Comparison of Plaque Removal Efficacy Between Sonic, Roto-Oscillating, and Manual Toothbrushes in Patients Undergoing Fixed Orthodontic Therapy: a Systematic Review

https://doi.org/10.56609/jac.v43i1.463

Authors

  • A. Pardo Head and Neck Department Department of Surgery Dentistry Pediatrics and Gynecology University of Verona Verona Italy
  • A. Zangani Head and Neck Department Department of Surgery Dentistry Pediatrics and Gynecology University of Verona Verona Italy
  • P. Montagna Head and Neck Department Department of Surgery Dentistry Pediatrics and Gynecology University of Verona Verona Italy
  • A. Scantamburlo Head and Neck Department Department of Surgery Dentistry Pediatrics and Gynecology University of Verona Verona Italy
  • E. Messina Head and Neck Department Department of Surgery Dentistry Pediatrics and Gynecology University of Verona Verona Italy
  • F. Baccini University Center of Health Professions Provincial Agency for Health Services Trento Italy
  • A. Ugolini Head and Neck Department Department of Surgery Dentistry Pediatrics and Gynecology University of Verona Verona Italy
  • G. Colapinto Head and Neck Department Department of Surgery Dentistry Pediatrics and Gynecology University of Verona Verona Italy
  • N. Tomizioli Head and Neck Department Department of Surgery Dentistry Pediatrics and Gynecology University of Verona Verona Italy
  • F. Melloni Head and Neck Department Department of Surgery Dentistry Pediatrics and Gynecology University of Verona Verona Italy
  • M. Gualtieri Head and Neck Department Department of Surgery Dentistry Pediatrics and Gynecology University of Verona Verona Italy
  • N. Cordioli Head and Neck Department Department of Surgery Dentistry Pediatrics and Gynecology University of Verona Verona Italy
  • M. Beccherle Head and Neck Department Department of Surgery Dentistry Pediatrics and Gynecology University of Verona Verona Italy
  • P. Faccioni Head and Neck Department Department of Surgery Dentistry Pediatrics and Gynecology University of Verona Verona Italy

Keywords:

sonic toothbrushes, roto-oscillating toothbrushes, manual toothbrushes, orthodontic therapy, oral hygiene, dental plaque

Abstract

Orthodontic treatment, especially fixed orthodontic treatment, increases the amount of plaque in the oral cavity due to the difficulty in brushing because of the presence of brackets. The aim of this systematic review was to compare different types of toothbrushes, that is, sonic, roto-oscillating, and manual, to determine the best method for removing plaque during treatment with fixed orthodontics. The review was conducted using the PubMed and Cochrane Library databases. The 2020 PRISMA guidelines were used for this study. Nine studies between 2013 and 2023 were included, two of which considered sonic toothbrushes in relation to others, and seven investigated roto-oscillating toothbrushes with other types. The aim of this study was to observe how plaque indices change based on the device used. Each study used a distinct method of instruction and follow-up. According to statistical data and plaque percentages, the best device appears to be a roto-oscillating toothbrush combined with an orthodontic brush head. However, it remains essential that patients, throughout the treatment, are motivated to have good oral hygiene at home and follow up to ensure the treatment is effective.

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Author Biography

E. Messina, Head and Neck Department Department of Surgery Dentistry Pediatrics and Gynecology University of Verona Verona Italy

Corresponding author:

Elena Messina, DDS

Head and Neck Department,

Department of Surgery, Dentistry,

Pediatrics and Gynecology,

University of Verona,

Verona, Italy.

e-mail: elena.messina@univr.it.

 

Published

2025-03-06

How to Cite

[1]
Pardo, A., Zangani, A., Montagna, P., Scantamburlo, A., Messina, E., Baccini, F., Ugolini, A., Colapinto, G., Tomizioli, N., Melloni, F., Gualtieri, M., Cordioli, N., Beccherle, M. and Faccioni, P. 2025. Comparison of Plaque Removal Efficacy Between Sonic, Roto-Oscillating, and Manual Toothbrushes in Patients Undergoing Fixed Orthodontic Therapy: a Systematic Review. Journal of Applied Cosmetology. 43, 1 (Mar. 2025), 58/70. DOI:https://doi.org/10.56609/jac.v43i1.463.

Issue

Vol. 43 No. 1 (2025): Journal of Applied Cosmetology Supplement

Section

SYSTEMATIC REVIEW
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Europe PMC

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