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G A Van Der Weijden - One of the best experts on this subject based on the ideXlab platform.
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mechanical plaque removal of periodontal maintenance patients a systematic review and network meta analysis
Journal of Clinical Periodontology, 2020Co-Authors: D E Slot, Cees Valkenburg, G A Van Der WeijdenAbstract:Aim This systematic review synthesizes the available clinical evidence concerning efficacy of mechanical oral hygiene devices in periodontal maintenance patients. Material and methods Three databases were searched up to October 2019 for clinical trials conducted in adult patients in periodontal maintenance which evaluated the effect of Toothbrushes or an interdental device on plaque removal and parameters of periodontal diseases. Descriptive analysis and network meta-analysis (NMA) were performed. Results Sixteen eligible publications, including 17 relevant comparisons, were retrieved. Four out of five comparisons found no clinical difference between a Manual and power Toothbrush. Of the interdental cleaning devices, the interdental brushes (IDBs) reduced plaque scores more effectively than a Manual Toothbrush alone. For the oral irrigator, two out of three comparisons indicated a positive effect on gingivitis scores, and probing pocket depth. The NMA demonstrated that for plaque removal the adjuvant use of IDBs was significantly more effective than the Manual Toothbrush alone. For the reduction of gingival inflammation, no product ranked higher than the Manual Toothbrush. Conclusion Due to the scarcity of studies that met the inclusion criteria for each of the oral hygiene devices and the low certainty of the resultant evidence, no strong "evidence-based" conclusion can be drawn concerning any specific oral hygiene device for patient self-care in periodontal maintenance.
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plaque removal with triple headed vs single headed Manual Toothbrushes a systematic review
International Journal of Dental Hygiene, 2018Co-Authors: S M Kalfscholte, G A Van Der Weijden, Eric W P Bakker, D E SlotAbstract:Objective The aim of this systematic review was to establish the effectiveness of brushing with a triple-headed Manual Toothbrush compared to a single-headed Manual Toothbrush on plaque removal. Materials and methods The MEDLINE-PubMed and Cochrane-CENTRAL databases were searched. The inclusion criteria were clinical trials conducted with humans without fixed orthodontic appliances who were not dental care professionals. Papers that evaluated the effect of Toothbrushing with a triple-headed Manual Toothbrush compared to a single-headed Manual Toothbrush on plaque removal were included. Data were extracted from the eligible studies, and a descriptive analysis was performed. Result The search retrieved 15 eligible publications including 18 relevant comparisons. Heterogeneity was most obvious with respect to the person who performed the brushing, either the participants themselves or a caregiver responsible for daily oral hygiene. Additionally, participant characteristics such as age and individual disabilities varied. A lack of appropriate data and a variation in the indices used allowed only a descriptive analysis. Of the 14 comparisons with self-performed brushing by the participants, the majority showed no difference between triple-headed and single-headed Toothbrushes, with a few favouring the triple-headed. In the comparisons in which a caregiver performed the brushing, three of the four showed that the triple-headed Toothbrush performed significantly better on the reduction in plaque scores. Conclusion From this review emerges the recommendation that the use of a triple-headed Manual Toothbrush instead of a single-headed Manual Toothbrush might be favorable with respect to plaque removal in case a care-dependent individual is brushed by a caregiver.
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a specific brushing sequence and plaque removal efficacy a randomized split mouth design
International Journal of Dental Hygiene, 2018Co-Authors: E Van Der Sluijs, Dagmar E Slot, N L Hennequinhoenderdos, G A Van Der WeijdenAbstract:Aim It has been propagated by the dental care professionals to start Toothbrushing the lingual aspect of teeth first. In general, it is assumed that these surfaces of teeth are more difficult to clean. The evidence to support this recommendation is sparse. Method In this randomized controlled clinical trial using a split-mouth design, 46 students were included. Before the visit, the participants were requested to refrain from any oral hygiene procedure for 48 h. First, the plaque index (PI) score was assessed full mouth. Two randomly chosen contra-lateral quadrants were used to start brushing from the lingual aspect first. The opposing two quadrants were used to start brushing from the buccal aspect. After the brushing exercise was completed, full-mouth PI was scored again. Subanalyses were performed for the buccal, lingual and approximal surfaces. Results At baseline, there was no statistically significant difference between the two sets of contra-lateral quadrants (P = 0.770). Starting at the lingual aspect of the lower jaw resulted in a 55% reduction of plaque scores in comparison with 58% when the brushing exercise was started buccally. [Correction added on 16 January 2017, after first online publication: In the preceding sentence, the percentage reduction of plaque scores when the brushing exercise was started buccally, was previously wrong and has been corrected to 58% throughout this article.] The difference in mean plaque scores between brushing orders was 0.04, which was not significant (P = 0.219). None of the subanalyses revealed any significant differences for the isolated surfaces. Conclusion Using a Manual Toothbrush reduced the plaque scores between 55 and 58% with no difference between brushing from either the lingual or buccal aspect first. Within the limitations of this study, a recommendation to start Toothbrushing the lingual aspect is not supported by the outcome in this young student population.
