Crest + Oral-B US Thought Leader Site

• Innovative Technology: Learn about the new Oral-B iO oscillating-rotating toothbrush platform, featuring a complete interior and exterior redesign for a novel brushing experience.

• Key Features: Understand the benefits of the iO Linear Magnetic Drive, Oscillation Rotation with Microvibrations, Smart Pressure Sensor, and redesigned brush heads.

• Smart Pressure Sensor: Discover how the Smart Pressure Sensor, designed with dental professionals, guides optimal pressure for effective plaque removal and consistent brushing habits.

• Clinical Efficacy: Review evidence from meta-analyses and clinical trials demonstrating the iO toothbrush's superior performance in plaque and bleeding reduction, and faster transition to healthy gingival states compared to manual and sonic toothbrushes.

• Patient Outcomes: Explore how the iO toothbrush helps patients achieve better oral health outcomes, improves compliance, and builds stronger patient relationships through advanced technology and interactive features like the Oral-B app and OLED display.

• Risks and Challenges: Learn about the primary risk factors for implant failure, such as plaque build-up, and the prevalence of peri-implant diseases, which can affect up to 47% of patients.

• Power Brushes for Implant Hygiene: Discover how research and guidelines support the use of power brushes, like Oral-B's oscillating-rotating technology, for superior plaque removal and gingivitis prevention around implants.

• Patient Care and Compliance: Gain insights into the barriers to effective implant care, such as difficulty in plaque removal and lack of patient awareness, and how Oral-B's technology can motivate patients to maintain better oral hygiene.

• Clinical Efficacy and Safety: Review compelling case studies and randomized controlled trials demonstrating the safety and effectiveness of Oral-B's oscillating-rotating toothbrushes in improving oral health outcomes for implant patients.

• Challenges of Oral Hygiene During Orthodontics:

  Up to 96% of orthodontic patients develop oral diseases due to poor oral hygiene, which can lead to complications and extended treatment times.

• Economic Impact of Poor Oral Hygiene:

  Poor oral hygiene can result in an additional 2.2 months of treatment for patients with 3 or more poor oral hygiene records, leading to extra costs and loss of earnings for orthodontists.

• Benefits of Using Oral-B iO Technology:

  The Oral-B iO toothbrush, with its oscillation rotation technology and targeted clean refills, significantly improves plaque removal and gingivitis reduction, motivating better brushing habits and enhancing patient satisfaction.

• Design and Efficacy of Oral-B iO Brush Heads:

  The small round head of the Oral-B iO adapts effortlessly to each tooth, making it easier to clean around orthodontic appliances, and is specially designed to reach tight spaces and remove plaque effectively.

• Case Study Results:

  A 4-week case study with teenage orthodontic patients showed a 55.9% reduction in plaque and a 47.6% reduction in gingivitis after using the Oral-B iO brush with Ultimate Clean and Targeted Clean refills.

• Motivation and Compliance:

  The Oral-B iO toothbrush and app help motivate patients to brush longer and more effectively, with features like the smart pressure indicator and positive reinforcement (e.g., smiley face on the screen), leading to better oral hygiene habits and improved patient compliance during orthodontic treatment.

• Comparison Between Clear Aligners and Fixed Appliances:

  Both clear aligners and fixed appliances increase intraoral bacterial load, plaque accumulation, and the risk of developing gingivitis, periodontitis, white spot lesions, dental caries, and bad breath.

• Effects of Poor Oral Care with Aligners:

  Aligners cover the entire tooth surface for up to 22 hours a day, preventing natural cleansing by lips, cheeks, and tongue, and reducing the flushing effect of saliva, which can lead to increased white spot lesions and oral microbiota dysbiosis.

• Oral-B App Ortho Care Journey:

  The Oral-B app's Ortho Care Journey helps drive better oral hygiene behaviors during orthodontic treatment by promoting longer brushing times, optimal pressure, and comprehensive coverage.

• Prevalence and Impact of Childhood Caries:

  Childhood caries is the most common preventable infectious disease in children, affecting 573 million children worldwide, with 60-90% of schoolchildren globally experiencing caries.

• Negative Effects of Poor Oral Health on Children:

  Poor oral health can lead to physical and mental well-being issues in children, including pain, anxiety, disrupted development, low self-confidence, and poor academic performance.

• Superiority of Electric Toothbrushes for Children:

  Systematic reviews and meta-analyses show that children using oscillating-rotating (OR) electric toothbrushes have significantly less plaque and gingivitis and higher odds of being caries-free compared to those using manual toothbrushes.

• Efficacy and Safety of OR Electric Toothbrushes:

  Recent clinical trials demonstrate that OR electric toothbrushes provide superior plaque removal and are well-tolerated with no adverse effects on hard or soft tissues.

• Behavioral Impact of OR Technology:

  The use of OR electric toothbrushes has been shown to improve brushing duration and compliance with oral health guidelines, leading to better plaque control and overall oral hygiene in children.

• Resources and Support for Dental Professionals:

  The slide deck highlights various resources designed to support dental professionals in enhancing oral health conversations with parents and children, including educational materials, training programs, and behavior change tools.

