Mechanical control of biofilm in children with cerebral palsy: a randomized clinical trial

Abstract

All methods reduced biofilm. Effectiveness was similar between manual brushing and with the electric toothbrush on, whereas both these methods achieved better results in comparison with the electric toothbrush switched off.

A systematic review and meta‐analysis of dental plaque control among children and adolescents with intellectual disabilities

“…Seven studies evaluated mechanical intervention (Table ): conventional manual toothbrush with versus without Internet‐based oral hygiene education (Popple et al, ); conventional manual toothbrushes versus modified toothbrushes—triple‐headed toothbrush (Doǧan, Alaçam, Aşici, Odabaş, & Seydaoǧlu, ), handle‐modified toothbrush (Crawford, Burril, & Grogan, ), individually modified toothbrush (Damle & Bhavsar, ); powered toothbrushes versus conventional manual toothbrushes (Doǧan et al, ; Ferraz et al, ; Gertenrich & Lewis, ; Shaw, Harris, Maclaurin, & Foster, ), or versus triple‐headed toothbrush (Doǧan et al, ). Studies differed in assessment methods of dental plaque outcome, and the most common index was Silness & Löe Plaque Index.…”

“…When switched off, the toothbrushes had to be used manually. One study reported that powered toothbrush switched on was more effective than switched off (Ferraz et al, ). In the five comparisons of powered toothbrushes versus manual toothbrushes (conventional and triple‐headed), powered toothbrushes were deemed more effective than the manual toothbrushes in two of the five comparisons (one study; Doǧan et al, ).…”

“…In the five comparisons of powered toothbrushes versus manual toothbrushes (conventional and triple‐headed), powered toothbrushes were deemed more effective than the manual toothbrushes in two of the five comparisons (one study; Doǧan et al, ). It was feasible to perform a meta‐analysis of two studies comparing powered versus manual toothbrushes (Doǧan et al, ; Ferraz et al, ) that adopted a similar dental plaque outcome measure (Modified Quigley & Hein Plaque Index), Figure . The overall effect size in the fixed‐effect model was 2.30 in favour of the powered toothbrushes ( p = 0.02, MD −0.27, 95% CI% −0.50 to −0.04), but no statistical significant difference was observed in the random‐effects model (Figure ).…”

“…Comparisons were made of different types of toothbrushes and employed different methods of assessing dental plaque levels. Qualitative synthesis of the studies found that powered toothbrushes were more effective when turned on than off (turning off being less effective than a manual toothbrush), and in two of the five comparisons of powered versus manual toothbrushes, there was evidence of significant effect in favour of powered toothbrushes (Doǧan et al, ; Ferraz et al, ). It was feasible to conduct a meta‐analysis of two studies comparing powered with manual toothbrushes that employed a similar measure of dental plaque outcome.…”

Efeito de sistemas elétricos de escovação sobre a superfície do esmalte e do cemento hígido e desmineralizados: Estudo in vitro

“…Além disso, proporcionam bolsas periodontias mais rasas e removem o biofilme dentário mais eficientemente que a escovação manual (Heanue et al, 2003;Deacon et al, 2010;Hovliaras et al, 2015;Re et al, 2015;Ikeda et al, 2016;Kurtz et al, 2016;Davidovich et al, 2017;de Jager et al, 2017;Erbe et al, 2018;Kaizer et al, 2018). A eficácia do uso de escovas dentais para melhora significativa da higiene bucal foi comprovada por Nikolaev et al, (2016) e Ferraz et al, (2015). Entretanto podem ocasionar danos clinicamente relevantes aos tecidos mineralizados e tecidos moles (Boyd, 1997;Boyd et al, 1997;He et al, 2001;Robinson, 2011;Van der Weijden et al, 2011.;Fukumoto et al, 2014;Graetz et al, 2017).…”