Evidence-based dentistry最新文献

{"title":"Restorative strategies for deciduous anterior teeth: A systematic review and meta-analysis","authors":"Rodolfo de Carvalho Oliveira, Jonathan Rafael Garbim, Ana Laura Passaro, Tamara Kerber Tedesco, Daniela Prócida Raggio","doi":"10.1038/s41432-025-01144-5","DOIUrl":"10.1038/s41432-025-01144-5","url":null,"abstract":"Common causes of destruction in primary anterior teeth include dental caries and trauma. This systematic review evaluated the success rate of restorative techniques for these cases. Systematic searches were conducted in Medline (PubMed), Scopus, Web of Science, Cochrane, Embase, and ProQuest until February 2024. Randomized controlled trials and non-randomized studies of interventions with ≥12 months of follow-up were included. Exclusion criteria were: studies with >30% loss to follow-up, unclear evaluation criteria, management under general anesthesia, unhealthy patients, or lacking individual success data. A meta-analysis assessed success rates, with subgroup analyses. Risk of bias was evaluated using RoB 2 and ROBINS-I, and evidence certainty was assessed using the GRADE system. Eight studies involving 852 teeth from 271 children aged 2–9 years, with follow-ups of 3–36 months, were included. The meta-analysis revealed a 71% success rate at 12 months for all techniques. Strip crowns (79%) and zirconia crowns (70%) had the highest success rates for teeth without endodontic treatment. Intracanal posts (resin or glass fiber) achieved an 83% success rate for teeth requiring endodontic treatment. Evidence certainty was low. Strip crowns and zirconia crowns performed well for teeth without endodontic treatment, with strip crowns offering a simpler and less technique-sensitive option. Biological restorations had poorer outcomes due to their complexity, sensitivity, and the need for a tooth biobank, raising legal and logistical challenges. Although zirconia crowns require extensive subgingival preparation, they align less with minimally invasive principles compared to strip crowns. Intracanal posts showed high success rates for teeth needing endodontic treatment, regardless of the material used. Strip crowns appear to be a suitable option for restoring primary anterior teeth that do not require endodontic treatment. For teeth requiring endodontic treatment, the use of intracanal posts combined with strip crowns seems to yield satisfactory results.","PeriodicalId":12234,"journal":{"name":"Evidence-based dentistry","volume":"26 3","pages":"149-149"},"PeriodicalIF":2.3,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do clinical consequences of pulp involvement due to dental caries cause impact on quality of life of children and adolescents?","authors":"C. Albert Yeung","doi":"10.1038/s41432-025-01154-3","DOIUrl":"10.1038/s41432-025-01154-3","url":null,"abstract":"Reis P P G, Jorge R C, Marañón-Vásquez G A, Fidalgo T K D S, Maia L C, Soviero V M. Impact of clinical consequences of pulp involvement due to caries on oral health-related quality of life in children and adolescents: a systematic review and meta-analysis. Caries Res 2025; 59: 71–83. Six electronic databases (PubMed, Scopus, Web of Science, Embase, BBO/VHL and Cochrane Library) and Google Scholar were searched in August 2022. Handsearching of the reference lists in the included studies were also carried out. Observational studies that assessed children/adolescents with clinical consequences of pulp involvement due to dental caries compared with those without them and its impact on their oral health-related quality of life (OHRQoL) were included. Pulp involvement should have been clinically assessed as pulp exposure (both vital and necrotic), abscess or fistula. Two review authors independently scanned the titles and available abstracts of all the articles identified through the electronic searches. The full text of studies that appeared to meet the inclusion criteria or for which there were insufficient data in the title and abstract were obtained to make a definitive decision. A third review author was consulted in cases of disagreement. All rejected studies and reasons for excluding them were recorded in the table for the list of excluded publications. Data were independently extracted from the included studies by two review authors using data extraction tables. The