Waterpik Technologies 7500 User's Manual
Contents
1. the brush head motion will do all the work Since a power brush generates more strokes per minute than a manual brush the individual may remove more biofilm in the same amount of brushing time Because there are different types of units available be sure to review the manufacturer s complete instruction guide PRIOR to recommending or demonstrating the product Recommending and instructing is easier if you have read all instructions and tried the product yourself Oral Health Outcomes _ _ A toothbrush is the most frequently used self care device Yet the ability to effectively remove biofilm with a tooth brush varies from person to person For the last several years power toothbrushes have become an integral rec ommendation to improve biofilm control There is a growing body of evidence on products currently available which show when compared to a manual toothbrush many power toothbrushes are 2345101112 e Superior at removing biofilm e Effective at reducing gingivitis e Likely to enhance stain removal As safe as a manual brush for soft and hard tissue Well liked and even preferred by individuals Waterpik Power Toothbrushes Waterpik Technologies entered the power toothbrush market more than thirty years ago From the original Touch Tronic toothbrush to today s SynchroSonic Plus advanced action sonic plaque renoval system Waterpik rechargeable power brushes remove biofilm and reduce bleeding be2. Outcomes measures had to include biofilm plaque and gingivitis From these standards 29 studies fulfilled all inclusion cri teria and had results that could be used for meta analysis Thetotal number of subjects in these trials was 2 547 Of those 239 or 9 4 were lost to follow up The 29 trials were further categorized into groups based on the mechanism of action Six groups resulted T hese included Side to side action with 8 studies Counter oscillation with 5 studies Rotation oscillation with 11 studies e Circular with 3 studies Ultrasonic with 2 studies Unknown action with 0 studies From the final review the Cochrane group determined that Power toothbrushes with a rotational oscillation action provided slightly better plaque removal and may provide better protection against gum inflammation than manual toothbrushes T he researchers discussed the weaknesses of their review and noted 5 e One possible weakness of this review was the grouping of toothbrushes by their modes of action So many factors may influence the effectiveness of toothbrushes including filament arrangement orienta tion size shape and flexibility brush head size and shape along with presence or absence and characteristics of atimer that not all of them could be analyzed None of the trials compared durability reliability and cost of using manual versus powered brushes it is presently not possible to make
3. toothbrush A review B Dent 1997 182 209 218 H easman PA et al Power toothbrushes A review of clinical trials Clin Periodontol 1999 26 407 420 Brothwel DJ et al An updateof mechanical oral hygiene practices Evidence based recommendations for disease prevention Can Dent Assoc 1998 64 4 295 304 Blanco VL et al In vitro effect of the SenSonic toothbrush on Treponema denticola J Clin Periodontol 1997 24 318 323 MacNeill S et al Sonic and mechanical toothbrushes An in vitro study showing altered microbial surface structures but lack of effect on viability J Clin Periodontol 1998 25 988 993 Barnes C A clinical evaluation of the effect on gin givitis and plaque reduction of the SenSonic plaque removal instrument Abstract presented at ADHA Annual Session 1995 Zimmer S et al Clinical study of the effectiveness of two sonic toothbrushes Clin D ent 1999 11 24 27 H efferren et al Assessment of the stain removal cleaning power of the SenSonic plaque removal instrument in beagles Dent Res 1996 75 86 Barnes C et al A comparison of a Waterpik dual motor power toothbrush and a manual toothbrush in affecting interproximal bleeding reduction and dental biofilm accumulation J Clin Dent 2003 14 49 52 In house data on file PN 20007016 ART 2003 Water Pik Inc FN 20007016ART F AA Post Test for Course 03 03 Power Brushes An Effective Alternative 1 What features may influence individual
4. 7 r z Course 03 03 Power Toothbrushes An Effective Alternative vow professional waterpik com Disclosure Statement e This course was designed developed and produced by Waterpik Technologies e Waterpik Technologies manufactures and distributes products addressed in this course Course Objective _ _____ __ To provide the dental team with the information and criteria needed to assist individuals in selecting a power toothbrush appropriate to need Learning Outcomes W _ _ e Discuss the clinical evidence from power toothbrush research e Identify which individuals will benefit from a power toothbrush Recommend a power toothbrush appropriate to need Introduction Power brushes have been in existence for many years In the past recommendations were often reserved for those individuals with special needs Today with the wide vari ety of products on the market almost any individual can benefit from a power brush A practice based study that included 3 669 dental profes sionalsand 16 903 subjects demonstrates how typical den tal office patients can benefit from a power brush In the study power toothbrush use was considered by dental pro fessionals to have a positive effect on the oral health of 80 5 of patients Patients agreed with 74 stating that they thought the power brush resulted in better oral hygiene Ninety four percent 94 of patients reported th
