Is oral irrigation beneficial to gingival health as an adjunct to toothbrushing?

Abstract

Data SourcesRelevant papers were identified by using Medline-PubMed and the Cochrane Central Register of Controlled Trials.Study selectionPapers were assessed for inclusion independently by two reviewers and only those published in the English language were chosen. Randomised controlled clinical trials (RCT) or controlled clinical trials (CCT) conducted in adults with good general health were selected.Outcome measuresEvaluation parameters included changes in dental plaque, gingival bleeding/ inflammation and probing pocket depth. Study quality was assessed based upon study design, evaluation period, profiles of subjects, method of randomisation, blindness of examiners and completeness of followup assessment.Data extraction and synthesisData were extracted by three reviewers. As the selected studies showed considerable heterogeneity in the study designs, characteristics, outcome variables and results, a descriptive review of the data was presented instead of performing a meta-analysis. ResultsSeven papers (four RCT and three CCT) were included. Mean values and standard deviations were collected from the data. Data showed that oral irrigation does not reduce plaque scores more than toothbrushing or regular oral hygiene measures.ConclusionsThis systematic review suggests that oral irrigation as an adjunct to toothbrushing does not have a beneficial effect in reducing dental plaque, but it may improve gingival health. © EBD 2009.