Evidence map›Paper›PMID 32748486›Full record

ArticleJournal of clinical periodontology2020

Self-reported bleeding on brushing as a predictor of bleeding on probing: Early observations from the deployment of an internet of things network of intelligent power-driven toothbrushes in a supportive periodontal care population.

Maurizio S Tonetti, Ke Deng, Allis Christiansen, Katja Bogetti, Chiara Nicora, Susanne Thurnay, Pierpaolo Cortellini

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Journal of clinical periodontology, 2020. 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 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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.

NCT05137392 nacompletednot on this mapstarted 2022, after this paper: background citation

Impact of Intensive Oral Hygiene Regimen Based on Individualized Messages and an Intelligent Power-driven Toothbrush on Non-surgical Treatment of Stage II and III Periodontitis: A Randomized, Standard of Care-controlled Trial

TypeinterventionalSponsorShanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong UniversityRan2022 to 2023Enrolled100ConditionsPeriodontitisArmsoral hygiene instruction
NCT07549347 narecruitingnot on this mapstarted 2026, after this paper: background citation

Optimal Oral Care Regimen With or Without Professional Mechanical Plaque Removal in Managing Gingivitis (Gingival Inflammation): A Non-inferiority Randomized Controlled Trial

TypeinterventionalSponsorShanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong UniversityRan2026 to 2027Enrolled92ConditionsGingivitis, PeriodontitisArmsOptimal oral care regimen, Periodontal Treatment, Sham Periodontal Treatment
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

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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

7 authors at 3 institutions in 3 countries.

Maurizio S TonettiDepartment of Oral and Maxillo-facial Implantology, Shanghai Key Laboratory of Stomatology, National Clinical Research Centre for Stomatology, School of Medicine, Shanghai Ninth People Hospital, Shanghai Jiao Tong University, Shanghai, China.ORCID 0000-0002-2743-0137
Ke DengDivision of Periodontology and Implant Dentistry, Faculty of Dentistry, University of Hong Kong, Hong Kong, China.
Allis ChristiansenEuropean Research Group on Periodontology (ERGOPERIO), Genova, Italy.
Katja BogettiEuropean Research Group on Periodontology (ERGOPERIO), Genova, Italy.
Chiara NicoraEuropean Research Group on Periodontology (ERGOPERIO), Genova, Italy.
Susanne ThurnayProcter & Gamble Service GmbH, Schwalbach, Germany.
Pierpaolo CortelliniEuropean Research Group on Periodontology (ERGOPERIO), Genova, Italy.
Procter & Gamble (Germany) · DEShanghai Jiao Tong University · CNUniversity of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBleeding on brushing (BoB) is an important sign of gingival inflammation. Recently, the use of intelligent toothbrushes and oral health Apps has shown potential to improve oral and periodontal health. In the context of the introduction of an Internet of things network of intelligent power-driven toothbrushes in a supportive periodontal care programme, the aim of this study was (a) to audit the adoption and retention of this new technology; and (b) to preliminarily assess the feasibility to gather data on BoB and associate them with clinical periodontal parameters.

methods100 subjects with different periodontal case diagnoses participating in supportive periodontal care (SPC) were provided with and instructed on the use of an intelligent power-driven toothbrush connected with an App (I-Brush). Brushing sessions and occurrence of BoB were recorded through the App and stored in a data protection compliant backend. Subject retention was audited over time. BoB recorded in the two weeks before the SPC appointment was associated with clinical parameters observed by the clinician blind to App data.

results75% of subjects provided data from using the power toothbrush and the App for a minimum of 10 brushing sessions over an average period of 362 days. Compared with baseline, subjects' oral hygiene, bleeding on probing and prevalence of residual pockets improved gradually while using the I-Brush. The number of BoB episodes in the two weeks leading to the SPC appointment and the number of residual pockets predicted BOP (p < .001) detected during the examination. App use in the previous two weeks was associated with lower plaque scores at SPC.

conclusionsThese preliminary observations indicate good adoption and retention of a mobile health system built around an intelligent power toothbrush in a SPC population. The App was able to gather clinically relevant information predicting the observed degree of gingival inflammation. Deployment of mHealth systems seems feasible in dental practice and may bring significant oral health benefits. More investigations are needed in this area.

Indexed as

Dental PlaqueGingivitisInternet of ThingsDental Plaque IndexEquipment DesignHumansSelf ReportSingle-Blind MethodToothbrushingadherencebleeding on brushingbleeding on probinggingival inflammationmHealthperiodontitissupportive periodontal care

Identifiers

PMID32748486
PMCPMC7540509
OpenAlexW3046924714

What OpenQuestion holds

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LicenceCC BY-NC
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.