methodological quality assessment was conducted using the JBI critical appraisal checklist for analytical cross-sectional studies. The studies were grouped according to participants’ age range (preschoolers, schoolchildren and adolescents) and instruments used to measure OHRQoL. To be included in the meta-analyses, the studies should have used PUFA index. The mean differences (MD) or the standardised mean differences (SMD) were calculated for numerical outcome and odds ratio (OR) was calculated for dichotomous outcome. Robustness, heterogeneity, certainty of evidence and publication bias were assessed. All 29 included studies were cross-sectional and the sample sizes ranged from 30 to 1794 participants. Fourteen studies assessed preschoolers, nine assessed schoolchildren, four assessed adolescents and two assessed children and adolescents. Most studies used PUFA index to assess the exposure. ECOHIS (preschoolers) and CPQ (children/adolescents) were the main tools used to assess the outcome. Only five articles fully adhered to the quality criteria. The meta-analyses revealed the following main results: (a) preschoolers: MD −10.79 (95% CI −16.50 to −5.09); (b) schoolchildren: MD −5.12 (95% CI −7.51 to −2.72); (c) adolescents: MD −1.86 (95% CI −4.59 to 0.87); (d) overall impact: SMD −2.18 (95% CI −3.21 to −1.15) and OR 0.52 (95% CI 0.30–0.90). Clinical consequences of pulp involvement negatively impacted the OHRQoL of children. In adolescents, this impact was not observed. However, the","PeriodicalId":12234,"journal":{"name":"Evidence-based dentistry","volume":"26 2","pages":"95-96"},"PeriodicalIF":2.3,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between restoration of missing teeth with dentures and cognitive function","authors":"Lata Goyal, Komal Kaur Saroya, Shipra Gupta, Shubham Sareen","doi":"10.1038/s41432-025-01150-7","DOIUrl":"10.1038/s41432-025-01150-7","url":null,"abstract":"Ma X, Zhang Y, Wang J et al. Association between denture restoration for tooth loss and cognitive impairment: a systematic review and meta-analysis. J Prosthodont Res 2025; https://doi.org/10.2186/jpr.JPR_D_24_00060 . A search was conducted across five electronic databases, including PubMed, EMBASE, Cochrane Library, MEDLINE, and CNKI, from January 2000 to January 2024. The search strategy included keywords related to tooth loss, dentures, cognitive function, memory loss and dementia. Reference lists of relevant studies were also screened to identify additional articles. The search was limited to the English language only. Observational studies examining the association between denture restoration and cognitive impairment were included. Eligible studies had to report cognitive impairment or dementia as the outcome and denture restoration as the exposure factor. Six studies with a total of 24,252 participants met the inclusion criteria. Two independent reviewers extracted relevant data, including study design, participant characteristics, dental status, cognitive assessment methods, and statistical results. Meta-analysis was conducted using risk ratios (RR) with 95% confidence intervals (CI), applying a random-effects model due to clinical and methodological variations. Newcastle-Ottawa Scale and the Agency for Healthcare research and quality scale were used for quality assessment of included studies. Beg- Mazumdar and Egger regression tests were used to assess the publication bias. The meta-analysis revealed that participants with tooth loss without dentures had a 1.27-fold higher odds of having cognitive impairment, whereas those with dentures had only a 1.02-fold odds. A dose-response analysis showed that each additional missing tooth increased the cognitive impairment risk by 1.009 times in the non-denture group, while the denture group exhibited a lower risk increase of 1.003 times. Heterogeneity was influenced by follow-up duration and cognitive assessment tools. There was significant evidence of publication bias in non denture group as compared to the denture restoration group which showed nonsignificant evidence of publication bias. This study suggests denture restoration is associated with a reduced risk of cognitive impairment in individuals with tooth loss. The findings highlight the potential protective role of timely denture rehabilitation in mitigating cognitive decline. Future