| 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 disease |
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 |