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Perhaps there's a selection effect where people who buy electric toothbrushes are pre-disposed to care more about dental health.
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No, I would think all trials are random with people assigned brushes

> 5068 participants were randomised to receive either a powered toothbrush or a manual toothbrush. Majority of the studies included adults, and over 50% of the studies used a type of powered toothbrush

https://www.cochrane.org/evidence/CD002281_poweredelectric-t...




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