Evidence map›Paper›PMID 30232623›Full record

ArticleClinical oral investigations2019

Influence of the amplitude of different side-to-side toothbrushes on noncontact biofilm removal.

Julia C Schmidt, Monika Astasov-Frauenhoffer, Tuomas Waltimo, Roland Weiger, Clemens Walter

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Article in Clinical oral investigations, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Julia C SchmidtDepartment of Periodontology, Endodontology and Cariology, University Center for Dental Medicine, University of Basel, Hebelstrasse 3, 4056, Basel, Switzerland.
Monika Astasov-FrauenhofferClinic of Preventive Dentistry and Oral Microbiology, University Center for Dental Medicine, University of Basel, Basel, Switzerland.
Tuomas WaltimoClinic of Preventive Dentistry and Oral Microbiology, University Center for Dental Medicine, University of Basel, Basel, Switzerland.
Roland WeigerDepartment of Periodontology, Endodontology and Cariology, University Center for Dental Medicine, University of Basel, Hebelstrasse 3, 4056, Basel, Switzerland.
Clemens WalterDepartment of Periodontology, Endodontology and Cariology, University Center for Dental Medicine, University of Basel, Hebelstrasse 3, 4056, Basel, Switzerland. clemens.walter@unibas.ch.ORCID http://orcid.org/0000-0002-9967-1570

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the impact of the lateral deflection of toothbrush bristles (amplitude) of three side-to-side toothbrushes for noncontact biofilm removal in an artificial interdental space model. MATERIALS AND

methodsA three-species biofilm (Porphyromonas gingivalis, Fusobacterium nucleatum, Streptococcus sanguinis) was formed in vitro on protein-coated titanium disks. A flow chamber system was combined with a static biofilm growth model. The amplitudes of three commercial side-to-side toothbrushes were evaluated by means of a dose response analysis. The amplitudes were decreased in steps (100%, 85%, 70%, 55%, and 40%). Subsequently, the biofilm-coated substrates were exposed to the toothbrushes. The biofilms were analyzed with confocal laser scanning microscope images and measured using volumetric analyses.

resultsThe predictability of interdental biofilm reduction differed among the toothbrushes. A lower variety in the results of repeated experiments occurred in toothbrush C compared to toothbrushes A and B. Toothbrush C obtained highest percentage of biofilm reduction by 85% of amplitude power setting (median biofilm reduction 76%). Decreasing the amplitude from 85 to 40% resulted in reduced biofilm reduction (p = 0.029). In contrast, no significance could be observed for the differences of the tested amplitudes within toothbrushes A and B (p > 0.05). Between the toothbrushes, a significant difference in interdental biofilm reduction was found between C-A (p = 0.029) and C-B (p = 0.029) with amplitude of 85%.

conclusionsThe amplitude of one of the investigated side-to-side toothbrushes affected the biofilm reduction predictably in an interdental space model. CLINICAL RELEVANCE: Within certain toothbrushes, a specific amplitude power setting may demonstrate beneficial effects on noncontact biofilm removal.

Indexed as

BiofilmsFusobacterium nucleatumPorphyromonas gingivalisStreptococcus sanguisToothbrushingAmplitudeBiofilmHydrodynamic effectOral hygienePreventive dentistrySide-to-side toothbrush

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Registered trials

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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.