Anti-Plaque and Anti-Gingivitis Efficacy of Different Bristle Stiffness and End-Shape Toothbrushes on Interproximal Surfaces: A Systematic Review With Meta-Analysis

Langa, Gerson Pedro José; Muniz, Francisco Wilker Mustafa Gomes; Wagner, Tassiane Panta; Silva, Caroline Fernandes e; Rösing, Cassiano Kuchenbecker

doi:10.1016/j.jebdp.2021.101548

Cited by 11 publications

(4 citation statements)

References 29 publications

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“…Recent systematic reviews found that soft and extra-soft toothbrushes were safer as they caused soft tissue injuries and hard tissue abrasion to a lesser extent than hard toothbrushes, which could be more efficient in plaque removal [52,53]. The prevalence of hard toothbrushes use had significantly declined from first-year (19%) to fifth year (3.3%) among our participants (item no.…”

Section: Discussionmentioning

confidence: 66%

Estonian Dental Students’ Oral Health-Related Knowledge, Attitudes and Behaviours (KAB): National Survey-Based Study

Riad

Põld

Olak

et al. 2022

IJERPH

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The strategic plan for dentistry and oral health in Estonia of 2030 focuses on oral health promotion and disease prevention through undergraduate dental curricula and fostering public health-oriented research among students. The present study was designed as a descriptive cross-sectional study to evaluate oral health-related knowledge, attitudes, and behaviours (KAB) of dental students in Estonia. The study was carried out in the spring semester of 2020, and it used a modified version of the Hiroshima University Dental Behavioural Inventory (HU-DBI). A total of 129 students responded to the survey, constituting a response rate of 93.5% due to the total population sampling (census) technique used in this study and the small target population size. Out of the 124 students included in the final analysis, 79% were females, 62.1% were clinical students, 11.3% reported smoking tobacco at least once a week, and 86.3% reported problematic internet use. The present study found that mean HU-DBI score of Estonian dental students was 8.09 ± 1.22 which is so far the highest recorded HU-DBI score in Europe. There was no significant difference between female vs. male or preclinical vs. clinical students in terms of HU-DBI score. While clinical students reported less faulty oral hygiene practices, such as hard toothbrush use and aggressive toothbrushing, preclinical students reported a slightly higher mean HU-DBI score. Smoking behaviour was more common among male and clinical students, and it was also associated with alcohol drinking and worry about teeth colour and halitosis.

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Section: Discussionmentioning

confidence: 66%

Estonian Dental Students’ Oral Health-Related Knowledge, Attitudes and Behaviours (KAB): National Survey-Based Study

Riad

Põld

Olak

et al. 2022

IJERPH

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Section: Introductionmentioning

confidence: 99%

“…Clinical and preclinical studies have shown that these kinds of bristles are more effective in plaque removal around marginal soft tissues, from interproximal surfaces and into the occlusal fissures than rounded bristles. [13][14][15][16][17][18][19] Checchi et al (2007) in a clinical study showed that tapered bristles reduce plaque index quicker and are stronger than an ADA standard toothbrush with rounded bristles. 16 In a subsequent clinical study by the same authors, the participants perceived the tapered bristles as more comfortable and effective, especially at interproximal areas than rounded ones.…”

mentioning

confidence: 99%

In‐vitro comparison of two different toothbrush bristles about peri‐implant sulcus penetration

