J Periodontal Implant Sci.  2015 Apr;45(2):56-61. 10.5051/jpis.2015.45.2.56.

Efficacy of sonic-powered toothbrushes for plaque removal in patients with peri-implant mucositis

• Lee J
• Lim JH
• Lee J
• Kim S
• Koo KT
• Seol YJ
• Ku Y
• Lee YM
• Rhyu IC

• KMID: 2329656
• DOI: http://doi.org/10.5051/jpis.2015.45.2.56

Abstract

PURPOSE
The aim of this study was to evaluate the effectiveness of powered toothbrushes for plaque control in patients with peri-implant mucositis, in comparison with manual toothbrushes.
METHODS
This randomized, prospective, controlled, clinical parallel study compared the efficacy of manual and powered toothbrushes for plaque control in implant restorations. Patients with bleeding on probing, no residual pocket depth (as indicated by a pocket probing depth > or = 5 mm), and no radiological peri-implant bone loss were eligible for this study. Patients were requested to complete a questionnaire describing their oral hygiene habits. The duration and frequency of tooth brushing were recorded by subjects in order to assess their compliance. Clinical parameters, including the modified plaque index (mPI), the modified sulcus bleeding index (mSBI), and clinical photographs (buccal and lingual views) were recorded at baseline and at one-month and two-month follow-up visits.
RESULTS
Statistically significant differences between patients who used manual toothbrushes and those who used powered toothbrushes were found regarding the frequency of tooth brushing per day and the duration of brushing at one-month and two-month follow-up visits, while no statistically significant differences were found relating to other oral hygiene habits. A statistically significant difference in patient compliance for tooth brushing was found at one month, while no difference was found at two months. Statistically significant decreases in the mPI and the mSBI were observed in both groups from baseline to the one- and two-month follow-ups. The overall reduction of these parameters was not significantly different between the two groups, except for mPI reduction between baseline and one month of follow-up.
CONCLUSIONS
Sonic-powered toothbrushes may be a useful device for plaque control in patients with peri-implant mucositis.

Keyword

Dental implant; Dental plaque; Oral hygiene

MeSH Terms

Compliance
Dental Implants
Dental Plaque
Follow-Up Studies
Hemorrhage
Humans
Mucositis*
Oral Hygiene
Patient Compliance
Prospective Studies
Surveys and Questionnaires
Tooth
Dental Implants

Figure

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  Figure 1 Clinical assessments of the modified plaque index (mPI) and the modified sulcus bleeding index (mSBI) at the implant sites by visit and group. An overall pattern of reduction in the mPI and mSBI was observed post-baseline in both groups. In addition, in the powered toothbrush group, a statistically significant reduction of the mSBI was found between one month and two months of follow-up. a)P<0.05 compared to the baseline in the manual toothbrush group. b)P<0.05 compared to the baseline in the powered toothbrush group. c)P<0.05 compared to the baseline and one month of follow-up in the powered toothbrush group.

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