research should focus on longitudinal and interventional studies to establish causality.","PeriodicalId":12234,"journal":{"name":"Evidence-based dentistry","volume":"26 2","pages":"85-86"},"PeriodicalIF":2.3,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Randomized controlled trials in evidence-based dentistry.","authors":"Samantha Watt","doi":"10.1038/s41432-025-01141-8","DOIUrl":"https://doi.org/10.1038/s41432-025-01141-8","url":null,"abstract":"","PeriodicalId":12234,"journal":{"name":"Evidence-based dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of sugar-sweetened beverages on salivary parameters: A systematic review & meta-analysis","authors":"Paramarshi Das, Upendra Singh Bhadauria, Bharathi M. Purohit, Harsh Priya, Prasanta Majumder, Manali Deb Barma","doi":"10.1038/s41432-025-01147-2","DOIUrl":"10.1038/s41432-025-01147-2","url":null,"abstract":"Sugar Sweetened Beverages (SSB) can significantly influence saliva leading to a more acidic environment which makes our oral cavity prone to various oral diseases. This study investigates the influence of SSBs on salivary parameters by analyzing the existing plethora of research. To systematically review and analyze the impact of SSBs on changes in salivary pH, flow rate and bacterial proliferation. Pubmed, Embase, EBSCO, Web of Science, and Cochrane databases were searched using the PECO strategy. Risk of Bias was assessed using Newcastle Ottawa Scale and Cochrane Risk of Bias assessment tools. Meta-analysis was conducted among the eligible studies using a random effects model. A total of twenty eight studies were found eligible after a thorough PRISMA search in the databases. Many studies consistently demonstrated a rapid decline in salivary pH post-SSB consumption, creating an acidic environment conducive to enamel demineralization. Few studies also reported reduced salivary flow rate and prolonged oral clearance times. Increased proliferation of acidogenic bacteria and fungi was noted. Risk of bias was low overall, but a few studies reported limitations such as randomization bias and missing data. Consumption of sugar sweetened beverages significantly impact salivary parameters, fostering an oral environment prone to diseases such as dental caries and periodontal infections. Public health interventions and policies are essential to reduce SSB consumption and promote oral health.","PeriodicalId":12234,"journal":{"name":"Evidence-based dentistry","volume":"26 3","pages":"152-153"},"PeriodicalIF":2.3,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Monolithic zirconia outperforms metal-ceramic in mechanical reliability for single implant crowns but lacks long-term validation","authors":"Kelvin I. Afrashtehfar","doi":"10.1038/s41432-025-01137-4","DOIUrl":"10.1038/s41432-025-01137-4","url":null,"abstract":"Malhotra T, Kumar Yadav B, Singh Phukela S et al. A comparative evaluation of prosthetic and biologic outcomes as influenced by two different implant restorative materials: a prospective, split-mouth study. Int J Prosthodont. 2025; https://doi.org/10.11607/ijp.8729 . This was a prospective split-mouth study, where each patient received monolithic zirconia and metal-ceramic implant-supported crowns on contralateral sides in the same arch. This design guaranteed direct intra-patient comparison, reducing inter-individual variability. Twenty partially edentulous patients (14 males, 6 females) were selected based on strict inclusion criteria, ensuring bilateral posterior implant placement with opposing natural dentition. Patients with parafunctional habits, active periodontal disease, or systemic conditions affecting bone metabolism were excluded. Implant placement and prosthetic restoration were performed per standard clinical protocols. The study assessed outcomes at baseline, 1-year, and 2-year follow-ups, measuring prosthetic integrity, periodontal health, and inflammatory markers. Clinical indices (plaque index, bleeding on probing, probing depth), peri-implant crevicular fluid biomarkers (MMP-8 levels), and prosthetic performance (USPHS criteria) were statistically analysed using chi-square tests, ANOVA, and Student t-tests, with significance set at P < 0.05. Both materials showed 100% implant and prosthetic survival rate over 2 years. Metal-ceramic crowns exhibited higher incidences of ceramic chipping and