Effectiveness of a sonic-flosser toothbrush with different size brush heads and manual toothbrush plus dental floss on plaque, gingival bleeding and inflammation in adults with naturally occurring gingivitis: A 4-week randomized controlled trial.


Journal

International journal of dental hygiene
ISSN: 1601-5037
Titre abrégé: Int J Dent Hyg
Pays: England
ID NLM: 101168070

Informations de publication

Date de publication:
Aug 2023
Historique:
revised: 08 12 2022
received: 25 08 2021
accepted: 04 03 2023
medline: 21 7 2023
pubmed: 24 3 2023
entrez: 23 3 2023
Statut: ppublish

Résumé

To compare the effectiveness of three oral hygiene groups: a novel sonic-flosser toothbrush with a compact brush head, a novel sonic-flosser toothbrush with a full size brush head and manual toothbrush plus dental floss on the reduction of gingival bleeding after 4 weeks. Secondarily, the groups were compared on the reduction of gingival inflammation and dental plaque. One hundred and five (n = 105) healthy adults were enrolled in this randomized, examiner-blind, three-group, parallel clinical trial. Subjects were assigned to one of three groups: sonic-flosser toothbrush with full size brush head (SFF), sonic-flosser toothbrush with compact brush head (SFC), or manual toothbrush and string floss (MTF). Bleeding on probing (BOP), Modified Gingival Index (MGI), and Rustogi Modification of the Navy Plaque Index (RMNPI) scores were recorded at baseline, 2-weeks, and 4-weeks. All subjects completed the study. All three groups demonstrated a significant reduction in BOP, MGI and RMNPI from baseline to 4-weeks for all areas recorded (p < 0.001), except gingival margin plaque scores for SFF, SFC and MTF (p = 0.203, p = 0.082, p = 0.324 respectively). Both the SFF and SFC groups were statistically more effective than MTF for whole mouth BOP, MGI and RMNPI (p < 0.001) and proximal areas (p = 0.022 or less). There were no adverse events reported by the subjects or identified by the examiner during the study. The sonic-flosser toothbrush with a full size or compact brush head was statistically and clinically more effective at improving gingival health and reducing plaque than manual toothbrush and dental floss for adults with naturally occurring gingivitis over 4-weeks.

Identifiants

pubmed: 36951212
doi: 10.1111/idh.12675
doi:

Types de publication

Randomized Controlled Trial Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

624-633

Subventions

Organisme : Water Pik, Inc.

Informations de copyright

© 2023 John Wiley & Sons Ltd.

