Evidence map›Paper›PMID 41691204›Full record

Trial reportBMC oral health2026

Plaque removal using powered and manual toothbrushes in children with and without attention deficit hyperactivity disorder: a randomized controlled trial.

Zeynep Ucar, Bahar Melis Akyildiz

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05935254 (Comparative Evaluation of Plaque Removal Efficacy of Electric Toothbrushes Between Children With Attention Deficit And Hyperactivity Disorder And Healthy Children), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT05935254 nacompletednot on this map

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Zeynep UcarPrivate practice, Antalya, Turkey.
Bahar Melis AkyildizDepartment of Pediatric Dentistry, Aydın Adnan Menderes University, Aydın, Turkey. melis.akyildiz@adu.edu.tr.

Funding

Aydın Adnan Menderes University Scientific Research Projects (BAP) DHF-21008
6 · The paper itself

Abstract

objectivesTo evaluate the effectiveness of powered versus manual toothbrushes in plaque removal among children with and without Attention Deficit Hyperactivity Disorder (ADHD). MATERIALS AND

methodsFifty-two children aged 8–10 years (26 with ADHD, 26 controls) were randomly assigned to powered or manual toothbrush groups. All received standardized instruction. Plaque and gingival health were assessed using the Turesky-modified Quigley-Hein Plaque Index (TQHPI), Approximal Plaque Index (API), and Löe-Silness Gingival Index (GI), recorded before and after supervised brushing, and at 1- and 3-month follow-ups. Children brushed at home twice daily. Mann–Whitney, Wilcoxon, and Friedman tests were used (p ≤ 0.05).

resultsMean age was 8.8 ± 0.7 years. Supervised single brushing significantly reduced TQHPI and API in all subgroups (p < 0.05), with no differences by brush type or ADHD status (p ≥ 0.05). In the Control-powered group, API improved over time (p = 0.02), suggesting a familiarization effect during home use. No such trend was observed in the manual or ADHD subgroups. At 3 months, GI scores were higher in ADHD-powered than ADHD-manual users (p = 0.01).

conclusionsBoth brush types were similarly effective for immediate plaque removal in children with and without ADHD. During home use, powered brushes improved approximal outcomes in healthy children but not in those with ADHD, who showed poorer gingival outcomes. CLINICAL RELEVANCE: In 8–10-year-old children, powered and manual toothbrushes demonstrated comparable plaque and gingival outcomes under standardized instruction. Familiarization may improve approximal plaque removal in healthy children using powered brushes. In children with ADHD, manual brushes yielded more favorable gingival scores, suggesting that effective use of powered brushes may require additional support.

trial registrationClinicalTrials.gov (NCT05935254) registered retrospectively on 7 July 2023. URL https://clinicaltrials.gov/study/NCT05935254 .

Indexed as

Attention Deficit Disorder with HyperactivityDental PlaqueToothbrushingChildDental Plaque IndexFemaleHumansMalePeriodontal IndexAttention deficit hyperactivity disordersDental devices-home careDental plaquePowered toothbrushToothbrushing

Identifiers

PMID41691204
PMCPMC12980865

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.