Cleansing efficacy of an auto-cleaning electronic toothbrushing device: a randomized-controlled crossover pilot study
Objectives To compare the cleansing efficacy of a representative “ten seconds” auto-cleaning device with that of uninstructed manual toothbrushing in a pilot study. Materials and methods Twenty periodontally healthy probands refrained from oral hygiene for 3 days. Baseline full-mouth plaque scores (...
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| Veröffentlicht in: | Clinical oral investigations 2021-01, Vol.25 (1), p.247-253 |
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| creator | Schnabl, Dagmar Wiesmüller, Vera Hönlinger, Vera Wimmer, Simon Bruckmoser, Emanuel Kapferer-Seebacher, Ines |
| description | Objectives
To compare the cleansing efficacy of a representative “ten seconds” auto-cleaning device with that of uninstructed manual toothbrushing in a pilot study.
Materials and methods
Twenty periodontally healthy probands refrained from oral hygiene for 3 days. Baseline full-mouth plaque scores (Rustogi Modified Navy Plaque Index, RMNPI) were assessed. After randomization, probands cleaned their teeth either with the auto-cleaning test device according to the manufacturer’s protocol or with a manual toothbrush. Plaque reduction was assessed by two aligned blinded investigators. After a 2-week recovery, the clinical investigation was repeated in a crossover design. The brushing pattern of the auto-cleaning device was analyzed in probands’ casts.
Results
Full-mouth plaque reduction was 11.37 ± 3.70% for the auto-cleaning device and 31.39 ± 5.27% for manual toothbrushing (
p
|
| doi_str_mv | 10.1007/s00784-020-03359-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7785533</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2475200835</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-9fa07bafea8b84f94901f09ecade2507cc8e64adb9884d703de50614019008023</originalsourceid><addsrcrecordid>eNp9kU2PFCEQhjtG466rf8CDIfHiBS0auun2YLKZ-JVs4kXPhIZihg0DI3RPMv56mZl1_Th4AZL3qbeqeJvmOYPXDEC-KfUYBIUWKHDejbR70FwywXvKpWQPT--W9uPALponpdwCMNFL_ri54G0HomXysllWAXUsPq4JOueNNgeSHNGR6GVO1BzVkxjQzDlFb8ic0ryZ8lI2R8Hi3ht8SzTJOtq09T_QUpNihUNAS0xOpaQ9ZrLzIc2kzIs9PG0eOR0KPru7r5pvH95_XX2iN18-fl5d31AjpJjp6DTISTvUwzQIN4oRmIMRjbZYN5DGDNgLbadxGISVwC120DMBbAQYoOVXzbuz726ZtmgN1rF0ULvstzofVNJe_a1Ev1HrtFdSDl3HeTV4dWeQ0_cFy6y2vhgMQUdMS1GtYMB7KRir6Mt_0Nu05FjXq5Ts2joR7yrVnqnTv2R098MwUMdU1TlVVVNVp1TVsejFn2vcl_yKsQL8DJQqxTXm373_Y_sTifiwQQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2475200835</pqid></control><display><type>article</type><title>Cleansing efficacy of an auto-cleaning electronic toothbrushing device: a randomized-controlled crossover pilot study</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Schnabl, Dagmar ; Wiesmüller, Vera ; Hönlinger, Vera ; Wimmer, Simon ; Bruckmoser, Emanuel ; Kapferer-Seebacher, Ines</creator><creatorcontrib>Schnabl, Dagmar ; Wiesmüller, Vera ; Hönlinger, Vera ; Wimmer, Simon ; Bruckmoser, Emanuel ; Kapferer-Seebacher, Ines</creatorcontrib><description>Objectives
To compare the cleansing efficacy of a representative “ten seconds” auto-cleaning device with that of uninstructed manual toothbrushing in a pilot study.
Materials and methods
Twenty periodontally healthy probands refrained from oral hygiene for 3 days. Baseline full-mouth plaque scores (Rustogi Modified Navy Plaque Index, RMNPI) were assessed. After randomization, probands cleaned their teeth either with the auto-cleaning test device according to the manufacturer’s protocol or with a manual toothbrush. Plaque reduction was assessed by two aligned blinded investigators. After a 2-week recovery, the clinical investigation was repeated in a crossover design. The brushing pattern of the auto-cleaning device was analyzed in probands’ casts.
Results
Full-mouth plaque reduction was 11.37 ± 3.70% for the auto-cleaning device and 31.39 ± 5.27% for manual toothbrushing (
p
< 0.0001). The investigation of the auto-cleaning device’s brushing pattern in dental casts revealed a positive relationship of bristle rows in contact with tooth surfaces and the cleansing efficacy in the respective areas. A maximum of 2/4 bristle rows were in contact with the tooth surfaces; in some areas, the bristles had no contact to the teeth.
Conclusions
Uninstructed manual toothbrushing is superior to auto-cleaning. The alignment and density of the auto-cleaning device’s bristle rows need to be improved, and assorted sizes would be necessary to cover different jaw shapes.