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a systematic review of the effectiveness of self performed mechanical plaque removal in adults with gingivitis using a Manual Toothbrush
Journal of Clinical Periodontology, 2005Co-Authors: G A Van Der Weijden, K P K J HioeAbstract:Objective: To assess the effectiveness of self-performed mechanical plaque removal in adults with gingivitis using a Manual Toothbrush with respect to the level of plaque and gingivitis in controlled studies of at least 6 months duration. Search: Medline-PubMed up to and including September 2004. Results: Out of 3223 titles and abstracts, 33 trials were found for data extraction. A meta-analysis was conducted of studies (n=9) in which, for the Manual Toothbrush group at baseline, only a professional prophylaxis provided. The weighted mean differences (WMD) between baseline and end-trial for the Quigley & Hein plaque index was 0.28 and 0.21 for the Gingival Index (p<0.05). Eight studies provided both a professional OHI and prophylaxis at baseline. The WMD for the Silness & Loe Plaque Index was 0.10 (ns). The WMD of the proportion of bleeding sites was 5.84% (p<0.05). Conclusion: In adults with gingivitis the quality of self-performed mechanical plaque removal is not sufficiently effective and should be improved. Based on studies 6 months of duration, it appears that a single oral hygiene instruction, describing the use of a mechanical Toothbrush, in addition to a single professional ‘oral prophylaxis’ provided at baseline, had a significant, albeit small, positive effect on the reduction of gingivitis.
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Toothbrushing force in relation to plaque removal
Journal of Clinical Periodontology, 1996Co-Authors: G A Van Der Weijden, M F Timmerman, E Reijerse, C M Snoek, U Van Der VeldenAbstract:This was a 2-part study. The purpose of the 1st part was to examine the relationship between brushing force and plaque removal efficacy comparing a regular Manual Toothbrush (M) with an electric Toothbrush the Braun/Oral-B Plak Control (B). The study consisted of a single oral prophylaxis followed by 5 experiments which differed solely in respect to Toothbrushing force. At baseline (after 24-h plaque accumulation), the amount of dental plaque was evaluated and subsequently, the subject's mouth was brushed by a dental hygienist. Brushing was carried out in a random split-mouth order. Either the 1st and 3rd quadrants or the 2nd and 4th quadrants were brushed with 1 Toothbrush and the 2 remaining quadrants with the other. The available time for the brushing procedure was 2 min. After brushing, the amount of remaining dental plaque was assessed. The force used in experiment 1 through 5 was 100, 150, 200, 250, 300 g, respectively. The results show that when brushing force is increased, more plaque is removed with either of the two brushes. Except for the high brushing force (300 g), the electric Toothbrush removed more plaque than the Manual brush. The purpose of the 2nd part was to evaluate the habitual brushing force which individuals use with various Toothbrushes. Besides a Manual Toothbrush (M), 3 electric Toothbrushes were examined, the Rotadent (R), Interplak (I) and Braun (B). 20 subjects were selected on the basis of being 'good brushers' (plaque score at screening < 25%). At baseline, each subject randomly received 1 of the 4 brushes. They were allowed a training period of 3 weeks at the end of which they were asked to abstain from brushing for at least 24 h. The plaque (Turesky modification of the Quigley & Hein) was scored, after which the subjects brushed their teeth (2 min) with the assigned Toothbrush equipped with a strain gauge. A computer set-up measured (100 Hz) and calculated the mean brushing force. After brushing, the amount of remaining plaque was assessed. The design of the study was a 4-way cross-over. The results show that with a Manual brush, considerably more force is used than with the electric brushes (R = 96, I = 119, B = 146, M = 273). No significant relation between brushing force and plaque removal was demonstrated for any of the brushes.
