Safety of Oscillating‐Rotating Powered Brushes Compared to Manual Toothbrushes: A Systematic Review

Efficacy of homecare regimens for mechanical plaque removal in managing gingivitis a meta review Van Material & Methods: Three Internet sources were used (up to and including August 2014) to search for appropriate papers that satisfied the study purpose. Plaque scores and gingivitis scores were considered to be the primary parameter of interest. Safety was considered an important facet in relation to efficacy. Data and conclusions as presented in the selected papers were extracted. The potential risk of bias was estimated and the emerging evidence was graded. Results: Independent screening of 176 unique reviews resulted in 10 published and eligible systematic reviews. They were categorized into one review evaluating the effect of an oral hygiene instruction with a toothbrush on plaque and gingivitis scores, five evaluating the efficacy of manual and power toothbrushes and three reviews evaluating toothbrush safety and one evaluating toothbrush contamination. Conclusion: Tooth brushing is effective in reducing levels of dental plaque. With respect to gingivitis power toothbrushes have a benefit over manual toothbrushes. The greatest body of evidence was available for oscillating-rotating brushes. Tooth brushing generally can be considered safe for the teeth and their investing tissues.

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“…Another systematic review evaluated the safety of oscillating–rotating powered brushes compared to manual toothbrushes (Van der Weijden et al. ).…”

Section: Resultsmentioning

confidence: 99%

“…The aim of this review was to examine the literature concerning the relative soft and/or hard tissue safety outcomes with the use of oscillating–rotating toothbrushes compared to manual toothbrushes (Van der Weijden et al. ). The search identified 899 unique titles and abstracts of which 35 publications met the eligibility criteria.…”

Section: Resultsmentioning

confidence: 99%

Efficacy of homecare regimens for mechanical plaque removal in managing gingivitis a meta review

Weijden

Slot

2015

J Clinic Periodontology

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152

158

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“…Toothbrushing is a known potential risk factor for soft or hard tissue damage in terms of tooth surface loss 21 and gingival abrasion/GR development 22 . A recent systematic review on the clinical efficacy and safety of oscillating‐rotating powered toothbrushes and manual toothbrushes concluded that both toothbrushes are safe and do not produce a risk for gingival injury or hard tissue damage 23 . Tooth abrasion seems to be related more to individual inappropriate brushing techniques rather than to the adopted toothbrush 4 .…”

Section: Discussionmentioning

confidence: 99%

Gingival Margin Stability After Mucogingival Plastic Surgery. The Effect of Manual Versus Powered Toothbrushing: A Randomized Clinical Trial

Acunzo

Limiroli

Pagni

et al. 2016

Journal of Periodontology

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“…Van der Weijden et al . 6 examined the literature concerning the relative soft and/or hard tissue safety outcomes with the use of oscillating-rotating powered toothbrushes compared to manual toothbrushes, and their meta-analysis on changes of gingival recession showed no significant difference among toothbrush groups.…”

Section: Discussionmentioning

confidence: 99%

Gingival abrasion and recession in manual and oscillating–rotating power brush users

Rosema

Adam

Grender

et al. 2014

Int J Dental Hygiene

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ObjectiveTo assess gingival recession (GR) in manual and power toothbrush users and evaluate the relationship between GR and gingival abrasion scores (GA).MethodsThis was an observational (cross-sectional), single-centre, examiner-blind study involving a single-brushing exercise, with 181 young adult participants: 90 manual brush users and 91 oscillating–rotating power brush users. Participants were assessed for GR and GA as primary response variables. Secondary response variables were the level of gingival inflammation, plaque score reduction and brushing duration. Pearson correlation was used to describe the relationship between number of recession sites and number of abrasions. Prebrushing (baseline) and post-brushing GA and plaque scores were assessed and differences analysed using paired tests. Two-sample t-test was used to analyse group differences; ancova was used for analyses of post-brushing changes with baseline as covariate.ResultsOverall, 97.8% of the study population had at least one site of ≥1 mm of gingival recession. For the manual group, this percentage was 98.9%, and for the power group, this percentage was 96.7% (P = 0.621). Post-brushing, the power group showed a significantly smaller GA increase than the manual group (P = 0.004); however, there was no significant correlation between number of recession sites and number of abrasions for either group (P ≥ 0.327).ConclusionsLittle gingival recession was observed in either toothbrush user group; the observed GR levels were comparable. Lower post-brushing gingival abrasion levels were seen in the power group. There was no correlation between gingival abrasion as a result of brushing and the observed gingival recession following use of either toothbrush.

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Safety of Oscillating‐Rotating Powered Brushes Compared to Manual Toothbrushes: A Systematic Review

Abstract: A large body of published research in the preceding 2 decades has consistently shown oscillating-rotating toothbrushes to be safe compared to manual toothbrushes, demonstrating that these power toothbrushes do not pose a clinically relevant concern to hard or soft tissues.

Cited by 48 publications

References 55 publications

Efficacy of homecare regimens for mechanical plaque removal in managing gingivitis a meta review

Efficacy of homecare regimens for mechanical plaque removal in managing gingivitis a meta review

Gingival Margin Stability After Mucogingival Plastic Surgery. The Effect of Manual Versus Powered Toothbrushing: A Randomized Clinical Trial

Gingival abrasion and recession in manual and oscillating–rotating power brush users

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