Clinical relevance
The auto-cleaning device has been developed to accommodate individuals with poor dexterity or compliance. To date, it is unable to provide sufficient plaque reduction due to an inappropriate bristle alignment and poor fit with diverse dental arches.</description><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-020-03359-5</identifier><identifier>PMID: 32504217</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Bristles ; Cross-Over Studies ; Dental Plaque Index ; Dentistry ; Electronics ; Equipment Design ; Humans ; Hygiene ; Jaw ; Medicine ; Oral hygiene ; Original ; Original Article ; Pilot Projects ; Plaque index ; Single-Blind Method ; Teeth ; Toothbrushing</subject><ispartof>Clinical oral investigations, 2021-01, Vol.25 (1), p.247-253</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-9fa07bafea8b84f94901f09ecade2507cc8e64adb9884d703de50614019008023</citedby><cites>FETCH-LOGICAL-c474t-9fa07bafea8b84f94901f09ecade2507cc8e64adb9884d703de50614019008023</cites><orcidid>0000-0001-6169-6812</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00784-020-03359-5$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00784-020-03359-5$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27915,27916,41479,42548,51310</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32504217$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schnabl, Dagmar</creatorcontrib><creatorcontrib>Wiesmüller, Vera</creatorcontrib><creatorcontrib>Hönlinger, Vera</creatorcontrib><creatorcontrib>Wimmer, Simon</creatorcontrib><creatorcontrib>Bruckmoser, Emanuel</creatorcontrib><creatorcontrib>Kapferer-Seebacher, Ines</creatorcontrib><title>Cleansing efficacy of an auto-cleaning electronic toothbrushing device: a randomized-controlled crossover pilot study</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><description>Objectives
To compare the cleansing efficacy of a representative “ten seconds” auto-cleaning device with that of uninstructed manual toothbrushing in a pilot study.
Materials and methods
Twenty periodontally healthy probands refrained from oral hygiene for 3 days. Baseline full-mouth plaque scores (Rustogi Modified Navy Plaque Index, RMNPI) were assessed. After randomization, probands cleaned their teeth either with the auto-cleaning test device according to the manufacturer’s protocol or with a manual toothbrush. Plaque reduction was assessed by two aligned blinded investigators. After a 2-week recovery, the clinical investigation was repeated in a crossover design. The brushing pattern of the auto-cleaning device was analyzed in probands’ casts.
Results
Full-mouth plaque reduction was 11.37 ± 3.70% for the auto-cleaning device and 31.39 ± 5.27% for manual toothbrushing (
p
< 0.0001). The investigation of the auto-cleaning device’s brushing pattern in dental casts revealed a positive relationship of bristle rows in contact with tooth surfaces and the cleansing efficacy in the respective areas. A maximum of 2/4 bristle rows were in contact with the tooth surfaces; in some areas, the bristles had no contact to the teeth.
Conclusions
Uninstructed manual toothbrushing is superior to auto-cleaning. The alignment and density of the auto-cleaning device’s bristle rows need to be improved, and assorted sizes would be necessary to cover different jaw shapes.
Clinical relevance
The auto-cleaning device has been developed to accommodate individuals with poor dexterity or compliance. To date, it is unable to provide sufficient plaque reduction due to an inappropriate bristle alignment and poor fit with diverse dental arches.</description><subject>Bristles</subject><subject>Cross-Over Studies</subject><subject>Dental Plaque Index</subject><subject>Dentistry</subject><subject>Electronics</subject><subject>Equipment Design</subject><subject>Humans</subject><subject>Hygiene</subject><subject>Jaw</subject><subject>Medicine</subject><subject>Oral hygiene</subject><subject>Original</subject><subject>Original Article</subject><subject>Pilot Projects</subject><subject>Plaque index</subject><subject>Single-Blind Method</subject><subject>Teeth</subject><subject>Toothbrushing</subject><issn>1432-6981</issn><issn>1436-3771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kU2PFCEQhjtG466rf8CDIfHiBS0auun2YLKZ-JVs4kXPhIZihg0DI3RPMv56mZl1_Th4AZL3qbeqeJvmOYPXDEC-KfUYBIUWKHDejbR70FwywXvKpWQPT--W9uPALponpdwCMNFL_ri54G0HomXysllWAXUsPq4JOueNNgeSHNGR6GVO1BzVkxjQzDlFb8ic0ryZ8lI2R8Hi3ht8SzTJOtq09T_QUpNihUNAS0xOpaQ9ZrLzIc2kzIs9PG0eOR0KPru7r5pvH95_XX2iN18-fl5d31AjpJjp6DTISTvUwzQIN4oRmIMRjbZYN5DGDNgLbadxGISVwC120DMBbAQYoOVXzbuz726ZtmgN1rF0ULvstzofVNJe_a1Ev1HrtFdSDl3HeTV4dWeQ0_cFy6y2vhgMQUdMS1GtYMB7KRir6Mt_0Nu05FjXq5Ts2joR7yrVnqnTv2R098MwUMdU1TlVVVNVp1TVsejFn2vcl_yKsQL8DJQqxTXm373_Y_sTifiwQQ</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Schnabl, Dagmar</creator><creator>Wiesmüller, Vera</creator><creator>Hönlinger, Vera</creator><creator>Wimmer, Simon</creator><creator>Bruckmoser, Emanuel</creator><creator>Kapferer-Seebacher, Ines</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6169-6812</orcidid></search><sort><creationdate>20210101</creationdate><title>Cleansing