screw loosening, while monolithic zirconia crowns demonstrated greater mechanical stability but poorer aesthetic match. No significant differences in marginal bone loss (MBL) or MMP-8 inflammatory marker levels were observed between groups. However, higher plaque index (PI) and probing depth (PD) were recorded for metal-ceramic crowns. Monolithic zirconia crowns demonstrate superior mechanical reliability and fewer technical complications but have aesthetic limitations compared to metal-ceramic crowns. Biologic outcomes were comparable between both materials. Clinicians should weigh mechanical durability versus aesthetic demands when selecting implant-supported restorations. Further long-term studies are recommended to validate these findings.","PeriodicalId":12234,"journal":{"name":"Evidence-based dentistry","volume":"26 2","pages":"76-77"},"PeriodicalIF":2.3,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143963818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimally invasive advantage? Patient feedback supports osseodensification in sinus lift surgery","authors":"Omer Waleed Majid","doi":"10.1038/s41432-025-01155-2","DOIUrl":"10.1038/s41432-025-01155-2","url":null,"abstract":"Gaspar J, Botelho J, Proença L et al. Osseodensification versus lateral window technique for sinus floor elevation with simultaneous implant placement: a randomized clinical trial on patient-reported outcome measures. Clin Implant Dent Relat Res 2024; 26: 113–126. A randomized, controlled, parallel-arm clinical trial. To compare patient-reported and surgical outcomes between osseodensification (OD) and lateral window (LW) techniques for sinus floor elevation (SFE) with concurrent implant placement. The study received approval from the local Ethics Committee, followed the Helsinki Declaration and CONSORT guidelines, and obtained written informed consent from all participants. Eligibility criteria included adults aged 18 or older, in good systemic health, with a missing posterior maxillary tooth, residual bone height (RBH) ≤ 4 mm, and crestal bone width >6 mm. Patients were randomly assigned to either the OD group or the LW group. Both techniques involved simultaneous single implant placement, and all surgical and prosthetic procedures were performed by one experienced clinician. Primary outcomes were pain (measured on a visual analogue scale), and quality of life (QoL) using a modified Oral Health Impact Profile-14 (OHIP-14) questionnaire, assessed daily for the first week postoperatively. Patients also self-reported symptoms like edema, hematoma, and epistaxis using a 5-point Likert scale. Secondary outcomes included implant stability (ISQ), surgery duration, complications, and analgesic use. Follow up extended for 1 year. A total of 20 participants (8 males, 12 females; mean age 47.9 years) were included in the study. Up to Day 3, pain levels were significantly lower (p < 0.05) in OD group, which also had a significantly reduced average analgesic intake throughout the first postoperative week (p < 0.001) compared to LW group. The OHIP-14 total scores were significantly lower in OD group on all days except Day 5 (p < 0.05). The mean surgical time was significantly shorter in the OD group (33 vs. 71 min; p < 0.001). Additionally, postoperative symptoms and complications were significantly fewer (p < 0.001), and the ISQ at 6 months was higher in the OD group (p < 0.05). All implants were restored using screw-retained zirconia crowns, with a 100% success rate. Both OD and LW techniques were effective for SFE with simultaneous implant placement in cases with RBH ≤ 4 mm. However, OD showed superior short-term outcomes, including less pain and swelling, faster surgery, lower analgesic use, and improved QoL measures.","PeriodicalId":12234,"journal":{"name":"Evidence-based dentistry","volume":"26 3","pages":"123-124"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Articaine buccal infiltration for mandibular first molars with irreversible pulpitis: is the evidence enough?","authors":"Omer Waleed Majid","doi":"10.1038/s41432-025-01153-4","DOIUrl":"10.1038/s41432-025-01153-4","url":null,"abstract":"Saatchi M, Mohammadi G, Iranmanesh P et al. Articaine buccal infiltration for mandibular first molars with symptomatic irreversible pulpitis: is it as effective as inferior alveolar nerve block with