Abstract
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.
Original language | English |
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Pages (from-to) | 107-124 |
Number of pages | 18 |
Journal | Journal of Clinical Periodontology |
Volume | 47 |
Issue number | S22 |
DOIs | |
Publication status | Published - 1 Jul 2020 |
Funding
This research received no specific grant from any funding agency in the public, commercial, or non‐profit sectors. The work for this paper was funded by the regular academic appointments of Slot and Van der Weijden at the Academic Centre for Dentistry Amsterdam (ACTA). This research received no specific grant from any funding agency in the public, commercial, or non-profit sectors. The work for this paper was funded by the regular academic appointments of Slot and Van der Weijden at the Academic Centre for Dentistry Amsterdam (ACTA). The authors gratefully acknowledge the support of Joost Bouwman, the head librarian of the ACTA, who helped to retrieve the full-text papers. The authors are also grateful to the following authors for their responses, time, and effort in searching for additional data: Dr. Bogren, Dr. Torresyap and Dr. Teles (Haffajee study), and Prof. Dr. De Boever (Steenacker study). The initiative for this work came from the European Federation of Periodontology, and the paper was prepared for the XVI European Workshop of Periodontology: ?Evidence Based Guidelines for Periodontal Therapy?. The authors are honoured with their selection for this task.
Funders | Funder number |
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Academic Centre for Dentistry Amsterdam | |
European Federation of Periodontology | |
Joost Bouwman |