Oral irrigation devices: a scoping review protocol
Keywords:Interdental cleaning devices, Oral hygiene, Oral irrigators, Scoping review, Water flosser, Water jet
Background: Effective daily removal of dental biofilm is essential for oral health. Although toothbrushing can effectively remove dental biofilm, it has little effect on subgingival biofilm and biofilm on contact surfaces of teeth and prostheses. Unlike toothbrushes, oral irrigation devices can deliver a pressurised stream of water below the gingival margin and on the proximal surfaces of teeth and prostheses. To our knowledge, no systematic, rigorous, scoping review on oral irrigation devices has been conducted to date. The purpose of this scoping review is to map key concepts and types of evidence available for oral irrigation devices, as well as to identify knowledge gaps to inform future research.
Methods: The protocol for this scoping review has been designed in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) and the Joanna Briggs Institute (JBI) guidelines. Four databases (Dentistry and Oral Sciences Source, CINAHL, MEDLINE, and Scopus) and eight sources of unpublished literature (Cochrane Library, Cochrane Oral Health’s Trials Register, Google, Google Scholar, ISRCTN registry, Open Grey, Proquest Dissertations and Theses Global, and the WHO Clinical Trials Registry Platform) will be searched. Data will be extracted using a data extraction table designed by the reviewers. Extracted data will be summarised and presented in diagrammatic and tabular form, accompanied by a narrative explanation.
Conclusions: By identifying key concepts, types of evidence and knowledge gaps, this scoping review will guide future research in the field.
Frencken JE, Sharma P, Stenhouse L, Green D, Laverty D, Dietrich T. Global epidemiology of dental caries and severe periodontitis-A comprehensive review. J Clin Periodontol. 2017;44(18):S94-105.
Kassebaum NJ, Smith AG, Bernabé E, Fleming TD, Reynolds AE, Vos T, et al. Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990-2015: A systematic analysis for the global burden of diseases, injuries, and risk factors. J Dent Res. 2017;96(4):380-7.
World Health Organization. Fact sheets: Oral health, 2020. Available at: https://www.who.int/news-room/fact-sheets/detail/oral-health. Accessed on 9 September 2022.
Peres MA, Macpherson LM, Weyant RJ, Daly B, Venturelli R, Mathur MR,, et al. Oral diseases: A global public health challenge. Lancet. 2019;394(10194):249-60.
Righolt AJ, Jevdjevic M, Marcenes W, Listl S. Global-, regional-, and country-level economic impacts of dental diseases in 2015. J Dent Res. 2018;97(5):501-7.
Preshaw PM. Periodontal disease pathogenesis. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA, eds. Newman and Carranza's clinical periodontology. 13th ed. Philadelphia, PA: Elsevier. 2019;89-111.e5.
Fejerskov O, Nyvad B, Kidd EA. Dental caries: What is it? In: Fejerskov O, Nyvad B, Kidd E eds. Dental caries: The disease and its clinical management. 3rd ed. Oxford, England: Wiley Blackwell; 2015;7-10.
Zandoná AG, Ritter AV, Eidson RS. Dental caries: Etiology, clinical characteristics, risk assessment, and management. In: Ritter AV, Boushell LW, Walter R, eds. Sturdevant's art and science of operative dentistry. 7th ed. St. Louis, MO: Elsevier. 2019;40-94.
Froum SJ, Klokkevold PR, Cho SC, Froum SH. Implant-related complications and failures. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA, eds. Newman and Carranza's clinical periodontology. 13th ed. Philadelphia, PA: Elsevier. 2019;846-58.
Do JH, Klokkevold PR. Supportive implant treatmen. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA, eds. Newman and Carranza's clinical periodontology. 13th ed. Philadelphia, PA: Elsevier. 2019;859-66.
Nyvad B. The role of oral hygiene. In: Fejerskov O, Nyvad B, Kidd E, eds. Dental caries: The disease and its clinical management. 3rd ed. Oxford, England: Wiley Blackwell. 2015;277-86.
Arweiler NB, Auschill TM, Sculean A. Patient self-care of periodontal pocket infections. Periodontol 2000. 2018;76(1):164-79.
