title: A split-mouth comparison of a three-dimensional-action electric toothbrush and a high-frequency electric toothbrush for reducing plaque and gingivitis.
abstract: OBJECTIVE
  To compare the effectiveness in reducing plaque and gingivitis of an electric toothbrush with three-dimensional (oscillating/rotating/pulsating) brush head action, Braun Oral-B 3D Plaque Remover, and an electric toothbrush with high-frequency vibrating action, Sonicare Plus.
  
  
  METHODS
  This was a randomised, split-mouth study of 33 adult subjects who used both electric toothbrushes for a total of 9 weeks. After a 2-week acclimation period of brushing with each device on alternating days, subjects received a prophylaxis, then refrained from any oral hygiene on the mandibular teeth for 21 days to induce gingivitis. However, they continued to brush the maxillary teeth on alternating days with each electric toothbrush. Then, for a period of 4 weeks they brushed each side of the mouth with different toothbrushes, randomly assigned to right or left. Plaque and gingivitis were assessed initially, after the 21-day no-oral-hygiene period, and after 2, 3 and 4 weeks of brushing twice daily.
  
  
  RESULTS
  After 21 days without oral hygiene, mean mandibular plaque and gingivitis scores increased significantly for all subjects. Use of both electric toothbrushes during the treatment phase progressively reduced plaque and gingivitis scores at each successive examination. The Braun toothbrush was significantly more effective than the Sonicare toothbrush in reducing plaque at every examination and gingival bleeding after 4 weeks of brushing. It is concluded that the Braun electric toothbrush with three-dimensional brush head action offers advantages over the Sonicare electric toothbrush with high-frequency vibrating action in terms of plaque control and potential improvement of gingival health following induction of experimental gingivitis.
authors.affiliation: Health Science Research Center, Indiana University-Purdue University, Fort Wayne, Indiana 46805-1499, USA. putt@ipfw.edu
authors.forename: M S
authors.initials: MS
authors.lastname: Putt
authors.forename: J L
authors.initials: JL
authors.lastname: Milleman
authors.forename: K R
authors.initials: KR
authors.lastname: Davidson
authors.forename: C J
authors.initials: CJ
authors.lastname: Kleber
authors.forename: M
authors.initials: M
authors.lastname: Cugini
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D003773:Dental Plaque / Q000517:prevention & control*; D003774:Dental Plaque Index; D011211:Electric Power Supplies; D004560:Electricity; D004867:Equipment Design; D004869:Equipment Safety; D005260:Female; D005884:Gingival Hemorrhage / Q000517:prevention & control; D005891:Gingivitis / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010512:Periodontal Index; D012399:Rotation; D016037:Single-Blind Method; D013499:Surface Properties; D014099:Toothbrushing / Q000295:instrumentation*; D014732:Vibration