Research
Interdental Cleaning
Interdental brushes are by far the gold standard of interdental cleaning. Evidence below will back why we have chosen interdental brushes as the most effective tool between the teeth.
Ng & Lim state that "interdental brushes may be superior to dental floss in at least one parameter" and are especially indicated in "periodontal patients, who are likely to have widened embrasures" (2019)
Chapple et al, stated that interdental brushes "are the choice for interproximal plaque removal" (2015)
Salzer et al, declared Interdental brushes, "the most effective" form of interdental cleaning in periodontitis patients. (2020)
Amarasena, Gnanamanickam & Miller believed that Interdental brushes may be more effective at removing interdental plaque than any other interdental aid, given the embrasures are accessible.
Based on the last reference above, It is important we account for patients with very small embrasures/children with tight contacts.
Here, we've chosen Superfloss. The thick circumference of the floss replicated the interdental brushes mechanism of action. Superfloss can also be used around implants/all on 4's and orthodontic appliances.
Toothbrush
The Oral B IO is also known as the optimal electric toothbrush. The Oscillating rotating toothbrush has been a favourite in dentistry for years. Below we are going to explain why.
Walmsley states that the the powered toothbrushes are more effective than manual toothbrushes in closely supervised trials. (1997)
Adam, Erb & Grender noted that "the novel O-R toothbrush with micro-vibrations produced significantly greater plaque reductions compared to the manual toothbrush." (2020)
Sonic vs Oscillating (rotating head)
The sonic toothbrush is a very popular toothbrush in todays market, but should it be?
Ccahuana-Vasquez concluded that "the entry-level oscillating-rotating brush performed better than the premium sonic brush in the reduction of plaque and gingivitis in this eight-week randomized and examiner-blind study." (2018)
Similarly, Klukowska concluded that "an advanced oscillating-rotating power toothbrush produced substantial, statistically superior reductions in plaque and gingivitis via multiple outcome measures compared to a new sonic toothbrush after both four weeks and 12 weeks of tooth brushing." (2013)
And again, Zou, Grender, Adam & Levin concluded their Meta-analysis with the statement: "Oscillating-rotating toothbrushes offer superior results for transition to health, gingivitis, and plaque reduction compared with manual and sonic brushes."(2024)
In conclusion, We have researched powered/electric toothbrushes over manual toothbrushes. The evidence favours electric toothbrushes.
When researching oscillating vs sonic toothbrushes, oscillating come up Trumps.
So why Oral B IO?
Polar founds that "The Oral-B® iO™ electric toothbrush displayed enhanced plaque removal efficiency compared to a conventional oscillating-rotating technology." (2024)
FAQ's
Why don't we supply mouthwash?
Mouthwash has been marketed into our oral hygiene routines, although they are not a daily necessity.
Brookes et al, tells us about the dysbiosis of the oral microbiome caused by over the counter mouthwashes. Our mouth is made up of good and bad bacteria. Overuse of mouthwashes, especially Chlorhexidine digluconate (Periokin/Corsodyl) can cause the depletion of both good and bad Bacteria, which are vital to maintain a healthy state.
Mouthwash containing Chlorhexidine digluconate has the ability to stain teeth if overused. (>2 weeks) This staining will cause more plaque to build.
Toothpaste contains approx 1450 ppm Fluoride.
This is the recommended amount of Fluoride.
Mouthwash is allowed contain up to 600ppm, but many contain between 200/300ppm.
Mouthwash after brushing can cause the rinsing away of this valuable Fluoride, therefore increasing the risk of cavities.
Rinsing with water after brushing will have the same effect.
What About Waterflossers?
Waterflossers or Waterjets are widely recommended on social media. But their efficacy as a substitute for interdental cleaning remains questionable.
Interproximal spaces come in all shapes and sizes due to rotated teeth, missing teeth and youthful healthy gums.
Ng & Lim carried out a systematic review of seven published studies to conclude that "oral irrigation does not have a beneficial effect in reducing visible plaque". (2019)
Why don't we provide whitening Toothpaste?
Hydrogen peroxide is the only thing used to Whiten teeth. In the EU & UK, since 2016, hydrogen peroxide cannot be sold over the counter unless it contains less than 0.01% Hydrogen peroxide. This amount does not meet the threshold to bleach/whiten teeth. Therefore many whitening toothpastes contain abrasive components to scratch off stains and create a 'whiter' appearance.
Overtime, this results in the subsequent damage of the enamel. If we look at the layers of the teeth, below the enamel lies a brown/yellow coloured substance known as dentine. Thinning of the enamel with allow this brown layer to shine through resulting in darker/yellow teeth.
We must prolong the lifespan of the enamel by NOT using these products.
If you want to change the colour of your natural teeth, visit your Dentist for a whitening consultation.
Please Feel Free to read the research papers below