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

Lookup NU author(s): Professor Peter Heasman, Dr Richard HollidayORCiD, Andrew Bryant, Professor Philip Preshaw


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AimTo identify the best available evidence for the effect of toothbrushing on the initiation and progression of gingival recession and non-carious cervical lesions (NCCLs).MethodsA protocol was developed for the questions: Does traumatic toothbrushing, compared to normal toothbrushing, lead to an increased prevalence of non-inflammatory gingival recession? [FQ1] and NCCLs? [FQ2]. 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.ResultsA meta-analysis included 159 subjects and showed that subjects who used MTBs (manual toothbrush) had greater gingival recession after 12months when compared with those using PTBs (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 NCCLs were toothbrushing method and frequency.ConclusionThe data to support or refute the association between toothbrushing and gingival recession and NCCLs remain largely inconclusive.

Publication metadata

Author(s): Heasman PA, Holliday R, Bryant A, Preshaw PM

Publication type: Article

Publication status: Published

Journal: Journal of Clinical Periodontology

Year: 2015

Volume: 42

Issue: S16

Pages: S237-S255

Print publication date: 01/04/2015

Online publication date: 31/03/2015

Acceptance date: 02/10/2014

ISSN (print): 0303-6979

ISSN (electronic): 1600-051X

Publisher: Wiley-Blackwell


DOI: 10.1111/jcpe.12330

Notes: Special Issue: Proceedings of the 11th European Workshop on Periodontology. The XI European Workshop of Periodontology “Effective Prevention of Periodontal and Peri-implant diseases” was supported by the European Federation of Periodontology in part through unrestricted educational grants from P&G and J&J. Guest Editors: Mariano Sanz and Maurizio Tonetti


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