• Role of Self-Monitoring and Feedback:

  Self-monitoring and feedback are integral to establishing effective oral care routines, helping patients to plan, set goals, and track their progress.

• Effectiveness of App Technology in Oral Care:

  App technology can bridge the gap between home and dental office care, improving oral care compliance through features like brush coaching, oral care journeys, and self-reporting of oral hygiene habits.

• Impact of Real-Time Feedback on Brushing Behavior:

  Real-time feedback, such as position detection and interactive displays, results in significant improvements in brushing behavior, including longer brushing durations and reduced overpressure.

• Reduction in Gingival Bleeding with Interactive Technology:

  Self-reported gingival bleeding was less frequent the longer Gum Guard was used, with statistically significant reductions observed as early as week 2.

• Correlation Between App Usage and Improved Oral Hygiene:

  Real-world data suggests that using Oral-B interactive oscillating-rotating electric toothbrushes with the Oral-B app supports dental professional guidance and empowers patients in self-care, leading to improved oral hygiene behaviors and outcomes.

There is a misconception that all fluorides are the same. This is simply not true. Stannous fluoride is unique among fluoride compounds offering gingival health benefits not found with sodium fluoride or sodium monofluorophosphate. While all three compounds provide anti-caries benefits, stannous fluoride, when effectively stabilized, has demonstrated broader and significantly greater protection than other fluorides against plaque, gingival health and erosive toothwear.

• Sodium fluoride main mechanism is remineralization or anti-caries

• Stannous fluoride

• Treats and protects gingival health

• Protects against erosive toothwear

• Treats dentinal hypersensitivity

• Remineralizes for anti-caries

• Demonstrated up to 4mm subgingivally

• Substantive for 12 hours

Scientific evidence indicates that anti-bacterial activity of stannous fluoride against both gram positive and negative bacteria inhibits bacterial metabolism. Bacterial exposure to stannous reduces bacterial growth, adhesion, reduced EPS production, and the production of acids and other metabolic toxins that contribute to gingivitis.

Stannous also binds to LPS to prevent triggering host-response including the inflammatory cascade and reduction of markers of oxidate stress.

Stabilized stannous fluoride defends teeth against acid erosion by creating a highly acid resistant and protective layer over the teeth.

• The deposition of stannous ions at the tooth surface helps to protect it against dental erosion.

• Deposition occurs primarily as a result of the attachment of the stannous ion to free phosphate sites on the surface of enamel.

• Relative to other fluorides, the stabilized stannous fluoride technology provides greater protection against enamel erosion.

• Strengthens enamel through remineralization by deposition of fluoride.

• Dental erosion is irreversible and therefore must be prevented.

Stannous fluoride provides a fast acting and durable, long-lasting occlusion of the dentinal tubules.

Stannous fluoride antibacterial dentifrice can help patients maintain health around implants.

• Rebalances the oral microbiome

• Dose dependent response

• Brushed vs. unbrushed areas (effect beyond mechanical)

• Formulation bioavailability matters

• Up to 4mm below the gumline for 12 hours post-brushing

A score of 250 or less is considered “safe for a lifetime of use”. Normal toothbrushing habits with toothpastes that conform to ISO standard will, in a lifetime of use, cause virtually no wear of enamel and clinically insignificant abrasion of dentin. (Addy & Hunter, 2003)

All oxidative tooth whitening results are directly tied to both:

• Concentration - higher concentration enables faster whitening results and diffusion of the peroxide to the stains below the enamel surface and

• Contact Time – increasing the amount of time the peroxide is in contact with the tooth will increase the results.

The serum contains highly active microdroplets of hydrogen peroxide in a water-resistant base, providing whitening while keeping teeth hydrated. Patients can achieve visibly whiter teeth in 2 weeks with 3% hydrogen peroxide.

The sources of natural tooth color include structural features of the teeth including thickness, translucency, dentin color, and in the absence of staining, may be dominated by genetic factors. Digital Image Analysis (DIA) removes subjectivity to assess changes in:

• Yellow to blue (Δb*)

• Lightness - whiteness (ΔL*)

• Luminescence: Red to Green (Δa*)

Tooth-whitening options include surface stain removal and chemical inhibition via abrasive or chelants, as well as in-office oxidative whitening, and take-home, over the counter oxidative whitening.

Sensitivity is a common side effect of tooth-whitening procedures. This sensitivity is transient and not harmful; the smear layers are not etched. The toxicological data show no evidence for risk. Current belief is that the sensitivity is directly related to rate of whitening and is solely related to peroxide. However, in reality the gelling and adhesive agents also contribute to sensitivity through dehydration of the tooth surface.

Light in tooth-whitening does work if correctly applied. The light must be of the right intensity, applied for the correct period of time and should be applied once the peroxide has been in contact with the tooth surface for the recommended period of time. Correctly applied light will not add sensitivity.

Peroxide is the most extensively researched whitening technology and has been evaluated in short term and extended use clinical trials in a variety of patient populations. P&G has over 183 published papers and presentations evaluating whitening products.