The Effectiveness of Power Versus Manual Toothbrushes on Plaque Removal and Gingival Health in Children—A Systematic Review and Meta-Analysis

IF 1.4 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of dental hygiene Pub Date : 2025-07-30 DOI:10.1111/idh.12915

Fatma Dağdeviren, G. A. (Fridus) Van der Weijden, C. P. (Laura) Zijlstra, Dagmar Else Slot

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引用次数: 0

Abstract

Objective

The objective of this systematic review was to assess the efficacy of self-brushing using a single-head power toothbrush(PTB) in comparison to a single-head manual toothbrush(MTB) in terms of plaque removal and reduction of gingivitis in children.

Materials and Methods

MEDLINE-PubMed and Cochrane CENTRAL were searched up to November 2023. The inclusion criteria comprised randomised clinical trials involving healthy children up to the age of 18 years who did not have fixed orthodontic appliances. Included papers assessed the impact of self-administered toothbrushing using a rechargeable PTB compared to an MTB on plaque removal and gingivitis. Data extraction was conducted, and the risk of bias was evaluated. A descriptive analysis, a meta-analysis, and subgroup analysis, when feasible, were carried out.

Results

The search yielded 12 eligible publications, encompassing 30 relevant comparisons. Results showed a significant difference of means (DiffM) on plaque scores in favour of the PTB. Both the end and incremental difference scores indicated a significant difference in effect in favour of the PTB for single-use brushing (DiffM-end = −0.26 (95% CI [−0.31; −0.21]; p < 0.00001)|DiffM-difference = −0.26 (95% CI [−0.31; −0.21]; p < 0.00001)) and also for follow-up studies (DiffM-end = −0.22 (95% CI [−0.36; −0.07]; p = 0.004)|DiffM-difference = −0.34 (95% CI [−0.45; −0.23]; p < 0.00001)). The meta-analysis on gingival index scores showed no significant difference. Subgroup analysis was only possible for the follow-up studies. For the OR mode of action, a significant difference of means for plaque scores was found (DiffM-end = −0.19 (95% CI [−0.37; −0.01]; p = 0.04)|DiffM-difference = −0.22 (95% CI [−0.43; −0.01]; p = 0.04)). The subgroup analysis contained only studies with a low risk of bias.

Conclusions

There is moderate evidence that in children a PTB offers a small advantage in plaque removal over an MTB. This evidence primarily pertains to PTBs with an OR mode of action.

Registration: PROSPERO: #CRD42023144871; ACTA: #2023-75707

Abstract Image

查看原文本刊更多论文

电动牙刷与手动牙刷对儿童牙菌斑清除和牙龈健康的有效性——系统综述和meta分析。

目的：本系统综述的目的是评估使用单头电动牙刷（PTB）与单头手动牙刷（MTB）在清除牙菌斑和减少儿童牙龈炎方面的效果。材料和方法：检索截至2023年11月的MEDLINE-PubMed和Cochrane CENTRAL。纳入标准包括随机临床试验，涉及18岁以下未使用固定正畸矫治器的健康儿童。纳入的论文评估了使用可充电PTB与MTB对牙菌斑清除和牙龈炎的影响。进行数据提取，并评估偏倚风险。在可行的情况下，进行描述性分析、meta分析和亚组分析。结果：检索得到12篇符合条件的出版物，包括30个相关比较。结果显示斑块评分的平均值（DiffM）有显著差异，有利于PTB。终点和增量差异评分均表明，单次刷牙的PTB效果有显著差异(DiffM-end = -0.26 (95% CI [-0.31；-0.21);结论：有中度证据表明，在儿童中，结核分枝杆菌比结核分枝杆菌在菌斑清除方面有小的优势。这一证据主要与具有或作用模式的pbs有关。注册：PROSPERO: #CRD42023144871；学报:# 2023 - 75707。

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 DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.00

自引率

8.30%

发文量

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.