5. a clear recommendation on toothbrush superiority In summary the Cochrane review provides important information on power toothbrushes but is not without flaws Of consideration is that studies on older obsolete products with outdated technology were included in the meta analysis M any current power brushes with state of the art technology have been able to show in wal designed scientific trials that they are superior to manual brushes 1 2 3 4 6 10 11 12 Individual Recommendations Once clinical efficacy has been established when recom mending a power brush individual preferences can play a significant rolein product acceptance In fact studies have shown that when individuals play a more assertive role in healthcare decisions compliance and satisfaction increase Therefore it is unlikely that all the individuals in a practice will like or benefit from the same type of power toothbrush Importantly the individual oral health needs along with personal preferences should influence the brush recommendation T here are a large number of power brushes on the market with a wide array of features which can influence acceptance of the product To hdp individuals find the product right for them there are multiple features to consider Timer Essential for those who need to extend brushing time e Handle size Should be of adequate size and feel comfortable Brush head motion and configuration Size is important as is dex
6. ail at cjahn waterpik com waterpik Technologies CE Registration Form and Answer Sheet Course 03 03 Power Brushes An Effective Alternative Answer Sheet Please circle the correct answer for each question 1 a b c d Course Evaluation Circle your response 1 lowest 5 highest Course objectives were met 1 2 3 4 5 Content was useful 1 2 3 4 5 Questions were relevant 1 2 3 4 5 Rate the course overall 1 2 3 4 5
7. at they would continue to use their power brush and 75 said they would recommend it to a friend Power brushes are good choices for many individuals They may be ideal devices for people who provide care to the homebound or for those institutionalized or living in a nursing home In working with individuals consider those who present with any of the following as prime candidates for using a power brush Poor plaque biofilm control e Gingivitis e Periodontal maintenance e Orthodontic appliances e Implants Aesthetic restorations e Crowns and bridges e Physically challenged Gingival overgrowth The Best Power Brush A January 2003 systematic review of power brushes by the Cochrane Collaboration evaluated different types of power brushes and tried to determine the superiority of one type of brush over another The reviewers evaluated 354 clinical trials published between 1964 and 2001 The 354 studies were reviewed for the following criteria gt e Study design had to be a randomized controlled trial comparing manual and power toothbrushes Comparisons between power brushes were excluded Crossover trials were eligible but not split mouth designs e Subjects could not have a disability that would affect toothbrushing orthodontic appliances were allowed Brushing had to be unsupervised e Combined interventions such as those with rinsing or irrigating were excluded e Study had to bea minimum of 28 days
8. nths for inclusion Obtaining Continuing Education Credits Waterpik Technologies is designated as an Approved PACE Program Provider by the Academy of General Dentistry The formal continuing education programs of this provider are accepted by the AGD for Fellowship M astership and membership maintenance credits Approval does not imply acceptance by a state or provin cial board of dentistry The current term of approval extends from 04 05 1998 05 31 2006 Credits 1 hour H______ If you have questions about CE requirementsin your state or province please consult your regulatory board Directions _ _ __ _ e Fill out the Waterpik CE Registration Form and Answer Sheet Answers should be logged on the answer sheet Please make a copy of the post test and your answer sheet to retain for your records e Only one original answer sheet per individual will be accepted PHOTOCOPIES ARE NOT VALID Answers left blank will be graded as incorrect e Please fill out the course evaluation portion e Submit your answer sheet via mail to Carol Jahn RDH MS Educational Programs M anager Waterpik Technologies 1730 East Prospect Road Fort Collins CO 80553 Scoring AAA In order to receive credit you must answer correctly 4 questions out of 5 Results Will be mailed in 6 8 weeks Questions A _ Please contact Carol Jahn Education Programs M anager at 1 800 525 2020 x 8565 or via em