Aaron R Biesbrock - One of the best experts on this subject based on the ideXlab platform.
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A Study to Assess the Safety and Tolerability of Three Toothbrushes
2015Co-Authors: Athena S. Papas, Phd Gianluca Martuscelli, L. Singh, Constance Stone, Aaron R BiesbrockAbstract:This study evaluated the oral soft tissue safety and tolerability of an experi-mental powered Toothbrush (Crest ® SpinBrush ™ Pro) compared to two leading Manual Toothbrushes: an advanced-design Manual Toothbrush (Oral-B ® Cross-Action®) and a flat-trimmed Toothbrush (Oral-B ® 40 Indicator®). Manual brushes are generally viewed as safe for use, and as such are appropriate controls. A total of 140 subjects was enrolled in this single-center, randomized, examiner-blind parallel study over a four-week test period. Subjects were instructed to brush in their normal manner, twice per day for 60 seconds per use. An oral soft tissue interview and examination were conducted by a trained dentist examiner at baseline, as well as three days and four weeks after baseline to assess clinical signs and symptoms of oral irritation associated with use of the Toothbrushes. Overall, there were 19 adverse events reported for 18 subjects (13 % of the pop-ulation). The adverse events were distributed across test groups with five subjects in the experimental powered brush group, eight in the advanced design Manual Toothbrush group and five in the flat-trimmed Toothbrush group experiencing at least one adverse event. The most frequently reported adverse event was local-ized irritation/inflammation of the gingiva. All adverse events were mild in severity except for one report of severe hyperesthesia (tooth sensitivity) in the ad-vanced-design Manual Toothbrush group. There were no statistically significant differences between the groups for the proportion of subjects reporting adverse events at either three days or four weeks of product use. The results of this study indicate that daily use with the Crest SpinBrush Pro powered Toothbrush is at least as safe as two leading Manual Toothbrushes. (J Clin Dent 13:203–206, 2002.
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plaque control evaluation of a stabilized stannous fluoride dentifrice compared to a triclosan dentifrice in a six week trial
The Journal of clinical dentistry, 2013Co-Authors: N C Sharma, Matthew L Barker, Aaron R BiesbrockAbstract:• Objective: To compare the anti-plaque efficacy of a stabilized 0.454% stannous fluoride (referred to as SnF2) dentifrice versus a 0.3% triclosan dentifrice formulated with a copolymer and sodium fluoride (referred to as triclosan). •M ethods: The study had a randomized, double-blind, two-treatment, parallel-group design, and compared plaque reduction from baseline after both three and six weeks of treatment with either the SnF2 or triclosan dentifrices using a Manual Toothbrush. Subjects brushed their teeth using their assigned treatment dentifrices according to the manufacturer’s instructions. Following overnight plaque accumulation, levels of plaque were assessed by an experienced examiner using the Rustogi, et al. Modified Navy Plaque Index at the start of the study (baseline), and after three and six weeks of regular brushing. Groups were compared using analysis of covariance separately for Weeks 3 and 6, and by repeated measures for Weeks 3 and 6 combined. • Results: One-hundred and twenty subjects were randomized to treatment and 114 subjects completed the study. Both treatment groups showed a statistically significant reduction from baseline in mean plaque values for all three tooth areas (whole mouth, gingival margin, interproximal) at both Weeks 3 and 6 (p < 0.02 for all comparisons). Analysis of covariance showed a statistically significantly (p < 0.0001) lower adjusted mean plaque level for the SnF2 group compared to the triclosan group for all three tooth areas at both Weeks 3 and 6, and for Weeks 3 and 6 combined. Weeks 3 and 6 combined adjusted mean plaque was 36.5% lower for whole mouth for the SnF2 group versus the triclosan group. Weeks 3 and 6 combined adjusted mean plaque reduction from baseline was three times greater for the SnF2 group relative to the triclosan group. • Conclusion: Both dentifrices showed statistically significant reductions from baseline in whole mouth, gumline, and interproximal accumulated overnight plaque after three and six weeks of brushing, but the SnF2 dentifrice showed statistically significantly greater plaque reductions versus the triclosan dentifrice. (J Clin Dent 2013;24:31-36)
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clinical evaluation of brushing time and plaque removal potential of two Manual Toothbrushes
