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Using an electric toothbrush helps prevent tooth loss

Brussels, Belgium, 22 May 2019. Using an electric toothbrush helps prevent tooth loss, according to a study published today in the Journal of Clinical Periodontology (1), the official publication of the European Federation of Periodontology (EFP).

Greatest impact is maintaining good oral health

Also slows progression of periodontal disease

Brussels, Belgium, 22 May 2019. Using an electric toothbrush helps prevent tooth loss, according to a study published today in the Journal of Clinical Periodontology (1), the official publication of the European Federation of Periodontology (EFP).

“Electric toothbrushes have become increasingly popular among all age groups in Germany (2) but few studies have tested their long-term effectiveness,” said study author Dr Vinay Pitchika, of the University of Greifswald, Germany. “Our study shows that electric toothbrushes are most beneficial in maintaining good oral health and are linked with slower progression of periodontal disease.”

The 11-year observational study investigated the association between electric toothbrushing and periodontitis, caries and number of teeth present. The study included 2,819 adults from the Study of Health in Pomerania (SHIP) study who were examined in 2002 to 2006 and were followed up after six and 11 years. At baseline, 18% used an electric toothbrush, rising to 37% at the 11-year follow-up.

Overall, electric toothbrush users experienced 20% less tooth loss during follow-up than manual toothbrush users. This translated to an average of 0.4 more teeth retained (out of 28 teeth). The benefits were slightly greater in regular (at least twice a day) electric (versus manual) toothbrushers. When participants were divided into groups according to the severity of periodontitis, the association between electric toothbrushing and tooth retention was significant only in those with no/mild periodontitis (and not in those with moderate or severe periodontitis).

In a healthy mouth, the gums fit tightly around each tooth. Periodontal disease causes destruction of bone surrounding the tooth, leads to deeper pockets around the teeth which can lead to tooth loss. The study found that electric toothbrushing was linked with less pockets and better attachment of teeth to the gums and bone. This was shown by 22% and 21% lower progression of probing depth and clinical attachment loss (see figure), respectively, compared to manual toothbrush users.

When participants were divided into groups according to the severity of periodontitis, significant associations with probing depth were observed in people with no/mild and moderate periodontitis, while the link with clinical attachment loss was found only in those with moderate periodontitis. There was no relationship between electric toothbrushing and the two measurements in those with severe periodontitis.d

Dr Pitchika said: “People who already have relatively good oral health and minimal periodontal breakdown appear to profit the most from electric toothbrushing. Electric toothbrushes were much more effective as a preventive tool rather than when periodontitis had already progressed. People with severe periodontitis need periodontal treatment.”

Dr Pitchika noted that people with good oral health tend to be younger, while those with periodontitis are usually older. But he added: “Previous studies have shown that electric toothbrushes seem to be better for plaque control in older people, who have reduced fine motor skills.” (3,4)

There was no association between electric toothbrush usage and dental caries. “Compared to the type of toothbrush, we presume that fluoride has a major role to play in preventing caries or reducing progression of caries,” said Dr Pitchika. (5)

References and notes

1) Pitchika V, Pink C, Völzke H, Welk A, Kocher T, Holtfreter B. Long-term impact of powered toothbrush on oral health: 11-year cohort study. J Clin Periodontol. 2019. doi: 10.1111/jcpe.13126.

2) Jordan AR, Micheelis W. (2016) Fünfte Deutsche Mundgesundheitsstudie (DMS V). In: IDZ-Materialienreihe, Bd. 35, (ed.) I. D. Z. Zahnärzte, pp. 617. Köln: Deutscher Zahnärzte Verlag DÄV.

3) Verma S, Bhat KM. Acceptability of powered toothbrushes for elderly individuals. J Public Health Dent. 2004;64:115–117.

4) Whitmyer CC, Terezhalmy GT, Miller DL, Hujer ME. Clinical evaluation of the efficacy and safety of an ultrasonic toothbrush system in an elderly patient population. Geriatr Nurs. 1998;19:29–33.

5) Hujoel PP, Hujoel MLA, Kotsakis GA. Personal oral hygiene and dental caries: A systematic review of randomised controlled trials. Gerodontology. 2018;35:282–289. doi:10.1111/ger.12331.

