Evidence map›Paper›PMID 30935601›Full record

Trial reportAmerican journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics2019

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.

Christina Erbe, Violetta Klees, Fabienne Braunbeck, Priscila Ferrari-Peron, Renzo A Ccahuana-Vasquez, Hans Timm, Julie Grender, Pamela Cunningham, Ralf Adam, Heinrich Wehrbein

2 registry-linked trialsAbstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
5.0field-weighted citation impact, top 4% of its field
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.

NCT05825742 nacompletednot on this mapstarted 2023, after this paper: background citation

Efficacy of Regular Home Use of Dual-light Photodynamic Therapy on Oral Health in Adolescents Undergoing Fixed Orthodontic Treatment - Randomized, Controlled Clinical Study

TypeinterventionalSponsorKoite Health OyRan2023 to 2025Enrolled40ConditionsOrthodontic Appliance Complication, Plaque, Dental, Gingival InflammationArmsLumoral Treatment, Standard oral health instructions
NCT05935254 nacompletednot on this mapstarted 2022, after this paper: background citation

Comparative Evaluation of Plaque Removal Efficacy of Electric Toothbrushes Between Children With Attention Deficit And Hyperactivity Disorder And Healthy Children

TypeinterventionalSponsorAydin Adnan Menderes UniversityRan2022 to 2022Enrolled52ConditionsAttention Deficit and Hyperactivity Disorder, Dental PlaqueArmsPlaque removal efficacy of children's electric toothbrush (Oral-B D100 Vitality, Procter & Gamble, Cincinnati, OH, United States), Plaque removal efficacy of children's soft manual toothbrush (Oral-B Stages 6-12 years, Procter & Gamble, Cincinnati, OH, United States)
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. 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 · 2024
    Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Christina ErbeDepartment of Orthodontics and Dentofacial Orthopedics, University Medical Center of the Johannes Gutenberg University, Mainz, Germany. Electronic address: erbe@uni-mainz.de.
Violetta KleesDepartment of Orthodontics and Dentofacial Orthopedics, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Fabienne BraunbeckDepartment of Orthodontics and Dentofacial Orthopedics, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Priscila Ferrari-PeronDepartment of Orthodontics and Dentofacial Orthopedics, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Renzo A Ccahuana-VasquezResearch and Development, Procter & Gamble Company, Kronberg, Germany.
Hans TimmResearch and Development, Procter & Gamble Company, Kronberg, Germany.
Julie GrenderResearch and Development, Procter & Gamble Company, Mason, Ohio.
Pamela CunninghamResearch and Development, Procter & Gamble Company, Mason, Ohio.
Ralf AdamResearch and Development, Procter & Gamble Company, Kronberg, Germany.
Heinrich WehrbeinDepartment of Orthodontics and Dentofacial Orthopedics, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Johannes Gutenberg University Mainz · DEProcter & Gamble (Germany) · DEProcter & Gamble (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe 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.

methodsSixty 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.

resultsFifty-nine subjects aged 13-17 years completed the study. The interactive power toothbrush provided significantly (P <0.001) greater plaque reduction versus the manual toothbrush at 2 and 6 weeks according to the whole-mouth TMQHPI. The treatment difference in adjusted mean plaque change from baseline was 0.777 (95% CI 0.614-0.940) at week 2 and 0.834 (0.686-0.981) at week 6. Mean reductions in the number of focus care areas were also significantly greater (P <0.001) in the power brush group at weeks 2 and 6. Brushing times increased significantly at weeks 2 and 6 (P ≤0.013) versus baseline in the interactive power brush group only. Subject-reported motivation was significantly increased in the interactive power brush group at week 6 versus screening (P ≤0.005).

conclusionsAn interactive power toothbrush generated increased brushing times and significantly greater plaque removal versus a manual brush.

Indexed as

MotivationOrthodontic Appliances, FixedAdolescentDental PlaqueDental Plaque IndexFemaleHumansMaleSingle-Blind MethodToothbrushing

Identifiers

PMID30935601
OpenAlexW2931885255

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.