Evidence map›Paper›PMID 37022527›Full record

Trial reportClinical oral investigations2023

Cleansing efficacy of an oral irrigator with microburst technology in orthodontic patients-a randomized-controlled crossover study.

Vera Wiesmüller, Manuel Kasslatter, Baran Zengin, Desiree Zotz, Vincent Offermanns, René Steiner, Adriano Crismani, Ines Kapferer-Seebacher

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical oral investigations, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 15% 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, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. A Three-Month Probiotic (theDentistry journal · 2024
    Article
  5. Oral Irrigation Devices: A Scoping Review.Clinical and experimental dental research · 2024
    Article
  6. Review
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

8 authors at 2 institutions in 1 country.

Vera WiesmüllerDepartment of Conservative Dentistry and Periodontology, Medical University of Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.
Manuel KasslatterDepartment of Orthodontic Dentistry, Medical University of Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.
Baran ZenginDepartment of Conservative Dentistry and Periodontology, Medical University of Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.
Desiree ZotzDepartment of Conservative Dentistry and Periodontology, Medical University of Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.
Vincent OffermannsPrivate oral surgery practice, 6122, Fritzens, Austria.
René SteinerDepartment of Prosthetic Dentistry, Medical University of Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.
Adriano CrismaniDepartment of Orthodontic Dentistry, Medical University of Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.
Ines Kapferer-SeebacherDepartment of Conservative Dentistry and Periodontology, Medical University of Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria. Ines.kapferer@i-med.ac.at.
Innsbruck Medical University · ATUniversität Innsbruck · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOrthodontic patients struggle with interdental cleaning calling for simpler mechanical devices to reduce the high plaque levels. The present study aimed to compare the cleansing efficacy of an oral irrigator with that of dental flossing in patients with fixed braces after 4 weeks of home-use. MATERIALS AND

methodsThe study design is a randomized and single-blinded cross-over study. After 28 days using the products at home, hygiene indices (Rustogi Modified Navy Plaque Index (RMNPI); gingival bleeding index (GBI)) were compared between test (oral irrigator) and control product (dental floss).

resultsSeventeen adult individuals finalized the study. After 28 days of cleaning with the oral irrigator, RMNPI was 54.96% (46.91-66.05) compared to 52.98% (42.75-65.60) with dental floss (p = 0.029). Subgroup analysis revealed that the higher cleansing efficacy of the dental floss is attributable to buccal and marginal areas. GBI after the test phase with the oral irrigator was 12.96% (7.14-24.31) and statistically significantly higher compared to 8.33% (5.84-15.33) with dental floss (p = 0.030) which could be seen in all subgroups.

conclusionsOral irrigators do not remove plaque and reduce gingival bleeding as efficiently as dental floss in easily accessible regions. However, in posterior regions, where the patients struggled with the application of dental floss, the oral irrigator showed similar results. CLINICAL RELEVANCE: Oral irrigators should only be recommended to orthodontic patients who cannot use interdental brushes and are not compliant with dental flossing.

Indexed as

Dental PlaqueGingivitisAdultCross-Over StudiesDental Devices, Home CareDental Plaque IndexHumansOral HygieneSingle-Blind MethodToothbrushingBiofilm(s)Fixed orthodontic treatmentOral hygieneOral irrigatorOrthodonticPlaque index

Identifiers

PMID37022527
PMCPMC10160186
OpenAlexW4362657319

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.