A COMPARATIVE EVALUATION OF EFFECTIVENESS OF POWERED TOOTHBRUSHES AND MANUAL TOOTHBRUSHES ON THE ORAL HYGIENE OF FIXED ORTHODONTIC PATIENTS: A SYSTEMATIC REVIEW
Keywords:
Fixed orthodontic patients, Powered toothbrushes, Manual toothbrushes, Oral hygiene, Systematic review
Abstract
Objective: To evaluate the literature on the comparative effectiveness of powered and manual toothbrushes on oral hygiene in patients with fixed orthodontic appliances.
Materials and Methods: A systematic electronic and hand search using MEDLINE and PubMed was conducted.
Results: 6 trials with full articles were selected. These were published between the years 1998 to 2013. Most orthodontic trials showed powered toothbrushes can significantly reduce plaque and gingivitis in the general population but there were no statistically significant differences detected regarding their effectiveness as compared to that of manual brushes. However, powered toothbrushes were found to perform more superiorly in reducing the incidence of bleeding on probing.
Conclusion: For orthodontic patients who prefer to use a powered toothbrush, it is assured that powered tooth brushing is similarly effective as manual tooth brushing and it is safe to use as there is no evidence that it will cause any injuries to their gums than manual tooth brushing and it is also beneficial for patients with impaired manual dexterity.
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References
1. Rafe Z, Vardimon A, Ashkenazic M. Comparative study of 3 types of toothbrushes in patients with fixed orthodontic appliances. Am J Orthod Dentofacial Orthop. 2006;130:92-95.
2. Demling A, Heuer W, Elter C. Analysis of supra- and subgingival long-term biofilm formation on orthodontic bands. European Journal of Orthodontics. 2009; 31: 202–206.
3. Gorelick L, Geiger A M. Incidence of white spot formation after bonding and banding. Am J Orthod Dentofacial Orthop. 1982; 81(2):93-98.
4. Mizrahi E. Enamel demineralization following orthodontic treatment. Am J Orthod Dentofacial Orthop. 1982; 82(1):62-67.
5. Hickman J, Millett DT, Sander L, Brown E, Love J. Powered versus manual toothbrushing in fixed appliance patients: A short term randomized controlled clinical trial. Angle orthod. 2002; 72:135-140.
6. Ayad F, Petrone DM, Wachs GN. Comparative Efficacy of a Specially Engineered Sonic Powered Toothbrush with Unique Sensing and Control Technologies to Two Commercially Available Power Toothbrushes on Established Plaque and Gingivitis. J Clin Dent. 2012; 23[Spec Iss A]:A5-A10.
7. Laing E, Ashley P, Gill D, Naini F. An Update on Oral Hygiene Products and Techniques. Dent Update. 2008; 35: 270-279.
8. Schatzle M, Sener B, Schmidlin PR, Imfeld T, Attin T. In vitro tooth cleaning efficacy of electric toothbrushes around brackets. European Journal of Orthodontics. 2010; 32: 481–489.
9. Zachrison BU. Oral hygiene for orthodontic patients: Current concepts and practical advice. Angle orthod. 1974;66: 487-497.
10. Khambhay BS, Walmsley AD. An in vitro evaluation of electric toothbrushes. Quintessence Int. 1995; 26:841-848.
11. Nathoo S, Mankodi S, Mateo LR. A Clinical Study Comparing the Supragingival Plaque and Gingivitis Efficacy of a Specially Engineered Sonic Powered Toothbrush with Unique Sensing and Control Technologies to a Commercially Available Manual Flat-Trim Toothbrush. J Clin Dent. 2012; 23[Spec Iss A]: A11-A16.
12. Yankell SL, Shi X. Efficacy and Safety of Brush Picks, a New Cleaning Aid, Compared to the Use of Glide Floss. J Clin Dent. 2002; 13: 125-129.
13. Thienpont V, Dermaut L R, Van Maele G. Comparative study of 2 electric and 2 manual toothbrushes in patients with fixed orthodontic appliances. Am J Orthod and Dentofacial Orthop. 2001; 120: 353–360.
14. Clerehugh V, Williams P, Shaw W C, Worthington H V, Warren P. A practice-based randomized controlled trial of the efficacy of an electric and a manual toothbrush on gingival health in patients with fixed orthodontic appliances. Journal of Dentistry. 1998; 26: 633–639.
15. Heasman P, Wilson Z, Mac Gregor I, Kelly P. Comparative study of electric and manual toothbrushes in patients with fixed orthodontic appliances. Am J Orthod and Dentofacial Orthop. 1998;114: 45–49.
16. Trimpeneers LM, Wijgaerts IA, Grognard NA, Dermaut LR, Adriaens PA. Effect of electric toothbrushes versus manual toothbrushes on removal of plaque and the periodontal status during orthodontic treatment. Am J Orthod Dentofacial Orthop. 1997; 111:492-497.
17. Costa MR, Silva VC, Miqui MN, Sakima T, Spolidorio DM, Cirelli JA. Efficacy of ultrasonic, electric and manual toothbrushes in patients with fixed orthodontic appliances. Angle Orthod. 2007; 77:361-366.
18. Costa MR, Silva VC, Miqui MN. Effects of ultrasonic, electric, and manual toothbrushes on subgingival plaque composition in orthodontically banded molars. Am J Orthod Dentofacial Orthop. 2010; 137: 229-235.
