Review Article

Powered Toothbrushes: An Opportunity for Biofilm and Gingival Inflammation Control

Table 3

Summary of studies that have addressed adverse effects of powered versus manual toothbrushes.

Study (author, reference)Study designTest group (toothbrush model, mechanism of action, n male, n female, n smokers, mean age)Control group (toothbrush model, n male, n female, n smokers, mean age)Brushing timeOutcomes of interest (clinical indexes)Experimental timesMain results

Salzer et al. [38]Randomized controlled clinical trial in individuals susceptible to gingival recessionDifferent types of toothbrushn=55, manual toothbrushTwice daily for 2 minInfluence on pre-existing GR following 12 months of toothbrushing with a power toothbrush compared to a reference manual toothbrush12 monthsNeither the power toothbrush nor manual toothbrush led to an increase in pre-existing gingival recession during 12 months of daily use.
Dorfer et al. [39]Randomized controlled clinical trial in subjects with pre-existing gingival recessionDifferent types of toothbrushn=54, ADA reference manual toothbrush2 minLong-term effects of brushing with an oscillating-rotating powered toothbrush vs. an ADA reference manual toothbrush on pre-existing gingival recession3 yearsGingival recession in subjects with pre-existing recession was significantly reduced after 3 years of brushing with either a powered or manual toothbrush.
McCracken et al. [40]Randomized controlled clinical trial in healthy patients with pre-existing gingival recession of at least 1mmDifferent types of toothbrushn=26, manual toothbrushTwice daily for 2 minClinical effects of manual vs. powered toothbrushes on sites of localized gingival recession12 monthsNo progression of gingival recession in subjects using either toothbrush over 12 months. No difference in the overall wear of the powered and manual toothbrushes over successive 3-month periods.
Hefti and Stone [36]Randomized controlled clinical trial in patients complaining from tooth hypersensitivity in canines or premolarsDifferent powered toothbrushes Twice daily for exactly 2 minEffect of different types of powered brushes in a clinical trial designed for the study of dentin hypersensitivity8 weeksTreatment-related differences were not statistically significant.
Rosema et al. [41]Randomized controlled clinical trialDifferent powered toothbrushesn=90, manual brush To assess gingival recession (GR) in manual and powered toothbrush users and evaluate the relationship between GR and gingival abrasion scoresAt least 1 yearThere was no correlation between gingival abrasion as a result of brushing and the observed gingival recession following use of either toothbrush.