Effectiveness of orthodontic toothbrush versus conventional toothbrush on plaque and gingival index reduction: A systematic review and meta‐analysis

Marçal, Felipe Franco; Paulo, João Paulo Mota de; Barreto, Liliana Girão; Guerra, Lis Monteiro de Carvalho; Silva, Paulo Goberlânio de Barros

doi:10.1111/idh.12511

Cited by 20 publications

(13 citation statements)

References 36 publications

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“…Plaque on teeth is characterized as a soft, lingering substance that is present on the tooth's surface and is challenging to eliminate with a simple water rinse [19,20]. Dental plaque is the main cause of inflamed gums (gingivitis), which are characterized by erythema of the marginal gingiva where it meets the teeth as well as mild edema and hemorrhage from the gingival border [21][22][23]. Personalized dental hygiene is the preservation of mouth hygiene for the sustenance of proper oral health.…”

Section: Discussionmentioning

confidence: 99%

The Efficacy of the Three Types of Plaque Control Methods During Fixed Orthodontic Treatment: A Randomized Controlled Trial

Kumar¹,

Singh²,

Sinha³

et al. 2023

Cureus

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Background: When intraoral orthodontic devices are used, it becomes significantly more difficult to remove plaque effectively. Dentists and orthodontic specialists can come up with more effective preventive strategies while patients are undergoing fixed orthodontic work if they have a deeper understanding of the present scenario. In addition, individuals will become more aware of the importance of good dental hygiene habits as a result of this. Objective: To assess and compare the effectiveness of a manual toothbrush, machine-driven toothbrush, and conventional mechanical toothbrush coupled with mouth rinse in removing plaque and maintaining gingival health in patients undergoing fixed orthodontic treatment. Methods and materials: In this research, a total of 222 individuals who met the eligibility and exclusion requirements were randomly selected and offered their written consent. There were a total of 74 participants for each of the three different categories. Category A used a physically driven toothbrush. Category B used a motorized toothbrush. Category C used a physically driven toothbrush together with mouthwash containing 0.2% chlorhexidine gluconate. All study participants were assessed at baseline, one-month follow-up, and two-month follow-up to document the preliminary information, including that of the modified papillary bleeding index (MPBI) by Muhlemann, plaque index (PI) introduced by Silness and Loe, and gingival index (GI) introduced by Loe and Silness. Results: In this study, the mean PI scores at the one-month and two-month follow-ups were minimum in Category C, while it was maximum in Category A at the two-month follow-up. The mean GI scores at the two-month follow-up were minimum in Category C, while it was maximum in Category A at the two-month follow-up. The mean MPBI scores at the two-month follow-up were minimum in Category C, while it was maximum in Category A. It was observed that participants in this trial who only used a typical mechanical brush experienced an increase in PI and GI scores after one and two months of follow-up. At the one-month and two-month follow-ups, it was noted that the values of PI, GI, and MPBI significantly decreased in the study participants using automated toothbrushes as well as in study participants using manual toothbrushes in conjunction with chlorhexidine mouthwash as compared to baseline values. However, when the three categories were compared, it was found that the research participants utilizing both a manual toothbrush and 0.2% chlorhexidine experienced the highest decreases in PI, GI, and MPBI values. Conclusion: The reduction in the scores of PI, GI, and MPBI was maximum in orthodontic patients after two months when they apply manual toothbrushing along with 0.2% chlorhexidine.

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Section: Discussionmentioning

confidence: 99%

The Efficacy of the Three Types of Plaque Control Methods During Fixed Orthodontic Treatment: A Randomized Controlled Trial

Kumar¹,

Singh²,

Sinha³

et al. 2023

Cureus

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“…According to a recent meta-analysis, gingival bleeding is not modified by the O-TB, but major plaque removal of the O-TB by 1.72 (95% confidence interval [CI] = 0.83-2.61; p = 0.0001) was validated [ 22 ]. However, additional randomized clinical trials are warranted to clarify the real clinical orthodontic relevance of the orthodontic toothbrush due to the considerable heterogeneity and quality of the data [ 22 ]. Our study found no significant difference between the C-TB and O-TB.…”

Section: Discussionmentioning

confidence: 99%

“…It is hypothesized that the v-shaped bristles encourage better oral hygiene by increasing the contact between toothbrush bristles and orthodontic apparatus [ 15 ]. The O-TB is more effective in removing plaque than the C-TB, according to a recent systematic review and meta-analysis on the topic, but this improvement is not fully understood, underscoring the need for additional randomized clinical trials to evaluate the effects of using an O-TB in comparison to a C-TB [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

