J Dent Rehabil Appl Sci.  2017 Jun;33(2):119-126. 10.14368/jdras.2017.33.2.119.

The effect of Light Emitting Diode electric toothbrush on gingivitis: a randomized controlled trial

Affiliations
  • 1Department of Periodontology, College of Dentistry, Dankook University, Cheonan, Republic of Korea. periolee85@gmail.com

Abstract

PURPOSE
The aim of the present study was to compare clinical antiplaque and antigingivitis effect between Light Emitting Diode (LED) electronic toothbrush and electronic toothbrush without LED for gingivitis and mild periodontitis patients.
MATERIALS AND METHODS
30 patients included in this study. 15 patients in experimental group used LED electronic tooth brush which has red and white LED within its head, and other 15 patients in control group used same product which specially modified that function without LED. Clinical parameters (Löe-Silness gingival index (GI), Quigley-Hein plaque index (PI)) were measured at the baseline, 2 weeks and 4 weeks later. Wilcoxon signed rank test and Mann-Whitney test were used for statistical analysis.
RESULTS
Compare of GI change between experimental and control group with time, both groups showed that reduced GI, but lower GI values detected at 2 weeks and 4 weeks later in experimental group than control group. And lower PI values detected at 4 weeks later in experimental group than control group, but not statistically significant.
CONCLUSION
Based on these results and within the limits of this study, the electronic toothbrush with LED could reducing gingivitis in a short period and infer that decreasing plaque accumulation in a long period.

Keyword

toothbrushing; phototherapy; low-level light therapy; lasers

MeSH Terms

Gingivitis*
Head
Humans
Low-Level Light Therapy
Periodontal Index
Periodontitis
Phototherapy
Tooth
Toothbrushing

Figure

  • Fig. 1 Consolidated Standards of Reporting Trials (CONSORT) flow diagram for individual randomized, controlled trials of effect of Light Emitting Diode tooth brush.

  • Fig. 2 Experimental Protocol. Screening including oral exam, demographic investigation, medical/dental history, and inclusion/exclusion evaluation.

  • Fig. 3 Change of Löe-Silness gingival index (GI) in experimental and control group. Both groups have statistically significance at all time except between at baseline and 2 weeks in control group. * Statistically significant difference (P < 0.05).

  • Fig. 4 Compare of Löe-Silness gingival index (GI) change between experimental and control group with time. Both groups showed that reduced GI, but lower GI values detected at 2 weeks and 4 weeks later in experimental group than control group. * Statistically significant difference (P < 0.05).

  • Fig. 5 Change of Turesky-Quigley-Hein plaque index (PI) in experimental and control group. Statistically significant difference was shown between baseline and at 2 weeks later. * Statistically significant difference (P < 0.05).

  • Fig. 6 Compare of Turesky-Quigley-Hein plaque index (PI) change between experimental and control group with time. Lower PI values detected at 4 weeks later in experimental group than control group, but not statistically significant.


