Powered Toothbrush vs Manual Toothbrush: Generation X of Mechanical Plaque Control

The role of bacterial plaque in the etiology of periodontal disease has been extensively documented. The contribution of dental plaque to the etiology of gingival and periodontal desease is wellestablished. The increased plaque levels resulting due to inadequate plaque control, in turn, result in an evolution of a more pathogenic microflora. This transition in microflora composition induces a well-characterized host inflammation response of the marginal gingiva known as gingivitis, which is characterized by redness, gingival bleeding, edema, and gingival tenderness. It is now universally contended that prevention and inhibition of plaque accumulation on the tooth surfaces are likely to cause a major breakthrough to achieve optimum periodontal health. Thus, regular removal of plaque both above and below the gingival margin should be of a major focus in the prevention and treatment of the disease. Regular removal of supragingival plaque has been shown to reduce counts of pathogenic species both supra and subgingivally. The primary intervention for removal of plaque and concomitant prevention of gingivitis for most people is a routine oral hygiene as delivered through toothbrushing. Although many toothbrushes, if used properly, can provide effective plaque control. The electric toothbrush is both efficient and surprisingly appealing to patients. For these reasons, it has a definite use for some patients, such as individuals lacking fine motor skills, especially the handicapped and those who lack digital dexterity. Comparative studies are also available with regard to brushing techniques claiming significance of one over the other performed by both manual and powered toothbrush (PTB). The purpose of this review is to evaluate the safety, efficacy, and efficacy of the PTB for the removal of supragingival plaque and improving gingival health and to compare it with a regular manual toothbrush with help of the meta analysis of various previous original researches.