International Journal of Dental Hygiene, 2008Co-Authors: Geza T. Terezhalmy, Aaron R Biesbrock, Pat Walters, J M Grender, Robert D BartizekAbstract:: Aim: To compare plaque removal efficacy of Oral-B CrossAction (CA) used for 1 min with an American Dental Association (ADA) Manual Toothbrush used for 2 or 5 min in an examiner-blind, three-treatment, six-period crossover study. Materials and methods: After refraining from all oral hygiene procedures for 23–25 h, subjects were randomly assigned to one of nine possible six-period (visit) treatment sequences. Plaque was assessed at baseline (Rustogi Modified Navy Plaque Index). Post-brushing scores were recorded after brushing with a marketed dentifrice and the assigned Toothbrush for the specified duration. The same procedure was followed at each of six subsequent visits. Clinical measurements were carried out by the same examiner. Results: Forty subjects completed the study. All three treatments effectively removed plaque from the whole mouth, along the gingival margin and from approximal surfaces. Whole mouth and gingival margin plaque removal scores with CA for 1 min did not differ significantly from scores with the ADA Toothbrush used for 2 min. The ADA brush used for 5 min showed significantly greater whole mouth (P < 0.001) and gingival margin (P < 0.001) plaque reduction than the two other treatments. Approximal plaque removal scores did not differ between the three treatments. Conclusions: Efficient plaque removal can be achieved after 1 min of brushing with CA. The amount of plaque removed did not differ significantly from that achieved with the ADA brush after 2 min of brushing. Greater whole mouth and gingival margin plaque removal scores were seen with the ADA brush after 5 min.
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plaque removal efficacy of four types of dental floss
Journal of Periodontology, 2008Co-Authors: Geza T. Terezhalmy, Robert D Bartizek, Aaron R BiesbrockAbstract:Background: Effective plaque removal is essential for gingival health, and dental floss is used to augment plaque removal achieved with a Toothbrush.Methods: This randomized, controlled, examiner-masked, five-period crossover study examined plaque removal in 25 subjects following single use with an American Dental Association reference Manual Toothbrush alone and in combination with four floss products: three traditional (unwaxed, woven, and shred-resistant) and one powered flosser. Plaque was scored before and after brushing for 1 minute. The Rustogi modified Navy plaque index was used to focus scores on tooth areas contacted during the proper use of dental floss.Results: Mean plaque reductions (baseline minus postbrushing) in floss contact areas were as follows: 0.181 with the Toothbrush alone; 0.228, 0.217, and 0.210 for the Toothbrush in combination with the three traditional flosses, unwaxed, woven, and shred-resistant, respectively; and 0.252 for the Toothbrush plus powered flosser. No statistically...
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tooth whitening through the removal of extrinsic stain with two sodium hexametaphosphate containing whitening dentifrices
American Journal of Dentistry, 2007Co-Authors: Geza T. Terezhalmy, Aaron R Biesbrock, Matthew L Barker, Svetlana Farrell, Robert D BartizekAbstract:PURPOSE To evaluate the tooth whitening benefit through stain removal delivered by a marketed whitening dentifrice (Crest Vivid White) used twice a day or a combination regimen of two marketed dentifrices (Crest Vivid White Night used at night and Crest Cavity Protection used in the morning) relative to a positive control over a 2-week period. METHODS Both studies were randomized, two treatment, parallel group, examiner-blind, 2-week clinical trials involving 22 and 30 healthy adults with longstanding visible extrinsic stain on the facial surfaces of at least six anterior teeth. In each study, subjects were randomized to one of two treatments: a sodium fluoride/sodium hexametaphosphate whitening dentifrice used alone (Study 1) or in combination with a cavity protection dentifrice (Study 2) with an ADA reference Manual Toothbrush versus a control power Toothbrush with a cavity protection dentifrice (both studies). RESULTS In both studies, all treatment groups statistically significantly (P < 0.001) reduced baseline stain scores following 1 and 2 weeks of brushing. After 2 weeks, the whitening dentifrice used twice daily had a median percent stain removal of 90% and the night-time whitening dentifrice (used once a day) in combination with the cavity protection dentifrice had a median percent stain removal of 85% while powered Toothbrush groups showed median percent stain removal of 88-89% in both studies. Stain removal scores after 1 and 2 weeks of brushing did not differ significantly between the two treatment groups in either study.
J M Grender - One of the best experts on this subject based on the ideXlab platform.
