Manual versus powered toothbrushes for oral health; an update

Background: Plaque removal is a cornerstone in the prevention and treatment of periodontal diseases. Powered toothbrushes have been devised to assist in plaque removal. An earlier Cochrane systematic review found that only powered toothbrushes with a rotation-oscillation action were more effective a...

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Main Authors:	Yaacob, Munirah, Scott A, Deacon, Chris, Deery, Anne-Marie , Gleeny, Michael, Heanue, A Damien , Walmsley, Helen, Worthington, Peter G, Robinson
Format:	Conference or Workshop Item
Language:	English
Published:	2011
Subjects:	RK Dentistry
Online Access:	http://irep.iium.edu.my/14458/ http://irep.iium.edu.my/14458/1/Manual_vs_powered_BSODR_ID_151313_edited1.pdf

id	iium-14458
recordtype	eprints
spelling	iium-144582012-05-30T08:44:34Z http://irep.iium.edu.my/14458/ Manual versus powered toothbrushes for oral health; an update Yaacob, Munirah Scott A, Deacon Chris, Deery Anne-Marie , Gleeny Michael, Heanue A Damien , Walmsley Helen, Worthington Peter G, Robinson RK Dentistry Background: Plaque removal is a cornerstone in the prevention and treatment of periodontal diseases. Powered toothbrushes have been devised to assist in plaque removal. An earlier Cochrane systematic review found that only powered toothbrushes with a rotation-oscillation action were more effective at removing plaque and reducing gingivitis. That review requires updating to include recent trials. Objective: To compare the effects of manual and powered toothbrushes on plaque removal and gingival health. Method: We searched the Cochrane Oral Health Group Trials Register, CENTRAL; MEDLINE, EMBASE and CINAHL to 9 March 2011. Manufacturers and authors were contacted for additional data. Trials were selected for random allocation of participants to use a manual or powered toothbrush. Participants were members of the public with uncompromised manual dexterity who brushed unsupervised for at least 4 weeks. There was no language restriction. Primary outcomes were plaque and gingivitis scores at the end of the trial. Assessment of methodological quality and data extraction were conducted in duplicate. Potential sources of heterogeneity were examined, along with sensitivity analyses for quality and publication bias. Results: Fifty trials, involving 4326 participants, provided data. Effect sizes, calculated as standardized mean difference (95% confidence intervals) for brushes with a rotation oscillation action were: 1 to 3 months >3 months Plaque -0.53 (-0.74 to -0.31) -0.66 (-1.28 to -0.03) Gingivitis -0.49 (-0.73 to -0.26) -0.34 (-0.56 to -0.11) This represents approximately 27% fewer sites with bleeding on probing in the long term. No other powered designs were consistently superior to manual toothbrushes. There was considerable heterogeneity between trials. Sensitivity analyses revealed the results to be robust when selecting trials of high quality. Conclusion: Rotation-oscillation powered toothbrushes remove plaque and reduce gingivitis more than manual brushes in the short and long term. 2011-11-15 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/14458/1/Manual_vs_powered_BSODR_ID_151313_edited1.pdf Yaacob, Munirah and Scott A, Deacon and Chris, Deery and Anne-Marie , Gleeny and Michael, Heanue and A Damien , Walmsley and Helen, Worthington and Peter G, Robinson (2011) Manual versus powered toothbrushes for oral health; an update. In: British Society for Oral and Dental Research meeting 2011, 12th to 15th September 2011, Sheffield, United Kingdom. (Unpublished)
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RK Dentistry
spellingShingle	RK Dentistry Yaacob, Munirah Scott A, Deacon Chris, Deery Anne-Marie , Gleeny Michael, Heanue A Damien , Walmsley Helen, Worthington Peter G, Robinson Manual versus powered toothbrushes for oral health; an update
description	Background: Plaque removal is a cornerstone in the prevention and treatment of periodontal diseases. Powered toothbrushes have been devised to assist in plaque removal. An earlier Cochrane systematic review found that only powered toothbrushes with a rotation-oscillation action were more effective at removing plaque and reducing gingivitis. That review requires updating to include recent trials. Objective: To compare the effects of manual and powered toothbrushes on plaque removal and gingival health. Method: We searched the Cochrane Oral Health Group Trials Register, CENTRAL; MEDLINE, EMBASE and CINAHL to 9 March 2011. Manufacturers and authors were contacted for additional data. Trials were selected for random allocation of participants to use a manual or powered toothbrush. Participants were members of the public with uncompromised manual dexterity who brushed unsupervised for at least 4 weeks. There was no language restriction. Primary outcomes were plaque and gingivitis scores at the end of the trial. Assessment of methodological quality and data extraction were conducted in duplicate. Potential sources of heterogeneity were examined, along with sensitivity analyses for quality and publication bias. Results: Fifty trials, involving 4326 participants, provided data. Effect sizes, calculated as standardized mean difference (95% confidence intervals) for brushes with a rotation oscillation action were: 1 to 3 months >3 months Plaque -0.53 (-0.74 to -0.31) -0.66 (-1.28 to -0.03) Gingivitis -0.49 (-0.73 to -0.26) -0.34 (-0.56 to -0.11) This represents approximately 27% fewer sites with bleeding on probing in the long term. No other powered designs were consistently superior to manual toothbrushes. There was considerable heterogeneity between trials. Sensitivity analyses revealed the results to be robust when selecting trials of high quality. Conclusion: Rotation-oscillation powered toothbrushes remove plaque and reduce gingivitis more than manual brushes in the short and long term.
format	Conference or Workshop Item
author	Yaacob, Munirah Scott A, Deacon Chris, Deery Anne-Marie , Gleeny Michael, Heanue A Damien , Walmsley Helen, Worthington Peter G, Robinson
author_facet	Yaacob, Munirah Scott A, Deacon Chris, Deery Anne-Marie , Gleeny Michael, Heanue A Damien , Walmsley Helen, Worthington Peter G, Robinson
author_sort	Yaacob, Munirah
title	Manual versus powered toothbrushes for oral health; an update
title_short	Manual versus powered toothbrushes for oral health; an update
title_full	Manual versus powered toothbrushes for oral health; an update
title_fullStr	Manual versus powered toothbrushes for oral health; an update
title_full_unstemmed	Manual versus powered toothbrushes for oral health; an update
title_sort	manual versus powered toothbrushes for oral health; an update
publishDate	2011
url	http://irep.iium.edu.my/14458/ http://irep.iium.edu.my/14458/1/Manual_vs_powered_BSODR_ID_151313_edited1.pdf
first_indexed	2023-09-18T20:23:38Z
last_indexed	2023-09-18T20:23:38Z
_version_	1777408271237251072

Manual versus powered toothbrushes for oral health; an update

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