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Powered toothbrushes for plaque control in fixed orthodontic patients: a network meta-analysis
G Sivaramakrishnan1, M Alsobaiei1, K Sridharan2
1Dental Training Department, Ministry of Health, Manama, Bahrain.
Australian Dental Journal
|October 8, 2020
Summary
Powered toothbrushes significantly improve plaque control and reduce pocket depth in orthodontic patients compared to manual brushing. This suggests electric toothbrushes are a beneficial alternative for maintaining oral hygiene with fixed orthodontic brackets.
Area of Science:
- Dentistry
- Oral Hygiene
- Orthodontics
Background:
- Orthodontic patients face increased plaque accumulation due to challenges in cleaning around fixed brackets.
- Effective plaque control is crucial for preventing oral health complications during orthodontic treatment.
Purpose of the Study:
- To conduct a network meta-analysis comparing powered versus manual toothbrushes for plaque control in orthodontic patients.
- To evaluate the efficacy of different toothbrushing modalities in managing oral hygiene in individuals with orthodontic appliances.
Main Methods:
- Systematic review and network meta-analysis of 14 randomized controlled trials.
- Assessed plaque scores, bleeding scores, and pocket depth using standardized mean differences and random-effects models.
- Evaluated risk of bias, heterogeneity, and quality of evidence using GRADE approach.
Main Results:
- Powered toothbrushes demonstrated significantly lower plaque scores compared to manual toothbrushes.
- Manual toothbrushes were associated with significantly higher bleeding scores.
- A significant reduction in pocket depth was observed with the use of powered toothbrushes.
Conclusions:
- Powered toothbrushes represent a promising adjunctive tool for effective plaque control in patients with fixed orthodontic brackets.
- Further long-term clinical trials are recommended to strengthen the evidence base for powered toothbrush efficacy in this population.
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