RCT, replicate single-use, two-treatment, four-period, crossover, examiner-blind study design
Oscillating-rotating powered toothbrush with orthodontic brush head (Oral-B Triumph, D27/OD17, Procter & Gamble, Cincinnati, Ohio) and sonic toothbrush (Sonicare FlexCare with ProResults brush head, HX6011, Philips Oral Healthcare Inc, Bothell,)N = 44; 17; females 27 males; age: 12 and 25 years
Oscillating-rotating powered toothbrush with orthodontic brush head and sonic toothbrush
2 minutes for each brushing, alternating the brushes morning and evening.
Plaque was measured, using DPIA The data were analysed using SAS software (SAS Institute Inc., Cary, NC, USA
1 week
Baseline plaque levels for both brush treatments were high, covering more than 50% of the tooth area. Effective plaque removal was observed with both toothbrushes (); however, the reduction in plaque with the oscillating-rotating toothbrush was statistically significantly greater () compared with the sonic toothbrush.
Battery-powered toothbrush (Oral-B Kids) N = 30; all males; age: 9 to 11 years
Manual toothbrush (not otherwise specified)
Not reported
Plaque buildup was assessed using the Soparkar modification of the Quigley and Hein Plaque Index.
Two weeks
At baseline, there was no difference in plaque removal between battery-powered tooth brushing and manual tooth brushing, either in difference between pre- and post-tooth brushing plaque measures () or in percentage change (). After two weeks of use, there was a statistically significant difference in plaque removal between battery-powered tooth brushing and manual tooth brushing, both in the difference between pre- and post-tooth brushing plaque measures () and in percentage change (). Mean plaque removal by manual tooth brushing was 0.97 ± 0.45, and mean plaque removal by battery-powered toothbrush was 1.23 +± 0.56. Mean percentage change in plaque removal by manual tooth brushing was 33.5 ± 16.05, and mean plaque removal by battery-powered tooth brushing was 43.0 ± 18.82, which represented a 9.5% improvement for battery-powered tooth brushing compared to manual tooth brushing.
Powered toothbrush (not otherwise specified); N=200; age: 6 to 13 years
Manual toothbrush (not otherwise specified)
Not reported
Plaque was recorded according to the Turesky-Gilmore-Glickman modification of Quigley and Hein Index and oral hygiene performance index
3, 6, 9, and 12 weeks
Powered brushes showed significant plaque reduction as compared to the manual brushes. Supervised group of both brushes showed a greater plaque reduction.
MNPI SCORES to evaluate the difference between the subjects’ pre- and post-brushing mean ANCOVA
One week
Between-group analyses showed that the powered brush produced a statistically significantly greater plaque reduction than the manual brush, both whole mouth (12.8%, ) and at all subset sites, including difficult-to-reach areas such as the posterior lingual gingival region (74.9% greater plaque reduction, ).
Oral-B Pro-Health For Me Vitality power toothbrush (D12 kids’ handle and EB17 soft brush head; Procter & Gamble, Cincinnati, OH, USA); N=41; age 8-11 years
To quantify pre-brushing existing plaque, two clinical examiners conducted a whole-mouth Turesky-modified Quigley and Hein Plaque Index (TMQHPI) examination.
One week
Both the powered toothbrush and manual toothbrush provided statistically significant mean plaque reductions as compared to baseline in all analyses (p < 0.001). For both examiners, plaque removal was significantly (p < 0.001) greater for the power toothbrush in permanent and mixed dentitions. The inter-examiner correlations for the permanent dentition were strong (ICC = 0.68-0.88) for pre-brushing plaque across all periods.
