Evidence map›Paper›PMID 33941170›Full record

Trial reportBMC oral health2021

Effectiveness of brushing teeth in patients with reduced oral hygiene by laypeople: a randomized, controlled study.

Anna Greta Barbe, Aya Al-Barwari, Stefanie Hamacher, Renate Deinzer, Ulrike Weik, Michael J Noack

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC oral health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 20% 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.

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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Reliability and Diagnostic Performance of Digital Versus Clinical Assessment of Oral Hygiene and Gingival Health in Older Community-dwelling Adults.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
    Observational
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

6 authors at 3 institutions in 1 country.

Anna Greta BarbeDepartment of Operative Dentistry and Periodontology, Centre of Dental Medicine, University of Cologne, Kerpener Str. 32, 50931, Cologne, Germany. anna.barbe@uk-koeln.de.
Aya Al-BarwariDepartment of Operative Dentistry and Periodontology, Centre of Dental Medicine, University of Cologne, Kerpener Str. 32, 50931, Cologne, Germany.
Stefanie HamacherFaculty of Medicine and University Hospital Cologne, Institute of Medical Statistics and Computational Biology, University of Cologne, 50924, Cologne, Germany.
Renate DeinzerFaculty of Medicine, Institute of Medical Psychology, Justus-Liebig-University Giessen, Klinikstr. 29, 35392, Giessen, Germany.
Ulrike WeikFaculty of Medicine, Institute of Medical Psychology, Justus-Liebig-University Giessen, Klinikstr. 29, 35392, Giessen, Germany.
Michael J NoackDepartment of Operative Dentistry and Periodontology, Centre of Dental Medicine, University of Cologne, Kerpener Str. 32, 50931, Cologne, Germany.
University of Cologne · DEUniversity of Giessen · DEUniversity Hospital Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the success of plaque reduction after external toothbrushing by instructed laypeople versus dental professionals using either a manual or powered toothbrush. Longitudinal, randomized, parallel-group intervention study in periodontitis patients with reduced oral hygiene quality undergoing anti-infective therapy. Patients were randomly and equally assigned to one of four groups: laypeople using a manual or powered toothbrush or dental professionals using a manual or powered toothbrush. Plaque reduction (Quigley-Hein-Index (QHI), Marginal Plaque Index (MPI)), gingivitis (papilla bleeding index), and cleaning time (seconds) were investigated.

resultsThirty-nine patients participated in the study. Neither the choice of toothbrush (p = 0.399) nor the use of a dental professional (p = 0.790) had a significant influence on plaque levels achieved. However, multivariate modeling indicated statistically significant differences in the external cleaning time between brushing groups, with longer time required by laypeople (p = 0.002) and longer use of the powered toothbrush (p = 0.024).

conclusionWhen the ability to carry out personal oral hygiene is reduced, external brushing by dental professionals or instructed laypeople who meet previously defined criteria such as sufficient personal oral hygiene at home could help to fill the emerging dental care gap. A combination of oral hygiene approaches adapted to the individual needs of the patients in need of external help is necessary for optimum oral hygiene.

trial registrationGerman Clinical Trials register ( https://www.germanctr.de ; number DRKS00018779; date of registration 04/11/2019).

Indexed as

GingivitisToothbrushingDental Plaque IndexEquipment DesignHumansOral HygienePeriodontal IndexSingle-Blind MethodBrushing supportCare levelCare needGerodontologyNonprofessionalOral hygiene

Identifiers

PMID33941170
PMCPMC8091671
OpenAlexW3159808759

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.