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

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

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

2025
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Overview
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.
Publisher
World Health Academy Publishing House