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Oral Health Products for Home UPDATE ON ORAL HEALTH PRODUCTS: LATEST AND GREATEST? Karen Baker, M.S.Pharm., Associate Professor I. Regulation and Evaluation A. Federal Trade Commission (FTC) D. Canadian Dental Association (CDA) B. Food and Drug Administration (FDA) E. Health Protection Branch of Canada C. American Dental Association (ADA) II. Information Sources for Dental Professionals A. ADA . Headquarters phone (312) 440-2500, (800) 621-8099 . Internet: http://www.ada.org . Council on Scientific Affairs, Ext. 2840 . Professional Product Review published quarterly at www.ada.org/goto/ppr B. ADA Additional Oral Health Benefit Required for Demonstration of Superiority . Manual/powered toothbrushes, floss and interdental cleaners, oral irrigators – 15% gingivitis . Chemotherapeutic agents to control gingivitis – 20% gingivitis . Fluoride-containing dentifrices – 10% improvement in caries reduction . Regeneration of periodontal tissues – 25% gain in periodontal attachment levels C. Dental Product Comparison Websites . www.dentalproductshopper.com . www.dentalcompare.com . www.dentalcare.com; www.colgateprofessional.com; . www.walgreens.com D. Professional Newsletters and Evidence-Based Resources "National Dental Practitioner Based Research Network”-NationalDentalPBRN.org . Monthly newsletter on practitioner database study results . Adds credibility and excitement to your practice without undue time demands "Clinician’s Report and Dental Hygiene Report" – www.cliniciansreport.org . edited by Dr. Gordon Christensen and published each month . paper or online subscriptions available. Cost is $95/$165 or $35/$165 (DH) "Nutrition Action Health Letter" – www.cspinet.org . edited by Michael Jacoboson – nonprofit “food police” . to order Fax 202.265.4954, cost is $24/year, $42/ 2 years for both US and CA versions "Dental Advisor and Dental Advisor Plus"-www.dentaladvisor.com . edited by Drs. John Farah and John Powers and published 4/6 times yearly . "Dental Advisor" $59/year with first year online subscription FREE E. Promotional Literature/Product Ingredient Sources . www.dentaldepot.com,, www.dentist.net. www.dentalcare.com . Dental Products Report is free online and paper at www.dentalproductsreport.com . Reality. Product Evaluations Publications. www.realityesthetics.com . Dentistry Today ,free at www.dentistrytoday.com . Just4Teeth.com,wide assortment of mechanical and chemical products F. Alternative Dental Product and Healthcare Quackery Prevention Resources . Natural Medicines Comprehensive Database,800.995.8712, www.naturaldatabase.com . PhytoNet-www.exeter.ac.uk/phytonet, e-mail: [email protected] . www.foodnews.org; www.ific.org, www.quackwatch.org, www.naturowatch.org . www.consumerlab.com, www.mskcc.org/mskcc/html/11570.cfm . free sites like www.science-basedmedicine.org and www.supplement-geek.com. III. Mechanical Plaque Removal Products A. Powered Oral Hygiene Devices Available for Retail Sale Available Powered Devices Brand (DA rating%) ADA Gingivitis [most useful] Manufacturer Price Seal? Reduction Product Characteristics Braun Oral-B Vitality Oral-B Labs $29T No Yes Compact, non-slip grip with small, cup-shaped Precision Clean USA 800.543-2577 oscillating brush. Two minute timer. Full [C,G] charge lasts 5 days. 7600rpm. Braun Oral-B Vitality Oral-B Labs $29T Yes Yes (1) Two moving brush heads, two minute Sensitive Clean[C,G] timer. Full charge lasts 5 days. 7600rpm Oral-B Black 7000 with Oral-B Labs $219T No Yes Sonic pulsations with ultra-speed oscillations. Bluetooth wireless (39) (8800rpm) Pressure sensor,40,000/minute, Smartguide(C,G,O) speed control settings Oral-B Genius 8000 Oral-B Labs $175T No Yes Customized brushing experience Oral-B Oral-B Labs $99T No Yes 40,000 pulsations/min, 8800rpm ProfessionalCare 3000 (30) Pressure sensor, three brushing modes [G,I,P] Oral-B Prof Care 1000 Oral-B Labs $65T No Yes 40,000 pulsations/min, 8800 rpm, pressure [C,G,O] sensor, one brushing mode Braun Oral-B Oral-B Labs $160T No Yes 40,000/8800,4 speeds, “Smart Guide Displays” Professional Care Pro Series is Bluetooth enabled with phone app Smart Series 5000 -with SmartGuide No Yes Visible timer for enhanced compliance Braun Oral-B Oral-B Labs $15 No No Replaceable brush heads, bristle indicator for CrossAction PowerMax replacement, rechargeable power Braun Oral-B Oral-B Labs $6 No No Replaceable brush heads, bristle indicator for CrossAction Power replacement, battery powered Braun Oral-B Pulsar Oral-B Labs $6 No No Battery powered, pivots & pulses, fully Vibrating Micropulse disposable-product not designed to be opened 35 Soft or 40 Medium Braun Oral-B Stages Oral-B Labs $7 No No Rotating power head brushes in 6 ways, for Kids disposable handle, battery powered, brush head NOT replaceable Crest Spinbrush Church&Dwight (1) $5 No Yes (1) Brush heads replaceable, battery powered (1) Classic www.spinbrush.c (2) $6 (2) Spinning head & multi level bristles, battery (2) Classic Clean om (3) $6 powered, replaceable head (3) MultiAngle (4) $6 (3) Spinning head and stationary “V” cut (4) Kids bristles which are angled in 3 directions, color signaling bristles, battery powered, replaceable head 2 ©Karen Baker, M.S. Pharm, 02/07/17 (4) Brush heads NOT replaceable, battery Crest Spinbrush Pro Church&Dwight (1) $7 No Yes (1) Replaceable brush head, combination of (1) Clean (2) $8 spinning head and up-n-down bristle (2) Whitening movement, battery powered (2AA) (2) Dual action brush head w/ whitening bristles, battery powered, replaceable head Interplak Power Plaque Conair (1) $60T Yes Yes (1) 2 speeds, no power base, 2 minute auto- (DPI9) [C,G,I,O,P] (92) (25) shutoff, travel case, 1 yr warranty, CRA-2.3 (2) RTG3CSR 800-633-6363 (2) $28 (2) Color Indicator Ring, rechargeable (3) NT7CS www.conair.com (3) $28 (3) 8-Tuft Brush head, rechargeable, grip handle Time Machine Oralgiene USA $40 Yes No Cleans 6 dental surfaces at once, entire mouth [C,G,DEX] (86) www.timemachin in 1 minute. Any TP OK. 300 strokes/min etoothbrush.com Plaque Control 3000 Waterpik Tech $39 Yes No Circular brushing motion and contoured [G,O] (87) bristles. Any TP OK. Reach Power Brush J & J $16 Yes No Center bristles rotate 3,000rpm www.jnj.com Outer blue bristles don’t move Rota-dent DenMat $150T W/D Yes Most tested in perio maint.pts. office training [I,O,P] Lompoc, CA ($55) needed. 3 brush types available. Any TP is OK www.denmat.com Microfilament brush tips, 90,000 filament sweeps per second Colgate Motion Colgate Palmolive $7 No No Dual action head, rotating bristles, curved neck, Company replaceable heads www.colgate.com Colgate Motion Colgate Palmolive $8 No No Dual action head, rotating bristles, soft rubber Whitening Company polishers remove stains GUM Kids Butler Company $7 No No Oscillating action bristles, larger handle, replaceable heads, battery powered Wisdom Spinbrush II Wisdom $8 No No Oscillating movements, battery powered, non- Toothbrushes replaceable brush heads, angled neck, two Limited power cleaning settings SONIC ACTION Aura Clean Sonic TB Tao Clean $199 No No 2 speeds up to 40,000 vibrations/minute,UV light charger base,waterproof for use in shower Baby Buddy Sonic 360 Compac Ind. $40 No No Battery-powered, 2 minute timer with flashers every 30 secs. Round gentle brush for children 3-8 years and can be used without toothpaste. Issa Sonic Silicone TB Foreo $199 No No 11,000 vibrations/minute, 2 types of brush Issa Mini for Kids $119 No No heads, 30 sec and 2 minute timers, waterproof Issa Mikro for Babies $99 No No for use in shower, 365 uses on one charge and each brush head lasts a year Sonicare Diamond Phillips Sonicare $179 No Yes 31,000 vibrations per minute, 5 speeds, Clean [G,I,P] Holds charge for 3 weeks, has charging function in travel case. High end of Sonicare product line. 3 ©Karen Baker, M.S. Pharm, 02/07/17 Sonicare For Kids Phillips Sonicare $70T No Yes Kid-friendly ramp up to 2min brushing over [C] Sonicare.com 90 days. Two speeds and two brushhead sizes. Three different front plates to customize. Cushions on brushhead and easygrip. Sonicare FlexCare Both T (1)RS930 1) $169 (1) integrated sanitizer, smart timer, (2)R910 2)$149 (2) smart timer, Quadpacer No Yes Sonicare Xtreme e3000 $39.99T 2 AA batteries, for pre-teens and teens Sonicare HealthyWhite Both T No Yes 3 modes – clean, sensitive, clean&white R732 $139.99 2 modes-clean, clean&white R710 $119.99 No Yes Sonicare Essence and P Phillips (1) Quadpacer 30-sec interval timer, recharge (1) e5500 $120T No Yes indicator, 2 minute smartimer, angled neck (2)e5300 $100T No Yes (2)No quadpacer, only 1 brushhead Supersonic American $80 No No Not available retail, 31,000strokes/minute, [C,G,O] (87) Dentronics (40) Brush and floss are available. 760.757.5380 Sonic-1 Cybersonic Amden Inc. $70T No No 47,000 strikes/min, uses harmonic resonance, 2 Oral Care Toothbrush brush heads, 2 attachments, “done-in-one” timer UltraSonex (84) Salton-(Sonex Int) $39T No No Manual brush with 1.6 mil cycles per min. Preset for 3 minutes. Avoid if cardiac 800.233.9054 pacemaker pt. Any TP OK. CRA- 2.6 www.saltoninc.com Ultima Salton $119 No No 18,000 strokes/min. plus 1.6 mill cycles/min. C = child, G = gingivitis, I = implants, O= ortho, P = periodontitis, Dex = dexterity not required B. Patient Selection Considerations for Powered Toothbrushes 1) Orthodontic Bands – smallest and least expensive brush heads with a 2 minute TIMER 2) Diffuse Sensitivity – sonic motion instead of rotation/oscillation 3) Stain Removal – small brush heads and timer designed to motivate for 2-3 minutes 4) Older Patients – inexpensive and reliable devices with little vibration 5) Young Children – motivational appearance and changing music for brushing period 6) Periodontal Disease – no powered toothbrush completely replaces interdental and subgingival devices Recent Powered Brush Comparisons: i) Am J Dent. 2013 Apr;26(2):68-74.
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