Manual Versus Sonic-powered Toothbrushing for Plaque Reduction in Patients with Peri-implant Mucositis

Manual Versus Sonic-powered Toothbrushing for Plaque Reduction in Patients with Peri-implant Mucositis: Randomized Controlled Trial.

Aim: To compare the effect of manual and sonic-powered toothbrushing on biofilm control in patients with peri-implant mucositis.

Materials and methods: The study was completed with a total of 41 patients, 21 in the sonic tooth brushing group and 20 in the manual tooth brushing group. The patients' baseline, 3rd-month, 6th-month and 9th-month periodontal examination data (Modified Gingival İndex (MGI), Modified plaque index (MPI), Bleeding on the probing index (BOP), Pocket depth (PD), Gingival Recession (GR) and Gingival Biotype (GB)) were analyzed.

Study Overview

• Status: Completed
• Conditions: Toothbrushing; Periimplant Diseases

• Study Type: Observational
• Enrollment (Actual): 41

Contacts and Locations

Study Locations

• Turkey
  • Niğde, Turkey, 06800
    • Nigde Omer Halisdemir University, Dentistry Faculty, Periodontology Department

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Probability Sample

Study Population

Patients who applied to Niğde Ömer Halisdemir University Faculty of Dentistry Periodontics Clinic between 15.04.2023 and 15.06.2023 for the control of dental implants and/or periodontal treatment, volunteered to participate in the study and met the following criteria were included in the study. Written consent was obtained from volunteer patients for the research.

Description

Inclusion Criteria:

1. Bleeding on probing around the implant
2. No bone loss around the implant in the radiograph
3. Having adequate keratinized gingiva around the implant
4. The presence of an implant prosthesis that was installed at least three months previously
5. No systemic disease
6. no smoke
7. No use of antibiotic medications within the previous three months

Exclusion Criteria:

1. Patients with missing data and who do not allow data use
2. Smoker
3. Data from pregnant and lactating patients
4. Pocket depth around the implant is ≥ 5
5. Patients with peri-implantitis (bone loss around the implant)
6. Patients with insufficient attached gingiva around the implant

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort
1.gruop: Manuel toothbrusing; Patients with peri-implant mucositis were instructed to use manuel toothbrushing for plaque reduction.
2. group: sonic-powered toothbrushing; Patients with peri-implant mucositis were instructed to use sonic-powered toothbrushing for plaque reduction.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Modified Gingival İndex (MGI)	In order to determine the degree of inflammation in the surrounding soft tissue of the implants, mGI score is obtained from four regions: mesial, distal, buccal and palatal. The mGI score for each implant is determined by adding the values and dividing by 4. Scoring is done as follows; 0: No bleeding when probing around the implant with a periodontal probe l: There is a point isolated bleeding on probing. 2: On probing, there is bleeding forming a red line along the mucosal margin. 3: There is intense bleeding on probing.	baseline, 3rd-month, 6th-month and 9th-month
Modified plaque index (MPI)	This index, which is used to determine the surface cleanliness of implants, is measured from 4 regions of the implants: mesial, distal, buccal and palatal, taking into account the following criteria. The mPI score for each implant is determined by adding the obtained values and dividing by 4. Scoring is done as follows; 0: No record. l: Presence of plaque in the implant sulcus that can be detected with the probe tip. If there is a roughened implant surface in this area, at least "1" value is given. 2: Presence of visible plaque. 3: Presence of soft attachment on the implant surface c. Bleeding on Probing Index (BOP) Approximately 20 seconds after moving the periodontal probe inside the periodontal pocket, it is evaluated whether there is bleeding. If there is bleeding, the score of that area is recorded as (+), otherwise it is recorded as (-).	baseline, 3rd-month, 6th-month and 9th-month

Collaborators and Investigators

• Sponsor: Hacettepe University
• Collaborators: Nigde Omer Halisdemir University

Study record dates

Study Major Dates

• Study Start (Actual): April 15, 2023
• Primary Completion (Actual): May 15, 2024
• Study Completion (Actual): June 15, 2024

Study Registration Dates

• First Submitted: January 22, 2025
• First Submitted That Met QC Criteria: January 28, 2025
• First Posted (Actual): March 25, 2025

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: January 28, 2025
• Last Verified: January 1, 2025

More Information

Terms related to this study

• Keywords: Biofilm; Toothbrushing; Peri-implant mucositis; Dental İmplant
• Additional Relevant MeSH Terms: Mouth Diseases; Stomatognathic Diseases; Digestive System Diseases; Gastrointestinal Diseases; Gastroenteritis; Mucositis
• Other Study ID Numbers: 2023/15

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No