Evidence map›Paper›PMID 38863249›Full record

Trial reportInternational journal of dental hygiene2025

Effect of a powered and a manual toothbrush in subjects susceptible to gingival recession: A 36-month randomized controlled clinical study.

Simone Sutor, Christian Graetz, Antje Geiken, Martin Straßburger, Carolin Löwe, Bernhard Holtmann, Jonas Conrad, Sonja Sälzer, Christof E Dörfer

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of dental hygiene, 2025. 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.

  1. Trial
  2. Trial
  3. Article
  4. 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

9 authors.

Simone SutorClinic of Conservative Dentistry and Periodontology, University of Kiel, Kiel, Germany.
Christian GraetzClinic of Conservative Dentistry and Periodontology, University of Kiel, Kiel, Germany.
Antje GeikenClinic of Conservative Dentistry and Periodontology, University of Kiel, Kiel, Germany.
Martin StraßburgerClinic of Conservative Dentistry and Periodontology, University of Kiel, Kiel, Germany.
Carolin LöweClinic of Conservative Dentistry and Periodontology, University of Kiel, Kiel, Germany.
Bernhard HoltmannClinic of Conservative Dentistry and Periodontology, University of Kiel, Kiel, Germany.
Jonas ConradClinic of Conservative Dentistry and Periodontology, University of Kiel, Kiel, Germany.
Sonja SälzerClinic of Conservative Dentistry and Periodontology, University of Kiel, Kiel, Germany.
Christof E DörferClinic of Conservative Dentistry and Periodontology, University of Kiel, Kiel, Germany.

Funding

The Procter & Gamble Company
6 · The paper itself

Abstract

objectiveThe objective of this long-term clinical study was to evaluate the influence of a newly developed powered toothbrush (PT) on the size and number of pre-existing gingival recessions (GR) in comparison to a manual toothbrush (MT).

methodsThis was a prospective, single-blind, parallel-group, randomized controlled clinical study. Participants without periodontitis, but with at least two teeth (index teeth) showing GR ≥2 mm were randomized to brush either twice daily with a MT or with a PT with a linear magnetic drive causing the round brush head to produce gentle micro vibrations along with oscillating-rotating movements. Primary outcome parameter was the mean change of GR at the index teeth over 36 months.

resultsTotally 87 out of 92 participants completed the study (MT/PT: n = 42/n = 45). At the 36-month evaluation the mean (standard deviation) change of GR at index teeth differed significantly between MT 0.17 (0.77) and PT -0.10 (0.63) (p = 0.013). Furthermore, the amount of GR sites which improved ≥1 mm or remained stable during the study period did not differ between MT and PT, but the number of sites worsened ≥1 mm was significantly in favour for PT (MT 23 (25.5%) versus PT 10 (10.6%); p = 0.009). A binary logistic regression identified tooth type (OR = 2.991 for pre-/molar (1.096 [95% CI 1.002-8.933]; p = 0.050)) and manual brushing (OR = 3.341 (1.206 [95% CI 1291-8648]; p = 0.013)) as risk factors for recession impairment at the index teeth. There were no differences between groups for adverse events.

conclusionIn a population with pre-existing gingival recessions and consequently a high risk of developing further recession the PT seems to be favourable with regard to further development of GR.

Indexed as

Gingival RecessionToothbrushingAdultEquipment DesignFemaleHumansMaleMiddle AgedProspective StudiesSingle-Blind MethodTreatment OutcomeVibrationdental devices, home caregingival recession/aetiologygingival recession/prevention & controltoothbrushing

Identifiers

PMID38863249
PMCPMC11717969

What OpenQuestion holds

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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.