Media pack

This file contains The Press Release, Artwork and Published article.
Released: 22-May-2019

Evidence shows that good oral health can improve general health and reduce medical costs

Periodontitis is characterised by chronic inflammation of the gums in response to a microbial biofilm accumulating around and below the gingival (gum) margins. On the basis of the evidence, the European Federation of Periodontology is able to state that periodontitis is significantly and independently associated with the major non-communicable diseases of ageing that account for 70% of mortality in the world today, including cardiovascular disease, Type-2 diabetes, rheumatoid arthritis, chronic kidney disease, and chronic obstructive pulmonary disease.1

Severe periodontitis adversely affects blood-sugar levels in people without diabetes and blood-sugar control in people who do have diabetes. The more severe the periodontitis, the worse the associated diabetes complications (mainly cardiac and renal). Overall, studies show that successful periodontal treatment improves diabetes outcomes. Severe periodontal disease also imparts significantly elevated risk for coronary artery (heart) disease and stroke and it has been shown that periodontal therapy improves cardiovascular (heart) outcome measures (with most data in humans based on biomarker outcomes of heart disease, such as endothelial function and vascular elasticity).

Treatment of periodontitis improves the overall systemic health by reducing systemic inflammation, improving diabetes outcomes and provides a better quality of life.  Health-economic data provide new, independent, and potentially valuable evidence that well- performed, non-invasive periodontal therapy may significantly reduce healthcare costs for people with diabetes, stroke, or coronary artery disease.2   According to a major US study, treatment of periodontal disease to a defined end-point reduces annual medical costs in patients diagnosed with Type-2 diabetes by 40%, in those with heart-disease (coronary artery disease) by 11%, and in those with stroke (cerebrovascular disease) by 41%. 

However, by far the most effective intervention is periodontal prevention, where evidence suggests that primary prevention of inflammation of the gums by individuals, supported by professional plaque control, is a very effective method for preventing the development of more severe gum disease and thereby preventing the possible resulting systemic effects. 3

  1. Source: EFP/AAP workshop on periodontitis and systemic diseases, 2012. J Clin Periodontol 2013; 40(S14):20-3
  2. Source: (Am J Prev Med 2014;47(2):166–174) & 2014 American Journal of Preventive Medicine. Impact of Periodontal Therapy on General Health. Evidence from Insurance Data for Five Systemic Conditions. Marjorie K. Jeffcoat, DMD, Robert L. Jeffcoat, PhD, Patricia A. Gladowski, RN, MSN, James B. Bramson, DDS, Jerome J. Blum, DDS
  3. XI European Workshop of Periodontology, “Effective prevention of periodontal and peri-implant diseases”, 2014. J Clin Periodontol 2015; 42 (S16).

People who don’t see a dentist regularly should be screened by their doctor for gum disease

That’s the main message of a study published today, World Oral Health Day, in the Journal of Clinical Periodontology (1), the official publication of the European Federation of Periodontology (EFP). About 50% of people over 30 years of age have periodontitis, which is severe inflammation of the gums and structures supporting the teeth. If untreated, it causes tooth loss and inflammation throughout the body, which has been linked with higher risks of diabetes, heart attack, and stroke.

People who don’t see dentist regularly, Full details for the Press

There is a .pdf version of the release attached and the original abstract can be found at https://onlinelibrary.wiley.com/doi/10.1111/jcpe.13098
Released: 20-March-2019

Perio & Cardio Workshop 2019

Dental and heart experts arrive at consensus on the links between periodontitis and cardiovascular disease. Joint recommendations will be published soon. Representatives of the EFP and the WHF reviewed current evidence at a workshop held on 18 and 19 February in Madrid, Spain.

Oral hygiene contributes to a healthy heart

Cardiologists should be aware of the connection between gum disease and heart disease and encourage their patients to be screened for periodontitis. Patients with gum disease should manage their CVD risk factors.
Released: 19-February-2019

Dental and heart experts set to publish joint recommendations

There is a wealth of scientific evidence linking periodontitis to cardiovascular diseases. Workshop participants aim to reach a consensus and to publish evidence-based recommendations on the value of oral health to reduce heart disease.
Released: 05-February-2019

Perio&Cardio images

Find photos of the Perio & Cardio workshop here. Please credit the EFP.
Released: 26-February-2019

European Federation of Periodontology becomes global

The European Federation of Periodontology (EFP) has opened its doors to International Associate Members. EFP President Anton Sculean said: “Periodontitis is a global issue, with severe forms affecting around one in ten people worldwide. Gum health is a key factor for overall health and quality of life. As the most influential periodontal organisation in the world, the EFP is joining forces with international societies so that together we can prevent and treat periodontitis and its complications.”

