Efficacy of sonic-powered toothbrushes for plaque removal in patients with peri-implant mucositis
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Purpose: The aim of this study was to evaluate the effectiveness of powered toothbrushes for plaque control in patients with peri-implant mucositis, in comparison with manual toothbrushes. Methods: This randomized, prospective, controlled, clinical parallel study compared the ef¬ficacy of manual and powered toothbrushes for plaque control in implant restorations. Pa¬tients with bleeding on probing, no residual pocket depth (as indicated by a pocket probing depth ≥ 5 mm), and no radiological peri-implant bone loss were eligible for this study. Pa¬tients were requested to complete a questionnaire describing their oral hygiene habits. The duration and frequency of tooth brushing were recorded by subjects in order to assess their compliance. Clinical parameters, including the modified plaque index (mPI), the modified sulcus bleeding index (mSBI), and clinical photographs (buccal and lingual views) were re¬corded at baseline and at one-month and two-month follow-up visits. Results: Statistically significant differences between patients who used manual tooth¬brushes and those who used powered toothbrushes were found regarding the frequency of tooth brushing per day and the duration of brushing at one-month and two-month fol¬low-up visits, while no statistically significant differences were found relating to other oral hygiene habits. A statistically significant difference in patient compliance for tooth brush¬ing was found at one month, while no difference was found at two months. Statistically significant decreases in the mPI and the mSBI were observed in both groups from baseline to the one- and two-month follow-ups. The overall reduction of these parameters was not significantly different between the two groups, except for mPI reduction between baseline and one month of follow-up. Conclusions: Sonic-powered toothbrushes may be a useful device for plaque control in pa¬tients with peri-implant mucositis.
Abstract
Purpose: The aim of this study was to evaluate the effectiveness of powered toothbrushes for plaque control in patients with peri-implant mucositis, in comparison with manual toothbrushes. Methods: This randomized, prospective, controlled, clinical parallel study compared the ef¬ficacy of manual and powered toothbrushes for plaque control in implant restorations. Pa¬tients with bleeding on probing, no residual pocket depth (as indicated by a pocket probing depth ≥ 5 mm), and no radiological peri-implant bone loss were eligible for this study. Pa¬tients were requested to complete a questionnaire describing their oral hygiene habits. The duration and frequency of tooth brushing were recorded by subjects in order to assess their compliance. Clinical parameters, including the modified plaque index (mPI), the modified sulcus bleeding index (mSBI), and clinical photographs (buccal and lingual views) were re¬corded at baseline and at one-month and two-month follow-up visits. Results: Statistically significant differences between patients who used manual tooth¬brushes and those who used powered toothbrushes were found regarding the frequency of tooth brushing per day and the duration of brushing at one-month and two-month fol¬low-up visits, while no statistically significant differences were found relating to other oral hygiene habits. A statistically significant difference in patient compliance for tooth brush¬ing was found at one month, while no difference was found at two months. Statistically significant decreases in the mPI and the mSBI were observed in both groups from baseline to the one- and two-month follow-ups. The overall reduction of these parameters was not significantly different between the two groups, except for mPI reduction between baseline and one month of follow-up. Conclusions: Sonic-powered toothbrushes may be a useful device for plaque control in pa¬tients with peri-implant mucositis.
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