Fatma Dağdeviren, G. A. (Fridus) Van der Weijden, C. P. (Laura) Zijlstra, Dagmar Else Slot
{"title":"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。","authors":"Fatma Dağdeviren, G. A. (Fridus) Van der Weijden, C. P. (Laura) Zijlstra, Dagmar Else Slot","doi":"10.1111/idh.12915","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Materials and Methods</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>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]; <i>p</i> < 0.00001)|DiffM-difference = −0.26 (95% CI [−0.31; −0.21]; <i>p</i> < 0.00001)) and also for follow-up studies (DiffM-end = −0.22 (95% CI [−0.36; −0.07]; <i>p</i> = 0.004)|DiffM-difference = −0.34 (95% CI [−0.45; −0.23]; <i>p</i> < 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]; <i>p</i> = 0.04)|DiffM-difference = −0.22 (95% CI [−0.43; −0.01]; <i>p</i> = 0.04)). The subgroup analysis contained only studies with a low risk of bias.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>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.</p>\n \n <p><b>Registration:</b> PROSPERO: #CRD42023144871; ACTA: #2023-75707</p>\n </section>\n </div>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":"23 4","pages":"682-702"},"PeriodicalIF":1.4000,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/idh.12915","citationCount":"0","resultStr":"{\"title\":\"The Effectiveness of Power Versus Manual Toothbrushes on Plaque Removal and Gingival Health in Children—A Systematic Review and Meta-Analysis\",\"authors\":\"Fatma Dağdeviren, G. A. (Fridus) Van der Weijden, C. P. 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The Effectiveness of Power Versus Manual Toothbrushes on Plaque Removal and Gingival Health in Children—A Systematic Review and Meta-Analysis
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.
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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