{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,9]],"date-time":"2026-11-09T20:49:03Z","timestamp":1794257343628,"version":"4.9.0"},"reference-count":207,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,6,16]],"date-time":"2024-06-16T00:00:00Z","timestamp":1718496000000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical &amp;amp; Exp Dental Res"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Self\u2010performed oral hygiene is essential for preventing dental caries, periodontal, and peri\u2010implant diseases. Oral irrigators are adjunctive oral home care aids that may benefit oral health. However, the effects of oral irrigation on oral health, its role in oral home care, and its mechanism of action are not fully understood. A comprehensive search of the literature revealed no existing broad scoping reviews on oral irrigators. Therefore, this study aimed to provide a comprehensive systematic review of the literature on oral irrigation devices and identify evidence gaps.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta\u2010Analyses extension for Scoping Reviews guidelines were utilized to prepare the review. Four databases and eight gray literature sources were searched for English publications across any geographical location or setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Two hundred and seventy\u2010five sources were included, predominantly from scientific journals and academic settings. Most studies originated from North America. Research primarily involved adults, with limited studies in children and adolescents. Oral irrigation was safe and well\u2010accepted when used appropriately. It reduced periodontal inflammation, potentially by modulating the oral microbiota, but further research needs to clarify its mechanism of action. Promising results were reported in populations with dental implants and special needs. Patient acceptance appeared high, but standardized patient\u2010reported outcome measures were rarely used. Anti\u2010inflammatory benefits occurred consistently across populations and irrigant solutions. Plaque reduction findings were mixed, potentially reflecting differences in study designs and devices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Oral irrigators reduce periodontal inflammation, but their impact on plaque removal remains unclear. Well\u2010designed, sufficiently powered trials of appropriate duration need to assess the clinical, microbiological, and inflammatory responses of the periodontium to oral irrigation, particularly those with periodontitis, dental implants, and special needs. Patient\u2010reported outcome measures, costs, caries prevention, and environmental impact of oral irrigation need to be compared to other oral hygiene aids.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cre2.912","type":"journal-article","created":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T02:28:57Z","timestamp":1718591337000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Oral Irrigation Devices: A Scoping Review"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3681-9205","authenticated-orcid":false,"given":"Farzana","family":"Sarkisova","sequence":"first","affiliation":[{"name":"Department of Oral Health Auckland University of Technology Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7259-9892","authenticated-orcid":false,"given":"Zac","family":"Morse","sequence":"additional","affiliation":[{"name":"Department of Oral Health Auckland University of Technology Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0210-2628","authenticated-orcid":false,"given":"Kevin","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Food Science and Microbiology Auckland University of Technology Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6742-3556","authenticated-orcid":false,"given":"Nagihan","family":"Bostanci","sequence":"additional","affiliation":[{"name":"Department of Dental Medicine, Division of Oral Health and Periodontology Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,16]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.31686\/ijier.Vol6.Iss10.1190"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0722.1975.tb00439.x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/cre2.814"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2022.02.007"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-051x.2002.290404.x"},{"key":"e_1_2_11_7_1","unstructured":"Alexander K. M.2006. \u201cA Clinical Evaluation of the Effects of Oral Irrigation on the Gingival Health of Adult Orthodontic Patients.\u201d Master of Science The State University of New York at Buffalo. ProQuest Dissertations & Theses Global.https:\/\/www.proquest.com\/docview\/304940501?pq-origsite=gscholar&fromopenview=true&sourcetype=Dissertations%20&%20Theses."},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.4317\/jced.56153"},{"issue":"1","key":"e_1_2_11_9_1","first-page":"34","article-title":"Efficacy of Oral Irrigators on Gingival Health: A Review of Three Papers","volume":"58","author":"Allen J.","year":"2019","journal-title":"Dental Health"},{"key":"e_1_2_11_10_1","doi-asserted-by":"crossref","unstructured":"AlMoharib H. 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