lidocaine? A systematic review and meta-analysis. Clin Oral Investig 2025; 29: 146. A systematic review and meta-analysis. To compare the anesthetic success rate of 4% articaine buccal infiltration (BI) with 2% lidocaine inferior alveolar nerve block (IANB) for lower first molars (LM1) presenting with symptomatic irreversible pulpitis. This systematic review, registered in PROSPERO and conducted per PRISMA guidelines, included randomized clinical trials (RCTs) on adults (≥18 years) with symptomatic irreversible pulpitis in LM1, using a single cartridge (1.7–1.8 ml) of either articaine BI or lidocaine IANB as the primary injection. Studies were excluded if they were non-RCTs, used other anesthetics or techniques, included supplemental injections, used articaine BI as a secondary method, or did not report results specific to LM1. Anesthetic success was defined as patient-reported pain <4 on a visual analog scale (VAS) during cavity access or canal instrumentation. A comprehensive English-language search was conducted across five databases and gray literature sources, with manual searches of key journals and textbooks. Two independent reviewers handled screening and data extraction. Risk of bias was assessed with the Cochrane RoB2 tool. A fixed-effect meta-analysis estimated pooled risk ratios, with tests for heterogeneity and publication bias. Trial Sequential Analysis (TSA) was utilized to evaluate the robustness of the evidence, and the GRADE approach assessed certainty. From 780 initial records, five RCTs met the inclusion criteria after full screening. These trials included 405 patients aged 18–65, each comparing 4% articaine BI (1:100,000 epinephrine) against 2% lidocaine IANB (three with 1:100,000 and two with 1:200,000 epinephrine). No adverse effects were reported in three studies; the remaining two did not address safety. Risk of bias was low in three trials, with two showing some concerns due to unclear randomization and blinding. No publication bias was detected. Of the 405 first molars with irreversible pulpitis, 284 cases (70%) demonstrated successful pulpal anesthesia. The meta-analysis showed similar anesthetic success rates between articaine BI (72.2%) and lidocaine IANB (68.1%) [RR = 1.06, 95% CI: 0.93–1.20, I2 = 24.51%]. However, TSA indicated that current evidence is inconclusive due to insufficient sample size. According to GRADE, the overall certainty of evidence was rated as moderate, with concerns primarily related to imprecision. Moderate evidence indicates that 4% articaine BI offers anesthetic efficacy comparable to 2% lidocaine IANB for LM1 with symptomatic irreversible pulpitis. Although additional high-quality clinical trials are needed to validate these results, articaine BI may present a promising alternative to the tra","PeriodicalId":12234,"journal":{"name":"Evidence-based dentistry","volume":"26 2","pages":"89-90"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Questionnaires related to Evidence-Based Practice applied to dentists, faculty members or dental students: a scoping review","authors":"Viviane Oliveira Prado, Carlos Flores-Mir, Magda Feres, Luciana Faria Sanglard, Rafaela Manente, Paulo Nelson-Filho, Murilo Fernando Neuppmann Feres","doi":"10.1038/s41432-025-01136-5","DOIUrl":"10.1038/s41432-025-01136-5","url":null,"abstract":"Numerous instruments have been suggested to analyze the essential Evidence-Based Dentistry (EBD) dimensions, but it is unclear whether they were comprehensive and validated appropriately. To investigate instruments that assess EBD-related dimensions. We included primary studies involving dentists, faculty members, or dental students at any level of professional career that described validation or translation/transcultural adaptation processes of EBD instruments or reported the application of such instruments. Searches were conducted at PubMed, Embase, Web of Science, and Scopus, along with manual searches in EBD journals, Google Scholar and reference lists. Descriptive data were collected and standardized in tables, and summarized. Fifty studies were included. The KACE (Knowledge, Attitudes, Access, and Confidence Evaluation) instrument demonstrated clarity, internal consistency, face validity, discriminant validity, and responsiveness, but neglected important dimensions such as EBD-related practices, patient