Evidence for the occurrence of gingival recession and non‐carious cervical lesions as a consequence of traumatic toothbrushing
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Aim: To identify the best available evidence for the effect of toothbrushing on the initiation and progression of gingival recession and non‐carious cervical lesions (NCCL s). Methods: A protocol was developed for the questions: Does traumatic toothbrushing, compared to normal toothbrushing, lead to an increased prevalence of non‐inflammatory gingival recession? [FQ 1] and NCCL s? [FQ 2]. The search covered four electronic databases. Bibliographies of review articles, relevant texts, World and European Workshops were screened. Hand searches were performed of the Journals of Clinical Periodontology, Periodontology, Periodontal Research and IADR abstracts. Results: A meta‐analysis included 159 subjects and showed that subjects who used MTB s (manual toothbrush) had greater gingival recession after 12 months when compared with those using PTB s (powered toothbrush). Thirteen cross‐sectional studies identified the most frequent toothbrushing factors associated with gingival recession as being toothbrushing frequency, a horizontal or scrub toothbrushing method, bristle hardness, toothbrushing duration and the frequency of changing a toothbrush. The principal toothbrushing factors associated with NCCL s were toothbrushing method and frequency. Conclusion: The data to support or refute the association between toothbrushing and gingival recession and NCCL s remain largely inconclusive.
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Toothbrushing frequency, a horizontal or scrub toothbrushing method, bristle hardness, toothbrushing duration, and frequency of changing a toothbrush might be associated with gingival recession.
“Toothbrushing factors that might be associated with gingival recession are toothbrushing frequency, a horizontal or scrub toothbrushing method, bristle hardness, toothbrushing duration, and the frequency of changing a toothbrush.107”
From Contemporary practices for mechanical oral hygiene to prevent periodontal disease. (2020) · cites this paper as [107]
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- Authors
- Heasman, P. A., Holliday, R., Bryant, A., & Preshaw, P. M.
- Affiliations
- Newcastle University (GB)
- Newcastle Dental Hospital (GB)
- Corresponding author
- Heasman, Peter A.
- Venue
- Journal of Clinical Periodontology
- Publisher
- Wiley
- Published
- 2015-03-31
- Volume
- 42
- Issue
- S16
- Pages
- S237-55
- ISSN
- 0303-6979 (ISSN-L)
- 1600-051X
- OpenAlex
- W2003139037
- Cited by
- 148
- References
- 176
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 17 · 2023: 17 · 2022: 17 · 2021: 18 · 2020: 11 · 2019: 24 · 2018: 15 · 2017: 5 · 2016: 6 · 2015: 4
- FWCI
- 6.68
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal Of Clinical Periodontology (publishedVersion)
- PubMed (publishedVersion)
- Discovery Research Portal (University of Dundee) (publishedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Funders
- National Institute for Health and Care Research (ACF-2012-01-014)
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Dentistry › Orthodontics › Dental Erosion and Treatment
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Keywords
- gingival recession, non-carious cervical lesions, toothbrushing frequency, powered toothbrushes, manual toothbrush, toothbrushing technique, toothbrushing duration, toothbrush replacement
- MeSH terms
- Equipment Design, Gingival Recession, Humans, Toothbrushing, Disease Progression, Tooth Cervix, Tooth Wear
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