Comparing electric toothbrushes: sonic power versus oscillating-rotating | Dentistry33 (2024)

06 April 2023

The regular and complete removal of dental plaque is mainly thanks to the toothbrush. Toothbrushes come in many different designs, varying in the shape of the handle, brush head, bristle arrangement and filament shapes.

Electric or powered toothbrushes (PTB) have been in use since the 1940s and are still widely used today. They demonstrate benefits in the reduction of dental plaque and gingivitis compared to manual toothbrushes (MTB) both in the short and long term. And, thanks to their performance and ease of use, are becoming increasingly popular.

Different types of PTBs with different head configurations and with different modes of action are available on the market.

The high frequency sonic electric toothbrush (HFS-PTB), with side-to-side bristle movement, and the oscillating-rotating electric toothbrush (OR-PTB) are the best-selling and most sought-after modes of action worldwide.

Materials and methods

In a recent systematic review, first published in May 2022 in the International Journal of Dental Hygiene, authors established the efficacy of the oscillating rotation electric toothbrush (OR-PTB) compared to the high frequency sonic electric toothbrush (HFS-PTB) in regarding the parameters of plaque and gingival inflammation.

The literature search was conducted through the Medline-PubMed and Cochrane-Central databases up to April 2021.

Controlled or randomized clinical trials were selected that evaluated the efficacy of brushing with an oscillating rotation electric toothbrush (OR-PTB) in comparison with a high frequency sonic electric toothbrush (HFS-PTB).

The following parameters were evaluated for a minimum of 4 weeks:

  • plaque index (PI),
  • bleeding index (BS),
  • number of bleeding sites (NoB), and
  • gingival index (GI).

Results

Researchers included 32 publications with 38 comparisons in the final review. Descriptive analysis showed that in 54% of the comparisons, a significant difference in favor of the OR-PTB was found for the PI, BS and GI scores. The Quigley and Hein index showed a significant difference in means (DiffM) between final scores, as did the Navy index modified from Rustogi.

These data are in line with the meta-analysis for BS, for which the results came out in favor of the OR-PTB and considered potentially clinically relevant. A significant difference in favor of OR-PTB was found for NoB. Some 78% of the participants preferred the OR-PTB.

Conclusions

From the data of this study, researchers concluded that to maintain good plaque control and improve gingival health, the oscillating rotation electric toothbrush offers clinically relevant advantages compared to the sonic toothbrush, albeit with a small but significant difference.

Acknowledgements

This study was sponsored in part by an unrestricted educational grant by Procter and Gamble Company Worldwide Clinical Investigations—Oral Care. The company had no say in the design of this review, nor did they influence the reporting and publishing of the findings.

For more information: "The efficacy of an oscillating-rotating power toothbrush compared to a high-frequency sonic power toothbrush on parameters of dental plaque and gingival inflammation: A systematic review and meta-analysis."

Comparing electric toothbrushes: sonic power versus oscillating-rotating | Dentistry33 (2) Tag

Electric ToothbrushSonicOscillatingPlaqueGingival Inflammation

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FAQs

Comparing electric toothbrushes: sonic power versus oscillating-rotating | Dentistry33? ›

Electric rotating-oscillating toothbrushes come with lower power than sonic toothbrushes, but due to the rotating head you can find them quite powerful in removing the plaque off your teeth. Sonic toothbrushes, on the other hand, are considered much more effective thanks to the high level of vibrations they provide.

Which is better sonic or rotating oscillating toothbrushes? ›

Electric rotating-oscillating toothbrushes come with lower power than sonic toothbrushes, but due to the rotating head you can find them quite powerful in removing the plaque off your teeth. Sonic toothbrushes, on the other hand, are considered much more effective thanks to the high level of vibrations they provide.

Are sonic toothbrushes better than other electric toothbrushes? ›

While both the sonic and electric toothbrushes work well in comparison to the manual toothbrush, the sonic toothbrush is undeniably more efficient in cleaning your teeth. Electric toothbrushes typically have bristles that either scrub forward and backward or rotate in a mechanized motion.

