Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

70 questions · 92 findings · 6 reviews · Periodontology

No studies found 2 · 2.2%GRADE not reported 82 · 89.1%Very low 0 · 0%Low 4 · 4.3%Moderate 4 · 4.3%High 0 · 0%

Salvadora persica (miswak) mouthrinse vs Placebo rinse

Plaque · Medically healthy individuals (adults and children, 6-60 years)

Salvadora persica rinse reduced plaque more than placebo (favours Salvadora persica); certainty not GRADE-rated (Shekelle grade Ia).

1 finding from 1 review

Chlorhexidine 0.12% mouthrinse vs Pre-treatment (baseline, same group)

Plaque · Medically healthy individuals (adults and children, 6-60 years)

0.12% chlorhexidine rinse reduced plaque relative to baseline; not GRADE-rated.

1 finding from 1 review

Salvadora persica (miswak) mouthrinse vs Pre-treatment (baseline, same group)

Plaque · Medically healthy individuals (adults and children, 6-60 years)

Salvadora persica rinse reduced plaque relative to its own baseline; not GRADE-rated.

1 finding from 1 review

Placebo rinse vs Pre-treatment (baseline, same group)

Streptococcus mutans count · Medically healthy individuals (adults and children, 6-60 years)

Placebo rinse did not significantly change Streptococcus mutans counts relative to baseline; not GRADE-rated.

1 finding from 1 review

Chlorhexidine 0.2% vs Pre-treatment (baseline, same group)

Plaque · Medically healthy individuals (adults and children, 6-60 years)

0.2% chlorhexidine rinse reduced plaque relative to baseline; not GRADE-rated.

1 finding 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