19. Deery C, Heanue M, Deacon S, Robinson PG, Walmsley AD, Worthington H, Shaw W, Glenny A-M. The effectiveness of manual versus powered toothbrushes for dental health: a systematic review. J Den 2004; 32:197-211.
20. Van der Weijden FA, Campbell SL, Dorfer CE, Gonzalez-Cabezas C, Slot DE. Safety of oscillating-rotating powered brushes compared to manual toothbrushes: A systematic review. J Periodontol. 2011; 82: 5-24.
2. Demling A, Heuer W, Elter C. Analysis of supra- and subgingival long-term biofilm formation on orthodontic bands. European Journal of Orthodontics. 2009; 31: 202–206.
3. Gorelick L, Geiger A M. Incidence of white spot formation after bonding and banding. Am J Orthod Dentofacial Orthop. 1982; 81(2):93-98.
4. Mizrahi E. Enamel demineralization following orthodontic treatment. Am J Orthod Dentofacial Orthop. 1982; 82(1):62-67.
5. Hickman J, Millett DT, Sander L, Brown E, Love J. Powered versus manual toothbrushing in fixed appliance patients: A short term randomized controlled clinical trial. Angle orthod. 2002; 72:135-140.
6. Ayad F, Petrone DM, Wachs GN. Comparative Efficacy of a Specially Engineered Sonic Powered Toothbrush with Unique Sensing and Control Technologies to Two Commercially Available Power Toothbrushes on Established Plaque and Gingivitis. J Clin Dent. 2012; 23[Spec Iss A]:A5-A10.
7. Laing E, Ashley P, Gill D, Naini F. An Update on Oral Hygiene Products and Techniques. Dent Update. 2008; 35: 270-279.
8. Schatzle M, Sener B, Schmidlin PR, Imfeld T, Attin T. In vitro tooth cleaning efficacy of electric toothbrushes around brackets. European Journal of Orthodontics. 2010; 32: 481–489.
9. Zachrison BU. Oral hygiene for orthodontic patients: Current concepts and practical advice. Angle orthod. 1974;66: 487-497.
10. Khambhay BS, Walmsley AD. An in vitro evaluation of electric toothbrushes. Quintessence Int. 1995; 26:841-848.
11. Nathoo S, Mankodi S, Mateo LR. A Clinical Study Comparing the Supragingival Plaque and Gingivitis Efficacy of a Specially Engineered Sonic Powered Toothbrush with Unique Sensing and Control Technologies to a Commercially Available Manual Flat-Trim Toothbrush. J Clin Dent. 2012; 23[Spec Iss A]: A11-A16.
12. Yankell SL, Shi X. Efficacy and Safety of Brush Picks, a New Cleaning Aid, Compared to the Use of Glide Floss. J Clin Dent. 2002; 13: 125-129.
13. Thienpont V, Dermaut L R, Van Maele G. Comparative study of 2 electric and 2 manual toothbrushes in patients with fixed orthodontic appliances. Am J Orthod and Dentofacial Orthop. 2001; 120: 353–360.
14. Clerehugh V, Williams P, Shaw W C, Worthington H V, Warren P. A practice-based randomized controlled trial of the efficacy of an electric and a manual toothbrush on gingival health in patients with fixed orthodontic appliances. Journal of Dentistry. 1998; 26: 633–639.
15. Heasman P, Wilson Z, Mac Gregor I, Kelly P. Comparative study of electric and manual toothbrushes in patients with fixed orthodontic appliances. Am J Orthod and Dentofacial Orthop. 1998;114: 45–49.
16. Trimpeneers LM, Wijgaerts IA, Grognard NA, Dermaut LR, Adriaens PA. Effect of electric toothbrushes versus manual toothbrushes on removal of plaque and the periodontal status during orthodontic treatment. Am J Orthod Dentofacial Orthop. 1997; 111:492-497.
17. Costa MR, Silva VC, Miqui MN, Sakima T, Spolidorio DM, Cirelli JA. Efficacy of ultrasonic, electric and manual toothbrushes in patients with fixed orthodontic appliances. Angle Orthod. 2007; 77:361-366.
18. Costa MR, Silva VC, Miqui MN. Effects of ultrasonic, electric, and manual toothbrushes on subgingival plaque composition in orthodontically banded molars. Am J Orthod Dentofacial Orthop. 2010; 137: 229-235.
19. Deery C, Heanue M, Deacon S, Robinson PG, Walmsley AD, Worthington H, Shaw W, Glenny A-M. The effectiveness of manual versus powered toothbrushes for dental health: a systematic review. J Den 2004; 32:197-211.
20. Van der Weijden FA, Campbell SL, Dorfer CE, Gonzalez-Cabezas C, Slot DE. Safety of oscillating-rotating powered brushes compared to manual toothbrushes: A systematic review. J Periodontol. 2011; 82: 5-24.
How to Cite
1.
Sharma R, Sidana A, Tiwari P. A COMPARATIVE EVALUATION OF EFFECTIVENESS OF POWERED TOOTHBRUSHES AND MANUAL TOOTHBRUSHES ON THE ORAL HYGIENE OF FIXED ORTHODONTIC PATIENTS: A SYSTEMATIC REVIEW. Med. res. chronicles [Internet]. 2015Feb.10 [cited 2024Dec.23];2(1):74-. Available from: https://medrech.com/index.php/medrech/article/view/53
Section
Review Article
