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Clinical Oral Investigations

, Volume 8, Issue 4, pp 206–210 | Cite as

The safety and efficacy of a powered toothbrush on soft tissues in patients with implant-supported fixed prostheses

  • B. Vandekerckhove
  • M. Quirynen
  • P. R. Warren
  • J. Strate
  • D. van Steenberghe
Original Article

Abstract

The safety, efficacy and acceptability of an oscillating/rotating powered toothbrush was assessed in patients rehabilitated with fixed prostheses on implants. One hundred consecutive patients (aged 18–80; mean 56.3; 51 females), who met the inclusion/exclusion criteria and who participated in a regular annual recall scheme, were enrolled. They were instructed on how to use the powered toothbrush, as well as on classical interdental plaque control. The electric toothbrush had to be used twice daily for 2 min. The following periodontal parameters were measured at baseline and at 3 months, 6 months and 12 months: presence/absence of gingival and/or mucosal ulceration/desquamation; sulcus bleeding index; probing pocket depth; periodontal pocket-bleeding index and gingival recession. At 3 months and at the end of the study, patients completed a questionnaire concerning the overall acceptability and convenience of the powered toothbrush, as compared with their habitual manual toothbrush. A total of 80 patients completed the study. No dropouts were related to the use of the powered toothbrush. All parameters improved over the course of the study. The mean overall pocket depth decreased from 3.3 mm at baseline to 3.0 mm at 12 months, while the mean decrease in recession was 0.1 mm at 12 months. During the 1-year observation, there was a slight gain in periodontal attachment level. Gingival ulcerations were not observed at any point in the study. High scores for convenience and comfort of the powered toothbrush were reported, and the majority (95%) said that they would continue to use it for habitual oral hygiene. It is concluded that the powered toothbrush investigated is effective, safe and comfortable for patients rehabilitated by means of oral implant-supported prostheses.

Keywords

Powered toothbrush Implants Periodontology Electric toothbrush 

References

  1. 1.
    Brägger U, Burgin WB, Hammerle CH, Lang NP (1997) Associations between clinical parameters assessed around implants and teeth. Clin Oral Implants Res 8:412–421CrossRefPubMedGoogle Scholar
  2. 2.
    Hellstadius K, Asman B, Gustafsson A (1993) Improved maintenance of plaque control by electrical toothbrushing in periodontitis patients with low compliance. J Clin Periodontol 20:235–237PubMedGoogle Scholar
  3. 3.
    Lekholm U, Ericsson I, Adell R, Slots J (1986) The condition of the soft tissues at tooth and fixture abutments supporting fixed bridges. J Clin Periodontol 13:558–562PubMedGoogle Scholar
  4. 4.
    Lindquist LW, Rockler B, Carlsson GE (1988) Bone resorption around fixtures in edentulous patients treated with mandibular fixed tissue integrated-prostheses. J Prosthet Dent 59:59–63PubMedGoogle Scholar
  5. 5.
    Lindquist LW, Carlsson GE, Jemt T (1996) 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 7:329–336CrossRefPubMedGoogle Scholar
  6. 6.
    Mühlemann HR, Son S (1971) Gingival sulcus bleeding – a leading sign in initial gingivitis. Helv Odontol Acta 15:107–113PubMedGoogle Scholar
  7. 7.
    Quirynen M, Vervliet E, Teerlinck J, Darius P, van Steenberghe D (1994) Medium- and long-term effectiveness of a counterrotational electric toothbrush on plaque removal, gingival bleeding and probing depth. Int J Periodontics Restorative Dent 14:365–377Google Scholar
  8. 8.
    Quirynen M, Bollen C, Willems G, van Steenberghe D (1994) Comparison of surface characteristics of six commercially pure titanium abutments. Int J Oral Maxillofac Implants 9:71–76PubMedGoogle Scholar
  9. 9.
    Quirynen M, De Soete M, van Steenberghe D (2002) Infectious risks for oral implants: a review of the literature. Clin Oral Implants Res 13:1–19CrossRefPubMedGoogle Scholar
  10. 10.
    Roos-Jansåker AM, Renvert S, Egelberg J (2003) Treatment of peri-implant infections: a literature review. J Clin Periodontol 30:467–485CrossRefPubMedGoogle Scholar
  11. 11.
    Schemehorn BR, Zwart AC (1996) The dentin abrasivity potential of a new electric toothbrush. Am J Dent 9:19–20PubMedGoogle Scholar
  12. 12.
    Stålnacke K, Söderfeldt B, Sjödin B (1995) Compliance in use of electric toothbrushes. Acta Odontol Scand 53:17–19PubMedGoogle Scholar
  13. 13.
    Tawse-Smith A, Duncan W, Payne AGT, Thomson WM, Wennström JL (2002) Relative effectiveness of powered and manual toothbrushes in elderly patients with implant-supported mandibular overdentures. J Clin Periodontol 29:275–280CrossRefPubMedGoogle Scholar
  14. 14.
    Truhlar RS, Morris HF, Ochi S (2000) The efficacy of a counter-rotational powered toothbrush in the maintenance of endosseous dental implants. J Am Dent Assoc 131:101–107PubMedGoogle Scholar
  15. 15.
    Van der Velden U (1979) Probing force and the relationship of the probe tip to the periodontal tissues. J Clin Periodontol 6:106–114PubMedGoogle Scholar
  16. 16.
    van Steenberghe D (1997) Outcomes and their measurements in clinical trials of endosseous oral implants. Ann Periodontol 2:291–298PubMedGoogle Scholar
  17. 17.
    van Steenberghe D, Klinge B, Linden U, Quirynen M, Herrmann I Garpland C (1993) Periodontal indices around natural and titanium abutments: a longitudinal multicenter study. J Periodontol 64:538–541PubMedGoogle Scholar
  18. 18.
    Warren PR, Chater BV (1996) The role of the electric toothbrush in the control of plaque and gingivitis: A review of 5 years clinical experience with the Braun Oral-B Plaque Remover (D7) Am J Dent 9: S5–S11Google Scholar
  19. 19.
    Warren PR, Smith Ray T, Cugini M, Chater BV (2000) A practice-based study of a power toothbrush: assessment of effectiveness and acceptance. J Am Dent Assoc 131:389–394PubMedGoogle Scholar
  20. 20.
    Wennström JL, Bengazi F, Lekholm U (1994) The influence of the masticatory mucosa on the peri-implant soft tissue condition. Clin Oral Implants Res 5:1–8CrossRefPubMedGoogle Scholar
  21. 21.
    Wilson TG Jr (1996) A typical maintenance visit for patients with dental implants. Periodontol 2000 12:29PubMedGoogle Scholar
  22. 22.
    Wolff L, Kim A, Nunn M, Bakdash B, Hinrichs J (1998) Effectiveness of a sonic toothbrush in maintenance of dental implants: A prospective study. J Clin Periodontol 25:821–828PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • B. Vandekerckhove
    • 1
  • M. Quirynen
    • 1
  • P. R. Warren
    • 2
  • J. Strate
    • 2
  • D. van Steenberghe
    • 1
  1. 1.Department of Periodontology, School of Dentistry, Oral Pathology and Maxillo-Facial SurgeryFaculty of Medicine, Catholic University of LeuvenLeuvenBelgium
  2. 2.Braun A.A.G.KronbergGermany

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