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randomised clinical study of plaque removal efficacy of an electric Toothbrush in primary and mixed dentition
International Journal of Paediatric Dentistry, 2021Co-Authors: Esti Davidovich, J M Grender, Renzo Alberto Ccahuanavasquez, Hans Timm, Avi ZiniAbstract:Background Clinical investigations of electric Toothbrushes in young children are limited. Aim To assess plaque reduction efficacy of an oscillating-rotating electric versus Manual Toothbrush in a paediatric population in primary and mixed dentitions. Design In this randomised, single-brushing, 2-treatment, 4-period, replicate-use crossover study, subjects were divided into 2 age groups (3-6 years; 7-9 years) and assigned to a treatment sequence involving an Oral-B Kids electric brush and a Manual brush control. Plaque was assessed pre- and post-brushing (Turesky Modified Quigley-Hein Plaque Index). Parents brushed the teeth of their children aged 3-6 years, whereas children aged 7-9 years brushed their own teeth under supervision. Plaque removal scores were analysed for brush differences in each age group separately using an analysis of covariance for crossover design. Results Forty-one children (n = 20, 3-6 years; n = 21, 7-9 years) completed the study. For the primary dentition in children 3-6 years, the electric brush reduced 32.3% more plaque than the Manual brush (P = .005). For the mixed dentition in children 7-9 years, the electric brush reduced 51.9% more plaque than the Manual brush (P Conclusions An electric Toothbrush reduced significantly more plaque than a Manual Toothbrush in 2 paediatric age groups.
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comparative assessment of plaque removal and motivation between a Manual Toothbrush and an interactive power Toothbrush in adolescents with fixed orthodontic appliances a single center examiner blind randomized controlled trial
American Journal of Orthodontics and Dentofacial Orthopedics, 2019Co-Authors: Christina Erbe, J M Grender, Renzo Alberto Ccahuanavasquez, Hans Timm, Violetta Klees, Fabienne Braunbeck, Priscila Ferrariperon, Pamela Cunningham, Ralf Adam, Heinrich WehrbeinAbstract:Introduction The objective of this 2-arm parallel trial was to determine the plaque removal efficacy (main outcome) and the motivation assessment (secondary outcome) comparing a Manual versus an interactive power Toothbrush in orthodontic patients. Methods Sixty adolescents with fixed orthodontic appliances in both arches were randomized in a 1:1 ratio in this parallel, randomized, examiner-blind controlled clinical trial. Eligibility criteria included at least 16 natural teeth, 1-6 “focus care areas,” plaque score of ≥1.75, no severe caries, gingivitis and periodontitis, no dental prophylaxis, no smoking, no antibiotics, and no chlorhexidine mouth rinse. Subjects were to brush unsupervised with either an interactive power Toothbrush (Oral-B Professional Care 6000, D36/EB20) with Bluetooth technology or a regular Manual Toothbrush (Oral-B Indicator 35 soft). Focus care areas were each brushed for 10 additional seconds. Plaque removal was assessed with the use of the Turesky Modification of the Quigley-Hein Plaque Index (TMQHPI) to determine change from baseline at 2 and 6 weeks. Supervised brushing at screening and post-treatment visits recorded actual brushing times. Subject-reported motivational aspects were recorded at screening and week 6. Results Fifty-nine subjects aged 13-17 years completed the study. The interactive power Toothbrush provided significantly (P Conclusions An interactive power Toothbrush generated increased brushing times and significantly greater plaque removal versus a Manual brush.
