{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T02:57:58Z","timestamp":1777949878179,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T00:00:00Z","timestamp":1777766400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T00:00:00Z","timestamp":1777766400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dental Hygiene"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The aim of the present systematic review is to compare the effects of manual vs. powered toothbrushes on gingival lesions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Comprehensive literature searches of PubMed, Embase, Scopus, and the Cochrane Library were conducted up to May 6, 2024, to identify randomized clinical trials examining the impact of manual and powered toothbrushes on gingival lesions. Two independent reviewers selected studies according to predefined criteria and extracted relevant data. Risk of bias was assessed using the RoB 2 tool, and certainty of evidence was evaluated using the GRADE approach. Sensitivity analyses were also performed to explore the influence of statistical model choice and study design on the pooled findings. This review was registered in PROSPERO (CRD42022368852).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 2978 records were identified, of which 10 studies met the inclusion criteria. The included studies comprised five parallel\u2010group randomized clinical trials and five crossover randomized clinical trials. Analysis of gingival recession showed no statistically significant difference between manual and powered toothbrushes at either 6\u2010 or 12\u2010month follow\u2010up (mean difference [MD]: \u22120.03; 95% confidence interval [95% CI]: \u22120.07 to 0.02). Studies evaluating gingival abrasion suggested a trend toward fewer abrasions with powered toothbrushes; however, the evidence was inconsistent and mostly based on qualitative findings. The certainty of evidence for both gingival recession and gingival abrasion was very low.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The available evidence does not demonstrate a clear difference between manual and powered toothbrushes regarding gingival recession progression. Although some studies suggested fewer gingival abrasions with powered toothbrushes, this finding should be interpreted with caution due to the very low certainty of evidence and the included studies presented important methodological limitations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/idh.70086","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T04:47:48Z","timestamp":1777870068000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Influence of Manual and Powered Toothbrushes on Gingival Lesions: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1714-6623","authenticated-orcid":false,"given":"C.","family":"Molina","sequence":"first","affiliation":[{"name":"Postgraduate Program in Dentistry Federal University of Rio Grande Do Sul  Porto Alegre Rio Grande Do Sul Brazil"},{"name":"Universidad Internacional del Ecuador  Quito Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. P.","family":"Pimentel","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Dentistry Federal University of Rio Grande Do Sul  Porto Alegre Rio Grande Do Sul Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. J. R.","family":"Oballe","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Postgraduate Program in Dentistry Federal University of Pelotas  Pelotas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3945-1752","authenticated-orcid":false,"given":"F. W. M. G.","family":"Muniz","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Postgraduate Program in Dentistry Federal University of Pelotas  Pelotas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8499-5759","authenticated-orcid":false,"given":"C. K.","family":"R\u00f6sing","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Dentistry Federal University of Rio Grande Do Sul  Porto Alegre Rio Grande Do Sul Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,5,3]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12361"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/2146160"},{"issue":"3","key":"e_1_2_10_4_1","first-page":"21","article-title":"Comparative Effectiveness of Toothbrushing, Flossing and Mouthrinse Regimens on Plaque and Gingivitis: A 12\u2010Week Virtually Supervised Clinical Trial","volume":"96","author":"Milleman J.","year":"2022","journal-title":"Journal of Dental Hygiene"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2020.103571"},{"issue":"16","key":"e_1_2_10_6_1","first-page":"S214","article-title":"Effect of Professional Mechanical Plaque Removal on Secondary Prevention of Periodontitis and the Complications of Gingival and Periodontal Preventive Measures: Consensus Report of Group 4 of the 11th European Workshop on Periodontology on Effective Prevention of Periodontal and Peri\u2010Implant Diseases","volume":"24","author":"Sanz M.","year":"2015","journal-title":"Journal of Clinical Periodontology"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2021.103922"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784\u2010021\u201004138\u20106"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/idh.12475"},{"key":"e_1_2_10_10_1","article-title":"Powered\/Electric Toothbrushes Compared to Manual Toothbrushes for Maintaining Oral Health","volume":"6","author":"Yaacob M.","year":"2024","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784\u2010018\u20102633\u20105"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643\u2010016\u20100384\u20104"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12518"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2002.73.7.770"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051X.2009.01472.x"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2016.150472"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051X.1996.tb00588.x"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2001.280110.x"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.1986.tb00869.x"},{"key":"e_1_2_10_20_1","first-page":"397","article-title":"Gingival Abrasion and Plaque Removal After Toothbrushing With an Electric and Manual Toothbrush","volume":"45","author":"Niemi M. 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