benefits, barriers/facilitators, and willingness to learn and disseminate EBD practices. The modified Berlin questionnaire designed to measure perceived/actual knowledge, showed clarity, internal consistency, content validity, and discriminant validity, but lacked data on reproducibility, face validity, construct validity, and responsiveness. Other questionnaires, while broader, had significant limitations in reported reliability and validation. Although the KACE instrument and the modified Berlin questionnaire underwent relatively rigorous reliability and validation testing, they were considered insufficiently comprehensive. When analyzed together, other questionnaires were found to be relatively more comprehensive, but they exhibited more significant limitations regarding reported reliability and validation assessments. This suggests the need for a novel instrument that fulfills a more significant number of validation phases and EBD-related dimensions.","PeriodicalId":12234,"journal":{"name":"Evidence-based dentistry","volume":"26 3","pages":"148-149"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Should clinicians recommend oscillating-rotating toothbrushes over sonic models for superior plaque and gingivitis control?","authors":"A. Selva Arockiam, P. Nithya Nandhini, Praveen Chandrashekaraiah, Reshma Benzigar, Ramya Shivananjan","doi":"10.1038/s41432-025-01143-6","DOIUrl":"10.1038/s41432-025-01143-6","url":null,"abstract":"Adam R, Grender J, Timm H, Qaqish J, Goyal C R. A randomized controlled trial evaluating a novel oscillating-rotating electric toothbrush versus a sonic toothbrush for plaque and gingivitis. Am J Dent 2025; 38: 3–8. The study was a rigorously designed, single-center, examiner-blinded, randomized controlled trial. It included adult participants presenting with clinical signs of gingivitis and visible plaque. Subjects were randomly assigned to use either an oscillating-rotating electric toothbrush or a high-end sonic electric toothbrush. Both groups brushed twice daily for four weeks using a standard sodium fluoride toothpaste. Gingival inflammation was evaluated using the Modified Gingival Index and the Gingival Bleeding Index. Plaque accumulation was assessed via the Rustogi Modification of the Navy Plaque Index. Data were collected at baseline, immediately after a single brushing session and after four weeks of consistent use. Participants were adults diagnosed with plaque-induced gingivitis. They were randomized into two arms: one group used the Oral-B iO2 toothbrush with the Ultimate Clean brush head in Daily Clean mode while the other group used the usmile Marble-Art toothbrush with the Advanced Whitening brush head in high-intensity clean mode. All participants followed a standardized brushing regimen. Examiner blinding was implemented to reduce observational bias and enhance objectivity. Gingival inflammation and plaque levels were assessed at three distinct intervals. The percentage of participants achieving gingival health defined as fewer than ten percent of bleeding sites was also measured. Comparisons were performed within and between groups. The threshold for statistical significance was set at a probability value less than 0.05. Both devices led to statistically significant reductions in plaque accumulation and gingival inflammation. However, the oscillating-rotating toothbrush demonstrated superior performance across all parameters. Participants using this toothbrush exhibited a significantly greater reduction in Modified Gingival Index scores and a marked decrease in the number of bleeding sites. A higher proportion of users in this group attained gingival health status. Plaque removal was more effective following a single brushing session with notable improvements observed throughout the entire mouth, interproximal surfaces and along the gingival margins. These benefits were maintained at the four-week follow-up. The oscillating-rotating toothbrush achieved superior clinical outcomes in the reduction of plaque and gingival inflammation when compared to the sonic toothbrush. Its efficacy was observed both immediately and after consistent use over a four-week period.","PeriodicalId":12234,"journal":{"name":"Evidence-based dentistry","volume":"26 2","pages":"99-100"},"PeriodicalIF":2.3,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}