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A comparative assessment of plaque removal and Toothbrushing compliance between a Manual and an interactive power Toothbrush among adolescents: a single-center, single-blind randomized controlled trial
BMC Oral Health, 2018Co-Authors: Christina Erbe, J M Grender, Hans Timm, Svetlana Farrell, Violetta Klees, Pamela Cunningham, Ralf Adam, Priscila Ferrari-peron, Renzo A. Ccahuana-vasquez, Heinrich WehrbeinAbstract:Background Many adolescents have poor plaque control and sub-optimal Toothbrushing behavior. Therefore, we compared the efficacy of an interactive power Toothbrush (IPT) to a Manual Toothbrush (MT) for reducing dental plaque and improving Toothbrushing compliance. Methods In this randomized, parallel single-blind clinical study, adolescents brushed twice daily with either a MT (Oral-B® Indicator soft Manual Toothbrush) or an IPT (Oral-B® ProfessionalCare 6000 with Bluetooth). Subjects brushed for 2 min, plus an additional 10 s for each ‘Focus Care Area’. At screening and Week 2, afternoon pre-brushing plaque was assessed via the Turesky Modification of the Quigley-Hein Plaque Index (TMQHPI), and supervised brushing duration was measured. Results Sixty subjects were randomized; 98% completed. At Week 2, the mean reduction in whole mouth plaque relative to baseline was 34% ( p
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a comparative assessment of plaque removal and Toothbrushing compliance between a Manual and an interactive power Toothbrush among adolescents a single center single blind randomized controlled trial
BMC Oral Health, 2018Co-Authors: Christina Erbe, J M Grender, Renzo Alberto Ccahuanavasquez, Hans Timm, Svetlana Farrell, Violetta Klees, Priscila Ferrariperon, Pamela Cunningham, Ralf Adam, Heinrich WehrbeinAbstract:Many adolescents have poor plaque control and sub-optimal Toothbrushing behavior. Therefore, we compared the efficacy of an interactive power Toothbrush (IPT) to a Manual Toothbrush (MT) for reducing dental plaque and improving Toothbrushing compliance. In this randomized, parallel single-blind clinical study, adolescents brushed twice daily with either a MT (Oral-B® Indicator soft Manual Toothbrush) or an IPT (Oral-B® ProfessionalCare 6000 with Bluetooth). Subjects brushed for 2 min, plus an additional 10 s for each ‘Focus Care Area’. At screening and Week 2, afternoon pre-brushing plaque was assessed via the Turesky Modification of the Quigley-Hein Plaque Index (TMQHPI), and supervised brushing duration was measured. Sixty subjects were randomized; 98% completed. At Week 2, the mean reduction in whole mouth plaque relative to baseline was 34% (p < 0.001) for the IPT versus 1.7% (p = 0.231) for the MT. For Focus Care Areas, the IPT yielded a 38.1% mean TMQHPI reduction (p < 0.001) versus 6.2% for the MT (p < 0.001). Mean brushing time versus baseline increased 34 s in the IPT group (p < 0.001) while remaining flat in the MT group (p = 1.0). Over 2 weeks, adolescents using an IPT experienced superior plaque reduction and increased overall brushing time versus those using a MT. This trial was retrospectively registered ( ISRCTN10112852 ) on the 18th, June 2018.
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randomised clinical study of plaque removal efficacy of a power Toothbrush in a paediatric population
International Journal of Paediatric Dentistry, 2017Co-Authors: Esti Davidovich, J M Grender, Renzo Alberto Ccahuanavasquez, Hans Timm, Pam Cunningham, Avi ZiniAbstract:Background Clinical investigations of plaque removal efficacy of power Toothbrushes in children are limited. Aim To compare plaque removal of a power versus Manual Toothbrush in a paediatric population. Design This was a randomised, replicate-use, single-brushing, examiner-blinded, two-treatment, four-period crossover clinical trial in children 8–11 years of age. Subjects were randomly assigned to a treatment sequence involving an oscillating–rotating power Toothbrush and a Manual Toothbrush control. Subjects brushed under supervision with a NaF dentifrice. Plaque was assessed pre- (baseline) and post-brushing using the Turesky Modification of the Quigley-Hein Plaque Index by two examiners. Plaque scores were averaged for mixed and permanent dentition on a per-subject basis and analysed using a mixed-model ancova for a crossover design. Results Forty-one subjects (mean 9.0 years) were randomised and completed the trial. Both the power brush and Manual brush provided statistically significant mean plaque reductions versus baseline in all analyses (P < 0.001). For both examiners, plaque removal was significantly (P < 0.001) larger for the power brush in permanent and mixed dentitions. The interexaminer correlations for the permanent dentition were strong (ICC = 0.68–0.88) for pre-brushing plaque across all periods. Conclusions An oscillating–rotating power Toothbrush provided superior plaque reduction versus a Manual Toothbrush in children.
Chad J Anderson - One of the best experts on this subject based on the ideXlab platform.
