Interdental cleaning aids

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This network meta-analysis of the comparative efficacy of interproximal oral hygiene aids included 22 RCTs and suggests that interdental brushes and water-jets ranked highest for the reduction of gingival bleeding. Although the quality of the available evidence is limited.

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Powered toothbrushes for orthodontic patients

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This review of powered toothbrushes for periodontal health in orthodontic patients included 9 small RCTs. A small statistically significant benefit was noted in short term use.

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Oral care for critically ill ventilated patients

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38 RCTs were included in this Cochrane review update of oral health care in ventilated patients. High quality evidence was found to show that chlorhexidine mouthwash or gel reduces the risk of developing ventilator-associated pneumonia in critically ill patients from 25% to about 19%.

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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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Toothbrushing: little data on association with gingival recession

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This review considered the association between toothbrushing and gingival recession and non-carious cervical lesions (NCCLs). 19 studies were included a majority (13) were cross-sectional and they provide limited data to support or refute the associations.

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Peri-implantitis: lack of clarity on best self-management options

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This review identified 11 small trials looking at self-management options for peri-implant disease. The quality of the available evidence for the best management strategies for peri-implant mucositis is limited at present.

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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…]

Trial showed similar oral health improvements in nursing-home residents with manual and powered toothbrushes

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The 2010 Cochrane review of powered toothbrushes (Deacon et al) provided some evidence that rotational oscillation powered toothbrushes are more effective than other designs. However, the available evidence was based on short-term studies and the differences were small, so the clinical importance was unclear.  The aim of this study was to investigate the effect of [read the full story…]

Powered toothbrushes are as safe to use as manual toothbrushes

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Powered toothbrushes (PTB) have been available since the 1960s and Cochrane reviews have shown that powered toothbrushes with a rotation oscillation action reduce plaque and gingivitis more than manual toothbrushing (MTB). The main focus of these review has been their effectiveness rather than the safety of these brushes.  Van der Weijden et al undertook a [read the full story…]