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%

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

Powered toothbrush, circular action vs Manual toothbrush

Gingivitis · 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 gingivitis score (1 to 3 months) compared with manual toothbrush; GRADE not reported.

1 finding from 1 review

Powered toothbrush (any mode of action) vs Manual toothbrush

Cost (relative cost of powered vs manual) · Individuals of any age with no reported disability that might affect toothbrushing (including people wearing orthodontic appliances)

The review found no eligible studies for this question.

1 finding from 1 review

Powered toothbrush, ultrasonic action vs Multidimensional powered toothbrush

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

Powered toothbrush, counter oscillation action vs Rotation oscillation powered toothbrush

Gingivitis (level reduction) · Individuals of any age with no reported disability that might affect toothbrushing (including people wearing orthodontic appliances)
1 finding from 1 review
  • Different powered toothbrushes for plaque control and gingival health 2010 · Cochrane All outcomes
    Short term (1-3 months) · Adolescents
    Trimpeneers 1997 (36 adolescents); no significant differences between counter oscillation and rotation oscillation for gingival index / bleeding index at 1 and 2 months (P values 0.06 to 0.75); data unsuitable for…
    1 study · 36 participants
    GRADE not reported

Multidimensional powered toothbrush vs Rotation oscillation powered toothbrush

Plaque (level reduction) · Individuals of any age with no reported disability that might affect toothbrushing (including people wearing orthodontic appliances)
1 finding from 1 review
  • Different powered toothbrushes for plaque control and gingival health 2010 · Cochrane All outcomes
    Short term (1-3 months)
    Analysis 6.1 Plaque < 3 months: 1 trial; totals not selected. The two trials making this comparison (Heasman 1999; Williams 2002) show no significant difference for plaque in the short term (1-3 months).
    1 study
    GRADE not reported

Powered toothbrush, side-to-side action vs Rotation oscillation powered toothbrush

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

Multidimensional powered toothbrush vs Side to side action powered toothbrush

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

Powered toothbrush, side-to-side action vs Rotation oscillation powered toothbrush

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

Side to side action powered toothbrush showed no clear difference in gingivitis (level reduction) compared with rotation oscillation powered toothbrush; GRADE not reported.

2 findings from 1 review

Powered toothbrush, side-to-side action vs Rotation oscillation powered toothbrush

Adverse events · Individuals of any age with no reported disability that might affect toothbrushing (including people wearing orthodontic appliances)
1 finding from 1 review

Powered toothbrush, side-to-side action vs Rotation oscillation powered toothbrush

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

Side to side action powered toothbrush led to higher plaque (level reduction) compared with rotation oscillation powered toothbrush; GRADE not reported.

2 findings from 1 review

Powered toothbrush, side-to-side action vs Counter oscillation powered toothbrush

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

Side to side action powered toothbrush showed no clear difference in plaque (level reduction) compared with counter oscillation powered toothbrush; GRADE not reported.

1 finding from 1 review

Multidimensional powered toothbrush vs Rotation oscillation powered toothbrush

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

Multidimensional powered toothbrush showed no clear difference in gingivitis (level reduction) compared with rotation oscillation powered toothbrush; GRADE not reported.

1 finding from 1 review

Ionic powered toothbrush vs Powered toothbrush with a different mode of action

Outcome not reported · People of any age with no reported disability affecting their ability to practise normal self-toothbrushing; individuals wearing…

The review found no eligible studies for this question.

1 finding from 1 review

Powered toothbrush, counter oscillation action vs Circular powered toothbrush

Plaque (level reduction) · Individuals of any age with no reported disability that might affect toothbrushing (including people wearing orthodontic appliances)
1 finding from 1 review
  • Different powered toothbrushes for plaque control and gingival health 2010 · Cochrane All outcomes
    Short term (1-3 months) · Adolescents
    Trimpeneers 1997 reported a significant difference in favour of the counter oscillation brush for plaque index at 2 months over a circular mode of action brush; data were unsuitable for meta-analysis.
    1 study · 36 participants
    GRADE not reported

Powered toothbrush, counter oscillation action vs Rotation oscillation powered toothbrush

Plaque (level reduction) · Individuals of any age with no reported disability that might affect toothbrushing (including people wearing orthodontic appliances)
1 finding from 1 review
  • Different powered toothbrushes for plaque control and gingival health 2010 · Cochrane All outcomes
    Short term (1-3 months) · Adolescents
    One cross-over trial of 36 adolescents (Trimpeneers 1997); data not presented in a suitable format for meta-analysis; no significant differences between counter oscillation and rotation oscillation for plaque index /…
    1 study · 36 participants
    GRADE not reported