Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

190 questions · 225 findings · 11 reviews · Dental public health and special care

No studies found 37 · 16.4%GRADE not reported 85 · 37.8%Very low 68 · 30.2%Low 29 · 12.9%Moderate 6 · 2.7%High 0 · 0%

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

Special manual toothbrush (self, carer or carer-assisted brushing) vs Manual toothbrush

Gingival inflammation (medium term) · Children and adults with mixed levels of ID; setting home, residential, day care, school, mixed or not specified

It is very uncertain whether special manual toothbrush (self, carer or carer-assisted brushing) changes gingival inflammation (medium term) compared with conventional manual toothbrush (self, carer or carer-assisted… (very low certainty).

1 finding from 1 review

Electric toothbrush (self, carer or carer-assisted brushing) vs Manual toothbrush

Calculus · Children and adults with mixed levels of ID; setting home, residential, day care, school, mixed or not specified

Electric toothbrush (self, carer or carer-assisted brushing) showed no clear difference in calculus (medium term) compared with manual toothbrush (self, carer or carer-assisted brushing) (low certainty).

1 finding from 1 review

Personalised one-to-one OHA vs Routine one-to-one OHA

Patient-reported changes in knowledge, attitudes and quality of life · Children or adults (fit and healthy, or with a well-defined medical condition)
1 finding from 1 review

Self-management (self-administered/self-monitored OHA) vs Professional OHA

Gingivitis · Children or adults (fit and healthy, or with a well-defined medical condition)

It is very uncertain whether self-management (self-administered/self-monitored OHA) changes periodontal health: gingivitis compared with professional OHA (very low certainty).

1 finding from 1 review

Personalised one-to-one OHA vs Routine one-to-one OHA

Patient-reported behaviour changes and health indices · Children or adults (fit and healthy, or with a well-defined medical condition)
1 finding from 1 review

Self-management (self-administered/self-monitored OHA) vs Professional OHA

Patient-reported behaviour changes · Children or adults (fit and healthy, or with a well-defined medical condition)
1 finding from 1 review

Personalised one-to-one OHA vs Routine one-to-one OHA

Gingivitis · Children or adults (fit and healthy, or with a well-defined medical condition)

It is very uncertain whether personalised one-to-one OHA changes periodontal health: gingivitis compared with routine one-to-one OHA (very low certainty).

1 finding from 1 review

Personalised one-to-one OHA vs Routine one-to-one OHA

Dental caries · Children or adults (fit and healthy, or with a well-defined medical condition)
1 finding from 1 review

Enhanced one-to-one OHA vs Routine one-to-one OHA

Gingivitis · Children or adults (fit and healthy, or with a well-defined medical condition)

It is very uncertain whether enhanced one-to-one OHA changes periodontal health: gingivitis compared with one-to-one OHA (standard) (very low certainty).

1 finding from 1 review

Enhanced one-to-one OHA vs Routine one-to-one OHA

Plaque · Children or adults (fit and healthy, or with a well-defined medical condition)

It is very uncertain whether enhanced one-to-one OHA changes periodontal health: plaque levels compared with one-to-one OHA (standard) (very low certainty).

1 finding from 1 review

Enhanced one-to-one OHA vs Routine one-to-one OHA

Patient-reported changes in knowledge, attitudes and quality of life · Children or adults (fit and healthy, or with a well-defined medical condition)
1 finding from 1 review