Lecturer, Author, and Practitioner of Restorative and Implant Dentistry in Grand Rapids, Michigan.
Compend Contin Educ Dent. 2022 Mar;43(3):f5-fE13.
This practice-based case series evaluated the effects of the Oral-B® iO™ oscillatingrotating (O-R) electric toothbrush with the novel Targeted Clean™ brush head as part of a home care regimen on the health of the tissues surrounding implant-borne fixed restorations.
Eight generally healthy, nonsmoking patients withj peri-implant mucositis in at least one implant site and moderate-to-high plaque levels who had not had a professional cleaning in 3 months and were not currently using an O-R toothbrush were recruited from the author's practice. Fixed implant restorations on these eight patients were evaluated for plaque and gingival inflammation (erythema, swelling, and bleeding on probing [BOP]). In collaboration with the dental hygiene team, the patients were introduced to specific protocols for implant maintenance utilizing the Oral-B iO O-R brush and the Targeted Clean brush head. After 6 weeks, the patients were re-evaluated. Clinical findings with photographs and probing as well as the impact of the intervention on each patient's motivation and compliance in maintaining oral hygiene at home were recorded.
After 6 weeks, implant sites with baseline peri-implant mucositis demonstrated no BOP or other signs of infl ammation and reduced plaque scores. The patients' home care compliance and motivation to maintain effective oral hygiene around their implants saw a substantial improvement.
The Oral-B iO O-R electric toothbrush with the novel Targeted Clean brush head, used as part of a home care regimen, markedly reduced peri-implant mucositis around fixed implant restorations among all eight patients in this case series. Key factors were the patient owning their disease pattern and the doctor/hygienist collaboration and use of education protocols to help improve the patients' home care compliance and motivation.
本基于实践的病例系列评估了 Oral-B® iO™ 震荡旋转（O-R）电动牙刷与新型靶向清洁™刷头作为家庭护理方案的一部分对种植体支持固定修复周围组织健康的影响。
从作者的实践中招募了 8 名一般健康、不吸烟的患者，他们至少有一个种植体部位患有种植体周围黏膜炎，菌斑水平中度至高度，且 3 个月内未接受过专业清洁，目前未使用 O-R 牙刷。对这 8 名患者的固定种植体修复体进行了菌斑和牙龈炎症（红斑、肿胀和探诊出血 [BOP]）评估。在与牙科保健团队合作的情况下，向患者介绍了使用 Oral-B iO O-R 牙刷和靶向清洁刷头进行种植体维护的具体方案。6 周后，对患者进行了重新评估。记录了临床发现（包括照片和探诊）以及干预对每位患者在家保持口腔卫生的动机和依从性的影响。
基线时有种植体周围黏膜炎的种植体部位在 6 周后没有 BOP 或其他炎症迹象，且菌斑评分降低。患者的家庭护理依从性和保持种植体周围有效口腔卫生的动机有了显著提高。
Oral-B iO O-R 电动牙刷与新型靶向清洁刷头一起作为家庭护理方案的一部分，在本病例系列中的所有 8 名患者中，明显减少了固定种植体修复周围的种植体周围黏膜炎。关键因素是患者了解自己的疾病模式，以及医生/保健员合作并使用教育方案来帮助提高患者的家庭护理依从性和动机。
