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Electric or manual? What the evidence says

Systematic reviews find a small advantage for powered toothbrushes. The difference between brushing and not brushing is larger.

Dentistry – and the field of periodontology in particular – is advancing quickly. Our editorial team sifts through the wealth of information and gathers here what is new and worth knowing on the subject:

    09.06.2026

    Electric or manual? What the evidence says

    The question comes up at every preventive appointment. Reviews by the Cochrane Collaboration, which pool numerous individual studies, reach a consistent result: powered toothbrushes remove somewhat more plaque and lead to somewhat less gum inflammation than manual brushes. The difference is measurable, but small.

    In practice that means: the brush is not the decisive factor. What matters is the technique, the duration and above all the spaces between the teeth, which neither brush reaches.

    Where a powered brush genuinely helps: with limited hand mobility, with children who have not yet mastered a clean technique, and with anyone who presses too hard – many models warn against it. Brushing too firmly is a common cause of receding gums.

    Source: systematic reviews by the Cochrane Collaboration on powered versus manual toothbrushes.

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