Abstract

The powered toothbrush has become a modern dental tool that is available in the supermarket. Indeed, the design of the powered toothbrush, e.g., mechanical and electrical, would affect not only the efficacy but also the safety of the products. This narrative review attempted to view the powered toothbrush from design, safety, and application points with respect to tufts, filaments, handles, mechanics, motions, and materials interactions from various available sources. Different brands and models of powered toothbrushes have their own designs that might affect the clinical outcome. The rotational design was advocated to be clinically more effective than the manual one, some modern models might be designed with vibrational or oscillation (or mixed) tufts head that might be useful in patients with specific needs, such as having xerostomia or for the elderly. To conclude, tuft retention design is important in the powered toothbrush as it contributes significantly to safety as the fallen off tufts, filaments and metal parts might cause injury. Tests revealing the retention force of brush head plates and brush head bristles will be significant references for consumers to determine which design of powered toothbrushes is relatively safer.

Highlights

  • The powered toothbrush has become a modern dental tool that is available in the supermarket

  • The results demonstrated that the effectiveness of powered brushes at removing plaque had not reduced with increasing bristle wear [95]

  • It is believed that powered toothbrushes will continue to gain popularity in this age of technology boom

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Summary

Ancient “Toothbrush”—The Chew Stick

The English word “toothbrush” was first found in the autobiography of Anthony Wood, who wrote in 1690 revealing that he had bought a toothbrush from J. Various tools have, been used for oral cleaning since before recorded history [2] These include chew sticks, tree twigs, bird feathers, horsehair, animal bones, and porcupine quills. The hog bristle toothbrush was discovered in China during the. The Europeans soon found that the hog bristles were too hard and they preferred softer bristles sourced from horsehair or feather [3]. As a result, both hog and horse bristle toothbrushes were mass-produced and imported to England from China until the mid-20th century [2]

The First Mass-Produced Modern Toothbrush
The Rise of Powered Toothbrush
Classification of Powered Toothbrushes
Type of Movement—Vibrational and Rotation-Oscillation Powered Toothbrushes
Speed of Movement—Sonic and Ultra-Sonic Powered Toothbrushes
The Power Transmission Device
The Brush Head
Switching On the Powered Toothbrush
The Block Handle Case
Final Stage of Production
Closer Look at the Brush Head
Brush Head Bristles
Bristle Lengths
Bristle Diameters
Bristle Materials
Bristle Stiffness
Bristle Colors
Other Bristles
Brush Head Body
The Mechanical Structure
Materials of Brush Head Body
Plaque Removal
Dental Stain Removal
Maintenance of Peri-Implant Soft Tissues
Salivary Flow Stimulation
Disadvantages of Powered Brushes
Potential Epileptic Seizures Inducer
Toothpaste Contamination
Effect of Load and Toothpaste
Safety Issues
The Spinbrush Issue
Implication of the Spinbrush Issue
Myth of Replacing Brush Heads
Brushing Force and Time
Findings
Conclusions
Full Text
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