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Title |
The Use of Powered Toothbrushes Versus Manual Toothbrushes for Gingivitis |
Clinical Question |
Does the use of a powered toothbrush with rotation oscillation reduce the presence of gingivitis more than a manual toothbrush? |
Clinical Bottom Line |
If a patient uses a powered toothbrush with rotation oscillation there is a more beneficial decrease in gingivitis than if a patient uses a manual toothbrush. (See Comments on the CAT below) |
Best Evidence |
(you may view more info by clicking on the PubMed ID link) |
PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
#1) 12535436 | Heanue/2005 | There was a random group of 2,547 people who had no physical challenges hindering them from brushing their teeth. They were told to brush for at least 4 weeks. At the end of the 4 weeks they observed changes of plaque levels and gingivitis. | Meta-analysis | Key results | The effect measure for each meta-analysis was the standardized mean difference (SMD) with the appropriate 95% confidence intervals (CI) using random effect models. At one to three months the SMD for gingivitis SMD -0.44 (95% CI: -0.72, -0.15). These represented an a 6% reduction on the Loe and Silness gingival index. At over three months the effects were SMD for gingivitis -0.51 (95% CI: -0.76, -0.25). These represented a 17% reduction on the Ainamo Bay Bleeding on Probing Gingival Index. Therefore, in the short term and long term, toothbrushes that use a rotation oscillation movement eliminated more plaque and decreased gingivitis more efficiently than manual brushes. | |
Evidence Search |
#18Search (#15) AND #16 Limits: Meta-Analysis10:31:3612#17Search (#15) AND #1610:31:19557#16Search \"Gingivitis\"[Mesh]10:31:029005#15Search \"Toothbrushing\"[Mesh]10:30:354995 |
Comments on
The Evidence |
The evidence is the highest in the hierarchy of evidence with over 2500 subjects in the study. |
Applicability |
The patient who is diagnosed with gingivitis can use this information and with the use of a rotation oscillation powered toothbrush can have a decreased plaque index which will in turn help reduce the gingivitis. Practitioners can use this information to better control their patients’ oral hygiene. |
Specialty/Discipline |
(General Dentistry) (Dental Hygiene) |
Keywords |
Power toothbrushes, Toothbrushes, Gingivitis, Oral health, Plaque
|
ID# |
468 |
Date of submission: |
01/06/2010 |
E-mail |
hogans@uthscsa.edu |
Author |
Yasamin Yazhari |
Co-author(s) |
Steven Hogan |
Co-author(s) e-mail |
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Faculty mentor/Co-author |
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Faculty mentor/Co-author e-mail |
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Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?) |
post a rationale |
None available | |
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Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
post a comment |
by Matthew Simmons (San Antonio, TX) on 04/13/2012 A PubMed search on this topic was completed in March 2012. After performing the search I feel that this CAT is of the highest level of evidence. I would feel comfortable making the statement, use of a rotation oscillation powered toothbrush decreases plaque index more efficiently than use of a manual toothbrush, thereby making it more beneficial in decreasing gingivitis. | |
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