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

IF 1.6 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Simone Sutor, Christian Graetz, Antje Geiken, Martin Straßburger, Carolin Löwe, Bernhard Holtmann, Jonas Conrad, Sonja Sälzer, Christof E Dörfer
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引用次数: 0

Abstract

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.

电动牙刷和手动牙刷对牙龈退缩易感人群的影响:一项为期 36 个月的随机对照临床研究。
研究目的这项长期临床研究的目的是评估与手动牙刷(MT)相比,新开发的电动牙刷(PT)对原有牙龈凹陷(GR)的大小和数量的影响:这是一项前瞻性、单盲、平行组、随机对照临床研究。参与者没有牙周炎,但至少有两颗牙齿(指数牙)的牙龈凹陷≥2 毫米,他们被随机分配到每天用 MT 或 PT 刷牙两次,MT 或 PT 采用线性磁驱动,使圆形刷头产生轻微的微振动和摆动旋转运动。主要结果参数为 36 个月内指标牙齿 GR 的平均变化:结果:92 位参与者中有 87 位完成了研究(MT/PT:n = 42/n = 45)。在为期 36 个月的评估中,MT 和 PT 患牙GR的平均变化(标准差)差异显著,前者为 0.17 (0.77),后者为 -0.10 (0.63) (p = 0.013)。此外,在研究期间,GR 改善≥1 毫米或保持稳定的部位数量在 MT 和 PT 之间没有差异,但恶化≥1 毫米的部位数量明显有利于 PT(MT 23(25.5%)对 PT 10(10.6%);p = 0.009)。二元逻辑回归发现,牙齿类型(前/磨牙 OR = 2.991 (1.096 [95% CI 1.002-8.933]; p = 0.050))和手动刷牙(OR = 3.341 (1.206 [95% CI 1291-8648]; p = 0.013))是指数牙衰退损伤的风险因素。各组在不良事件方面没有差异:结论:对于牙龈已经存在退缩,因此很有可能出现进一步退缩的人群,PT 似乎有利于 GR 的进一步发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International journal of dental hygiene
International journal of dental hygiene DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.00
自引率
8.30%
发文量
78
审稿时长
>12 weeks
期刊介绍: International Journal of Dental Hygiene is the official scientific peer-reviewed journal of the International Federation of Dental Hygienists (IFDH). The journal brings the latest scientific news, high quality commissioned reviews as well as clinical, professional and educational developmental and legislative news to the profession world-wide. Thus, it acts as a forum for exchange of relevant information and enhancement of the profession with the purpose of promoting oral health for patients and communities. The aim of the International Journal of Dental Hygiene is to provide a forum for exchange of scientific knowledge in the field of oral health and dental hygiene. A further aim is to support and facilitate the application of new knowledge into clinical practice. The journal welcomes original research, reviews and case reports as well as clinical, professional, educational and legislative news to the profession world-wide.
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