Effectiveness and compliance of an oscillating-rotating toothbrush in patients with dental implants: a randomized clinical trial
International Journal of Implant Dentistry20184:38
© The Author(s). 2018
- Received: 12 April 2018
- Accepted: 24 October 2018
- Published: 10 December 2018
Abstract
Background
The aim of this randomized
clinical trial was to assess the efficacy of an oscillating-rotating
toothbrush in reducing plaque and inflammation around dental implants.
Methods
Eighty patients presenting
dental implants were enrolled in this study and assigned randomly to two
different groups: 40 patients in the test group and 40 in the control
one. Each patient in the test group received an oscillating-rotating
toothbrush while in the control group patients kept using the manual
toothbrush. Furthermore, the test group received a special toothbrush
head designed for dental implants and another one for natural teeth.
Domiciliary oral hygiene instructions were given to both groups.
Periodontal parameters like plaque index (PI), bleeding on probing
(BoP), and probing pocket depth (PPD) were recorded at the baseline and
after 1 and 3 months.
Results
At the end of the study, the
difference of plaque and bleeding indices with the baseline was
statistically significant for both test and control groups (P < 0.0001).
Implant sites showed higher values of both BoP and PI when compared to
the natural teeth. In the second part of the study, comparing the
1–3-month period, the oscillating-rotating toothbrush was effective in
reducing new plaque formation (P < 0.0001) and bleeding (P < 0.0001) both at the implant sites and the dental sites comparing to manual ones (P > 0.05). No significant differences were appreciated concerning the PPD.
Conclusions
The oscillating-rotating toothbrush can be successfully used for the plaque and bleeding control of the peri-implant tissues.
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