, or caries. Children’s oral health is influenced by toothbrush type, starting age of brushing, compliance with twice-daily brushing, and bite abnormalities.

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“…In such cases, a powered toothbrush is highly recommended. These toothbrushes can be used more easily and efficiently by parents or nurses when the patient is unable to do so, but different powered toothbrushes are considered expensive, especially in poor countries, and may not be available [6,7]. Many studies have shown that mechanical removal procedures without any chemical factor were effective in reducing dental plaque and gingivitis [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effectiveness of Apple Cider Vinegar and Mechanical Removal on Dental Plaque and Gingival Inflammation of Children With Cerebral Palsy

Asaad¹,

Laflouf²

2022

Cureus

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BackgroundThis study was designed to evaluate the effect of apple cider vinegar (ACV) 5% and mechanical plaque removal with a manual toothbrush on dental plaque and gingivitis. The objective was to study available, natural, and inexpensive ways to improve oral health status among the studied group. Materials and methodsA randomized clinical trial was performed on 50 children with cerebral palsy aged from three to six years. Participants were divided into two groups (n=25, apple cider vinegar, manual brushing without toothpaste). Plaque accumulation and gingival status were evaluated using Turesky of the Quigley-Hein plaque index (TQHPI) and modified gingival index (MGI) seven times: pre-intervention baseline (T0), post-intervention at one month (T1), two months (T2), three months (T3), four months (T4), five months (T5), six months (T6). ResultsPlaque accumulation and gingivitis decreased significantly for the ACV group between T0 and T6 (p<0.05) and demonstrated significantly lower plaque accumulation and gingivitis compared to the manual brushing group (p<0.05) at T5 and T6. The manual brushing group showed decreasing in TQHPI between T0 and T3, then TQHPI increased significantly (p<0.05) at T4, T5, and T6. ConclusionsTo sum up, this in vitro study has demonstrated the possibility of using apple cider vinegar to reduce plaque and gingivitis. In addition, without additives, apple cider vinegar has both mechanical and chemical effects on dental plaque, and it may be a natural, available, inexpensive, and harmless substance that can improve the quality of oral care for difficult groups of children and people with special needs. Unlike toothbrushes, especially electric toothbrushes, they are effective, but they may be expensive and not available to all children.

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Randomised clinical study of plaque removal efficacy of an electric toothbrush in primary and mixed dentition

Cited by 12 publications

References 18 publications

Impact of Oral Health Educational Interventions on Oral Hygiene Status of Children with Hearing Loss: A Randomized Controlled Trial

Impact of Oral Health Educational Interventions on Oral Hygiene Status of Children with Hearing Loss: A Randomized Controlled Trial

Factors Associated with Dental Plaque, Gingivitis, and Caries in a Pediatric Population: A Records-Based Cross-Sectional Study

Effectiveness of Apple Cider Vinegar and Mechanical Removal on Dental Plaque and Gingival Inflammation of Children With Cerebral Palsy

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