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a randomized controlled two month pilot trial of stannous fluoride dentifrice versus sodium fluoride dentifrice after oxalate treatment for dentinal hypersensitivity
Clinical Oral Investigations, 2020Co-Authors: Chad J Anderson, Gerard Kugel, Yuanshu Zou, Marco Ferrari, Robert W GerlachAbstract:To compare the effects of a stannous fluoride dentifrice and a sodium fluoride dentifrice on dentinal hypersensitivity when used with an oxalate-based regimen combining in-office and at-home treatment. In this single-center, randomized, controlled, double-blind, pilot clinical trial, 30 subjects were professionally treated at baseline with a 3% oxalate/potassium salt solution on up to two target teeth, then randomized 1:1 to either 0.454% stannous fluoride or 0.243% sodium fluoride overlabeled dentifrice. Both groups were given 6 sensitivity strips (3.14% potassium oxalate gel) and a soft, Manual Toothbrush. Subjects were permitted to apply strips on up to two teeth, up to three times per tooth, at home as desired throughout the study. Dentinal sensitivity (cold air blast challenge) was assessed at baseline, immediately after post-professional treatment, and at day 60 using the Schiff scale and a Visual Analog Scale (VAS). Immediately after professional oxalate treatment, the overall mean Schiff and VAS score decreased 25.6% and 22.4% from baseline, respectively (p ≤ 0.001 for both). At day 60, further reductions in both mean scores were seen in both groups. There were no significant differences between the groups at day 60. All treatments were well tolerated. In subjects treated with oxalates for dentinal hypersensitivity, both stannous fluoride and sodium fluoride dentifrices are well tolerated, are feasible for routine use, and do not detract from the desensitizing effects of an in-office and at-home oxalate combination treatment regimen. Either stannous fluoride or sodium fluoride dentifrices can be recommended to dentinal hypersensitivity patients who undergo professional oxalate treatment.
Heinrich Wehrbein - One of the best experts on this subject based on the ideXlab platform.
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comparative assessment of plaque removal and motivation between a Manual Toothbrush and an interactive power Toothbrush in adolescents with fixed orthodontic appliances a single center examiner blind randomized controlled trial
American Journal of Orthodontics and Dentofacial Orthopedics, 2019Co-Authors: Christina Erbe, J M Grender, Renzo Alberto Ccahuanavasquez, Hans Timm, Violetta Klees, Fabienne Braunbeck, Priscila Ferrariperon, Pamela Cunningham, Ralf Adam, Heinrich WehrbeinAbstract:Introduction The objective of this 2-arm parallel trial was to determine the plaque removal efficacy (main outcome) and the motivation assessment (secondary outcome) comparing a Manual versus an interactive power Toothbrush in orthodontic patients. Methods Sixty adolescents with fixed orthodontic appliances in both arches were randomized in a 1:1 ratio in this parallel, randomized, examiner-blind controlled clinical trial. Eligibility criteria included at least 16 natural teeth, 1-6 “focus care areas,” plaque score of ≥1.75, no severe caries, gingivitis and periodontitis, no dental prophylaxis, no smoking, no antibiotics, and no chlorhexidine mouth rinse. Subjects were to brush unsupervised with either an interactive power Toothbrush (Oral-B Professional Care 6000, D36/EB20) with Bluetooth technology or a regular Manual Toothbrush (Oral-B Indicator 35 soft). Focus care areas were each brushed for 10 additional seconds. Plaque removal was assessed with the use of the Turesky Modification of the Quigley-Hein Plaque Index (TMQHPI) to determine change from baseline at 2 and 6 weeks. Supervised brushing at screening and post-treatment visits recorded actual brushing times. Subject-reported motivational aspects were recorded at screening and week 6. Results Fifty-nine subjects aged 13-17 years completed the study. The interactive power Toothbrush provided significantly (P Conclusions An interactive power Toothbrush generated increased brushing times and significantly greater plaque removal versus a Manual brush.
