The Efficacy of Powered Oscillating Heads vs. Powered Sonic Action Heads Toothbrushes to Maintain Periodontal and Peri-Implant Health: A Narrative Review

Camilla Preda, Andrea Butera, Silvia Pelle, Eleonora Pautasso, Alessandro Chiesa, Francesca Esposito, Giacomo Oldoini, Andrea Scribante, Anna Maria Genovesi and Saverio Cosola
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Camilla Preda: Tuscan Stomatologic Institute, Versilia General Hospital, 55041 Lido di Camaiore, Italy
Andrea Butera: Department of Clinical, Surgical, Diagnostic an Paediatric Sciences University of Pavia, 27100 Pavia, Italy
Silvia Pelle: Tuscan Stomatologic Institute, Versilia General Hospital, 55041 Lido di Camaiore, Italy
Eleonora Pautasso: Tuscan Stomatologic Institute, Versilia General Hospital, 55041 Lido di Camaiore, Italy
Alessandro Chiesa: Study Center for Multidisciplinary Regenerative Research, Guglielmo Marconi University, 00100 Rome, Italy
Francesca Esposito: Tuscan Stomatologic Institute, Versilia General Hospital, 55041 Lido di Camaiore, Italy
Giacomo Oldoini: Tuscan Stomatologic Institute, Versilia General Hospital, 55041 Lido di Camaiore, Italy
Andrea Scribante: Department of Clinical, Surgical, Diagnostic an Paediatric Sciences University of Pavia, 27100 Pavia, Italy
Anna Maria Genovesi: Tuscan Stomatologic Institute, Versilia General Hospital, 55041 Lido di Camaiore, Italy
Saverio Cosola: Tuscan Stomatologic Institute, Versilia General Hospital, 55041 Lido di Camaiore, Italy

IJERPH, 2021, vol. 18, issue 4, 1-17

Abstract: Objectives: To compare the efficacy of rotating-oscillating heads (ORHs) VS sonic action heads (SAHs) powered toothbrushes on plaque accumulation and gingival inflammation. Methods: An electronic (MEDLINE, Embase, Inspec, PQ SciTech and BIOSIS) and a complementary manual search were made to detect eligible studies. RCTs meeting the following criteria were included: final timepoint longer than 15 days; year of publication after 2000; patients without orthodontic appliances or severe systemic/psychiatric diseases. Studies comparing two or more different types of sonic/roto-oscillating toothbrushes were excluded. Selection of articles, extraction of data, and assessment of quality were made independently by several reviewers. Results: 12 trials (1433 participants) were included. The differences between ORHs and SAHs toothbrushes were expressed as weighted mean differences (WMD) and 95% confidence intervals (CI). The heterogeneity of data was evaluated. Concerning Plaque Index, both toothbrushes obtained comparable results. Six trials of up to 3 months and at an unclear risk of bias provided significant outcomes in terms of gingival inflammation in favor of ORHs toothbrush. Evidence resulting from three trials of up to 6 months and at a high/low risk of bias stated SAHs toothbrush superiority in gingival inflammation. Conclusions: Both ORHs and SAHs toothbrushes improved the outcomes measured from the baseline. In most of the good quality trials included, SAHs toothbrush showed statistical better long-term results. Due to the shortage of investigations, no further accurate conclusions can be outlined with reference to the superiority of a specific powered toothbrush over the other.

Keywords: rotating oscillating heads (ORHs); sonic action heads (SAHs); electric toothbrushes; home care; domiciliary oral hygiene (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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