EFP becomes global

Mexico was the first society to become an International Associate Member, followed by Taiwan, Brazil, and Lebanon. Their memberships are set to be formalised at the 2019 EFP General Assembly in Bern, Switzerland, on 30 March.
Released: 13-December-2018

Perio and Diabetes Initiative

The EFP will launch a Perio & Diabetes project on 14 November to promote awareness of the important links between gum diseases and diabetes, explaining how they can be fought together. It will provide specific guidelines for oral-health professionals, medical professionals and pharmacists, researchers, policymakers, patients and the public, and the media.

Good oral health reduces risk of diabetes

Gum disease and diabetes are chronic conditions that increase with age. The link between the two diseases goes both ways. It is thought that inflammation in the body is the connection – in fact, gum disease is the most common inflammatory disease. Successful gum treatment reduces blood sugar levels.
Released: 14-November-2018

European Observatory of Periodontology Statement on Diabetes and Gum Disease

Gum disease treatment helps control blood glucose in patients with type 2 diabetes and may reduce complications, according to a randomised trial published in The Lancet Diabetes & Endocrinology. The European Federation of Periodontology welcomes the findings, which come ahead of its Perio & Diabetes campaign launch on World Diabetes Day (14 November).
Released: 06-November-2018

EuroPerio9

EuroPerio9 is the world's largest meeting devoted to periodontology and implant dentistry taking place from 20 to 23 June 2018 in Amsterdam, The Netherlands.

EuroPerio9 Press Releases

EuroPerio9 Photos from Saturday 23rd June

Released: 25-June-2018

EuroPerio9 Photos from Friday 22nd June

Released: 24-June-2018

EuroPerio9 Photos from Thursday 21 June

Released: 22-June-2018

EuroPerio9 Photos from Wednesday 20 June

Released: 21-June-2018

Best of EuroPerio9, the world’s leading congress on gum disease

A record 10 232 periodontists and other oral health professionals congregated from all over the world in Amsterdam from 20 to 23 June, to hear the latest research on periodontal disease and implants at EuroPerio9, the world’s leading congress in periodontology and implant dentistry.
Released: 23-June-2018

Oral piercings associated with inflammation of the gums

According to a study presented today at EuroPerio9, tongue piercings may affect gums and teeth in close proximity with the piercing. More awareness is needed about the health risks of oral piercings.
Released: 22-June-2018

Depression and stress associated with severe gum disease

A study presented today at EuroPerio9, found that psychosocial factors such as depression, stress, emotional vulnerability and Type A personality are associated with more severe periodontal injuries, indicating the need for psychological evaluation and support for patients presenting with aggressive or chronic periodontitis (gum disease).
Released: 21-June-2018

Gum disease associated with high blood pressure

A study presented today at EuroPerio9, found that periodontitis is associated with an increased likelihood of high blood pressure. Investigators also found a reduction in blood pressure levels after periodontal therapy.
Released: 21-June-2018

Unhealthy diets may contribute to gum disease

According to a presentation at a EuroPerio9 press conference today, nutrition may have an impact on periodontal disease and its treatment. Nutritional interventions offer potential to reduce inflammation.
Released: 21-June-2018

Smoking reduces implant success in periodontitis patients

According to a large-scale study presented today at EuroPerio9, smoking affects long-term dental implant success.
Released: 21-June-2018

Antibiotic resistance among patients with severe gum disease is increasing

Results of a study presented today at EuroPerio9, found that antimicrobial resistance is on the rise among German patients with severe periodontitis.This trend raises concern over the indiscriminative use of antibiotics in periodontal treatment.
Released: 21-June-2018

Elite athletes’ performance negatively impacted by oral disease

A cross-sectional study presented today at EuroPerio9, found that elite athletes have significant levels of periodontal disease, with one third reporting that poor oral health impacted their performance negatively.
Released: 21-June-2018

AAP and EFP joint statement on the new classification of periodontal and peri-implant diseases and conditions

