A randomized, 3-month, parallel-group clinical trial to compare the efficacy of electric 3-dimensional toothbrushes vs manual toothbrushes in maintaining oral health in patients with fixed orthodontic appliances

Mylonopoulou, Ioulia-Maria; Pepelassi, Eudoxie; Madianos, Phoebus N.; Halazonetis, Demetrios J.

doi:10.1016/j.ajodo.2021.02.016

Cited by 9 publications

(3 citation statements)

References 28 publications

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“…Several research comparing manual and electric toothbrushes in fixed orthodontic appliance therapy patients found no difference in gingival, bleeding on probing, or plaque indices 36 , 41 – 43 . Similarly, there was no difference in plaque removal efficacy or gingival inflammation reduction between electric 3D and manual toothbrushes in a recent randomized controlled trial of adolescents with fixed orthodontic appliances 44 . The authors concluded that regardless of the brush used, orthodontists should focus on improving their patients' dental awareness and oral hygiene, as well as professional prophylaxis and other oral hygiene aids.…”

Section: Discussionmentioning

confidence: 93%

Cleaning performance of electric toothbrushes around brackets applying different brushing forces: an in-vitro study

Rominger,

Patcas,

Hamza

et al. 2024

Sci Rep

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Throughout treatment with fixed orthodontic appliances, effective plaque control is crucial to maintaining dental health. This in-vitro study evaluated the cleaning performance of eleven different brush heads of seven electric toothbrushes (oscillating-rotating and sonic motions) and varying brushing forces around orthodontic brackets. Six Mini Diamond® Twin brackets were placed on black-stained front teeth. Teeth were coated with white titanium oxide and brushed in a machine six times for one minute with two different brushing forces (1 N and 1.5 N). Eleven different brush heads were evaluated (either oscillating-rotating or sonic movements). The teeth were scanned and planimetrically evaluated after brushing. Three detailed plaque areas (DPAs) were created: proximal (< 1 mm to bracket), mid-tier (1–2 mm to bracket), and distant (> 2 mm to bracket). The proportion of contaminated proximal, mid-tier, and distant surfaces (white regions) in relation to the respective DPA was calculated. Independent of brushing forces, places with a higher distance (> 2 mm) to the orthodontic bracket had the least amount of residual contamination, followed by areas with a minor (1–2 mm) and proximal distance (< 1 mm). In all of the brushes tested and for both estimated brushing forces, the region with the highest residual contamination was the proximal area. The brush heads of the Paro® Sonic toothbrush left the least amount of residual contamination. The cleaning performance of electric toothbrushes around brackets on upper incisors varied across the brushes examined. The proximal area has the most residual contamination. Furthermore, 9 out of 11 toothbrushes cleaned more successfully with 1.5 N than with 1 N brushing force.

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Section: Discussionmentioning

confidence: 93%

Cleaning performance of electric toothbrushes around brackets applying different brushing forces: an in-vitro study

Rominger,

Patcas,

Hamza

et al. 2024

Sci Rep

View full text Add to dashboard Cite

show abstract

“…Patients using normal and interdental toothbrushes with adequate brushing time and frequency are less prone to plaque build-up [ 31 ]. The results of studies comparing the effectiveness of various kinds of toothbrushes in the orthodontic patients group do not show unequivocal results [ 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 ]. Mylonopoulou et al [ 40 ] concluded that, as there is no difference in plaque removal between various kinds of toothbrushes, clinicians should rather improve their patients’ awareness of the principles of proper oral hygiene and pay attention to professional prophylaxis and other oral hygiene measures.…”

Section: Discussionmentioning

confidence: 99%

Changes in Distribution of Dental Biofilm after Insertion of Fixed Orthodontic Appliances

Kozak

Lasota

Chałas

2021

JCM

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Good oral hygiene is an important factor in oral and general health, especially in orthodontic patients, because fixed appliances might impede effective oral hygiene and thus increase the risks of tooth decay, periodontal disease and general health complications. This study investigated the impact of fixed orthodontic appliances on the distribution of dental biofilm in teenagers. Supragingival plaque was assessed at T0, T1 and T2. The distribution of the biofilm was analyzed. Approximal Plaque Index (API) and Bonded Bracket Index (BBI) were used to measure the presence of dental plaque. After insertion of the fixed appliance, the dental plaque indices values in the orthodontically treated group were significantly higher (p < 0.05) than in the control group. Fixed orthodontic appliances caused significant changes in the distribution of the biofilm. This was characterized by the change of location of the dental plaque. In the orthodontic group, we observed an increase in the amount of the supragingival plaque on the vestibular surface of the teeth.

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“…Continuous progress has been made with the integration of technology to improve the quality of the tools. However, numerous clinical studies have compared plaque removal and other oral health indices with powered and manual toothbrushes, but the results are controversial [15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Sonic-Powered and Manual Toothbrushes on Plaque-Induced Gingivitis in Pregnant Women: A Randomized Controlled Trial

Clément,

Bourgeois,

Vitiello

et al. 2023

MPs

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Hormonal changes and physiological alterations in pregnancy increase the susceptibility of the woman to oral diseases such as plaque-induced gingivitis. In individual oral prophylaxis, effective tooth brushing can reduce gingival inflammation. Therefore, it is necessary to update the scientific evidence to identify which type of toothbrush, manual or sonic-powered, is most effective in reducing the incidence of gingivitis in pregnant women. The aim of this clinical trial is to compare the biofilm control effectiveness of two manual and two sonic toothbrushes in pregnant women. This study is designed as a four-arm, parallel, randomized controlled trial with an allocation ratio of 1:1:1:1. The pregnant woman will be included at 15–18 weeks of amenorrhea and followed for 3 months. The primary outcome will be the change in the incidence of gingival bleeding from a baseline and various follow-up periods of the study. Secondary outcomes measures will be to compare clinical effects of the toothbrushes tested on (i) gingival inflammation, (ii) dental plaque, (iii) gingival attachment and (iv) periodontal pocket; and to assess toothbrush acceptability. Thus, identifying the best device for effective tooth brushing in pregnancy could be helpful in reducing and improving the incidence of gingival inflammation.

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A randomized, 3-month, parallel-group clinical trial to compare the efficacy of electric 3-dimensional toothbrushes vs manual toothbrushes in maintaining oral health in patients with fixed orthodontic appliances

Cited by 9 publications

References 28 publications

Cleaning performance of electric toothbrushes around brackets applying different brushing forces: an in-vitro study

Cleaning performance of electric toothbrushes around brackets applying different brushing forces: an in-vitro study

Changes in Distribution of Dental Biofilm after Insertion of Fixed Orthodontic Appliances

Efficacy of Sonic-Powered and Manual Toothbrushes on Plaque-Induced Gingivitis in Pregnant Women: A Randomized Controlled Trial

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