Effect of a powered and a manual toothbrush in subjects susceptible to gingival recession: A 36‐month randomized controlled clinical study.

Objective: The objective of this long‐term clinical study was to evaluate the influence of a newly developed powered toothbrush (PT) on the size and number of pre‐existing gingival recessions (GR) in comparison to a manual toothbrush (MT). Methods: This was a prospective, single‐blind, parallel‐grou...

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Publicado en:International Journal of Dental Hygiene Vol. 23; no. 1; pp. 26 - 37
Autores principales: Sutor, Simone, Graetz, Christian, Geiken, Antje, Straßburger, Martin, Löwe, Carolin, Holtmann, Bernhard, Conrad, Jonas, Sälzer, Sonja, Dörfer, Christof E.
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Wiley-Blackwell Feb2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2025
      vid: 23
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/idh.12834
        183990353
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        atl: Effect of a powered and a manual toothbrush in subjects susceptible to gingival recession: A 36‐month randomized controlled clinical study.
      aug:
        au:
          Sutor, Simone
          Graetz, Christian
          Geiken, Antje
          Straßburger, Martin
          Löwe, Carolin
          Holtmann, Bernhard
          Conrad, Jonas
          Sälzer, Sonja
          Dörfer, Christof E.
        affil: Clinic of Conservative Dentistry and Periodontology, University of Kiel, Kiel, Germany
      sug:
        subj:
          Toothbrushes
          Gingival Recession Prevention and Control
          Equipment Reliability Evaluation
          Human
          Prospective Studies
          Single-Blind Studies
          Randomized Controlled Trials
          Random Assignment
          Logistic Regression
          Odds Ratio
          Confidence Intervals
          Illinois
          Adolescence
          Adult
          Middle Age
          Aged
          Male
          Female
          Descriptive Statistics
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Objective: The objective of this long‐term clinical study was to evaluate the influence of a newly developed powered toothbrush (PT) on the size and number of pre‐existing gingival recessions (GR) in comparison to a manual toothbrush (MT). Methods: This was a prospective, single‐blind, parallel‐group, randomized controlled clinical study. Participants without periodontitis, but with at least two teeth (index teeth) showing GR ≥2 mm were randomized to brush either twice daily with a MT or with a PT with a linear magnetic drive causing the round brush head to produce gentle micro vibrations along with oscillating‐rotating movements. Primary outcome parameter was the mean change of GR at the index teeth over 36 months. Results: Totally 87 out of 92 participants completed the study (MT/PT: n = 42/n = 45). At the 36‐month evaluation the mean (standard deviation) change of GR at index teeth differed significantly between MT 0.17 (0.77) and PT −0.10 (0.63) (p = 0.013). Furthermore, the amount of GR sites which improved ≥1 mm or remained stable during the study period did not differ between MT and PT, but the number of sites worsened ≥1 mm was significantly in favour for PT (MT 23 (25.5%) versus PT 10 (10.6%); p = 0.009). A binary logistic regression identified tooth type (OR = 2.991 for pre−/molar (1.096 [95% CI 1.002–8.933]; p = 0.050)) and manual brushing (OR = 3.341 (1.206 [95% CI 1291–8648]; p = 0.013)) as risk factors for recession impairment at the index teeth. There were no differences between groups for adverse events. Conclusion: In a population with pre‐existing gingival recessions and consequently a high risk of developing further recession the PT seems to be favourable with regard to further development of GR.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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