Journal List > J Korean Acad Periodontol > v.39(Suppl) > 1049818

Park, Lee, Hahm, Koo, Kim, Seol, Lee, Rhyu, Gu, and Chung: Survey study of powered toothbrush with guiding device for oral hygiene improvement



This study was performed to evaluate the effect of powered toothbrush with a wireless remote display on the subjective and objective oral hygiene improvement.


One hundred and fifteen subjects in healthy or mild gingivitis status between the ages of 20 and 90 were recruited and reviewed for study inclusion criteria. At first visit, 115 pre-screened subjects filled in the questionnaire form which consisted of demographic factors, behavioral factors (smoking, alcohol consumption), toothbrushing habits (brushing time and frequency), self-reported oral health status, and self-satisfaction. Baseline clinical indices (Plaque index, Gingival index) were also recorded by a periodontist. Subjects were instructed how to use powered toothbrush with a wireless remote display, and were provided with it. Thirty days after first visit, 90 subjects returned for the second assessment by self-reported questionnaire form and professional clinical checkup. Statistical analysis was performed using paired t-test for the difference between baseline and second visit data. The relationship among variables was examined with chi-square test and Fisher's exact test.


Significant differences were not found on self-reported satisfaction related with sex, smoking, alcohol consumption (P<0.05). Self-reported tooth brushing habit was improved in the aspect of brushing time and frequency. Significant differences were found on the self-reported oral health status, self-satisfaction, and clinical indices between the baseline and second visit data (P<0.01). Clinical indices were significantly reduced after using powered toothbrush with a wireless remote display (P<0.01). No adverse reactions were reported during the study period.


Powered toothbrush with a wireless remote display successfully promoted oral hygiene from the subjective and objective viewpoint after 30 days of home usage.

Figures and Tables

Table 1
Satisfaction Difference Related with Sex, Alcohol Table 2. Distribution of Tooth Brushing Frequency (%) Consumption, Smoking about Old Tooth Brush

P = Statistical Significance

Table 2
Distribution of Tooth Brushing Frequency (%)
Table 3
Satisfaction Difference Related with Sex, Alcohol Consumption, Smoking about Powered Tooth Brush (P)

*Statistically significant relationship exists between individual factor and satisfaction.

Table 4
Regression Analysis of Satisfaction at 2nd visit (P)
Table 5
Distribution of Satisfaction Before and After Using Powered Tooth Brush (Frequency)
Table 6
Result of Plaque Index and Calculus Index

*Statiscally significant between 1st and 2nd visit.


This work was supported by Procter & Gamble Co.


1. Löe H, Theilade E, Jensen SB. Experimental gingivitis in man. J Periodontol. 1965; 36:177–187.
2. Theiladöe E, Jensen SB, Löe H. Experimental gingivitis in man. II. A longitudinal clinical and bacteriological investigation. J Periodontal Re. 1966; 1:1–13.
3. Schroeder HE, Lindhe J. Conversion of stable established gingivitis in the dog into destructive periodontitis. Arch Oral Biol. 1975; 20:775–782.
4. Axelsson P, Nyström B, Lindhe J. The long-term effect of a plaque control program on tooth mortality, caries and periodontal disease in adults. Results after 30 years of maintenance. J Clin Periodontol. 2004; 31:749–757.
5. Bakdash B. Current patterns of oral hygiene product use and practices. Periodontol 2000. 1995; 8:11–14.
6. Karen Janusz, Bruce Nelson, Bartizek Robert D. Impact of a novel power toothbrush with SmartGuide technology on brushing pressure and thoroughness. J Contemp Dent Pract. 2008; 9:1–8.
7. Scutt JS, Swann CJ. The first mechanical toothbrush? Br Dent J. 1975; 139:152.
8. Elliot JR. A comparison of the effectiveness of a standard and electric toothbrush. J Periodontol. 1963; 34:375–379.
9. Heasman PA, Stacey F, Heasman L. A comparative study of the Philips HP 735, Braun/Oral B D7 and the Oral B 35 Advantage toothbrushes. J Clin Periodontol. 1999; 26:85–90.
10. Ho HP, Niederman R. Effectiveness of the Sonicare sonic toothbrush on reduction of plaque, gingivitis, probing pocket depth and subgingival bacteria in adolescent orthodontic patients. J Clin Dent. 1997; 8:15–19.
11. Van der Weijden GA, Timmerman MF, Reijerse E. The long-term effect of an oscillating/rotating electric toothbrush on gingivitis. An 8-month clinical study. J Clin Periodontol. 1994; 21:139–145.
12. Ainamo J, Xie Q, Ainamo A, Kallio P. Assessment of the effect of an oscillating/rotating electric toothbrush on oral health. A 12-month longitudinal study. J Clin Periodontol. 1997; 24:28–33.
13. Stoltze K, Bay L. Comparison of a manual and a new electric toothbrush for controlling plaque and gingivitis. J Clin Periodontol. 1994; 21:86–90.
14. He T, Carpinello L, Baker R. Safety of three toothbrushes. Am J Dent. 2001; 14:123–126.
15. Walters PA, Cugini M, Biesbrock AR, Warren PR. A novel oscillating-rotating power toothbrush with SmartGuide: designed for enhanced performance and compliance. J Contemp Dent Pract. 2007; 8:1–9.
16. Silness J, Löe H. Periodontal disease in pregnancy II. correlation between oral hygiene and periodontal condition. Acta Odontol Scand. 1964; 22:121–135.
17. Löe H. The gingival index, the plaque index and the retention index systems. J Periodontol. 1967; 38:Suppl. 610–616.
18. Warren PR. Development of an oscillating/rotating/pulsating toothbrush: the Oral-B Professional Care Series. J Dent. 2005; 33:Suppl 1. 1–9.
19. Heanue M, Deacon SA, Deery C, et al. Manual versus powered toothbrushing for oral health. Cochrane Database Syst Rev. 2003; 1:CD002281.
20. Rosema NA, Timmerman MF, Versteeg P. A comparison of the use of different modes of mechanical oral hygiene in prevention of plaque and gingivitis. J Periodontol. 2008; 79:1386–1394.
21. Van der Weijden GA, Timmerman MF, Piscaer M. Plaque removal by professional electric toothbrushing compared with professional polishing. J Clin Periodonto. 2004; 31:903–907.
22. Van der Weijden GA, Timmerman MF, Danser MM, et al. Approximal brush head used on a powered toothbrush. J Clin Periodontol. 2005; 32:317–322.
23. Williams K, Ferrante A, Dockter K, et al. One- and 3-minute plaque removal by a battery-powered versus a manual toothbrush. J Periodontol. 2004; 75:1107–1113.
24. Van der Weijden FA, Timmerman MF, Snoek IM, Reijerse E, van der Velden U. Toothbrushing duration and plaque removing efficacy of electric toothbrushes. Am J Dent. 1996; 9:S31–S36.