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Evidence found and GRADE certainty

503 questions · 676 findings · 22 reviews · Periodontology

No studies found 148 · 21.9%GRADE not reported 342 · 50.6%Very low 118 · 17.5%Low 45 · 6.7%Moderate 11 · 1.6%High 12 · 1.8%

Chlorhexidine mouthrinse (any concentration; 0.05% to 0.2%) used in conjunction with mechanical oral hygiene procedures vs Placebo/control mouthrinse, or no mouthrinse (mechanical oral hygiene alone); controls pooled (protocol's separate comparisons versus mechanical oral hygiene alone and versus placebo/control merged)

Extrinsic tooth staining (various staining indices) · Children or adults with gingivitis or periodontitis capable of performing normal mechanical oral hygiene procedures (some with medical…

Chlorhexidine mouthrinse (any concentration; 0.05% to 0.2%) used in… led to higher extrinsic tooth staining (various staining indices) compared with placebo/control mouthrinse, or no mouthrinse (mechanical oral…; GRADE not reported.

2 findings from 1 review

Powered toothbrush, side-to-side action vs Manual toothbrush

Plaque · Individuals of any age with no reported disability that might affect toothbrushing (including people wearing orthodontic appliances)

Powered toothbrush, side-to-side action showed no clear difference in plaque score (>3 months) compared with manual toothbrush; GRADE not reported.

2 findings from 1 review

Powered toothbrush, ionic action vs Manual toothbrush

Plaque · Individuals of any age with no reported disability that might affect toothbrushing (including people wearing orthodontic appliances)

Powered toothbrush, ionic action led to lower plaque score (1 to 3 months) compared with manual toothbrush; GRADE not reported.

2 findings from 1 review

Powered toothbrush, ionic action vs Manual toothbrush

Gingivitis · Individuals of any age with no reported disability that might affect toothbrushing (including people wearing orthodontic appliances)

Powered toothbrush, ionic action showed no clear difference in gingivitis score (1 to 3 months) compared with manual toothbrush; GRADE not reported.

2 findings from 1 review

Powered toothbrush, rotation oscillation action vs Manual toothbrush

Plaque · Individuals of any age with no reported disability that might affect toothbrushing (including people wearing orthodontic appliances)

Powered toothbrush, rotation oscillation action led to lower plaque score (>3 months) compared with manual toothbrush; GRADE not reported.

2 findings from 1 review

Powered toothbrush, counter oscillation action vs Manual toothbrush

Plaque · Individuals of any age with no reported disability that might affect toothbrushing (including people wearing orthodontic appliances)

Powered toothbrush, counter oscillation action led to lower plaque score (>3 months) compared with manual toothbrush; GRADE not reported.

2 findings from 1 review

Powered toothbrush, circular action vs Manual toothbrush

Plaque · Individuals of any age with no reported disability that might affect toothbrushing (including people wearing orthodontic appliances)

Powered toothbrush, circular action showed no clear difference in plaque score (1 to 3 months) compared with manual toothbrush; GRADE not reported.

1 finding from 1 review

Powered toothbrush, side-to-side action vs Manual toothbrush

Gingivitis · Individuals of any age with no reported disability that might affect toothbrushing (including people wearing orthodontic appliances)

Powered toothbrush, side-to-side action showed no clear difference in gingivitis score (>3 months) compared with manual toothbrush; GRADE not reported.

2 findings from 1 review

Powered toothbrush, ultrasonic action vs Manual toothbrush

Gingivitis · Individuals of any age with no reported disability that might affect toothbrushing (including people wearing orthodontic appliances)

Powered toothbrush, ultrasonic action led to lower gingivitis score (1 to 3 months) compared with manual toothbrush; GRADE not reported.

2 findings from 1 review

Powered toothbrush, unknown/other action vs Manual toothbrush

Gingivitis · Individuals of any age with no reported disability that might affect toothbrushing (including people wearing orthodontic appliances)
2 findings from 1 review

Powered toothbrush, counter oscillation action vs Manual toothbrush

Gingivitis · Individuals of any age with no reported disability that might affect toothbrushing (including people wearing orthodontic appliances)

Powered toothbrush, counter oscillation action showed no clear difference in gingivitis score (1 to 3 months) compared with manual toothbrush; GRADE not reported.

2 findings from 1 review

Powered toothbrush (any mode of action) vs Manual toothbrush

Gingivitis · Individuals of any age with no reported disability that might affect toothbrushing (including people wearing orthodontic appliances)

Powered toothbrush (any mode of action) probably leads to lower gingivitis score (1 to 3 months) compared with manual toothbrush (moderate certainty).

2 findings from 1 review

Powered toothbrush (any mode of action) vs Manual toothbrush

Adverse events (soft tissue trauma) · Individuals of any age with no reported disability that might affect toothbrushing (including people wearing orthodontic appliances)
1 finding from 1 review
  • SoF 'Adverse events' row (narrative): There was no apparent relationship between the use of powered toothbrushes and soft tissue trauma. In part this finding was due to the very small number of adverse events reported…
    40 studies
    GRADE not reported

Powered toothbrush, unknown/other action vs Manual toothbrush

Plaque · Individuals of any age with no reported disability that might affect toothbrushing (including people wearing orthodontic appliances)
1 finding from 1 review
  • Powered versus manual toothbrushing for oral health 2014 · Cochrane All outcomes
    Short term (1 to 3 months)
    Unknown/other action vs manual, plaque at 1 to 3 months: 2 trials; totals not selected (data presented in forest plots but not pooled owing to lack of clarity about the toothbrushes).
    2 studies
    GRADE not reported

Powered toothbrush, rotation oscillation action vs Manual toothbrush

Gingivitis · Individuals of any age with no reported disability that might affect toothbrushing (including people wearing orthodontic appliances)

Powered toothbrush, rotation oscillation action led to lower gingivitis score (1 to 3 months) compared with manual toothbrush; GRADE not reported.

2 findings from 1 review

Powered toothbrush (any mode of action) vs Manual toothbrush

Plaque · Individuals of any age with no reported disability that might affect toothbrushing (including people wearing orthodontic appliances)

Powered toothbrush (any mode of action) probably leads to lower plaque score (1 to 3 months) compared with manual toothbrush (moderate certainty).

2 findings from 1 review

Powered toothbrush, ultrasonic action vs Manual toothbrush

Plaque · Individuals of any age with no reported disability that might affect toothbrushing (including people wearing orthodontic appliances)
2 findings from 1 review