efficacy of an auto-cleaning electronic toothbrushing device: a randomized-controlled crossover pilot study</title><author>Schnabl, Dagmar ; Wiesmüller, Vera ; Hönlinger, Vera ; Wimmer, Simon ; Bruckmoser, Emanuel ; Kapferer-Seebacher, Ines</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-9fa07bafea8b84f94901f09ecade2507cc8e64adb9884d703de50614019008023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Bristles</topic><topic>Cross-Over Studies</topic><topic>Dental Plaque Index</topic><topic>Dentistry</topic><topic>Electronics</topic><topic>Equipment Design</topic><topic>Humans</topic><topic>Hygiene</topic><topic>Jaw</topic><topic>Medicine</topic><topic>Oral hygiene</topic><topic>Original</topic><topic>Original Article</topic><topic>Pilot Projects</topic><topic>Plaque index</topic><topic>Single-Blind Method</topic><topic>Teeth</topic><topic>Toothbrushing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schnabl, Dagmar</creatorcontrib><creatorcontrib>Wiesmüller, Vera</creatorcontrib><creatorcontrib>Hönlinger, Vera</creatorcontrib><creatorcontrib>Wimmer, Simon</creatorcontrib><creatorcontrib>Bruckmoser, Emanuel</creatorcontrib><creatorcontrib>Kapferer-Seebacher, Ines</creatorcontrib><collection>Springer Nature OA/Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical oral investigations</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schnabl, Dagmar</au><au>Wiesmüller, Vera</au><au>Hönlinger, Vera</au><au>Wimmer, Simon</au><au>Bruckmoser, Emanuel</au><au>Kapferer-Seebacher, Ines</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cleansing efficacy of an auto-cleaning electronic toothbrushing device: a randomized-controlled crossover pilot study</atitle><jtitle>Clinical oral investigations</jtitle><stitle>Clin Oral Invest</stitle><addtitle>Clin Oral Investig</addtitle><date>2021-01-01</date><risdate>2021</risdate><volume>25</volume><issue>1</issue><spage>247</spage><epage>253</epage><pages>247-253</pages><issn>1432-6981</issn><eissn>1436-3771</eissn><abstract>Objectives
To compare the cleansing efficacy of a representative “ten seconds” auto-cleaning device with that of uninstructed manual toothbrushing in a pilot study.
Materials and methods
Twenty periodontally healthy probands refrained from oral hygiene for 3 days. Baseline full-mouth plaque scores (Rustogi Modified Navy Plaque Index, RMNPI) were assessed. After randomization, probands cleaned their teeth either with the auto-cleaning test device according to the manufacturer’s protocol or with a manual toothbrush. Plaque reduction was assessed by two aligned blinded investigators. After a 2-week recovery, the clinical investigation was repeated in a crossover design. The brushing pattern of the auto-cleaning device was analyzed in probands’ casts.
Results
Full-mouth plaque reduction was 11.37 ± 3.70% for the auto-cleaning device and 31.39 ± 5.27% for manual toothbrushing (
p
< 0.0001). The investigation of the auto-cleaning device’s brushing pattern in dental casts revealed a positive relationship of bristle rows in contact with tooth surfaces and the cleansing efficacy in the respective areas. A maximum of 2/4 bristle rows were in contact with the tooth surfaces; in some areas, the bristles had no contact to the teeth.
Conclusions
Uninstructed manual toothbrushing is superior to auto-cleaning. The alignment and density of the auto-cleaning device’s bristle rows need to be improved, and assorted sizes would be necessary to cover different jaw shapes.
Clinical relevance
The auto-cleaning device has been developed to accommodate individuals with poor dexterity or compliance. To date, it is unable to provide sufficient plaque reduction due to an inappropriate bristle alignment and poor fit with diverse dental arches.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32504217</pmid><doi>10.1007/s00784-020-03359-5</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-6169-6812</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Clinical oral investigations, 2021-01, Vol.25 (1), p.247-253 |
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| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7785533 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Bristles Cross-Over Studies Dental Plaque Index Dentistry Electronics Equipment Design Humans Hygiene Jaw Medicine Oral hygiene Original Original Article Pilot Projects Plaque index Single-Blind Method Teeth Toothbrushing |
| title | Cleansing efficacy of an auto-cleaning electronic toothbrushing device: a randomized-controlled crossover pilot study |
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