Références

Chapple IL, van der Weijden F, Doerfer C, et al. Primary prevention of periodontitis: managing gingivitis. J Clin Periodontol. 2015;42(suppl. 16):S71-S76.
Tonnetti MS, Chapple ILC, Jepsen S, Sanz M. Primary and secondary prevention of periodontal and peri-implant diseases. Introduction to and objectives of the 11th European workshop on periodontal consensus conference. J Clin Periodontol. 2015;42(suppl. 16):S1-S4.
Lang P, Joss A, Orsanic T, et al. Bleeding on probing. A predictor for the progression of periodontal disease? J Clin Periodontol. 1986;13(6):590-596.
van der Weijden FA, Slot DE. Efficacy of homecare regimens for mechanical plaque removal in managing gingivitis a meta review. J Clin Periodontol. 2015;42(suppl. 16):S77-S91.
Yaacob M, Worthington HV, Deacon SA, et al. Powered versus manual toothbrushing for oral health. Cochrane Database Syst Rev. 2014;6:CD002281.
Berchier CE, Slot DE, Haps S, van der Weijden GA. The efficacy of dental floss in addition to a toothbrush on plaque and parameters of gingival inflammation: a systematic review. Int J Dent Hygiene. 2008;6(4):265-279.
Sambunjak D, Nickerson JW, Poklepovic T, et al. Flossing for the management of periodontal diseases and dental caries in adults. Cochrane Database of Syst Rev. 2011;12:CD008829.
American Academy of Periodontology. Harris Poll March 2015 conducted for AAP. Accessed August 11, 2021: https://www.perio.org/consumer/quarter-of-adults-dishonest-with-dentists
Slot DE, Dörfer CE, van der Weijden GA. The efficacy of interdental brushes on plaque and parameters of periodontal inflammation: a systematic review. Int J Dent Hygiene. 2008;6:253-264.
Worthington HV, MacDonald L, Poklepovic Pericic T, et al. Home use of interdental cleaning devices, in addition to toothbrushing, for preventing and controlling periodontal diseases and dental caries. Cochrane Database Syst Rev. 2019;4:CD012018.
Hoenderdos NL, Slot DE, Parakevas S, van der Weijden GA. The efficacy of woodsticks on plaque and gingival inflammation: a systematic review. Int J Dent Hygiene. 2008;6:280-289.
Husseini A, Slot DE, van der Weijden GA. The efficacy of oral irrigation in addition to a toothbrush on plaque and the clinical parameters of periodontal inflammation: a systematic review. Int J Dent Hygiene. 2008;6:304-314.
Lyle DM, Goyal CR, Qaqish JG, Schuller R. Efficacy of the use of a water flosser in addition to an electric toothbrush on clinical signs of inflammation: 4-week randomized controlled trial. Compend Contin Educ Dent. 2020;41:170-177.
Goyal CR, Qaqish JG, Schuller R, Lyle DM. Evaluation of the addition of a water flosser to manual brushing on gingival health. J Clin Dent. 2018;29:81-86.
Goyal CR, Lyle DM, Qaqish JG, Schuller R. The addition of a water flosser to power tooth brushing: effect on bleeding, gingivitis, and plaque. J Clin Dent. 2012;23:57-63.
Goyal CR, Qaqish JG, Schuller R, Lyle D. Comparison of a novel sonic toothbrush with a traditional sonic toothbrush and manual brushing and flossing on plaque, gingival bleeding, and inflammation: a randomized controlled clinical trial. Compend Contin Educ Dent. 2018;39(Suppl. 2):14-22.
True random number service. Accessed August 11, 2021: https://www.random.org/
U.S. Food and Drug Administration. International council for harmonization (ICH) guidance documents. Accessed October 11, 2018. https://www.fda.gov/RegulatoryInformation/Guidances/ucm122049.htm
WMA Declaration of Helsinki - Ethical principles for medical research involving human subjects. Accessed March 30, 2021. https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/
Schulz KF, Altman DG, Moher D, et al. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. BMJ. 2010;8(340):c332. doi:10.1136/bjm.c332
Hoffman TC, Glasziou PP, Boutron I, et al. Better reporting of interventions: template for intervention description and replication (TIDierR) checklist and guide. BMJ. 2014;7:348. doi:10.1136/bmj.g1687
Wilkins EM. Clinical Practice of the Dental Hygienist. 11th ed. Wolters Kluwer, Lippincott Williams and Wilkins; 2013:412.
American Dental Association Council on Scientific Affairs. Acceptance program requirements: powered interdental cleaners or oral irrigators. August 2020. Available by request from: adaseal@ada.org.
American Dental Association Council on Scientific Affairs. Acceptance program requirements: manual interdental cleaners. August 2020. Available by request from: adaseal@ada.org.
