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Oral-B iO - Why recommend oscillating rotating technology?

Oral-B iO provides superior plaque, gingivitis, and transition to gingival health outcomes compared to manual, sonic and traditional oscillating-rotating (OR) toothbrushes.


Since its 1991 debut, Oral-B® oscillating-rotating technology with its round brush head has been validated by numerous studies demonstrating its efficacy, gentleness, and patient compliance. Clinical evaluations across diverse patient groups—including those with periodontal disease, pediatrics, orthodontics, and post-surgical care—support its effectiveness. Systematic reviews and meta-analyses, including by the Cochrane Collaboration, confirm the safety and superior plaque control and gingivitis reversal of this technology compared to manual brushes. 1-6


Additionally, interactive features like brushing guidance, pressure sensors, and timers enhance brushing behavior and plaque removal. 7

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1. Grender JM, et al. Am J Dent 2020; 33(1): 3-11 2. Yaacob M, et al. Cochrane Database Syst Rev 2014;(6):CD002281. 3. Deacon SA, et al. Cochrane Database Syst Rev 2010;12:CD004971. 4. Zou Y, et al. Int Dent J. 2024 Feb;74(1):146-156. 5. Elkerbout TA, et al. Int J Dent Hyg 2020;18:17–26. 6. Thomassen TMJA, et al. Int J Dent Hyg 2022;20:3–17. 7. Adam R. Int Dent J. 2020;70 Suppl 1:S1-S6.

A perfect clean for all patients.
Oral-B iO - Power Infographic 2
Oral-B iO Power Infographic 3

*vs. a regular manual toothbrush

Meta-analysis reference: Zou Y, Grender J, Adam R, Levin L. A meta-analysis comparing toothbrush technologies on gingivitis and plaque. Int Dent J. 2024 Feb;74(1):146-156.

1. Health is defined as less than 10% bleeding sites, per Trombelli et al. J Periodontol 2018 Jun;89 Suppl 1:S46-S73.

2. Plaque data were standardized using Turesky’s Modification of the Quigley-Hein Index and the Rustogi Modified Navy Plaque Index scores.

3. Schätzle et al. J Clin Periodontol 2003; 30:887–901.


© 2024 P&G ORAL-35434

Oral-B Round for a Reason A key part in the success of the Oral-B electric rechargeable toothbrush is attributed to our partnership with dental professionals, dental advisory boards and universities. Your input into all stages of product development, research findings, professional knowledge and experience led to the design of the small round brush head. Oral prophylaxis is considered the gold standard for plaque and stain removal. Therefore, the brush head was designed to be similar to the professional dental instruments used for prophylaxis.


Oscillating-Rotating Technology Oral-B electric rechargeable toothbrushes are built with the fundamental understanding of how plaque is best disrupted and swept away from the tooth surface. The disruption and removal of plaque depends on the brush head motion, supplied by the drive motor in the handle, and the brush head design. The motion of the Oral-B electric rechargeable toothbrush is designed to not only disrupt the plaque biofilm, but to lift and sweep it away. High-speed photography and a robotic cleaning effectiveness demonstrated that the most effective interproximal space penetration occurs when toothbrush bristles change direction. Both the oscillation and rotating momentum by the motion of the bristles create high shear forces that help disrupt plaque biofilm on the tooth surface. In addition, the brushing action provided by oscillating-rotating-pulsating bristles leads to deep interproximal penetration that lifts and sweeps plaque away during both the forward and backward movements. The efficacy of the oscillating-rotating technology has been confirmed both in laboratory tests and in clinical trials relative to various manual toothbrushes and other electric toothbrush technologies.

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