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Thomassen TMJA, Van der Weijden FA, Slot DE. The efficacy of powered toothbrushes :-A Systematic Review and Network Meta-Analysis. Int J Dent Hyg. 2021;doi: 10.1111/idh.12563.
Thomassen, T. M. J. A., Van der Weijden, F. A., & Slot, D. E. (2021). The efficacy of powered toothbrushes :-A Systematic Review and Network Meta-Analysis. International journal of dental hygiene, . https://doi.org/10.1111/idh.12563
Thomassen, Tim M J A, et al. "The efficacy of powered toothbrushes :-A Systematic Review and Network Meta-Analysis." International journal of dental hygiene vol. (2021). doi: https://doi.org/10.1111/idh.12563
Thomassen TMJA, Van der Weijden FA, Slot DE. The efficacy of powered toothbrushes :-A Systematic Review and Network Meta-Analysis. Int J Dent Hyg. 2021 Dec 07; doi: 10.1111/idh.12563. Epub 2021 Dec 07. PMID: 34877772.
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Int J Dent Hyg. 2021 Dec 07; doi: 10.1111/idh.12563. Epub 2021 Dec 07.

The efficacy of powered toothbrushes :-A Systematic Review and Network Meta-Analysis.

International journal of dental hygiene

Tim M J A Thomassen, Fridus A Van der Weijden, Dagmar E Slot

Affiliations

  1. Department of Periodontology Academic Centre for Dentistry, Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, The Netherlands.

PMID: 34877772 DOI: 10.1111/idh.12563

Abstract

AIM: This systematic review and network meta-analysis synthesizes the available clinical evidence concerning efficacy with respect to plaque scores following a brushing action with oscillating-rotating (OR) or high-frequency sonic (HFS) powered toothbrushes (PTB) compared to a manual toothbrush (MTB) as control.

MATERIAL AND METHODS: Databases were searched up to April 15, 2021, for clinical trials that evaluated the efficacy of a PTB with OR or HFS technology compared to an MTB on plaque removal after a single brushing action and conducted with healthy adult patients. Meta-analysis (MA) and a network meta-analysis (NMA) were performed.

RESULTS: Twenty-eight eligible publications, including 56 relevant comparisons, were retrieved. The overall NMA results for the mean post-brushing score showed a statistically significant difference for the comparison between an OR PTB and an MTB (SMD=-0.43;95%CI[-0.696;-0.171]). The change in plaque score data showed a significant effect of a PTB over an MTB and OR over HFS. Based on ranking, the OR PTB was highest, followed by the HFS PTB and the MTB.

CONCLUSION: Within the limitations of the present study design, based on the outcome following a single brushing action, it can be concluded that for dental plaque removal there is a high certainty for a small effect of a PTB over an MTB. This supports the recommendation to use a powered toothbrush for daily plaque removal. There is moderate certainty for a very small benefit for the use of a powered toothbrush with an OR over an HFS mode of action.

This article is protected by copyright. All rights reserved.

Keywords: Network Meta-Analysis; electric; manual; plaque; powered; single brushing; systematic review; toothbrush

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