Effectiveness of chewable toothbrushes compared to manual toothbrushes in removing dental plaque - A systematic review and meta-analysis

Objective: Chewable toothbrushes (CT) are considered an effective tool for dental plaque removal; however, their effectiveness is still uncertain compared to Manual toothbrushes (MT). Aim: To evaluate the effectiveness of CT compared to MT in dental plaque removal. Methods: Studies comparing the eff...

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Main Authors: Hunny Sharma, Manisha Ruikar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Dental Research
Subjects:
Online Access:http://www.ijdr.in/article.asp?issn=0970-9290;year=2022;volume=33;issue=4;spage=445;epage=451;aulast=Sharma
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author Hunny Sharma
Manisha Ruikar
author_facet Hunny Sharma
Manisha Ruikar
author_sort Hunny Sharma
collection DOAJ
description Objective: Chewable toothbrushes (CT) are considered an effective tool for dental plaque removal; however, their effectiveness is still uncertain compared to Manual toothbrushes (MT). Aim: To evaluate the effectiveness of CT compared to MT in dental plaque removal. Methods: Studies comparing the efficiency of CT and MT in dental plaque removal measured by Turesky Modification of Quigley-Hein Plaque Index (TMQHI), Quigley-Hein Plaque Index (QHI), or Silness Loe Plaque Index (SLPI) were identified in PubMed, Medline Web of Science, Google Scholar, and the CENTRAL. Results and effect sizes estimate are presented as mean difference, and subgroup analysis is presented separately for non-randomised interventional studies and randomised intervention studies. Risk of bias was assessed using the Cochrane risk of bias tool (ROBINS-I and ROB2 tool). Results: A total of 10 studies were included in the systematic review, whereas six out of 10 studies were included in the meta-analysis. Both CT and MT were effective in plaque reduction over time when compared individually using the TMQHI and SLPI scores. The overall pooled summary showed no difference in CT and MT's dental plaque removal ability when measured using the TMQHI score. Similarly, there was no difference in CT and MT's dental plaque removal ability when measured using the SLPI score. Conclusion: There is no significant difference in CT and MT's plaque removal ability. Therefore, CT should only be recommended for children and individuals with a disability or manual dexterity. Objective: Chewable toothbrushes (CT) are considered an effective tool for dental plaque removal;
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spelling doaj.art-501c159713fb482fa380afc4e8dba5072023-05-18T05:27:17ZengWolters Kluwer Medknow PublicationsIndian Journal of Dental Research0970-92901998-36032022-01-0133444545110.4103/ijdr.ijdr_1158_21Effectiveness of chewable toothbrushes compared to manual toothbrushes in removing dental plaque - A systematic review and meta-analysisHunny SharmaManisha RuikarObjective: Chewable toothbrushes (CT) are considered an effective tool for dental plaque removal; however, their effectiveness is still uncertain compared to Manual toothbrushes (MT). Aim: To evaluate the effectiveness of CT compared to MT in dental plaque removal. Methods: Studies comparing the efficiency of CT and MT in dental plaque removal measured by Turesky Modification of Quigley-Hein Plaque Index (TMQHI), Quigley-Hein Plaque Index (QHI), or Silness Loe Plaque Index (SLPI) were identified in PubMed, Medline Web of Science, Google Scholar, and the CENTRAL. Results and effect sizes estimate are presented as mean difference, and subgroup analysis is presented separately for non-randomised interventional studies and randomised intervention studies. Risk of bias was assessed using the Cochrane risk of bias tool (ROBINS-I and ROB2 tool). Results: A total of 10 studies were included in the systematic review, whereas six out of 10 studies were included in the meta-analysis. Both CT and MT were effective in plaque reduction over time when compared individually using the TMQHI and SLPI scores. The overall pooled summary showed no difference in CT and MT's dental plaque removal ability when measured using the TMQHI score. Similarly, there was no difference in CT and MT's dental plaque removal ability when measured using the SLPI score. Conclusion: There is no significant difference in CT and MT's plaque removal ability. Therefore, CT should only be recommended for children and individuals with a disability or manual dexterity. Objective: Chewable toothbrushes (CT) are considered an effective tool for dental plaque removal;http://www.ijdr.in/article.asp?issn=0970-9290;year=2022;volume=33;issue=4;spage=445;epage=451;aulast=Sharmadental cariesdental plaquegingivitismotor skillsoral hygienetoothbrushing
spellingShingle Hunny Sharma
Manisha Ruikar
Effectiveness of chewable toothbrushes compared to manual toothbrushes in removing dental plaque - A systematic review and meta-analysis
Indian Journal of Dental Research
dental caries
dental plaque
gingivitis
motor skills
oral hygiene
toothbrushing
title Effectiveness of chewable toothbrushes compared to manual toothbrushes in removing dental plaque - A systematic review and meta-analysis
title_full Effectiveness of chewable toothbrushes compared to manual toothbrushes in removing dental plaque - A systematic review and meta-analysis
title_fullStr Effectiveness of chewable toothbrushes compared to manual toothbrushes in removing dental plaque - A systematic review and meta-analysis
title_full_unstemmed Effectiveness of chewable toothbrushes compared to manual toothbrushes in removing dental plaque - A systematic review and meta-analysis
title_short Effectiveness of chewable toothbrushes compared to manual toothbrushes in removing dental plaque - A systematic review and meta-analysis
title_sort effectiveness of chewable toothbrushes compared to manual toothbrushes in removing dental plaque a systematic review and meta analysis
topic dental caries
dental plaque
gingivitis
motor skills
oral hygiene
toothbrushing
url http://www.ijdr.in/article.asp?issn=0970-9290;year=2022;volume=33;issue=4;spage=445;epage=451;aulast=Sharma
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AT manisharuikar effectivenessofchewabletoothbrushescomparedtomanualtoothbrushesinremovingdentalplaqueasystematicreviewandmetaanalysis