The American Academy of Periodontology (AAP) and the European Federation of Periodontology (EFP) co-presented the findings from the joint 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions during a session at EuroPerio9.
Released: 22-June-2018

New classification of periodontal and peri-implant diseases and conditions

Proceedings of the workshop jointly held by the American Academy of Periodontology and the European Federation of Periodontology are published in the Journal of Clinical Periodontology today.
Released: 21-June-2018

Smoking influences the efficacy of non-surgical periodontal treatment

Results of a study to be presented at EuroPerio9, found that smoking impacts periodontal healing after non-surgical treatment. Researchers found more pronounced pocket depth reduction for non-smokers.
Released: 19-June-2018

Healthy diet significantly reduces gingivitis

According to a study to be presented at EuroPerio9, just four weeks of a healthy diet can significantly reduce gingivitis.
Released: 16-June-2018

Gum disease and Coronary Artery Disease share genetic basis

Results of a meta-analysis to be presented at EuroPerio9, the world’s leading congress in periodontology and implant dentistry, found that gum disease and coronary artery disease (CAD) share a common genetic basis, involving the VAMP8 function.
Released: 15-June-2018

EuroPerio9 abstracts online

The EuroPerio9 full scientific programme is online today, including all non embargoed abstracts. It can also be consulted on the EFP App.
Released: 30-May-2018

EuroPerio9 Press Programme

The EuroPerio9 press programme includes three press conferences and over a dozen press releases. Click to read more.

EuroPerio9 Media Alert 2

A record-breaking 1753 abstracts were submitted to this year’s event (up 9% from EuroPerio8). The EFP announced that over 1700 studies were chosen for presentation at the meeting including 96 Oral Presentations and 232 Poster Discussions while the remaining abstracts will be presented as e-posters. The full programme will be online end of March 2018. In addition, the scientific programme includes more than 100 presentations by invited speakers among the best and most famous periodontal specialists in the world.
Released: 06-March-2018

EP9 Media Alert 1

Over 1740 abstracts have been submitted to EuroPerio9, the world’s largest meeting devoted to periodontology and implant dentistry, representing a 10% increase from EuroPerio8 in 2015. This alert invites press to register for this website.
Released: 11-December-2017

European Gum Health Day 2018

On 12 May we celebrate European Gum Health Day 2018, and the European Federation of Periodontology (EFP) has organised a press conference today in Bern (Switzerland) to launch it publicly.

EGHD18 press release

Press launch 8th May 2018
Released: 08-May-2018

EGHD 2018 logos

Adverts and artwork
Released: 08-May-2018

Perio and Caries Initiative

The EFP has launched the 'Perio & Caries’ initiative calling for action to reduce the burden of tooth decay and gum disease. The campaign builds on the outcomes of Perio Workshop 2016 on “The boundaries between dental caries and periodontal disease”, organised jointly with ORCA (European Organisation for Caries Research) in November 2016, funded by an unrestricted grant from Colgate.

Press Announcement

Released: 11-January-2018

EFP Perio and Caries campaign

The European Federation of Periodontology (EFP) has launched the Perio & Caries campaign, an ambitious European-wide initiative to help tackle gum disease and caries, the two most frequent health conditions in the world. Please find a press release with further information here.
Released: 11-January-2018

Perio & Caries images

Released: 11-January-2018

EFP Press Releases

New EFP president Anton Sculean focuses on gum health

Released: 11-April-2018

About the EFP

EFP celebrates its general assembly in Vienna

EFP Vienna

An update from the EFP Anton Sculean becomes EFP president and focuses on gum health for over-60s, EuroPerio9 and Gum Health Day 2018
Released: 29-March-2018

EFP Logo and Images

Contains Logo for European Gum Health Day, Logo for EuroPerio 9 Photo of new president Anton Sculean
Released: 29-March-2018

EFP Visual Identity

EFP 'Brand Book'

Released: 01-October-2010

EFP Logos

EFP logo in various formats
Released: 16-December-2017

JCP Editor in Chief: Applications open

Do you have the skills to sit as Editor-in-Chief of The Journal of Clinical Periodontology? Download the information sheet.

JCP Editor-in-Chief applicant details.

Released: 05-August-2019

Europerio 10

2-5 June 2021
Copenhagen

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