Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

53 questions · 56 findings · 5 reviews · Oral Health

No studies found 2 · 3.6%GRADE not reported 34 · 60.7%Very low 9 · 16.1%Low 10 · 17.9%Moderate 1 · 1.8%High 0 · 0%

Brushing vs no treatment

Total anaerobes (colony forming units, log-transformed) · Maxillary complete denture (CD) wearers

Brushing led to lower total anaerobes (colony forming units, log-transformed) compared with no treatment; GRADE not reported.

1 finding from 1 review

Brushing vs no treatment

Fusobacteria (colony forming units, log-transformed) · Maxillary complete denture (CD) wearers

Brushing led to lower fusobacteria (colony forming units, log-transformed) compared with no treatment; GRADE not reported.

1 finding from 1 review

Brushing vs Effervescent tablets

Fusobacteria (colony forming units, log-transformed) · Maxillary complete denture (CD) wearers

Brushing led to higher fusobacteria (colony forming units, log-transformed) compared with effervescent tablets; GRADE not reported.

1 finding from 1 review

Brushing vs Effervescent tablets

Visual plaque score · American complete denture (CD) wearers
1 finding from 1 review
  • Interventions for cleaning dentures in adults 2009 · Cochrane All outcomes
    12 weeks
    Tarbet 1984 compared brushing with two types of effervescent tablets. No standard deviations were reported and therefore no data were entered for this outcome. Brushing was associated with significantly lower plaque…
    1 study · 75 participants
    GRADE not reported

Brushing vs No treatment (immersion in distilled water)

Microbial counts (total aerobes, anaerobes, yeasts) · Complete denture (CD) wearers in a nursing home
1 finding from 1 review
  • Interventions for cleaning dentures in adults 2009 · Cochrane All outcomes
    Moore 1984 found that the seven tested methods were similar and resulted in a significant reduction in total aerobes and anaerobes compared with immersion in distilled water (paired t test, P < 0.05). Some chemical…
    1 study · 12 participants
    GRADE not reported

Brushing vs Effervescent tablets

Total anaerobes (colony forming units, log-transformed) · Maxillary complete denture (CD) wearers

Brushing led to higher total anaerobes (colony forming units, log-transformed) compared with effervescent tablets; GRADE not reported.

1 finding from 1 review

Sonic toothbrushing vs Manual toothbrushing

Patient satisfaction (liked toothbrush) · Adults with dental implants and peri-implant mucositis at baseline

Sonic toothbrushing led to higher patient satisfaction (liked toothbrush) compared with manual toothbrushing; GRADE not reported.

1 finding from 1 review

Sonic toothbrushing vs Manual toothbrushing

Change in probing pocket depth (PPD) · Adults with dental implants and peri-implant mucositis at baseline

Sonic toothbrushing showed no clear difference in change in probing pocket depth compared with manual toothbrushing; GRADE not reported.

1 finding from 1 review

Hyaluronic acid gel (brushing) vs Chlorhexidine, 0.2% to 2% (solution or gel)

Marginal bleeding · Adults with dental implants and healthy peri-implant soft tissues at baseline

Hyaluronic acid gel (brushing) showed no clear difference in marginal bleeding compared with chlorhexidine gel (brushing); GRADE not reported.

1 finding from 1 review

Hyaluronic acid gel (brushing) vs Chlorhexidine, 0.2% to 2% (solution or gel)

Plaque · Adults with dental implants and healthy peri-implant soft tissues at baseline

Hyaluronic acid gel (brushing) showed no clear difference in plaque compared with chlorhexidine gel (brushing); GRADE not reported.

1 finding from 1 review

Hyaluronic acid gel (brushing) vs Chlorhexidine, 0.2% to 2% (solution or gel)

Change in probing pocket depth (PPD) · Adults with dental implants and healthy peri-implant soft tissues at baseline

Hyaluronic acid gel (brushing) showed no clear difference in change in probing pocket depth compared with chlorhexidine gel (brushing); GRADE not reported.

1 finding from 1 review

Toothbrushing + Turkish gall oral rinse vs Toothbrushing alone

Volatile sulphur compounds (VSC), halimeter · Adolescents and adults aged over 16 years with clinical or self-assessed halitosis of oral origin; excluding induced or physiological…

Toothbrushing + Turkish gall oral rinse showed no clear difference in volatile sulphur compounds (VSC), halimeter compared with toothbrushing; GRADE not reported.

1 finding from 1 review

Toothbrushing + Turkish gall oral rinse vs Toothbrushing alone

Dentist-reported organoleptic test (OLT) score (scale 0 to 5) · Adolescents and adults aged over 16 years with clinical or self-assessed halitosis of oral origin; excluding induced or physiological…

Toothbrushing + Turkish gall oral rinse showed no clear difference in dentist-reported organoleptic test (OLT) score (scale 0 to 5) compared with toothbrushing; GRADE not reported.

1 finding from 1 review

Daily toothbrushing by a dental student vs Twice-weekly or once-weekly toothbrushing by a dental student

Gingivitis · People aged 15 to 30 years with mixed levels of ID; setting residential
1 finding from 1 review
  • Oral hygiene interventions for people with intellectual disabilities 2019 · Cochrane All outcomes
    Short term (<6 weeks)
    Daily vs twice-weekly or once-weekly toothbrushing by dental students. Buccal and labial Loe & Silness index, mean 21 days; 80 participants (1 RCT); Low. Brushing daily most likely reduced gingival inflammation more…
    1 study · 80 participants
    Low