Development of Tooth Brushing Recommendations Through Professional Consensus.

Area of Science:

• Dentistry
• Public Health
• Evidence-Based Practice

Background:

• Untreated caries affects nearly 2 billion people globally, highlighting a significant public health issue.
• Severe periodontal disease is also a prevalent oral health concern worldwide.
• Effective tooth brushing and oral hygiene are crucial for preventing these widespread dental conditions.

Purpose of the Study:

• To achieve professional consensus on optimal tooth brushing techniques.
• To develop evidence-informed recommendations for associated oral hygiene behaviors.
• To provide clinicians with practical guidance for patient communication and preventive strategies.

Main Methods:

• A comprehensive literature search identified relevant systematic reviews and clinical guidelines from 2000-2022.
• Considered Judgement Forms were developed based on evidence, benefit-harm balance, and feasibility.
• An international online survey gathered feedback from FDI committee members on 22 draft recommendations.

Main Results:

• 310 records were analyzed, informing 7 Considered Judgement Forms and 12 draft recommendations.
• 25 international participants provided feedback on the draft recommendations.
• Over 70% agreement was reached for 21 out of 22 recommendations, leading to final drafted guidelines.

Conclusions:

• A robust methodology and international consensus yielded evidence-informed recommendations for tooth brushing and oral hygiene.
• These guidelines offer practical tools for clinicians to enhance patient communication.
• The recommendations support the reinforcement of individual-level preventive strategies for better oral health outcomes.