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VOLUME 19 , ISSUE 10 ( 2018 ) > List of Articles


Toothbrushing–Should We Advise Mechanical or Power Brushes? Results of an International Delphi Conference

Crawford Bain, Arwa Al Sayed, Eleftherios G Kaklamanos, Hizbullah AA Kazi

Keywords : Delphi consensus conference, Manual brushes, Power brushes, Toothbrushing

Citation Information : Bain C, Sayed AA, Kaklamanos EG, Kazi HA. Toothbrushing–Should We Advise Mechanical or Power Brushes? Results of an International Delphi Conference. J Contemp Dent Pract 2018; 19 (10):1169-1173.

DOI: 10.5005/jp-journals-10024-2401

License: CC BY-NC 3.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Background and aim: To develop evidence-based answers to a series of questions in relation to toothbrushing using a modified Delphi consensus approach. Oral hygiene and especially toothbrushing have been a fundamental part of the efforts to prevent caries and gingivitis. The questions discussed involved the frequency and duration of brushing, the effectiveness and safety of powered brushes and the recommendations for children and orthodontic patients. Review results: The Delphi panel agreed that twice daily brushing for 2 minutes and a systematic pattern is advised. Moreover, it was concluded that evidence suggests that power brushes are safe and more effective in the short and long-term compared to manual brushes in terms of plaque removal and gingivitis reduction. For children and orthodontic patients, the likelihood of enhancing compliance/convenience with use of a power brush was highlighted. Conclusion: Toothbrushing constitutes a fundamental part of the efforts to prevent caries and gingivitis. Clinical significance: Twice daily brushing for 2 minutes and a systematic pattern is advised. Power brushes are safe and could provide benefits, for adults, children and orthodontic patients.

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