A Randomized Clinical Study of the Plaque Removal Efficacy of a Novel Manual Toothbrush With Micro-Pulse Bristles on Fixed Orthodontic Patients

Shammari¹,

Farook²,

Fallatah³

et al. 2022

Cureus

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Background Fixed orthodontic appliances on tooth surfaces, such as brackets and bands, complicate oral hygiene and increase plaque accumulation, contributing to gingivitis, periodontitis, and tooth decay. While manual toothbrushes are an essential part of oral hygiene, there is little clinical evidence to demonstrate how effective manual toothbrushes with novel designs are at removing plaque from orthodontic patients. This study aims to evaluate three types of manual toothbrushes (Pulsar, conventional flat trim (C-TB), and orthodontic type (O-TB)) for their efficacy in plaque removal among patients undergoing fixed orthodontic treatment. Methodology The study followed the Consolidated Standards of Reporting Trials (CONSORT) guidelines. It was a three-treatment, three-period, examiner-blinded crossover clinical trial conducted with a single brushing exercise. Twenty-four subjects were randomized to one of three different bristle designs (Pulsar, C-TB, and O-TB). The primary outcome measure was the difference (baseline minus post-brushing) in plaque scores assessed using the Turesky-Modified Quigley-Hein Plaque Index during each study period. Results Of the 27 subjects enrolled in the study, 24 met the inclusion criteria and completed all three periods of the study. The mean age was 19.58 ± 1.55 years, with a range of 18-23 years. The differences between treatments in plaque score reduction after brushing were statistically significant (p-value <0.001). The treatment differences were statistically significant (p-value <0.001), favoring the C-TB toothbrush and the O-TB over the Pulsar design. On the contrary, the difference between the O-TB and C-TB types was not statistically significant. Conclusions C-TB and O-TB remove significantly more plaque than Pulsar toothbrushes after a single brushing exercise. Nevertheless, the C-TB tested in this study was more effective in removing dental plaque than the O-TB in patients wearing fixed orthodontic appliances. Considering the limitations of this study, additional research is required before evidence-based advice concerning the relative performance of the Pulsar toothbrushes in fixed orthodontic patients can be proven.

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“…11 It is known that the most frequently used fixed appliances, influence plaque and food retention affecting oral hygiene level, and many authors investigated various hygiene products prophylaxis in these patients. For example, Sivaramakrishnan 12 compared the effectiveness of electric toothbrush and manual toothbrush in patients undergoing treatment with fixed appliances and proved the use of the first one, while Felipe Franco Marçal et al 13 showed the usefulness of using special orthodontic toothbrush in the same category of patients.…”

Section: Introductionmentioning

confidence: 99%

Use of an antiseptic rinse (NanArgol) for the oral hygiene maintenance of subjects with fixed appliances: A randomized clinical trial

Latuta

Corbella

Silvio

et al. 2022

Int J Dental Hygiene

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Background:The risk of periodontal diseases development increased in patients with malocclusion undergoing orthodontic treatment. Thus, the aim of this study was to examine the efficacy of the use of adjunctive rinses with nano-Argentum to standard oral hygiene regimen in subjects wearing fixed orthodontic appliances.Materials and Methods: Eighty patients were observed for 1 year. They were divided in two groups: in test group patients were instructed to rinse with non-ionic colloidal silver solution according to protocol for 6 months as an adjunct to standard; in control group the patients followed the standard oral hygiene regimen. Index of efficiency of oral hygiene (PHPm), community periodontal index (CPI) and papillary-marginalalveolar index (PMA) were evaluated before treatment and after 1 and 6 months. For statistics analysis, Mann-Whitney, Kruskal-Wallis tests and Pearson criterion were used.Results: Baseline hygiene levels in two groups had no differences. Oral hygiene indices were significantly lower in the test group in comparison with control after 1 month

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Effectiveness of orthodontic toothbrush versus conventional toothbrush on plaque and gingival index reduction: A systematic review and meta‐analysis

Cited by 20 publications

References 36 publications

The Efficacy of the Three Types of Plaque Control Methods During Fixed Orthodontic Treatment: A Randomized Controlled Trial

The Efficacy of the Three Types of Plaque Control Methods During Fixed Orthodontic Treatment: A Randomized Controlled Trial

A Randomized Clinical Study of the Plaque Removal Efficacy of a Novel Manual Toothbrush With Micro-Pulse Bristles on Fixed Orthodontic Patients

Use of an antiseptic rinse (NanArgol) for the oral hygiene maintenance of subjects with fixed appliances: A randomized clinical trial

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