Which is better mechanical or ultrasonic toothbrush? ›

While they may look the same from the outside, their functionality is completely different. The main difference between an electric vs a sonic toothbrush is that electric toothbrushes rotate, while sonic toothbrushes vibrate.

Is ultrasonic better than regular electric toothbrush? ›

But what's the difference between these two? Regular electric toothbrushes have rotating heads that can spin several thousand times per minute, but sonic toothbrushes spin tens of thousands of times per minute, which can give you a cleaner smile in a shorter period of time.

What is the downside of a sonic toothbrush? ›

However sonic brushes do have one major drawback; they tend to be quite expensive compared to both manual and electric versions making them cost-prohibitive for some users with tighter budgets who still want a quality brush for cleaning their teeth thoroughly each day!

Do dentists recommend oral B or sonicare? ›

Sonicare's heads are large and flat compared to Oral-B's small round brushes, and they're long-lasting, according to Wellspring Dental dentist Mandy Nebel, who prefers Sonicare over other brands. This specific model — one of two from the brand accepted by the ADA — is a more entry-level Sonicare.

What is the difference between oscillating and sonic electric toothbrushes? ›

Like rotating oscillating toothbrushes, Sonic electric toothbrushes include spinning and oscillating features to clear plaque, but they also move much faster. Compared to an oscillating toothbrush's limit of 7500 rotations per minute, Sonic brushes have an average of 30,000 brushes each minute.

Is sonic brush recommended by dentists? ›

Which electric toothbrush should dentists recommend to patients? Kev Chavda explains why Philips Sonicare is his top pick. Sonic cleaning is my top recommendation to my patients to look after their oral health in between appointments.

What's the difference between a sonic and ultrasonic toothbrush? ›

Sonic toothbrushes combine physical movement along with sound vibrations, whereas ultrasonic toothbrushes rely solely on high-intensity sonic vibrations.

What is better than Sonicare? ›

Oral-B is better for beginners (and kids)

Sonicare heads are a little more difficult to maneuver in the mouth. Though they're built to feel like “regular” toothbrushes, the longer heads can take some getting used to when navigating across your teeth.

Are sonic toothbrushes really better? ›

Studies have even shown that sonic toothbrushes still provide superior plaque removal even when they are held up to 4mm away from the tooth's surface! Obviously, users should brush in full contact with their teeth, but this is a testament to how effectively people can clean their teeth with this technology.

Are ultrasonic toothbrushes worth it? ›

These sonic waves contribute a lot to making sure that plaque cells, which are unreachable by the bristle, are broken up. Additionally, the sonic toothbrushes are a great tool for those with sensitive gums or tend to brush overly hard. Since the machine does most of the work, your job would only be to direct it.

Why choose a sonic toothbrush? ›

Sonic toothbrushes allow for a variety of highly customizable modes. It makes it easier to configure your toothbrush according to specific dental needs. For example, you can choose between modes that are designed for sensitive teeth, whitening effect, super clean,etc depending on your dental goals.

What are the disadvantages of an electric toothbrush? ›

They are more expensive compared to manual toothbrushes, making them less accessible to everyone. Electric toothbrushes are also fragile and require a lot of care to prevent damage. Although you have to charge them, overcharging, dropping, or damaging the batteries can mean the end of your electric toothbrush.

Are sonic toothbrushes more effective? ›

All other things being equal, studies have shown that sonic and ultrasonic toothbrushes are more effective at removing plaque and bacteria from the teeth than a regular manual toothbrush.

What are the benefits of a rotating toothbrush? ›

Oscillating-rotating: This kind of toothbrush has a small, round brush head that oscillates back and forth in a circular motion to help remove plaque. A smaller brush head can be very good for cleaning the hard-to-reach areas of your mouth.

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