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

Author

Listed:
  • Camilla Preda

    (Tuscan Stomatologic Institute, Versilia General Hospital, 55041 Lido di Camaiore, Italy
    Study Center for Multidisciplinary Regenerative Research, Guglielmo Marconi University, 00100 Rome, 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
    Department of Clinical, Surgical, Diagnostic an Paediatric Sciences University of Pavia, 27100 Pavia, Italy)

  • Francesca Esposito

    (Tuscan Stomatologic Institute, Versilia General Hospital, 55041 Lido di Camaiore, Italy
    Study Center for Multidisciplinary Regenerative Research, Guglielmo Marconi University, 00100 Rome, Italy)

  • Giacomo Oldoini

    (Tuscan Stomatologic Institute, Versilia General Hospital, 55041 Lido di Camaiore, Italy
    Department of Dentistry, Unicamillus International Medical University, 00100 Rome, 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
    Department of Dentistry, Unicamillus International Medical University, 00100 Rome, Italy)

  • Saverio Cosola

    (Tuscan Stomatologic Institute, Versilia General Hospital, 55041 Lido di Camaiore, Italy
    Department of Stomatology, University of Valencia, 46001 Valencia, Spain)

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.

Suggested Citation

  • Camilla Preda & Andrea Butera & Silvia Pelle & Eleonora Pautasso & Alessandro Chiesa & Francesca Esposito & Giacomo Oldoini & Andrea Scribante & Anna Maria Genovesi & Saverio Cosola, 2021. "The Efficacy of Powered Oscillating Heads vs. Powered Sonic Action Heads Toothbrushes to Maintain Periodontal and Peri-Implant Health: A Narrative Review," IJERPH, MDPI, vol. 18(4), pages 1-17, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:1468-:d:493293
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    References listed on IDEAS

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    1. Saverio Cosola & Simone Marconcini & Michela Boccuzzi & Giovanni Battista Menchini Fabris & Ugo Covani & Miguel Peñarrocha-Diago & David Peñarrocha-Oltra, 2020. "Radiological Outcomes of Bone-Level and Tissue-Level Dental Implants: Systematic Review," IJERPH, MDPI, vol. 17(18), pages 1-20, September.
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    Cited by:

    1. Mirja Möhn & Julia Camilla Bulski & Norbert Krämer & Alexander Rahman & Nelly Schulz-Weidner, 2021. "Management of Amelogenesis Imperfecta in Childhood: Two Case Reports," IJERPH, MDPI, vol. 18(13), pages 1-9, July.
    2. Hiroo Kawahara & Miho Inoue & Kazuo Okura & Masamitsu Oshima & Yoshizo Matsuka, 2021. "Risk Factors for Tooth Loss in Patients with ≥25 Remaining Teeth Undergoing Mid-Long-Term Maintenance: A Retrospective Study," IJERPH, MDPI, vol. 18(13), pages 1-8, July.
    3. Biagio Rapone & Elisabetta Ferrara & Luigi Santacroce & Skender Topi & Antonio Gnoni & Gianna Dipalma & Antonio Mancini & Marina Di Domenico & Gianluca Martino Tartaglia & Antonio Scarano & Francesco , 2022. "The Gaseous Ozone Therapy as a Promising Antiseptic Adjuvant of Periodontal Treatment: A Randomized Controlled Clinical Trial," IJERPH, MDPI, vol. 19(2), pages 1-14, January.

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