American Dental Association Council on Scientific Affairs. Acceptance program requirements: toothbrushes. April 2016. Available by request from: adaseal@ada.org.
Carter HG, Barnes GP. The gingival bleeding index. J Periodontol. 1974;45:801-805.
Lobene RR, Weatherford T, Ross NM, Lamm RA, Menaker L. A modified gingival index for use in clinical trials. Clin Prev Dent. 1986;8:3-6.
Rustogi KN, Curtis JP, Volpe AR, et al. Refinement of the modified navy plaque index to increase plaque scoring efficiency in gumline and interproximal tooth areas. J Clin Dent. 1992;3(Suppl. C):C9-C12.
Food and Drug Administration. Guidance for Clinical Investigators, Sponsors, and IRBs. Adverse Event Reporting to IRBs-Improving Human Subject Protection. January 2009. Accessed March 30, 2021. https://www.fda.gov/media/72267/download
Freeman MF, Tukey JW. Transformation related to the angular and the square root. Ann Math Stat. 1950;21:607-611.
Quigley GA, Hein JW. Comparative cleansing efficiency of manual and power brushing. J Am Dent Assoc. 1962;65:26-29.
Elliott JR, Bowers GM, Clemmer BA, Rovelstad GH. Evaluation of an oral physiotherapy center in the reduction of bacterial plaque and periodontal disease. J Periodontol. 1972;43:221-224.
Barnes CM, Russell CM, Reinhardt RA, Payne JB, Lyle DM. Comparison of irrigation to floss as an adjunct to tooth brushing: effect on bleeding, gingivitis and supragingival plaque. J Clin Dent. 2005;16:71-77.
Goyal CR, Lyle DM, Qaqish JG, Schuller R. Evaluation of the plaque removal efficacy of a water flosser compared to string floss in adults after a single use. J Clin Dent. 2013;24:37-42.
Akram HM. Comparison between powerful Waterpik flosser with dental floss as an adjunct to tooth brushing. J Bagh Coll Dentistry. 2015;27:89-92.
Rosema NAM, Hennequin-Hoenderdos NL, Berchier CE, Slot DE, Lyle DM, van der Weijden GA. The effect of different interdental cleaning devices on gingival bleeding. J Int Acad Periodontol. 2011;13:2-10.
Magnuson B, Harsono M, Stark PC, Lyle D, Kugel G, Perry R. Comparison of the effect of two interdental cleaning devices around implants on the reduction of bleeding: a 30-day randomized clinical trial. Compend Contin Educ Dent. 2013;34(Special Issue 8):2-7.
Sharma NC, Lyle DM, Qaqish JG, Galustians J, Schuller R. Effect of a dental water jet with orthodontic tip on plaque and bleeding in adolescent patients with fixed orthodontic appliances. Am J Ortho Dentofacial Orthop. 2008;133:565-571.
Lyle DM, Goyal CR, Qaqish JG, Schuller R. Comparison of water flosser and interdental brush on plaque removal: a single-use pilot study. J Clin Dent. 2016;27:23-26.
Slot DE, Lyle DM, van der Sluijs E, Hennequin-Hoenderdos N, van der Weijden F. Water flosser compared to interdental-brushes on bleeding scores and gingival abrasion. J Dent Res. 2018;97(Special Iss. B): Abstract #0622 (www.iadr.org)
Cobb CM, Rodgers RL, Killoy WJ. Ultrastructural examination of human periodontal pockets following the use of an oral irrigation device in vivo. J Periodontol. 1988;59:155-163.
Cutler CW, Stanford TW, Abraham C, Cederberg RA, Boardman TJ, Ross C. Clinical benefits of oral irrigation for periodontitis are related to reduction of pro-inflammatory cytokine levels and plaque. J Clin Periodontol. 2000;27:134-143.
Drisko CL, White CL, Killoy WJ, Mayberry WD. Comparison of dark-field microscopy and a flagella stain for monitoring the effect of a water Pik on bacterial motility. J Periodontol. 1987;58:381-386.
Chaves ES, Kornman KS, Manwell MA, Jones AA, Newbold DA, Wood RC. Mechanism of irrigation effects on gingivitis. J Periodontol. 1994;65:1016-1021.
Al-Mubarak S, Ciancio S, Aljada A, et al. Comparative evaluation of adjunctive oral irrigation in diabetes. J Clin Periodontol. 2002;29:295-300.
Trombelli L, Farina R, Silva CO, Tatakis DN. Plaque-induced gingivitis: case definition and diagnostic considerations. J Clin Periodontol. 2018;45(suppl 20):S44-S67.

Auteurs

Deborah Mancinelli-Lyle (D)

Department of Periodontology, Academic Center for Dentistry, Uiversity of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, Netherlands.

Jimmy G Qaqish (JG)

All Sum Research Center, Ltd, Mississauga, Ontario, Canada.

C Ram Goyal (CR)

All Sum Research Center, Ltd, Mississauga, Ontario, Canada.

Reinhard Schuller (R)

Reinhard Schuller Consulting, Toronto, Ontario, Canada.

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