Reference

References

1. Becker W, Becker BE, Berg LE. Periodontal treatment without maintenance. A retrospective study in 44 patients. J Periodontol. 1984; 55:505–9. DOI: 10.1902/jop.1984.55.9.505. PMID: 6592322.
2. Lindhe J, Westfelt E, Nyman S, Socransky SS, Haffajee AD. Long-term effect of surgical/nonsurgical treatment of periodontal disease. J Clin Periodontol. 1984; 11:448–58. DOI: 10.1111/j.1600-051X.1984.tb00902.x. PMID: 6378986.
3. Silverstone LM, Featherstone MJ. A scanning electron microscope study of the end rounding of bristles in eight toothbrush types. Quintessence Int. 1988; 19:87–107.
4. Hawkins D, Abrahamse H. Phototherapy-a treatment modality for wound healing and pain relief. African J Biomed Res. 2007; 10:99–109.
5. Wong-Riley MT, Bai X, Buchmann E, Whelan HT. Light-emitting diode treatment reverses the effect of TTX on cytochrome oxidase in neurons. Neuroreport. 2001; 12:3033–7. DOI: 10.1097/00001756-200110080-00011. PMID: 11568632.
6. Whelan HT, Connelly JF, Hodgson BD, Barbeau L, Post AC, Bullard G, Buchmann EV, Kane M, Whelan NT, Warwick A, Margolis D. NASA lightemitting diodes for the prevention of oral mucositis in pediatric bone marrow transplant patients. J Clin Laser Med Surg. 2002; 20:319–24. DOI: 10.1089/104454702320901107. PMID: 12513918.
7. Whelan HT, Houle JM, Donohoe DL, Bajic DM, Schmidt MH, Reichert KW, Weyenberg GT, Larson DL, Meyer GA, Caviness JA. Medical applications of space light-emitting diode technology - space station and beyond. AIP Conference Proceedings. 1999; 458:3–16. DOI: 10.1063/1.57600.
8. Whelan HT, Smits RL Jr, Buchman EV, Whelan NT, Turner SG, Margolis DA, Cevenini V, Stinson H, Ignatius R, Martin T, Cwiklinski J, Philippi AF, Graf WR, Hodgson B, Gould L, Kane M, Chen G, Caviness J. Effect of NASA light-emitting diode irradiation on wound healing. J Clin Laser Med Surg. 2001; 19:305–14. DOI: 10.1089/104454701753342758. PMID: 11776448.
9. Whelan HT, Buchmann EV, Whelan NT, Turner SG, Cevenini V, Stinson H, Ignatius R, Martin T, Cwiklinski J, Meyer GA, Hodgson B, Gould L, Kane M, Chen G, Caviness J. NASA light emitting diode medical applications from deep space to deep sea. AIP Conference Proceedings. 2001; 552:35–45. DOI: 10.1063/1.1357902.
10. Löe H, Theilade E, Jensen SB. Experimental gingivitis in man. J Periodontol. 1965; 36:177–87. DOI: 10.1902/jop.1965.36.3.177.
11. Lee SY, You CE, Park MY. Blue and red light combination LED phototherapy for acne vulgaris in patients with skin phototype IV. Lasers Surg Med. 2007; 39:180–8. DOI: 10.1002/lsm.20412. PMID: 17111415.
12. Lang-Bicudo L, Eduardo Fde P, Eduardo Cde P, Zezell DM. LED phototherapy to prevent mucositis:a case report. Photomed Laser Surg. 2008; 26:609–13. DOI: 10.1089/pho.2007.2228. PMID: 19025412.
13. Whelan HT, Buchmann EV, Dhokalia A, Kane MP, Whelan NT, Wong-Riley MT, Eells JT, Gould LJ, Hammamieh R, Das R, Jett M. Effect of NASA light-emitting diode irradiation on molecular changes for wound healing in diabetic mice. J Clin Laser Med Surg. 2003; 21:67–74. DOI: 10.1089/104454703765035484. PMID: 12737646.
14. de Sousa AP, Santos JN, Dos Reis JA Jr, Ramos TA, de Souza J, Cangussú MC, Pinheiro AL. Effect of LED phototherapy of three distinct wavelengths on fibroblasts on wound healing:a histological study in a rodent model. Photomed Laser Surg. 2010; 28:547–52. DOI: 10.1089/pho.2009.2605. PMID: 20001321.
15. Baez F, Reilly LR. The use of light-emitting diode therapy in the treatment of photoaged skin. J Cosmet Dermatol. 2007; 6:189–94. DOI: 10.1111/j.1473-2165.2007.00329.x. PMID: 17760698.
16. Barolet D. Light-emitting diodes (LEDs) in dermatology. Semin Cutan Med Surg. 2008; 27:227–38. DOI: 10.1016/j.sder.2008.08.003. PMID: 19150294.
17. Eells JT, DeSmet KD, Kirk DK, Wong-Riley M, Whelan HT, Ver Hoeve J, Nork TM, Stone J, Valter K. Photobiomodulation for the treatment of retinal injury and retinal degenerative diseases. Proceedings of Light-Activated Tissue Regeneration and Therapy Conference. 2008; 39–51. DOI: 10.1007/978-0-387-71809-5_5.
18. Erdle BJ, Brouxhon S, Kaplan M, Vanbuskirk J, Pentland AP. Effects of continuous-wave (670-nm) red light on wound healing. Dermatol Surg. 2008; 34:320–5. DOI: 10.1111/j.1524-4725.2007.34065.x. PMID: 18177400 .
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