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Medical Forum / General / Dentistry / June 2006

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electric or manual brushing?

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JimSocal - 01 Jun 2006 19:05 GMT
Okay, I'd like to get a consensus from all you dentists and dental
students as to the efficacy of electric toothbrushes, especially as
compared to the old manual type hand-powered brushes.

1) Are electric toothbrushes generally better than manual brushing?

2) Are there any downsides to electric toothbrushes IF USED PROPERLY?
(I know one can damage one's gums if one does not use them right. What
are the main things NOT to do with an electric toothbrush?

3) Are SonicCare electric brushes really better than the Braun/OralB
types?

I have the OralB "Professional Care 7400" with 40,000 pulsations and
8,800 oscillations, but it's not the top of the line model. Says it
removes up to 95% of plaque from hard-to-reach areas and removes 2
times more plaque than a manual toothbrush. (True?)

Any other comments on manual vs. electric brushing?
Perio Blog - 01 Jun 2006 20:40 GMT
Hi Jim,
Most of the research data comparing the manual and electric or
ultrasonic brushe( UB) have found tht UB is equall or slightly more
effective than the manual brushes. The are slightly more effective at
removing the stains as compared to the manual brushes. It requires
lesser dexterity as compared to the manual brushes. Oral B is involved
with lot of scientific studies and so obiviously they have data to
prove wht they claim... and shud make them one of the top runners in
the brands of brushes.
Hope this helps
Regards,
Vinayak
hhtp://perio-blog.blogspot.com
> Okay, I'd like to get a consensus from all you dentists and dental
> students as to the efficacy of electric toothbrushes, especially as
[quoted text clipped - 15 lines]
>
> Any other comments on manual vs. electric brushing?
George - 01 Jun 2006 20:51 GMT
> Okay, I'd like to get a consensus from all you dentists and dental
> students as to the efficacy of electric toothbrushes, especially as
[quoted text clipped - 15 lines]
>
> Any other comments on manual vs. electric brushing?

Hi Jim,
The Cochrane group did a meta-analysis of all the various clinical
trials that have been performed so far concerning manual and electric
toothbrushes. It's been some time since I read it and you will probably
want to look it up yourself (I think it's available in the net), but
you will pleased to know you're using the type of toothbrush that came
first.
Sonic toothbrushes did not remove more plaque than manual toothbrushes
(when the manual ones were used properly of course), but the
oscillation-type toothbrushes removed something like 15% more plaque
(don't remember the exact amount).
So I would say that the oscillation brushes are the best currently and
this is the kind I'm using as well, but I wouldn't go as far as being
twice as good as a manual toothbrush. However, we will have to remember
that using a manual toothbrush properly (bass method and all that) is a
very hard job, especially when the bed is calling you. An electric is
considerably easier to use and will provide good results even when our
determination fails us.

The trick using the electric is to follow the same guidelines as for
the manual. Take your time and don't put any strength into it, just let
the brush do its job. Plaque adheres to teeth weakly and you don't need
any pressure to remove it. What I do is first use the regular head to
clean the smooth surfaces, which doesn't take much time, and then I
concentrate on using the "interproximal" head to clean along the
gumlines. I still floss before brushing, of course. By the time I'm
finished there's usually nothing visible left on my teeth and they feel
great. I only do this once a day at evening; at other times I don't
really have time for more than a quick brushing.

Regards,
George
Mark A - 02 Jun 2006 04:16 GMT
> Okay, I'd like to get a consensus from all you dentists and dental
> students as to the efficacy of electric toothbrushes, especially as
[quoted text clipped - 15 lines]
>
> Any other comments on manual vs. electric brushing?

I have never met a dentist or dental hygienist who did not strongly
recommend an electric toothbrush. This is especially important since most
tooth cleanings are done for a fixed price via insurance, regardless of the
amount cleaning time required.

I have had some hygienists recommend the SonicCare over the OralB, but they
are both better than manual. If you have already have a OralB, I would stay
with it until you need a new one, and then ask your hygienist for an
opinion.
JimSocal - 04 Jun 2006 03:02 GMT
Thanks to all who answered this.
I'm glad to know I'm on the right track with my Braun/OralB electric
model.
 
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