Does tooth brushing influence the development and progression of non‐inflammatory gingival recession? A systematic review

Rajapakse, P. Sunethra; McCracken, Giles; Gwynnett, Erika; Steen, Nick; Guentsch, Arndt; Heasman, P. A.

doi:10.1111/j.1600-051x.2007.01149.x

Cited by 133 publications

(137 citation statements)

References 77 publications

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“…However, it may be speculated that the participants had inadequate knowledge to perform effective tooth cleaning procedures as it has also been reported that poor skills for toothbrushing were very much evident among primary school teachers (34). In this study, the frequency of toothbrushing did not appear to have been a significant factor for the occurrence of gingival recession and this is in agreement to what has been reported in Jordan (35) and other places (36).…”

Section: Discussionsupporting

confidence: 80%

Gingival recession, oral hygiene and associated factors among tanzanian women

Mumghamba

Honkala²,

Honkala³

et al. 2010

E Af Med Jrnl

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Background: Females are generally more motivated with regard to oral hygiene practices and thus brush their teeth more frequently than males. Objective: To determine the prevalence of gingival recession, oral hygiene status, oral hygiene practices and associated factors in women attending a maternity ward in Tanzania. Design: Cross-sectional descriptive study. Setting: Maternity ward of Muhimbili National Hospital, Tanzania. Subjects: Four hundred and forty six women were interviewed on oral hygiene practices and maternal factors, and a full-mouth examination was done to determine the presence of plaque, calculus, gingival bleeding and gingival recession at six sites per tooth. Results: The prevalence of gingival recession (GR) > 1mm was 33.6%, calculus 99.3%, plaque 100%, and gingival bleeding 100%. Oral hygiene practices included toothbrushing (98.9%), brushing frequency >2 times/day (61.2%), horizontal brushing method (98%), and using a plastic toothbrush (97.8%). Factors that were significantly associated with gingival recession were age (OR a =2.0, 95% CI=1.3-3.2), presence of calculus (OR a =3.8, 95% CI=2.5-7.1), and gingival bleeding on probing (OR a =4.2, 95% CI=2.5-7.1). Tooth cleaning practices and maternal factors, especially the number of pregnancies or deliveries were not significantly associated with gingival recession. Conclusion: In this study population, oral hygiene was poor and gingival recession was associated with age, calculus and gingival inflammation rather than with tooth cleaning practices.

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Section: Discussionsupporting

confidence: 80%

Gingival recession, oral hygiene and associated factors among tanzanian women

Mumghamba

Honkala²,

Honkala³

et al. 2010

E Af Med Jrnl

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“…The patients rinsed their mouths with 0.12% chlorhexidine gluconate every 12 h for 3 days. [23][24][25] All patients underwent presurgery prophylaxis as described above.…”

Section: Methodsmentioning

confidence: 99%

Effect of Oral Hygiene and 0.12% Chlorhexidine Gluconate Oral Rinse in Preventing Ventilator-Associated Pneumonia After Cardiovascular Surgery

et al. 2013

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BACKGROUND: Ventilator-associated pneumonia (VAP) is a nosocomial infection of multifactorial etiology and has a negative influence on cardiovascular surgery (CVS) outcomes. OBJECTIVES: Determine the effect of toothbrushing plus 0.12% chlorhexidine gluconate oral rinse in preventing VAP after CVS. METHODS: In a quasi-experimental study, patients undergoing heart surgery were enrolled in a protocol for controlling dental biofilm by proper oral hygiene (toothbrushing) and oral rinses with 0.12% chlorhexidine gluconate (Group 1), and they were compared with a historical control group (Group 2), which included patients who underwent cardiac surgery be-

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“…In the marginal area, the use of an abrasive dentifrice (RDA = ± 160) significantly increased the incidence of abrasion, regardless of the toothbrush t ype used. Although the evidence to confirm the relationship between traumatic toothbrushing and gingival recession are inconclusive, 6,29 the majority of studies verify this association.…”

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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Does tooth brushing influence the development and progression of non‐inflammatory gingival recession? A systematic review

Cited by 133 publications

References 77 publications

Gingival recession, oral hygiene and associated factors among tanzanian women

Gingival recession, oral hygiene and associated factors among tanzanian women

Effect of Oral Hygiene and 0.12% Chlorhexidine Gluconate Oral Rinse in Preventing Ventilator-Associated Pneumonia After Cardiovascular Surgery

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

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