Interactive Power Toothbrush With or Without App vs Manual Toothbrush
Condition: Toothbrushes
Study type: Interventional

Summary: 
      It has been suggested that interactive power toothbrushes (PTBs), developed in recent years,
      provide more successful results in plaque control and effective use of brushing time by
      enabling patient collaboration and self-treatment, thanks to the application features
      associated with mobile phones. Interactive PTB synchronized with smartphones, including
      real-time feedback, session length, applications that prevent excessive brushing force, and
      focus brushing on specific areas with position detection technology, increases the brushing
      performance by increasing oral hygiene motivation.

      Studies report that both power and manual toothbrushes cause gingival abrasion, a localized
      reversible lesion of the epithelium. While the opinions about the cause of gingival abrasion
      are not clear yet, the discussions regarding brush strength yet continue. While it is
      possible to control the interactive PTB force thanks to the mobile application, it is known
      that these high-speed rotating brushes control plaque effectively, but there is not enough
      evidence about its effect on gingival abrasion.

      The primary purpose of this clinical study is to determine whether interactive PTB with
      application feature provides an additional benefit on plaque removal efficacy and reduction
      of gingival inflammation. In addition, this study aims to determine the effect of interactive
      power toothbrush with application on gingival abrasion by comparing it to interactive PTB
      without application and manual toothbrush. The study's null hypothesis in terms of gingival
      abrasion is that interactive PTB do not show a significant difference from other brushing
      methods.
    


Intervention name(s): Oral-B Genius® 8000 power toothbrush with CrossAction brush head with smartphone app(Procter&Gamble,Ohio, USA); Oral-B Genius® 8000 power toothbrush with CrossAction brush head without smartphone app(Procter&Gamble,Ohio, USA); Oral B ClinicLine Pro-FlexSoft (Procter&Gamble,Ohio, USA)
Intervention type(s): Device; Device; Device
Intervention description(s): All the participants were asked to brush with fluoride toothpaste (Pro-Expert Professional Protection- Ipana, Gross-Gerau, Germany) with a pea-sized amount (0.25 g) of the toothbrushes, which were given oral and applied instructions for use, twice a day in the morning and evening. The installation and operation of the toothbrush application (app) on the smartphone was activated in the PTB with the app group; All the participants were asked to brush with fluoride toothpaste (Pro-Expert Professional Protection- Ipana, Gross-Gerau, Germany) with a pea-sized amount (0.25 g) of the toothbrushes, which were given oral and applied instructions for use, twice a day in the morning and evening. The installation and operation of the toothbrush application (app) on the smartphone were not activated in the PTB without the app group.; All the participants were asked to brush with fluoride toothpaste (Pro-Expert Professional Protection- Ipana, Gross-Gerau, Germany) with a pea-sized amount (0.25 g) of the toothbrushes, which were given oral and applied instructions for use, twice a day in the morning and evening. They were instructed to brush with the Modified Bass technique.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Investigator, Outcomes Assessor)
Primary purpose: Treatment