9. ound that sonic energy from the SenSonic toothbrush severdy shortened and or removed fimbriae from the cell walls of A viscosus T he researchers observed that these study findings were consistent with previous studies on other sonic brushes that have exam ined the effect of sonic energy on bacteria Biofilm stain gingivitis reductions Barnes and others demonstrated that the SenSonic toothbrush showed statistically significant reductions in both biofilm and gingivitis after four weeks use Hefferren showed that the SenSonic toothbrush is effective at reducing both existing stain of one years duration and that induced by diet after just one minute of brushing Comparison to Sonicare toothbrush e Zimmer and co workers compared a manual brush to the SenSonic toothbrush and Sonicare toothbrush and found both sonic brushes were more effective in removing biofilm and reducing gingivitis than the manual tooth brush 5 The chart below highlights the percent reduc tions from baseline for each of the brushes in the study Percent Reductions from Baseline BIOFILM APPROXIMAL PAPILLARY INDEX BIOFILM INDEX BLEEDING INDEX 74 6 87 5 Sonicare toothbrush 48 3 SenSonic toothbrush 52 5 75 9 82 9 Manual toothbrush 10 17 4 52 5 Both the SenSonic toothbrush and the Sonicare tooth brush reduced bleeding to nearly the same level 0 06 and 0 07 respectively However the Sonicare toothbrush started
10. preference for a power brush a Timer b H andle size c Brush head configuration d All of the above 2 Which type of individual would NOT be a candidate for a power brush a Orthodontic b Periodontal maintenance c Edentulous d Physically challenged 3 When compared to a manual toothbrush the SynchroSonic Plus power toothbrush a Was better at removing biofilm but not at reducing gingivitis b Was better at reducing gingivitis but not at removing biofilm c Equal to the manual brush in biofilm removal and gingivitis reduction d Better than the manual brush at biofilm removal and gingivitis reduction 4 When the SenSonic toothbrush and Sonicare toothbrush were compared to a manual toothbrush what were the results a T he SenSonic toothbrush was superior in all measures to the Sonicare toothbrush and the manual toothbrush b The Sonicare toothbrush was superior in all measures to the SenSonic toothbrush and the manual toothbrush c The SenSonic toothbrush and Sonicare toothbrush were both superior to the manual toothbrush d The manual toothbrush was superior to both the SenSonic toothbrush and Sonicare toothbrush 5 Which statement is true about the power toothbrush review by the C ochrane Collaboration a O ne weakness of the study was grouping by modes of action b 92 studies were included in the meta analysis c Randomized clinical trials were excluded d Studies need to be a minimum of 6 mo
11. ration brush head motion and number and type of brush strokes per minute Therefore expectations of similar clinical outcomes on products of differing brands cannot be assumed References 1 Goldie MP Power toothbrushing An easy effective way to improve oral health Contemporary Oral H ygiene 2002 July August 28 33 2 Warren PR et al A practice based study of a power toothbrush Assessment of effectiveness and accept ance JADA 2000 131 389 394 3 Jahn C M aking patient centered self care recommen dations Automatic toothbrushes Practical H yg 2001 10 5 38 39 42 4 Bowen D An evidence based review of power tooth brushes Compend Contin Educ Oral H yg 2002 9 3 16 5 HeanueM et al M anual versus powered toothbrushing for oral health Cochrane Review In The Cochrane Library Issue 1 2003 O xford U pdate Software 6 Jahn CA Automated oral hygiene self care devices Making evidence based choices to improve client outcomes Dent H yg 2001 75 171 186 7 LarrabeeJH Thechanging role of the consume in health care quality J Nurs Care Qual 1995 9 8 15 8 Lang WP et al Preventive behaviors as correlates of periodontal health status J Public Health Dent 1995 55 1 10 17 9 10 11 12 13 14 15 16 17 18 19 Yes H awkins BF et al Duration of toothbrushing for effec tive plaque control Quintesnce Int 1986 17 361 365 Walmsley AD The electric
