Brushing with and without dentifrice on gingival abrasion

Versteeg, P.A.; Timmerman, M.F.; Piscaer, M.; Velden, U. van der; Weijden, G.A. van der

doi:10.1111/j.1600-051x.2005.00652.x

Cited by 20 publications

(28 citation statements)

References 18 publications

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“…People brush their teeth to feel fresh and confident, have a nice smile, avoid bad breath and avoid disease [2]. A toothbrush is one of the most familiar devices of everyday use and few people would ever think about its associated risks [3].…”

Section: Introductionmentioning

confidence: 99%

Is it safe to use a toothbrush?

Oliveira

Slot

Weijden

2014

Acta Odontologica Scandinavica

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The combined evidence related to serious adverse events as presented in case reports showed that the oral use of a toothbrush can be associated with ingestion, impaction, instant trauma, gingival traumatic injury and seizures. Given the incidence of reporting, important recommendations are that a toothbrush should not be used to induce vomiting, nor should people walk or run with this device in their mouths, especially children.

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Section: Introductionmentioning

confidence: 99%

Is it safe to use a toothbrush?

Oliveira

Slot

Weijden

2014

Acta Odontologica Scandinavica

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“…Versteeg et al . (2005) showed that there was no difference in GAs between participants who brushed their own teeth (with their own sensory perception feedback) and those whose teeth were brushed by a professional brusher. The most probable explanation for the effect size difference between the present study and Rosema et al .…”

Section: Discussionmentioning

confidence: 99%

“…However, Versteeg et al . (2005) observed that the use of a dentifrice, with its abrasive ingredients and detergents, did not induce additional abrasions. This observation was in agreement with earlier work by Alexander et al .…”

Section: Discussionmentioning

confidence: 99%

The effects of different levels of brush end rounding on gingival abrasion: a double‐blind randomized clinical trial

Hennequin-Hoenderdos

Slot

Sluijs

et al. 2016

Int J Dental Hygiene

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The effects of different levels of brush end rounding on gingival abrasion: a double-blind randomized clinical trial Abstract: Objective: The objective of this study was to evaluate the effect of different levels of filament end rounding on gingival abrasions (GAs). Methods: The study was a crossover, split-mouth, contralateral, double-blinded, randomized design using professional brushing. Three manual toothbrushes, with 0%, 40-50% and >90% end-rounded filaments, were investigated. Participants refrained from all oral hygiene procedures for 48 h prior to each of the three visits. Prior to brushing, oral soft tissue (OST) and GAs were assessed. Based on the randomization, during every visit contra-lateral quadrants were brushed with one of the three test brushes. After brushing, GAs were re-assessed. The means of the GAs prebrushing and post-brushing and differences per brush were calculated. Subanalyses were performed based on the size of the abrasion and its location. Results: A total of 46 generally healthy participants without periodontitis completed the study and provided a full data set. All brushes had statistically significant increases of abrasions following their use (P < 0.001). Non-end-rounded brushes provided significantly more GAs than did the 40-50% and the >90% brushes (P ≥ 0.001). A subanalysis showed that significantly more small-sized (P ≥ 0.002) abrasions located at the gingival margin (P < 0.001) occurred when a non-end-rounded brush was used. No significant differences were found between the 40-50% and >90% end-rounded brushes in any of the analyses. OST deviations were not observed. Conclusions: Based on the results of this experiment involving professional brushing, it can be concluded that 40-50% or greater end-rounded filaments can provide a significant reduction in gingival abrasions compared to non-end-rounded filaments.

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“…23 Moreover, the abrasive dentifrice components (silica, alumina, calcium carbonate), which are related to a dentifrice's degree of abrasiveness, can cause mechanical abrasion of the epithelium. According to Verteeg et al, 24 brushing with a dentifrice did not result in increased gingival abrasion. Our results partially agree with those of these authors, since the use of a dentifrice resulted in a significant increase in lesions at specific locations (buccal and lingual surfaces of the free gingiva).…”

Section: Discussionmentioning

confidence: 99%

“…25 RDA is important, as abrasive toothpastes can aggravate brush-induced gingival abrasion. Versteeg et al 24 used a dentifrice with an RDA of ± 77. In the present study, a dentifrice with a greater abrasiveness (RDA ± 160) was used.…”

Section: Discussionmentioning

confidence: 99%

Combined effect of end-rounded versus tapered bristles and a dentifrice on plaque removal and gingival abrasion

et al. 2016

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Combined effect of end-rounded versus tapered bristles and a dentifrice on plaque removal and gingival abrasion Abstract: Two previous clinical studies evaluated the effect of end-rounded versus tapered bristles of soft manual brushes on the removal of plaque and gingival abrasion. However, the combined effect of an abrasive dentifrice on these outcomes has yet to be understood. The purpose of the present study was to compare the incidence of gingival abrasion and the degree of plaque removal obtained after the use of toothbrushes with tapered or end-rounded bristles in the presence or absence of an abrasive dentifrice. The study involved a randomized, single-blind, crossover model (n = 39) with a split-mouth design. Subjects were instructed to refrain from performing oral hygiene procedures for 72 hours. Quadrants were randomized and subjects brushed with both types of toothbrushes using a dentifrice (relative dentin abrasion = ± 160). Plaque and gingival abrasion were assessed before and after brushing. After 7 days, the experiment was repeated without the dentifrice. The average reduction in plaque scores and the average increase in the number of abrasion sites were assessed by repeated-measures ANOVA and Bonferroni's post-hoc tests. End-rounded bristles removed significantly more plaque than tapered bristles, regardless of the use of a dentifrice. The dentifrice did not improve plaque removal. In the marginal area (cervical free gingiva), no difference in the incidence of gingival abrasion was detected between toothbrush types when used with a dentifrice (p ≥ 0.05). However, the dentifrice increased the incidence of abrasion (p < 0.001), irrespective of the toothbrush type tested. End-rounded bristles therefore removed plaque more effectively without causing a higher incidence of gingival abrasion when compared with tapered bristles. An abrasive dentifrice can increase the incidence of abrasion, and should be used with caution by individuals who are at risk of developing gingival recession.

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Brushing with and without dentifrice on gingival abrasion

Abstract: No statistically significant difference in the incidence of gingival abrasion was found between brushing with dentifrice or without dentifrice. Neither did oral sensory perception seem to affect the incidence of gingival abrasion.

Cited by 20 publications

References 18 publications

Is it safe to use a toothbrush?

Is it safe to use a toothbrush?

The effects of different levels of brush end rounding on gingival abrasion: a double‐blind randomized clinical trial

Combined effect of end-rounded versus tapered bristles and a dentifrice on plaque removal and gingival abrasion

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