National Resource Centre for Oral Healthcare of Children & Elderly, Oral Health Sciences Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Spec Care Dentist. 2024 Jul-Aug;44(4):979-989. doi: 10.1111/scd.12974. Epub 2024 Feb 13.
To compare manual and powered toothbrushes in older adults and to culminate available clinical evidence concerning efficiency with respect to plaque removal and reduced gingivitis.
Manual dexterity decreases with age, negatively impacting daily activities, including oral hygiene practices. Effective plaque control in this age group is directly related to nutrition and overall health. Therefore, developing oral health interventions tailored to the ageing population is essential.
This systematic review was registered with PROSPERO (Registration No. CRD42023415876). Five electronic databases were searched to identify randomized controlled trials published from inception until March 2023. The risk of bias was assessed using the Cochrane Risk of Bias Tool. Meta-analyses were also performed for gingival, plaque, and bleeding indices.
A total of 2118 records were identified, and six eligible publications were retrieved. Comparison of Plaque Indices between powered and manual toothbrushes showed a Standard mean difference (SMD) of -0.10; 95% CI [-0.37, 0.18] (p = .38). Comparison of the gingival index and bleeding index between powered and manual toothbrushes showed an SMD of -0.28; 95% CI [-0.72, 0.16] (p = .22) and SMD of -0.03 [-0.38, 0.32] (p = .84), respectively.
According to the available literature, this study suggests the need for more streamlined research to support the superiority of either powered or manual toothbrushes in improving oral health (as measured by the indices) among the older population. The results will hence have significant reverberations for older adults looking to improve their oral hygiene practices.
比较老年人使用手动和电动牙刷的效果，总结有关去除菌斑和减少牙龈炎方面的效率的现有临床证据。
随着年龄的增长，手的灵巧度下降，影响日常活动，包括口腔卫生习惯。在这个年龄段，有效的菌斑控制与营养和整体健康直接相关。因此，开发针对老年人口的口腔健康干预措施至关重要。
本系统评价已在 PROSPERO（注册号：CRD42023415876）上注册。检索了五个电子数据库，以确定从成立到 2023 年 3 月发表的随机对照试验。使用 Cochrane 偏倚风险工具评估偏倚风险。还对牙龈、菌斑和出血指数进行了 meta 分析。
共确定了 2118 条记录，检索到 6 篇符合条件的文献。电动牙刷和手动牙刷比较菌斑指数的标准均数差（SMD）为-0.10；95%置信区间[-0.37, 0.18]（p=0.38）。电动牙刷和手动牙刷比较牙龈指数和出血指数的 SMD 分别为-0.28；95%置信区间[-0.72, 0.16]（p=0.22）和-0.03[-0.38, 0.32]（p=0.84）。
根据现有文献，本研究表明需要更精简的研究来支持电动或手动牙刷在改善老年人口（通过指数衡量）口腔健康方面的优势。这一结果将对希望改善口腔卫生习惯的老年人产生重大影响。
