When compared to manual toothbrushes, powered toothbrushes with a rotation oscillation action provide  protection against gum inflammation in the long and short term and better plaque removal in the short term.
Removing dental plaque by toothbrushing helps prevent gum inflammation (gingivitis). Toothbrushing with a  fluoride toothpaste prevents tooth decay.

Powered toothbrushes simulate manual toothbrushing in different ways (such as moving side to side or circular motions).

 The review of trials found that only rotation oscillation (where brush heads rotate in one direction and then the other) is better than manual toothbrushes at removing plaque and reducing gum inflammation, and is no more likely to cause injuries to gums. Long- term benefits of this for dental health are unclear.







Knowing the Three Types of Power Toothbrushes

The three types of power toothbrushes on the market are rechargeable electric (including sonic), regular manual and battery power.
  • Rechargeable Electric Toothbrush: A rechargeable electric toothbrush, also known as a “power toothbrush”, is the kind you plug into the wall to recharge, keeping the handle and replacing the brush head every three months. Rechargeable electric toothbrushes differ among the kind of cleaning technology they use, such as oscillating-rotating (3D Cleaning Action) or sonic technology.
  • Regular Manual Toothbrush: In contrast, regular manual toothbrushes are the basic toothbrushes you’re probably accustomed to with a plastic handle and various nylon bristle designs on the brush head. This is the most common type of toothbrush, and it doesn’t require any power sources.
  • Battery Power Toothbrush: Those who want a dose of power but are weary of electric toothbrushes may like battery power toothbrushes. Like electric toothbrushes, battery power toothbrushes are sometimes simply called “power toothbrushes” due to their use of an AA battery. While similar in design to regular manual toothbrushes, battery power toothbrushes have just enough vibration to add some extra cleaning action.

Feeling the Difference in Plaque Removal

According to a 2005 independent study, “Brushes that worked with a rotation oscillation action removed more plaque and reduced gingivitis more effectively than manual brushes in the short and long-term... No other powered brush designs were consistently superior..."2 Oral-B pioneered this oscillating-rotating power technology in 1991 and has incorporated it into its premium power toothbrush range ever since.  Recently it has also incorporated this technology into lower cost options, like Oral-B Vitality

Modifying Brushing Technique

Proper brushing technique varies when using different kinds of toothbrushes. Both regular manual toothbrushes and battery power toothbrushes require you to provide all or most of the brushing action, moving the brush back and forth along all sides of your teeth and gums. In contrast, rechargeable electric toothbrushes provide the cleaning action while you need only guide it along all surfaces. Once they get the hang of it, many people find this method of brushing easier.

Understanding Power Toothbrush Value

Rechargeable electric toothbrushes tend to have a higher price value than battery power and regular manual toothbrushes, but you can find some for as low as $22 MSRP, like Oral-B® Vitality. Keep in mind that they offer more health benefits and features. Regular manual toothbrushes cost the least, and they are often sold in multi-packs as well as individually. Battery power toothbrushes are usually only a few dollars more than ordinary manual toothbrushes.

Trying Out a Power Toothbrush

It’s understandable to want to test-out a rechargeable electric toothbrush before buying a hi-tech one for the first time. While your dental professional is the best person to ask for a recommendation, you may also consider some affordable, entry tier options like Oral-B® CrossAction® Power Max or Oral-B® Vitality. They’re ideal for people who are curious about giving power a try but want a taste of what it’s like first.





conclusions: 
Powered toothbrushes with a rotation oscillation action reduce plaque and gingivitis more than manual toothbrushing.
Observation of methodological guidelines and greater standardisation of design would benefit both future trials and meta-analyses.

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