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Do patient preferences matter when clinical outcomes are the same?
1Senior Specialist Registrar, Dubai Dental Hospital, Dubai Health, Dubai, UAE. shiamaa.al-mashhadani@plymouth.ac.uk.
Evidence-Based Dentistry
|December 3, 2025
Summary
Powered toothbrushes showed no significant gingival health difference but were preferred by individuals with disabilities for ease of use and autonomy. Honoring patient preferences is key for better adherence and long-term oral health outcomes.
Area of Science:
- Oral Health
- Disability Studies
- Health Behavior
Background:
- Individuals with disabilities often face unique challenges in maintaining oral hygiene.
- Comparative effectiveness studies are crucial for optimizing oral care interventions in vulnerable populations.
Purpose of the Study:
- To compare the gingival health outcomes of modified manual versus powered toothbrushing in individuals with disabilities.
- To explore patient preferences and their impact on adherence and satisfaction with different toothbrushing methods.
Main Methods:
- A randomized controlled trial (RCT) comparing manual and powered toothbrushes was analyzed.
- Behavioral and patient experience data were synthesized using established health behavior models.
- Qualitative integration of preference data highlighted divergence from clinical parity.
Main Results:
- No significant difference in gingival health outcomes was found between manual and powered toothbrushes.
- Participants showed a notable preference for powered toothbrushes, citing ease of use, sensory comfort, and enhanced autonomy.
- Patient preference for powered toothbrushes was linked to potential improvements in adherence and satisfaction.
Conclusions:
- Clinical equivalence does not equate to experiential equivalence in oral care interventions.
- Patient preferences are central to achieving sustainable, person-centered care for individuals with disabilities.
- Future oral health strategies must integrate preference-sensitive models to promote autonomy and equity.
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