Cited by 148Oral microbiology and periodontitis researchDental Erosion and TreatmentDental Health and Care Utilization

Evidence for the occurrence of gingival recession and non‐carious cervical lesions as a consequence of traumatic toothbrushing

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Heasman, Peter A., Holliday, Richard, Bryant, Andrew, Preshaw, Philip M.·2015·Journal of Clinical Periodontology

Abstract

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”

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Cites

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Research works printed but not linked: 17

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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
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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