Petersen PE. Continuous improvement of oral health in the 21st century-The approach of the WHO Global Oral Health Programm, 2003. Available at: https://apps.who.int/iris/bitstream/handle/10665/68506/WHO_NMH_NPH_ORH_03.2.pdf?ssequenc=1&isAllowed=y. Accessed on 9 September 2022.
Worthington HV, MacDonald L, Poklepovic PT, Sambunjak D, Johnson TM, Imai P et al. Home use of interdental cleaning devices, in addition to toothbrushing, for preventing and controlling periodontal diseases and dental caries. Cochrane Database Syst Rev. 2019;4.
Waerhaug J. Effect of toothbrushing on subgingival plaque formation. J Periodontol. 1981;52(1):30-4.
Ciancio SG. The dental water jet: A product ahead of its time. Compend Contin Educ Dent. 2009;1:7-13.
Gorur A, Lyle DM, Schaudinn C, Costerton JW. Biofilm removal with a dental water jet. Compend Contin Educ Dent. 2009;1:1-6.
Lyle DM. Implant maintenance: Is there an ideal approach? Compend Contin Educ Dent. 2013;34(5):386-90.
Waerhaug J. The interdental brush and its place in operative and crown and bridge dentistry. J Oral Rehabil. 1976;3(2):107-13.
Braun RE, Ciancio SG. Subgingival delivery by an oral irrigation device. J Periodontol. 1992;63(5):469-72.
Eakle WS, Ford C, Boyd RL. Depth of penetration in periodontal pockets with oral irrigation. J Clin Periodontol. 1986;13(1):39-44.
Munn Z, Peters MD, Stern C, Tufanaru C, McArthur A, Aromataris E. Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Med Res Methodol. 2018;18.
Aromataris E, Munn Z. JBI Manual for Evidence Synthesis, 2020. Available at: https://jbi-global-wiki.refined.site/space/MANUAL. Accessed on 9 September 2022.
Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Ann Intern Med. 2018;169(7):467-73.
Amarasena N, Gnanamanickam ES, Miller J. Effects of interdental cleaning devices in preventing dental caries and periodontal diseases: A scoping review. Aust Dent J. 2019;64(4):327-37.
Slot DE, Valkenburg C, Van der Weijden GA. Mechanical plaque removal of periodontal maintenance patients: A systematic review and network meta-analysis. J Clin Periodontol. 2020;47(S22):107-24.
Kotsakis GA, Lian Q, Ioannou AL, Michalowicz BS, John MT, Chu H. A network meta-analysis of interproximal oral hygiene methods in the reduction of clinical indices of inflammation. J Periodontol. 2018;89(5):558-70.
Ng E, Lim LP. An overview of different interdental cleaning aids and their effectiveness. Dent J. 2019;7(2).
Sälzer S, Slot DE, Van der Weijden FA, Dörfer CE. Efficacy of inter-dental mechanical plaque control in managing gingivitis-A meta-review. J Clin Periodontol. 2015;42(16):S92-105.
Liang P, Ye S, McComas M, Kwon T, Wang CW. Evidence-based strategies for interdental cleaning: A practical decision tree and review of the literature. Quintessence Int. 2020;51(1):84-95.
Jahn CA. The dental water jet: A historical review of the literature. J Dent Hyg. 2010;84(3):114-20.
Jolkovsky DL, Lyle DM. Safety of a water flosser: A literature review. Compend Contin Educ Dent. 2015;36(2):146-9.
Allen J. Efficacy of oral irrigators on gingival health: A review of three papers. Dent Health. 2019;58(1):34-40.
Husseini A, Slot DE, Van der Weijden GA. The efficacy of oral irrigation in addition to a toothbrush on plaque and the clinical parameters of periodontal inflammation: A systematic review. Int J Dent Hyg. 2008;6(4):304-14.
The EndNote Team. EndNote. EndNote X9 ed. Philadelphia, PA: Clarivate. 2013.
Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan-A web and mobile app for systematic reviews. Syst Rev. 2016;5.
Goyal CR, Qaqish JG, Schuller R, Lyle DM. Evaluation of the safety of a water flosser on gingival and epithelial tissue at different pressure settings. Compend Contin Educ Dent. 2018;39(2):8-13.