Table 1: High evidence studies grouped according to referring Mesh.

Mesh Reference Study Design Study Aim Sample Size Conclusions
Manual vs Powered toothbrush Wolff et al. 98 RCT single blind with parallel arms (6 months f.u.) Manual vs. sonic toothbrush in reducing plaque and gingivitis around implants 31 patients,
96 implants
Significant reduction for both manual and sonic toothbrushes (p<0.005) in BI, PI, GI, PPD
Manual vs Powered toothbrush Truhlar et al. 00 Multicenter CCT (24 months f.u.) Analysis of the effectiveness of a counter-rotational powered toothbrush vs. manual method 2966 implants Powered toothbrush has a statistically significant higher plaque removal effect than the manual methods (p<0.001)
Manual vs Powered toothbrush Swierkot et al. 13 RCT single blind (12 months f.u.) Analysis of the effectiveness of a sonic powered toothbrush vs. manual method 83 patients,
290 implants
No statistical significant
differences between groups in BOP, GI, PPD and PI
Powered toothbrush Vandekerckhove
et al. 04
Cohort study (12 months f.u.) Analysis of the acceptability of an oscillating/rotating powered toothbrush and its efficacy on peri-implant health 100 patients Absence of tissue desquamation/ulceration, significant reduction of PPD (p<0.001) and REC (p<0.001)
Homecare Maintenance Grusovin et al. 10 Chochrane review Analysis of the efficacy of self-administered and professional interventions for manintaining peri-implant tissue 11 included studies No statistically significant differences between manual and powered toothbrush. CHX gel has more antiflogistic effect than CHX mouthwash
Homecare Maintenance Louropoulou et al. 14 Systematic review Analysis of the best homecare maintenance procedures for dental implants 699 identified studies, 5 included Lack of evidence for the best homecare maintenance practice
Homecare Maintenance Renvert et al. 19 Consensus report Evidence that periimplant
maintenance therapy is effective in preventing periimplant
1 included study Manual and powered toothbrushes are useful maintaining peri-implant health.
Interdental brushes and dental floss are effective in maintaining peri-implant health.
0.3% triclosan-containing toothpaste is effective in the maintenance of dental implants.
The use of antiseptic mouthwashes has not been shown to have additional beneficial effects