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Efficacy of power‐driven interdental cleaning tools: A systematic review and meta‐analysis
OBJECTIVES: To summarize the available evidence on the efficacy of power‐driven interdental cleaning tools (PDICTs) as an adjunct to tooth brushing compared to tooth brushing alone or tooth brushing combined with any other non‐PDICT in terms of interproximal plaque and gingival bleeding reduction in...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9932241/ https://www.ncbi.nlm.nih.gov/pubmed/36562267 http://dx.doi.org/10.1002/cre2.691 |
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author | Edlund, Pia Bertl, Kristina Pandis, Nikolaos Stavropoulos, Andreas |
author_facet | Edlund, Pia Bertl, Kristina Pandis, Nikolaos Stavropoulos, Andreas |
author_sort | Edlund, Pia |
collection | PubMed |
description | OBJECTIVES: To summarize the available evidence on the efficacy of power‐driven interdental cleaning tools (PDICTs) as an adjunct to tooth brushing compared to tooth brushing alone or tooth brushing combined with any other non‐PDICT in terms of interproximal plaque and gingival bleeding reduction in gingivitis patients. MATERIAL AND METHODS: A systematic literature search was performed in three databases until March 20, 2022 with the following main eligibility criteria: (1) randomized controlled clinical trials (RCTs) with (2) at least 28 days of follow‐up in (3) gingivitis patients. Interproximal plaque and bleeding values were defined as the primary outcome variables and used for pair‐wise meta‐analyses. RESULTS: Sixteen RCTs were identified including data from 1258 participants at the final evaluation. Eight studies each investigated the effect of either a liquid‐based or mechanical PDICT; one of these studies tested additionally a combined liquid‐based and mechanical PDICT. Tooth brushing combined with a liquid‐based PDICT compared to tooth brushing alone did not result in better interproximal plaque values but in significantly lower interproximal bleeding values. Tooth brushing combined with either a liquid‐based PDICT or with a mechanical PDICT compared to tooth brushing and flossing achieved comparable interproximal plaque and bleeding values. The majority of studies reporting on patient compliance/preference favored the use of a PDICT, and except for a single study, which was reporting soft tissue trauma in two subjects from improper use of a mechanical PDICT, none of the studies reported adverse events. CONCLUSIONS: Daily use of PDICT as an adjunct to tooth brushing significantly reduces interproximal bleeding. This effect appears comparable to that of flossing, while PDICT may achieve higher patient acceptance/compliance. |
format | Online Article Text |
id | pubmed-9932241 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-99322412023-02-17 Efficacy of power‐driven interdental cleaning tools: A systematic review and meta‐analysis Edlund, Pia Bertl, Kristina Pandis, Nikolaos Stavropoulos, Andreas Clin Exp Dent Res Review Article OBJECTIVES: To summarize the available evidence on the efficacy of power‐driven interdental cleaning tools (PDICTs) as an adjunct to tooth brushing compared to tooth brushing alone or tooth brushing combined with any other non‐PDICT in terms of interproximal plaque and gingival bleeding reduction in gingivitis patients. MATERIAL AND METHODS: A systematic literature search was performed in three databases until March 20, 2022 with the following main eligibility criteria: (1) randomized controlled clinical trials (RCTs) with (2) at least 28 days of follow‐up in (3) gingivitis patients. Interproximal plaque and bleeding values were defined as the primary outcome variables and used for pair‐wise meta‐analyses. RESULTS: Sixteen RCTs were identified including data from 1258 participants at the final evaluation. Eight studies each investigated the effect of either a liquid‐based or mechanical PDICT; one of these studies tested additionally a combined liquid‐based and mechanical PDICT. Tooth brushing combined with a liquid‐based PDICT compared to tooth brushing alone did not result in better interproximal plaque values but in significantly lower interproximal bleeding values. Tooth brushing combined with either a liquid‐based PDICT or with a mechanical PDICT compared to tooth brushing and flossing achieved comparable interproximal plaque and bleeding values. The majority of studies reporting on patient compliance/preference favored the use of a PDICT, and except for a single study, which was reporting soft tissue trauma in two subjects from improper use of a mechanical PDICT, none of the studies reported adverse events. CONCLUSIONS: Daily use of PDICT as an adjunct to tooth brushing significantly reduces interproximal bleeding. This effect appears comparable to that of flossing, while PDICT may achieve higher patient acceptance/compliance. John Wiley and Sons Inc. 2022-12-23 /pmc/articles/PMC9932241/ /pubmed/36562267 http://dx.doi.org/10.1002/cre2.691 Text en © 2022 The Authors. Clinical and Experimental Dental Research published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Edlund, Pia Bertl, Kristina Pandis, Nikolaos Stavropoulos, Andreas Efficacy of power‐driven interdental cleaning tools: A systematic review and meta‐analysis |
title | Efficacy of power‐driven interdental cleaning tools: A systematic review and meta‐analysis |
title_full | Efficacy of power‐driven interdental cleaning tools: A systematic review and meta‐analysis |
title_fullStr | Efficacy of power‐driven interdental cleaning tools: A systematic review and meta‐analysis |
title_full_unstemmed | Efficacy of power‐driven interdental cleaning tools: A systematic review and meta‐analysis |
title_short | Efficacy of power‐driven interdental cleaning tools: A systematic review and meta‐analysis |
title_sort | efficacy of power‐driven interdental cleaning tools: a systematic review and meta‐analysis |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9932241/ https://www.ncbi.nlm.nih.gov/pubmed/36562267 http://dx.doi.org/10.1002/cre2.691 |
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