Is chewable toothbrush effective in terms of dental plaque reduction in children? A systematic review and meta‐analysis of randomized controlled trials

Author:

Oliveira Leandro Machado12ORCID,Pelissari Thayná Regina1,Oliveira Marta Dutra Machado2

Affiliation:

1. Postgraduate Program in Dentistry, Emphasis on Periodontics, Department of Stomatology Universidade Federal de Santa Maria (UFSM) Santa Maria Rio Grande do Sul Brazil

2. Department of Stomatology, School of Dentistry Universidade Federal de Santa Maria (UFSM) Santa Maria Rio Grande do Sul Brazil

Abstract

AbstractObjectivesTo systematically evaluate randomized controlled trials (RCTs) on whether a chewable toothbrush (CTB) is more effective than a manual toothbrush (MTB) in terms of full‐mouth dental plaque reduction in non‐orthodontic children.Materials and MethodsSix databases were searched by two independent reviewers according to pre‐specified eligibility criteria up to October 2022. No restrictions regarding language, date of publication and minimum follow‐up period were imposed. The Cochrane Collaboration's Risk of Bias tool (RoB 2.0) was used for quality appraisal and GRADE for assessing the certainty of evidence. Random‐effects pairwise meta‐analysis compared the dental plaque change scores of CTB and MTB through mean differences (MDs) and associated confidence intervals (95% CI), and sensitivity analysis determined whether an individual study significantly affected the results.ResultsSeven eligible RCTs were retrieved, including data of 310 children aged 8–14 years. Five RCTs present some concerns and two have high RoB. No significant difference was detected between toothbrushes in terms of Turesky modification of the Quigley‐Hein plaque index reduction (MD = −0.04, 95% CI: −0.26–0.18), with overall very low certainty on evidence. The pooled estimate remains unchanged when any RCT is omitted.ConclusionThere is very low‐certainty evidence of no significant difference on plaque removal between MTB and CTB in non‐orthodontic children. Due to unexplained high heterogeneity and low methodological quality of RCTs, we cannot determine the extent to which our finding reflects a true effect or bias arising from limitations of primary studies.

Funder

Conselho Nacional de Desenvolvimento Científico e Tecnológico

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior

Publisher

Wiley

Subject

Dentistry (miscellaneous)

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Evaluating the Efficacy of Chewable Toothbrushes: A Scoping Review;JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH;2023

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3