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A comparative assessment of plaque removal and Toothbrushing compliance between a Manual and an interactive power Toothbrush among adolescents: a single-center, single-blind randomized controlled trial
BMC Oral Health, 2018Co-Authors: Christina Erbe, J M Grender, Hans Timm, Svetlana Farrell, Violetta Klees, Pamela Cunningham, Ralf Adam, Priscila Ferrari-peron, Renzo A. Ccahuana-vasquez, Heinrich WehrbeinAbstract:Background Many adolescents have poor plaque control and sub-optimal Toothbrushing behavior. Therefore, we compared the efficacy of an interactive power Toothbrush (IPT) to a Manual Toothbrush (MT) for reducing dental plaque and improving Toothbrushing compliance. Methods In this randomized, parallel single-blind clinical study, adolescents brushed twice daily with either a MT (Oral-B® Indicator soft Manual Toothbrush) or an IPT (Oral-B® ProfessionalCare 6000 with Bluetooth). Subjects brushed for 2 min, plus an additional 10 s for each ‘Focus Care Area’. At screening and Week 2, afternoon pre-brushing plaque was assessed via the Turesky Modification of the Quigley-Hein Plaque Index (TMQHPI), and supervised brushing duration was measured. Results Sixty subjects were randomized; 98% completed. At Week 2, the mean reduction in whole mouth plaque relative to baseline was 34% ( p
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a comparative assessment of plaque removal and Toothbrushing compliance between a Manual and an interactive power Toothbrush among adolescents a single center single blind randomized controlled trial
BMC Oral Health, 2018Co-Authors: Christina Erbe, J M Grender, Renzo Alberto Ccahuanavasquez, Hans Timm, Svetlana Farrell, Violetta Klees, Priscila Ferrariperon, Pamela Cunningham, Ralf Adam, Heinrich WehrbeinAbstract:Many adolescents have poor plaque control and sub-optimal Toothbrushing behavior. Therefore, we compared the efficacy of an interactive power Toothbrush (IPT) to a Manual Toothbrush (MT) for reducing dental plaque and improving Toothbrushing compliance. In this randomized, parallel single-blind clinical study, adolescents brushed twice daily with either a MT (Oral-B® Indicator soft Manual Toothbrush) or an IPT (Oral-B® ProfessionalCare 6000 with Bluetooth). Subjects brushed for 2 min, plus an additional 10 s for each ‘Focus Care Area’. At screening and Week 2, afternoon pre-brushing plaque was assessed via the Turesky Modification of the Quigley-Hein Plaque Index (TMQHPI), and supervised brushing duration was measured. Sixty subjects were randomized; 98% completed. At Week 2, the mean reduction in whole mouth plaque relative to baseline was 34% (p < 0.001) for the IPT versus 1.7% (p = 0.231) for the MT. For Focus Care Areas, the IPT yielded a 38.1% mean TMQHPI reduction (p < 0.001) versus 6.2% for the MT (p < 0.001). Mean brushing time versus baseline increased 34 s in the IPT group (p < 0.001) while remaining flat in the MT group (p = 1.0). Over 2 weeks, adolescents using an IPT experienced superior plaque reduction and increased overall brushing time versus those using a MT. This trial was retrospectively registered ( ISRCTN10112852 ) on the 18th, June 2018.
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efficacy of 3 Toothbrush treatments on plaque removal in orthodontic patients assessed with digital plaque imaging a randomized controlled trial
American Journal of Orthodontics and Dentofacial Orthopedics, 2013Co-Authors: Christina Erbe, J M Grender, Hans Timm, Malgorzata Klukowska, Iris Tsaknaki, Heinrich WehrbeinAbstract:Introduction Good oral hygiene is a challenge for orthodontic patients because food readily becomes trapped around the brackets and under the archwires, and appliances are an obstruction to mechanical brushing. The purpose of this study was to compare plaque removal efficacy of 3 Toothbrush treatments in orthodontic subjects. Methods This was a replicate-use, single-brushing, 3-treatment, examiner-blind, randomized, 6-period crossover study with washout periods of approximately 24 hours between visits. Forty-six adolescent and young adult patients with fixed orthodontics from a university clinic in Germany were randomized, based on computer-generated randomization, to 1 of 3 treatments: (1) oscillating-rotating electric Toothbrush with a specially designed orthodontic brush head (Oral-B Triumph, OD17; Procter & Gamble, Cincinnati, Ohio); (2) the same electric Toothbrush handle with a regular brush head (EB25; Procter & Gamble); and (3) a regular Manual Toothbrush (American Dental Association, Chicago, Ill). The primary outcome was the plaque score change from baseline, which we determined using digital plaque image analysis. Results Forty-five subjects completed the study. The differences in mean plaque removal (95% confidence interval) between the electric Toothbrush with an orthodontic brush head (6% [4.4%-7.6%]) or a regular brush head (3.8% [2.2%-5.3%]) and the Manual Toothbrush were significant ( P P = 0.007) to the regular brush head. No adverse events were seen. Conclusions The electric Toothbrush, with either brush head, demonstrated significantly greater plaque removal over the Manual brush. The orthodontic brush head was superior to the regular head.