Brushing behaviour changes and plaque removal with an electric toothbrush: A clinical trial.
Isochronicity
biofilms
dental plaque
oral hygiene
toothbrushing
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:
Nov 2023
Nov 2023
Historique:
revised:
10
08
2023
received:
28
04
2023
accepted:
20
08
2023
medline:
4
12
2023
pubmed:
8
9
2023
entrez:
8
9
2023
Statut:
ppublish
Résumé
To evaluate changes in toothbrushing behaviour and plaque removal performance with usage of a next generation oscillating-rotating electric toothbrush (NG-OR). This exploratory clinical study had a two-treatment, three-period, single-group, sequential design. Generally healthy adults with a screening whole mouth mean Turesky modified Quigley-Hein Plaque Index (TQHPI) score of at least 1.75 on a 0-5 scale and who were primarily OR brush users were enrolled. Participants used each OR toothbrush in A-B-B order, where a currently marketed OR brush with a traditional mechanical drive system (T-OR) was used in period A, and the NG-OR brush with a linear magnetic drive was used in period B. At Visit 1, qualifying participants brushed on-site with T-OR. After a 48 h washout, participants returned for Visit 2 and brushed on-site with NG-OR. Participants then used NG-OR for 1 week, twice daily, at home and returned for Visit 3 to brush on-site with NG-OR again. For all on-site brushings, participants were instructed to brush for 2 min without interactive features. Each toothbrush was tagged with a transmitter chip connected to a Motion Tracking System to record movements of the toothbrush and participant using infrared light transmission to determine Isochronicity (brushing time uniformly distributed across the dentition). Plaque was measured using TQHPI. Primary variables were Isochronicity and TQHPl whole mouth mean plaque reduction (pre-brushing minus post-brushing). Overall, 41 participants enrolled and received treatment; 40 completed the trial. NG-OR showed significantly greater Isochronicity after a single brushing (p = 0.043) and after a 1-week at-home use (p = 0.001) versus T-OR. NG-OR showed 41% greater whole mouth plaque removal than T-OR (p < 0.001) after a single brushing. Plaque reduction by region/surface was consistent with whole mouth results. The NG-OR brush showed greater brushing uniformity and plaque removal versus the T-OR brush.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
747-754Subventions
Organisme : Procter & Gamble
Informations de copyright
© 2023 Procter & Gamble. International Journal of Dental Hygiene published by John Wiley & Sons Ltd.
Références
American Dental Association. Oral health topics: toothbrushes. Accessed April 4, 2023. https://www.ada.org/resources/research/science-and-research-institute/oral-health-topics/toothbrushes
Centers for Disease Control and Prevention. Oral health is important for overall health. Accessed April 1, 2023. https://www.cdc.gov/chronicdisease/resources/infographic/oralhealth.htm
Slot DE, Wiggelinkhuizen L, Rosema NA, Van der Weijden GA. The efficacy of manual toothbrushes following a brushing exercise: a systematic review. Int J Dent Hyg. 2012;10(3):187-197. doi:10.1111/j.1601-5037.2012.00557.x
Huang S, He T, Yue F, et al. Longitudinal multi-omics and microbiome meta-analysis identify an asymptomatic gingival state that links gingivitis, periodontitis, and aging. MBio. 2021;12(2):e03281-20. doi:10.1128/mBio.03281-20
Ganss C, Duran R, Winterfeld T, Schlueter N. Tooth brushing motion patterns with manual and powered toothbrushes-a randomised video observation study. Clin Oral Investig. 2018;22(2):715-720. doi:10.1007/s00784-017-2146-7
Harnacke D, Winterfeld T, Erhardt J, et al. What is the best predictor for oral cleanliness after brushing? Results from an observational cohort study. J Periodontol. 2015;86(1):101-107. doi:10.1902/jop.2014.140152
Weik U, Shankar-Subramanian S, Sämann T, Wöstmann B, Margraf-Stiksrud J, Deinzer R. “you should brush your teeth better”: a randomized controlled trial comparing best-possible versus as-usual toothbrushing. BMC Oral Health. 2023;23(1):456. doi:10.1186/s12903-023-03127-3
Adam R. Introducing the Oral-B iO electric toothbrush: next generation oscillating-rotating technology. Int Dent J. 2020;70 Suppl 1(Suppl 1):S1-S6. doi:10.1111/idj.12570
Black C, Hall S, Headstrom P, et al. A new generation of Sonicare power toothbrushes-the FlexCare series. Compend Contin Educ Dent. 2007;28(Suppl 1):4-9.
Walters PA, Cugini M, Biesbrock AR, Warren PR. A novel oscillating-rotating power toothbrush with SmartGuide: designed for enhanced performance and compliance. J Contemp Dent Pract. 2007;8(4):1-9.