12. rease compliance with your recommendation Alternatively products can be purchased at professional discounts for dispensing in the office Conclusion _ Power toothbrushes are safe and effective devices for many people According to Maria Perno Goldie RDH MS international speaker and author No longer are power toothbrushes considered only for special needs clients but rather the logical choice for all adult and child clients Cost is no longer an issue because prices of deluxe models are lower than ever and low cost battery operated portable toothbrushes are now available Product Comparison High Speed Power Brushes SynchroSonic Plus Advanced Action Sonic Plaque Removal System Model DT 400 Parent company Waterpik Technologies Braun Oral B 3D Excel Pulsating Sonicare Elite Model 017511 Model 7500 Oral B Laboratories Brush stroke Oscillation in amp out pulsation Brush stroke per minute 40 000 2 2 minute 30 second quadrant alert Yes Brush heads accessories 2 brush heads 1 tongue cleaner 1 polisher 40 000 pulsations 7 600 oscillations 1 brush head 1 brush head Promotional price 24 99 29 95 Direct professional pricing Yes Clinically proven better than a manual brush at reducing Plaque Gingivitis bleeding Stain nformation as of April 2003 Product Disclaimer 4H 1 _ _ All power brushes are not equivalent when it comes to brush head configu
13. terity e Lifestyle Frequent travelers may prefer a battery operated unit Disposability T his generally means that neither the bat tery nor the brush head can be replaced Products gen erally last around 3 months the same as a manual toothbrush and often cost the same May be a good gateway product e Affordability With multiple products in a wide range of prices there is a power brush to fit anyones budget Brushing Recommendations Some individuals may think that once they use a power brush they no longer have to make any effort when brushing Therefore it is important to continue empha sizing how often and long to brush Studies have shown that good biofilm removal takes time and those who brush longer tend to remove more biofilm Figure 1 It is important to explain to first time users that power brushes have a unique or different sound and sensation than manual brushes It may take some time to get adjusted to a new product Additionally some products may enhance the foaming action of the toothpaste and this may initially be overwhelming See Figure 1 Advise individuals not to use an excessive amount of toothpaste and not to turn the unit on until they have placed the brush head in their mouth While the thoroughness of brushing is dependent on the nature of the user power brushes may help simplify the brushing process The individual will still need to prop erly angle the brush in the mouth but once in place
14. tter than a manual toothbrush 515 Vibe Electric Toothbrush The Vibe toothbrush is quiet and small enough to take everywhere See Figure 2 Up to 15 000 brush strokes per minute clean better than a manual toothbrush Features include e Gentle side to side vibrating brushing action Ergonomically designed for ease and comfort Disposable like a manual brush No need to replace batter ies or brush heads e Internal battery lasts up to six months Includes a handy travel brush cover Available in four colors SenSonic High Performance Sonic Plaque Remover The SenSonic tooth brusn is a brush with state of the art sonic technology producing 30 000 gentle brush strokes per minute See Figure 3 It has a soft compact contoured brush head design elec tronic feedback system that automatically adjusts speed to maintain peak performance a power indicator light and a dishwasher safe easy to clean storage carousal Several clinical trials have been conducted on the SenSonic toothbrush including studies that show its ability to alter bacteria reduce biofilm stain and gingivitis and equivalency to the Sonicare toothbrush 231452617 Ability to alter bacteria Blanco and co workers showed that exposure to the sonic frequency generated by the SenSonic toothbrush severely disrupted the structural integrity of the periodontal pathogen T denticola spirochetes MacNeill et al f
15. with a higher baseline reading than the SenSonic toothbrush 0 56 versus 0 35 respectively 5 SynchroSonic Plus Advanced Action Sonic Plaque Remover The SyncroSonic Plus toothbrush is the first affordable dual motor sonic plaque removal system See Figure 4 With 40 000 brush strokes per minute this dual motor design creates a unique multi directional bristle action The ergonomic angled design allows for better access to posterior teeth In addition to brush heads the systen comes with a tongue cleaner and polishing attachment The SynchroSonic Plus toothbrush is clinically proven superior to a manual toothbrush In a randomized clinical trial by Barnes et al the SynchroSonic Plustooth brush was significantly more effective at reducing biofilm and gingival bleed ing than a manual tooth brush There was no evi dence of hard or soft tissue abrasion from the use of the SynchroSonic Plus toothbrush The chart below highlights the clinical outcomes from the study Percent Reductions from Baseline DENTAL GINGIVAL BIOFILM INDEX BLEEDING INDEX Manual toothbrush 5 4 20 SynchroSonic Plus toothbrush Statistically significant A synopsis and comparison of other high speed power brushes is included in the chart on page 6 When you recommend products it is beneficial to know where they can be purchased along with an estimated cost Having this information will enhance credibility and inc
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