Toothbrushing, plaque removal and gingivitis

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The aim of this review was to appraise and summarise systematic reviews of the efficacy and safety of available homecare toothbrush regimens for mechanical plaque removal on plaque and gingivitis in adults. Ten systematic reviews were included confirming that toothbrushing is effective in reducing levels of dental plaque.

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Professional mechanical plaque removal for secondary prevention of periodontal disease

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For this review of professional mechanical plaque removal 19 studies were identified. While benefits were shown for an number of outcomes; tooth loss; clinical attachment; pocket depth and bleeding on probing the impact on long-term tooth survival and stability of periodontal parameters has still to be assessed.

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Professional plaque removal more effective with oral hygiene instruction

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This is an update to a review first published 10 years ago. Only 3 new studies could be added. These provide some additional evidence that there is little value in providing professional plaque removal without oral hygiene instruction.

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Gingivitis: anti-plaque agents may help

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This new review covers the board topic of the efficacy of anti-plaque chemical formulations for managing gingivitis. 87 heterogeneous studies found a statistically significant benefit with most test products.

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Mouthwashes and plaque control in orthodontic patients

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This review of mouthwash use in patients having fixed banded orthodontic treatment included 15 small studies and suggests that they reduce plaque levels. However the clinical relevance of the findings are uncertain and larger well conducted studies are needed.

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Mouthrinses: trial finds alcohol-free rinses have similar effects on plaque levels to those containing alcohol

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This equivalence trial compared two alcohol free mouthrinses with an alcohol containing rinse and toothbrushing alone. At 8 weeks all 4 interventions reduced interproximal bleeding with plaque reductions being significantly greater in the mouthrinse groups. There was more staining in the 3 mouthrinse groups.

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Plaque control during orthodontic treatment: study suggests that text messaging may have a positive effect

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This small study in orthodontic patients suggests that text messaging might improve plaque control in short term. Larger better quality studies are needed to provide more definitive answers.

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Chlorhexidine mouthwash better than chlorhexidine dentifrice or gel at inhibiting plaque but it leads to more tooth discolouration

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The role of chlorhexidine (CHX) in inhibiting plaque growth has been extensively studied. The aim of the review was to evaluate the effectiveness of CHX-containing dentifrice (DF) or gel (CHX DF/gel) compared with CHX mouthwash (MW). Searches were conducted in Medline-PubMed, the Cochrane Central Register of Controlled Trials (CENTRAL) and Embase databases. Randomized controlled trials [read the full story…]

Powered toothbrushes reduced plaque and gingivitis more than manual toothbrushes

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Tooth decay and gum disease are two of the commonest, but preventable diseases known to man. Regular and effective toothbrushing play an important role in the prevention of these diseases. Powered toothbrushes (PTBs) have been available since the 1960s and the question of whether they are better than manual toothbrushes (MTBs) has been with us [read the full story…]

Review shows that triclosan copolymer toothpaste reduced plaque, gingivitis and caries

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Triclosan  is a polychloro phenoxy phenol that has antibacterial and anti-fungal properties.  It has been used since the 1970 in a range of products including soaps, deodorants, mouthwashes and toothpastes.  The aim of this Cochrane review was to assess the effects of triclosan/copolymer  containing fluoride toothpastes (TCT), compared with fluoride toothpastes, for the long-term control [read the full story…]