Warren PR. Development of an oscillating/rotating/pulsating toothbrush: the Oral-B ProfessionalCare series. J Dent. 2005;33(Suppl 1):1-9.
Deinzer R, Ebel S, Blättermann H, Weik U, Margraf-Stiksrud J. Toothbrushing: to the best of one's abilities is possibly not good enough. BMC Oral Health. 2018;18(1):167. doi:10.1186/s12903-018-0633-0
Zampini M, Guest S, Spence C. The role of auditory cues in modulating the perception of electric toothbrushes. J Dent Res. 2003;82(11):929-932.
Zhang C, Spelt H, van Wissen A, Lakens D, IJsselsteijn WA. Habit and goal-related constructs in determining toothbrushing behavior: two sensor-based longitudinal studies. Health Psychol. 2022;41(7):463-473. doi:10.1037/hea0001199
Adam R, Erb J, Grender J. Randomized controlled trial assessing plaque removal of an oscillating-rotating electric toothbrush with micro-vibrations. Int Dent J. 2020;70 Suppl 1(Suppl 1):S22-S27. doi:10.1111/idj.12568
Goyal CR, Adam R, Timm H, Grender J, Qaqish J. A 6-month randomized controlled trial evaluating a novel smart-connected oscillating-rotating toothbrush versus a smart-connected sonic toothbrush for the reduction of plaque and gingivitis. Am J Dent. 2021;34(1):54-60.
Grender J, Ram Goyal C, Qaqish J, Adam R. An 8-week randomized controlled trial comparing the effect of a novel oscillating-rotating toothbrush versus a manual toothbrush on plaque and gingivitis. Int Dent J. 2020;70 Suppl 1(Suppl 1):S7-S15. doi:10.1111/idj.12571
Grender J, Goyal CR, Qaqish J, Timm H, Adam R. Gingival health effects with an oscillating-rotating electric toothbrush with micro-vibrations and a novel brush head designed for stain control: results from a 12-week randomized controlled trial. Am J Dent. 2022;35(5):219-226.
Grender J, Goyal CR, Qaqish J, Timm H, Adam R. A 12-week randomized controlled trial comparing a novel electric toothbrush with an extra gentle brush head to a manual toothbrush for plaque and gingivitis reduction. Compend Contin Educ Dent. 2022;43(3):f20-f29.
Ganss C, Klein P, Giese-Kraft K, Meyners M. Validation of motion tracking as tool for observational toothbrushing studies. PLoS One. 2020;15(12):e0244678. doi:10.1371/journal.pone.0244678
Turesky S, Gilmore ND, Glickman I. Reduced plaque formation by the chloromethyl analogue of victamine C. J Periodontol. 1970;41(1):41-43. doi:10.1902/jop.1970.41.41.41
Quigley GA, Hein JW. Comparative cleansing efficiency of manual and power brushing. J Am Dent Assoc. 1962;65:26-29. doi:10.14219/jada.archive.1962.0184
Schlueter N, Winterfeld K, Quera V, Winterfeld T, Ganss C. Toothbrushing systematics index (TSI)-a new tool for quantifying systematics in toothbrushing behaviour. PLoS One. 2018;13(4):e0196497. doi:10.1371/journal.pone.0196497
Grender J, Adam R, Zou Y. The effects of oscillating-rotating electric toothbrushes on plaque and gingival health: a meta-analysis. Am J Dent. 2020;33(1):3-11.
Clark-Perry D, Levin L. Systematic review and meta-analysis of randomized controlled studies comparing oscillating-rotating and other powered toothbrushes. J Am Dent Assoc. 2020;151:265-275.e6. doi:10.1016/j.adaj.2019.12.012
Thomassen T, Van der Weijden FGA, Slot DE. The efficacy of powered toothbrushes: a systematic review and network meta-analysis. Int J Dent Hyg. 2022;20:3-17. doi:10.1111/idh.12563
van der Sluijs E, Slot DE, Hennequin-Hoenderdos NL, Valkenburg C, van der Weijden F. The efficacy of an oscillating-rotating power toothbrush compared to a high-frequency sonic power toothbrush on parameters of dental plaque and gingival inflammation: a systematic review and meta-analysis. Int J Dent Hyg. 2022;21:77-94. doi:10.1111/idh.12597
van der Sluijs E, Slot DE, Hennequin-Hoenderdos NL, Valkenburg C, van der Weijden F. Dental plaque score reduction with an oscillating-rotating power toothbrush and a high-frequency sonic power toothbrush: a systematic review and meta-analysis of single-brushing exercises. Int J Dent Hyg. 2021;19:78-92. doi:10.1111/idh.12463
Zou Y, Grender J, Adam R, Levin L. A meta-analysis comparing toothbrush technologies on gingivitis and plaque. Int Dent J. 2023. doi: 10.1016/j.identj.2023.06.009. Online ahead of print.