Rösing Cassiano Kuchenbecker, Garduño Eduardo, Bussadori Sandra Kalil, Zerón Agustín, Soares Paulo Vinícius, Saadia Marc, Villar Cristina Cunha
Department of Periodontology, Faculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Orthodontic Private Practice, Mexico City, Mexico.
Int J Dent. 2022 Aug 22;2022:6874144. doi: 10.1155/2022/6874144. eCollection 2022.
The present review aimed at a broad investigation on the potential of powered as compared to manual toothbrushes in different aspects of clinical dentistry. Studies evaluating plaque and gingival inflammatory parameters were included, as well as those that investigated adverse effects. Emphasis was given separately to adults, youngsters, special-needs patients, and those under fixed orthodontic therapy. In general, comparisons favored powered toothbrushes. In summary, approximately 68% of the included studies, in terms of plaque/gingival inflammation in adults, presented better results for powered toothbrushes. In children and special-needs populations, approximately 40% of the included studies favored powered toothbrushes for plaque/gingival inflammation, and none favored manual ones. In orthodontic individuals, 50% of the studies also demonstrated a better effect of powered toothbrushes on plaque and gingival inflammation. All included studies that assessed adverse events did not demonstrate a difference in these effects when comparing manual vs. powered toothbrushes. It is concluded that the use of powered toothbrushes is an opportunity to enhance patterns of plaque control and associated gingival inflammation.
本综述旨在广泛调查电动牙刷与手动牙刷在临床牙科不同方面的潜力。纳入了评估牙菌斑和牙龈炎症参数的研究，以及调查不良反应的研究。分别对成年人、青少年、特殊需求患者以及接受固定正畸治疗的患者进行了重点研究。总体而言，比较结果更倾向于电动牙刷。综上所述，就成年人的牙菌斑/牙龈炎症而言，约68%的纳入研究显示电动牙刷效果更佳。在儿童和特殊需求人群中，约40%的纳入研究表明电动牙刷在牙菌斑/牙龈炎症方面更具优势，没有研究表明手动牙刷更具优势。在正畸患者中，50%的研究也表明电动牙刷在牙菌斑和牙龈炎症方面效果更好。所有评估不良事件的纳入研究在比较手动牙刷和电动牙刷时均未发现这些影响存在差异。结论是，使用电动牙刷是改善牙菌斑控制模式和相关牙龈炎症的一个契机。
