More than half of the participants supported simplifying current guideline-based toothbrushing recommendations

The gap

Evidence profile

Sourced from the recommendations of the source papers, classified as general, spanning 3 journals. Those papers have been cited 1 times in total.

Supporting evidence — 3 representative gaps

• Clinical Applicability and Real-Life Sustainability of ADA/EFP Oral Hygiene Recommendations: A Cross-Sectional Survey Among Dentists (2026) · Medical Science and Discovery · doi

  More than half of the participants supported simplifying current guideline-based toothbrushing recommendations, and nearly two-thirds favored developing a simpler standardized approach. These findings suggest that, although the current ADA/EFP clinically valuable, dentists perceive that some techniques may be difficult for patients to apply consistently in daily practice. Therefore, future oral hygiene recommendations may benefit from placing greater emphasis on simplicity, patient adherence, and long-term sustainability while maintaining evidence-based preventive principles (20,21). considered are Medical Science and Discovery, 2026; 13(8):183-190

  generalrecommendations
  Keywords: current based recommendations half participants supported simplifying guideline toothbrushing nearly thirds favored developing simpler standardized
• Caries prevention in permanent teeth - basic recommendations of the German S 3 guideline (2026) · Clinical Oral Investigations · cited 1× · doi

  Measure As a basic prevention, patients shall brush their 1. Mechani- teeth at least twice a day with a fluoride-con- cal processes taining toothpaste in such a way that a clinically to reduce the effective reduction or complete removal of the biofilm: biofilm results. Different toothbrushes can be used depending on the patients’ preference and abilities. As food residues and biofilm cannot be sufficiently removed from the interdental space with tooth brushing alone, devices for proximal space hygiene (dental floss, interdental brushes) should also be used. During orthodontic treatment with fixed appli- ances or in the exposed root area, the professional application of CHX varnishes containing at least 1% CHX can be recommended to prevent caries. Caries can be significantly reduced by combin- ing various prophylactic measures. In particular, patients with an increased risk of caries shall be recommended to participate in structured preven- tion programs. Patients shall brush their teeth with a fluoride- containing toothpaste. In addition, fluoride- containing table salt shall always be used in the household. In addition, the use of toothpastes with an increased fluoride concentration or fluoride- containing varnishes, gels or rinsing solutions may be indicated (especially for patients with active caries - risk adapted recommendation). The total amount of daily sugar intake and the number of sugary meals (main meals and snacks), including sugary drinks, shall be kept as low as possible. Foods and drinks without added sugar shall be preferred. Regularly chewing sugar-free gum can also help prevent tooth decay and chewing can therefore be recommended, particularly after meals. Fissures and pits at risk of caries should be sealed as part of a prevention concept.

  generalrecommendations
  Keywords: patients fluoride caries containing biofilm used recommended risk sugar meals prevention brush teeth least toothpaste
• Patient knowledge, home care practices, and peri-implant disease: a preliminary survey analysis of awareness gaps and cleaning behaviors (2026) · Frontiers in Oral Health · doi

  Among cleaning methods, powered toothbrush use was lower plaque accumulation, associated with implant maintenance supporting protocols. and mechanical comparing powered toothbrushes in patients diagnosed with peri-implant health have demonstrated positive impacts on inflammation and plaque levels in both groups with no statistically significant differences (22, 23). On the other hand, randomized controlled trials comparing toothbrushes for treating peri-implant mucositis have demonstrated toothbrushes (24). superior clinical outcomes with powered Interdental cleaning patterns identified in the present study reveal potential gaps in current practice. String floss was the most common interdental aid used (82.4%), while interdental brushes, which are often recommended for implant home care, demonstrated significantly low adoption (8.8%). A randomized controlled trial comparing waist-shaped interdental brushes with straight-shaped brushes found that the waist-shaped brushes were superior in plaque removal, particularly at line angle sites (25). The low utilization observed in the present study may be reflective of inadequate patient education, unfamiliarity with effective technique, or perceived difficulty of use. Oral irrigation devices were moderately used (32.4%), suggesting some patients recognize the need for supplemental cleaning beyond brushing alone. A study with a 7-year follow-up demonstrated no statistically significant differences in PD or BOP with the addition of an oral irrigator to regular brushing and interdental aids (26). Another study evaluating effects of the addition of an oral irrigator or interdental brush demonstrated that both groups provided superior clinical outcomes compared to brushing alone in reducing peri-implant mucosal inflammation (27). Another interesting finding was the usage of oral mouthrinse among groups in the present study. Zero percent of healthy patients, 20.8% of peri-implant mucositis patients, and 50.0% of peri-implantitis patients reported regular use of a mouthrinse.

  generalrecommendations
  Keywords: implant interdental patients peri brushes oral cleaning powered plaque comparing toothbrushes groups signi superior present

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