DOI QR코드

DOI QR Code

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

  • Lee, Jungwon (Department of Periodontology, Seoul National University School of Dentistry) ;
  • Lim, Jong Heun (The Armed Forces Medical Command) ;
  • Lee, Jungeun (Department of Periodontology, Seoul National University School of Dentistry) ;
  • Kim, Sungtae (Department of Periodontology, Seoul National University School of Dentistry) ;
  • Koo, Ki-Tae (Department of Periodontology, Seoul National University School of Dentistry) ;
  • Seol, Yang-Jo (Department of Periodontology, Seoul National University School of Dentistry) ;
  • Ku, Young (Department of Periodontology, Seoul National University School of Dentistry) ;
  • Lee, Yong-Moo (Department of Periodontology, Seoul National University School of Dentistry) ;
  • Rhyu, In-Chul (Department of Periodontology, Seoul National University School of Dentistry)
  • Received : 2015.02.17
  • Accepted : 2015.03.27
  • Published : 2015.04.30

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 ${\geq}5mm$), 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.

Keywords

References

  1. Salvi GE, Aglietta M, Eick S, Sculean A, Lang NP, Ramseier CA. Reversibility of experimental peri-implant mucositis compared with experimental gingivitis in humans. Clin Oral Implants Res 2012;23:182-90. https://doi.org/10.1111/j.1600-0501.2011.02220.x
  2. Heitz-Mayfield LJ, Lang NP. Comparative biology of chronic and aggressive periodontitis vs. peri-implantitis. Periodontol 2000 2010;53:167-81. https://doi.org/10.1111/j.1600-0757.2010.00348.x
  3. Zitzmann NU, Berglundh T. Definition and prevalence of peri-implant diseases. J Clin Periodontol 2008;35:286-91. https://doi.org/10.1111/j.1600-051X.2008.01274.x
  4. Van Steenberghe D, Klinge B, Linden U, Quirynen M, Herrmann I, Garpland C. Periodontal indices around natural and titanium abutments: a longitudinal multicenter study. J Periodontol 1993; 64:538-41. https://doi.org/10.1902/jop.1993.64.6.538
  5. Lang NP, Mombelli A, Tonetti MS, Bragger U, Hammerle CH. Clinical trials on therapies for peri-implant infections. Ann Periodontol 1997;2:343-56. https://doi.org/10.1902/annals.1997.2.1.343
  6. Roos-Jansaker AM, Lindahl C, Renvert H, Renvert S. Nine-to fourteen-year follow-up of implant treatment. Part I: implant loss and associations to various factors. J Clin Periodontol 2006;33:283-9. https://doi.org/10.1111/j.1600-051X.2006.00907.x
  7. Serino G, Strom C. Peri-implantitis in partially edentulous patients: association with inadequate plaque control. Clin Oral Implants Res 2009;20:169-74. https://doi.org/10.1111/j.1600-0501.2008.01627.x
  8. Ferreira SD, Silva GL, Cortelli JR, Costa JE, Costa FO. Prevalence and risk variables for peri-implant disease in Brazilian subjects. J Clin Periodontol 2006;33:929-35. https://doi.org/10.1111/j.1600-051X.2006.01001.x
  9. Schou S, Holmstrup P, Hjorting-Hansen E, Lang NP. Plaque-induced marginal tissue reactions of osseointegrated oral implants: a review of the literature. Clin Oral Implants Res 1992;3:149-61. https://doi.org/10.1034/j.1600-0501.1992.030401.x
  10. Lindquist LW, Carlsson GE, Jemt T. A prospective 15-year follow-up study of mandibular fixed prostheses supported by osseointegrated implants. Clinical results and marginal bone loss. Clin Oral Implants Res 1996;7:329-36. https://doi.org/10.1034/j.1600-0501.1996.070405.x
  11. Axelsson P, Lindhe J, Nystrom B. On the prevention of caries and periodontal disease. Results of a 15-year longitudinal study in adults. J Clin Periodontol 1991;18:182-9. https://doi.org/10.1111/j.1600-051X.1991.tb01131.x
