Comparative assessment of plaque removal and motivation between a manual toothbrush and an interactive power toothbrush in adolescents with fixed orthodontic appliances: A single-center, examiner-blind randomized controlled trial

The objective of this 2-arm parallel trial was to determine the plaque removal efficacy (main outcome) and the motivation assessment (secondary outcome) comparing a manual versus an interactive power toothbrush in orthodontic patients. Sixty adolescents with fixed orthodontic appliances in both arch...

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Bibliographic Details
Published in:American journal of orthodontics and dentofacial orthopedics 2019-04, Vol.155 (4), p.462-472
Main Authors: Erbe, Christina, Klees, Violetta, Braunbeck, Fabienne, Ferrari-Peron, Priscila, Ccahuana-Vasquez, Renzo A., Timm, Hans, Grender, Julie, Cunningham, Pamela, Adam, Ralf, Wehrbein, Heinrich
Format: Article
Language:English
Subjects:
Adolescent
Dental Plaque - prevention & control
Dental Plaque Index
Dentistry
Female
Humans
Male
Motivation
Orthodontic Appliances, Fixed
Single-Blind Method
Toothbrushing - instrumentation
Toothbrushing - psychology
Toothbrushing - statistics & numerical data
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Summary:The objective of this 2-arm parallel trial was to determine the plaque removal efficacy (main outcome) and the motivation assessment (secondary outcome) comparing a manual versus an interactive power toothbrush in orthodontic patients. Sixty adolescents with fixed orthodontic appliances in both arches were randomized in a 1:1 ratio in this parallel, randomized, examiner-blind controlled clinical trial. Eligibility criteria included at least 16 natural teeth, 1-6 “focus care areas,” plaque score of ≥1.75, no severe caries, gingivitis and periodontitis, no dental prophylaxis, no smoking, no antibiotics, and no chlorhexidine mouth rinse. Subjects were to brush unsupervised with either an interactive power toothbrush (Oral-B Professional Care 6000, D36/EB20) with Bluetooth technology or a regular manual toothbrush (Oral-B Indicator 35 soft). Focus care areas were each brushed for 10 additional seconds. Plaque removal was assessed with the use of the Turesky Modification of the Quigley-Hein Plaque Index (TMQHPI) to determine change from baseline at 2 and 6 weeks. Supervised brushing at screening and post-treatment visits recorded actual brushing times. Subject-reported motivational aspects were recorded at screening and week 6. Fifty-nine subjects aged 13-17 years completed the study. The interactive power toothbrush provided significantly (P 
ISSN:0889-5406
1097-6752
DOI:10.1016/j.ajodo.2018.12.013