Trial reportThe Angle orthodontist2014
Combined effects of repeated oral hygiene motivation and type of toothbrush on orthodontic patients: a blind randomized clinical trial.
Trial report in The Angle orthodontist, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03099551 (Randomized Trial to Evaluate the Efficacy of Two Different Toothbrushes on Plaque Control), which is not on this map. Cited by 27 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Randomized Trial to Evaluate the Efficacy of Two Different Toothbrushes on Plaque Control
Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effects of motivational methods on oral hygiene of orthodontic patients: A systematic review and meta-analysis.Medicine · 2018Pooled it
- Powered versus manual toothbrushing for oral health.The Cochrane database of systematic reviews · 2014Pooled it
- Enhanced efficacy of oral hygiene instructions during motivational interviewing using intraoral scanner technology: a randomized clinical trial.Clinical oral investigations · 2026Trial
- Effect of plaque-disclosing agents on biofilm removal: single-center randomized trial in fourth-year dental students.Head & face medicine · 2026Trial
- Efficacy of a mobile phone application for the improvement of oral hygiene of patients undergoing fixed orthodontic treatment : A randomized controlled clinical trial.Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie · 2025Trial
- Manual vs. interactive power toothbrush on plaque removal and salivary Streptococcus mutans and Lactobacillus casei levels : Single-center, examiner-blinded, randomized clinical trial in orthodontic patients.Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie · 2024Trial
- Influence of Reminder on Enhancing Compliance in Patients with Fixed Orthodontic Appliance Treatment (a Randomized Controlled Clinical Trial).Patient preference and adherence · 2023Trial
- Clinical evaluation of air polishing with erythritol powder followed by ultrasonic calculus removal versus conventional ultrasonic debridement and rubber cup polishing for the treatment of gingivitis: A split-mouth randomized controlled clinical trial.International journal of dental hygiene · 2022Trial
- Effectiveness of three different types of educational methods on implementation of proper oral hygiene behaviour prior to orthodontic treatment.Dental press journal of orthodontics · 2021Trial
- Effectiveness of a motionless ultrasonic toothbrush in reducing plaque and gingival inflammation in patients with fixed orthodontic appliances.The Angle orthodontist · 2017Trial
- Oral hygiene compliance in orthodontic patients: a randomized controlled study on the effects of a post-treatment communication.Progress in orthodontics · 2016Trial
- Quantitative Light-induced Fluorescence-Digital as an oral hygiene evaluation tool to assess plaque accumulation and enamel demineralization in orthodontics.The Angle orthodontist · 2016Trial
- Article
- Oral Hygiene Recommendations From Orthodontists to Orthodontic Patients.International journal of dental hygiene · 2026Article
- Article
- Biomechanical and Biological Multidisciplinary Strategies in the Orthodontic Treatment of Patients with Periodontal Diseases: A Review of the Literature.Bioengineering (Basel, Switzerland) · 2025Review
- Investigation of the inter-rater reliability of three different plaque indices used in patients with fixed orthodontic appliances.PloS one · 2025Article
- Periodontal changes induced by fixed orthodontic therapy.Medicine and pharmacy reports · 2024Article
- Concordance and Clinical Outcomes Improvement Following Oral Hygiene Motivation: A Systematic Review and Report of the Workshop of the Italian Societies of Dental Hygiene.International journal of dentistry · 2024Review
- Systematic Review and Meta Analysis of the Relative Effect on Plaque Index among Pediatric Patients Using Powered (Electric) versus Manual Toothbrushes.Dentistry journal · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the effects on plaque index (PI) scores of manual or electric toothbrush with or without repeated oral hygiene instructions (OHI) and motivation on patients wearing fixed orthodontic appliances. MATERIALS AND
methodsOne month after the orthodontic fixed appliance bonding on both arches, 60 patients were randomly assigned to four groups; groups E1 (n = 15) and E2 (n = 15) received a powered rotating-oscillating toothbrush, and groups M1 (n = 15) and M2 (n = 15) received a manual toothbrush. Groups E1 and M1 received OHI and motivation at baseline (T0) and after 4, 8, 12, 16, and 20 weeks (T4, T8, T12, T16, and T20, respectively) by a Registered Dental Hygienist; groups E2 and M2 received OHI and motivation only at baseline. At each time point a blinded examiner scored plaque of all teeth using the modified Quigley-Hein PI.
resultsIn all groups the PI score decreased significantly over time, and there were differences among groups at T8, T12, T16, and T20. At T8, PI scores of group E1 were lower than those of group E2, and at T12, T16, and T20, PI scores of groups M1 and E1 were lower compared to those of groups M2 and E2. A linear mixed model showed that the effect of repeated OHI and motivation during time was statistically significant, independently from the use of manual or electric toothbrush.
conclusionsThe present results showed that repeated OHI and motivation are crucial in reducing PI score in orthodontic patients, independent of the type of toothbrush used.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.