  12. Duncan JP, Taylor TD, Kosis DL. A simple toothbrush modification for easier implant-supported prosthesis hygiene. J Prosthodont 1998;7:49-50. https://doi.org/10.1111/j.1532-849X.1998.tb00177.x
  13. Vandekerckhove B, Quirynen M, Warren PR, Strate J, van Steenberghe D. The safety and efficacy of a powered toothbrush on soft tissues in patients with implant-supported fixed prostheses. Clin Oral Investig 2004;8:206-10. https://doi.org/10.1007/s00784-004-0278-z
  14. Sicilia A, Arregui I, Gallego M, Cabezas B, Cuesta S. A systematic review of powered vs manual toothbrushes in periodontal cause-related therapy. J Clin Periodontol 2002;29 Suppl 3:39-54. https://doi.org/10.1034/j.1600-051X.29.s-3.1.x
  15. Wolff L, Kim A, Nunn M, Bakdash B, Hinrichs J. Effectiveness of a sonic toothbrush in maintenance of dental implants. A prospective study. J Clin Periodontol 1998;25:821-8. https://doi.org/10.1111/j.1600-051X.1998.tb02376.x
  16. Swierkot K, Brusius M, Leismann D, Nonnenmacher C, Nusing R, Lubbe D, et al. Manual versus sonic-powered toothbrushing for plaque reduction in patients with dental implants: an explanatory randomised controlled trial. Eur J Oral Implantol 2013;6: 133-44.
  17. Bass CC. An effective method of personal oral hygiene. J La State Med Soc 1954;106:57-73.
  18. Mombelli A, van Oosten MA, Schurch E Jr, Land NP. The microbiota associated with successful or failing osseointegrated titanium implants. Oral Microbiol Immunol 1987;2:145-51. https://doi.org/10.1111/j.1399-302X.1987.tb00298.x
  19. Assaf AV, Tagliaferro EP, Meneghim Mde C, Tengan C, Pereira AC, Ambrosano GM, et al. A new approach for interexaminer reliability data analysis on dental caries calibration. J Appl Oral Sci 2007;15:480-5. https://doi.org/10.1590/S1678-77572007000600005
  20. Kim HY. Statistical notes for clinical researchers: Evaluation of measurement error 1: using intraclass correlation coefficients. Restor Dent Endod 2013;38:98-102. https://doi.org/10.5395/rde.2013.38.2.98
  21. Ainamo J, Xie Q, Ainamo A, Kallio P. Assessment of the effect of an oscillating/rotating electric toothbrush on oral health. A 12-month longitudinal study. J Clin Periodontol 1997;24:28-33. https://doi.org/10.1111/j.1600-051X.1997.tb01180.x
  22. van der Weijden GA, Timmerman MF, Reijerse E, Danser MM, Mantel MS, Nijboer A, et al. The long-term effect of an oscillating/rotating electric toothbrush on gingivitis. An 8-month clinical study. J Clin Periodontol 1994;21:139-45. https://doi.org/10.1111/j.1600-051X.1994.tb00292.x
  23. Yoshie H, Kobayashi T, Tai H, Galicia JC. The role of genetic polymorphisms in periodontitis. Periodontol 2000 2007;43:102-32. https://doi.org/10.1111/j.1600-0757.2006.00164.x
  24. Michalowicz BS, Diehl SR, Gunsolley JC, Sparks BS, Brooks CN, Koertge TE, et al. Evidence of a substantial genetic basis for risk of adult periodontitis. J Periodontol 2000;71:1699-707. https://doi.org/10.1902/jop.2000.71.11.1699
  25. Yaacob M, Worthington HV, Deacon SA, Deery C, Walmsley AD, Robinson PG, et al. Powered versus manual toothbrushing for oral health. Cochrane Database Syst Rev 2014;6:CD002281.
  26. Grender J, Williams K, Walters P, Klukowska M, Reick H. Plaque removal efficacy of oscillating-rotating power toothbrushes: review of six comparative clinical trials. Am J Dent 2013;26:68-74.
  27. Verma S, Bhat KM. Acceptability of powered toothbrushes for elderly individuals. J Public Health Dent 2004;64:115-7. https://doi.org/10.1111/j.1752-7325.2004.tb02738.x