A recent study has sought to find out once and for all which oral hygiene tools are the best for our oral health. Mixed information exists currently on which tools are effective. The study was able to categorize each tool as being either positive, negative, or neutral to our oral health.
Looking after our oral health is incredibly important. Strong oral hygiene is the best way of avoiding painful and expensive visits to the dentist.
But many people ask which oral tools and equipment are effective, and which are not. Now, researchers from the University at Buffalo have carried out a study aiming to find this out.
Their findings are very useful. This is because it gives the public knowledge on the best ways to have strong oral hygiene. Therefore, this research helps to maximize our chances of keeping a healthy mouth.
The different tools available
There is no shortage of available tools for oral health. Therefore, it can be difficult to know which tools are the most effective. After all, it would be unrealistic to use them all.
The researchers noted that it was important to complete a study in this area. Oral health is a problematic area for so many people. Poor oral hygiene can cause cavities.
Gum disease is also major problem. Gum disease is very common, with research showing that approximately 90% of the world’s population has some form of gum disease [1].
If cavities and gum disease are left untreated, infections, bleeding gums, tooth loss and bone problems are potential consequences.
Most people use a toothbrush, though both manual and electrical ones exist. Some people floss to remove particles of food caught between teeth.
Then there are mouthwashes, probiotics, and various ingredients that are added to oral health products. All of these areas were analyzed in this study.
The Research
The research was published in October’s issue of The Journal of the International Academy of Periodontology [2]. Researchers from the University at Buffalo carried out the study.
Moreover, the researchers put various oral hygiene tools and ingredients to the test. They used pre-existing research, different scenarios and other research methods to see the impact each intervention had on the mouth.
The results produced three different areas. Firstly, effective tools. Secondly, tools that had a somewhat positive impact, but not enough to justify their daily use. Finally, negative tools.
Effective Tools
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Toothbrush: Unsurprisingly, the gold standard of oral health is the toothbrush. The toothbrush plays a main role in oral hygiene. Both electric and manual toothbrushes were effective, with very little between the two.
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Inter-dental brushes: Inter-dental brushes that are used to floss between teeth were also praised for being highly-effective. Moreover, they are an effective way of removing anything stuck between the teeth.
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Water Pick: Water picks are an excellent way of clearing anything stuck in the teeth. They release water at a rapid rate, helping to clear any blockages. Because of this, they have proven to be popular with consumers.
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Chlorhexidine in mouthwash: Chlorhexidine can be a key ingredient of mouthwash. This study backed up previous research, which found that mouthwashes containing Chlorhexidine can result in a “moderate” reduction in gum disease [3]. However, Chlorhexidine can cause tooth discoloration with prolonged use [3].
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Cetylpyridinium: Cetylpyridinium is a compound that is used across various oral products. For instance, toothpaste, mouthwash and some lozenges. The researchers found it was very effective at reducing gum disease and preventing plaque. However, Cerylpyridinium does cause staining in a small number of users [4].
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Listerine Mouthwash: As one of the world’s most instantly-recognizable brands, it isn’t surprising that Listerine’s mouthwash products that contained essential oils were deemed effective. Furthermore, another study concluded there was “strong evidence” that Listerine was excellent for protecting against plaque and reducing gum disease [5].
Tools that have mixed evidence
While there were many positives outlined above, there were some tools and ingredients that didn’t provide enough evidence to justify their use on a daily basis.
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Scaling: Scaling is when a dentist uses a special tool to remove plaque and tartar (solid plaque) around the gum-line. They also usually do something called root planing, which aids the gums. Because of inconsistent results, the researchers did not consider this tool to be positive.
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Probiotics: The researchers found probiotics produced inconsistent results. Probiotics are live microorganisms that are consumed through a product. For instance, Yakult. Probiotics is a promising area, but it hasn’t been researched enough yet to draw conclusions. The conclusions of the authors echo the existing body of research [6].
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Tea-tree oil, green tea mouthwashes: Tea-tree oil and green tea are ingredients that are being added to many products. Because of their properties as being natural, they are popular. However, the researchers found they provided limited effectiveness.
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Hexetidine: Hexeditine is an antibacterial ingredient that is primarily used in mouthwash products. Oraldene is the most well-known brand including hexetidine. However, when the researchers tested it, the results weren’t too positive.
The Negative
The researchers only found that one key ingredient produced negative results. This was Triclosan.
Triclosan is very effective for reducing plaque and gum disease. However, Triclosan has been linked to reproductive defects and some forms of cancer.
Consequently, Triclosan has been removed from the majority of toothpastes. The findings of the authors backup existing research [7].
What does this study show us?
This study shows the importance of strong hygiene. It shows that we can keep things simple by using a few different products. Therefore, there is no need to make things too complex.
All of the areas deemed effective should be used regularly. For instance, mouthwash products with the aforementioned ingredients can be used as an adjunct to using a toothbrush and inter-dental brush.
As a result, Eva Volman, an author of the study, said she hoped the evidence from the study was “comprehensive, readable and uniquely helpful to all oral health professionals, as well as patients” [8].
What we offer at Savanna Dental
Savanna Dental is a dental clinic based in Calgary, Alberta, Canada. We provide our patients with a warm welcome, a comfortable experience and advice whenever needed.
We recommend that our patients attend our Calgary-based dental clinic twice a year for a regular dental check-up. When problems are detected, we have many treatments. For instance, these include cavity fillings and root canals.
Above all, we recommend brushing your teeth at least twice a day and flossing regularly. Moreover, eating healthily and trying to avoid sugary foods and drink is helpful.
In addition, all of our services at our Calgary dental clinic Savanna Dental are in line with the Alberta Dental Fee Guide.
We would love you to visit our dental clinic in Calgary Savanna Dental! You can read more about us by visiting our website https://savannadentalclinic.ca.
- [1] Pihlstrom, B. L., Michalowicz, B. S., & Johnson, N. W. (2005). Periodontal diseases. Lancet. 366 (9499), p1809-1820.
- [2] Volman, E. I., Stellrecht, E., & Scannapieco, F. A. (2021). Proven Primary Prevention Strategies for Plaque-Induced Periodontal Disease – An Umbrella Review. Journal of the International Academy of Periodontology. 23 (4).
- [3] Worthington, H., Riley, P., James, P., Parnell, C., Harding, M., Lamont, T., Cheung, A., & Whelton, H. (2017). Cochrane Database of Systematic Reviews. 2017 (3): p1-194.
- [4] Addy, M., Mahdavi, S. A., & Loyn, T. (1995). Dietary staining in vitro by mouthrinses as a comparative measure of antiseptic activity and predictor of staining in vivo. The Journal of Dentistry. 23 (2): p95-99.
- [5] Alshehehri, F. A. (2018). The use of mouthwash containing essential oils (LISTERINE®) to improve oral health: A systematic review. Saudi Dental Journal. 30 (1): p2-6.
- [6] Meurman, J. H., & Stamatova, I. V. (2018). Probiotics: Evidence of Oral Health Implications. Folia Medica. 60 (1): p21-29.