Montevecchi,

Valeriani,

Bellanova

et al. 2023

Int J Dental Hygiene

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ObjectiveThe aim of this preclinical study was to compare the ability of tapered and cylindrical bristles to penetrate the peri‐implant sulcus.MethodsA full mandibular dental arch was reproduced in plaster cast. In site #3.6 a hollow glass cylinder was positioned simulating a 4 mm diameter implant and the gingival component was recreated by using dedicated silicone. A Bass brushing technique was performed from the vestibular side in humid environment. During it, the penetration of the bristles between the gum and the implant was recorded by mean of an optic fibre fixed inside the cylinder. The protocol included 5 toothbrushes per group and 10 tests per toothbrush, for a total of 50 assessments for each of the two groups.A scale of 5 grades for bristle penetration was defined: grade 0 (× < 2 mm), grade 1 (2 ≤ × < 3 mm), grade 2 (3 ≤ × < 4 mm), grade 3 (4 ≤ × < 5 mm) and grade 4 (5 ≤ × < 8 mm). From the video recordings the highest value of penetration was identified for each test.ResultsThe tapered bristles showed an 8 times greater penetration capacity (p = 0.001) in respect to the cylindrical bristles (multilevel analysis). The percentage of tests reaching depths ≥3 mm was 86% for tapered group and 28% for the cylindrical group.ConclusionThis preclinical study shows a clear and superior penetration capacity of the tapered bristles in respect to traditional cylindrical ones. For tapered bristles, a potentially greater hygienic efficacy around dental implants is suggested.

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“… 6 The efficacy of toothbrushing in terms of interdental cleaning is selectively influenced by the bristles shape and stiffness. 7 Undoubtedly, the adjunct of self‐performed interdental cleaning in addition to toothbrushing suggest further plaque and/or gingivitis reduction, higher than the ones achieved by toothbrushing alone. 8 For that purpose, different interdental cleaning devices have been introduced, with varying efficacy among them.…”

Section: Introductionmentioning

confidence: 99%

Interdental plaque reduction after the use of different devices in patients with periodontitis and interdental recession: A randomized clinical trial

Gennai

Nisi

Perić

et al. 2022

Int J Dental Hygiene

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Objectives To determine the efficacy of four different oral hygiene protocols involving adjunctive interdental devices in terms of plaque and bleeding scores in periodontitis‐affected patients. Material and methods This was a randomized clinical trial with a 5‐week follow‐up, including previously treated periodontitis patients not undergoing any supportive care. Patients were randomly allocated to 4 groups: manual toothbrush (group TB); toothbrush plus dental floss (group TB/F); toothbrush plus interdental brushes (group TB/IDB) and toothbrush plus rubber interdental picks (group TB/RIDB). Oral hygiene instructions (OHI) were provided at baseline (T‐7) and at T0 (1‐week) then bi‐weekly (T14/T28). At T0, supragingival professional cleaning was delivered. Plaque and bleeding indexes were taken at all timepoints by a single calibrated examiner, blind to group allocation. Results At T‐7, patients were comparable for age, body mass index (BMI) and all clinical parameters, exceptions for the Interdental Angulated Bleeding Index. At T28, significant reductions of plaque and gingival inflammation were noted in all groups (p < 0.001) and within the expected ranges. Intergroup comparisons identified that group TB/IDB and group TB/RIDB achieved lower levels of plaque and inflammation than group TB (p < 0.05). Group TB/IDB and group TB/RIDB showed lower levels of plaque and lower inflammation as measured by angulated bleeding index than group TB/RIDB (p < 0.05). Conclusion Interdental brushes and rubber interdental picks were more efficient than toothbrushing alone and toothbrushing and floss in reducing plaque and gingival inflammation measured in a periodontitis‐affected population.

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Anti-Plaque and Anti-Gingivitis Efficacy of Different Bristle Stiffness and End-Shape Toothbrushes on Interproximal Surfaces: A Systematic Review With Meta-Analysis

Cited by 11 publications

References 29 publications

Estonian Dental Students’ Oral Health-Related Knowledge, Attitudes and Behaviours (KAB): National Survey-Based Study

Estonian Dental Students’ Oral Health-Related Knowledge, Attitudes and Behaviours (KAB): National Survey-Based Study

In‐vitro comparison of two different toothbrush bristles about peri‐implant sulcus penetration

Interdental plaque reduction after the use of different devices in patients with periodontitis and interdental recession: A randomized clinical trial

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