Access to Interdental Brushing in Periodontal Healthy Young Adults: A Cross-Sectional Study

Abstract

PurposeInterdental diameter space is largely undefined in adults, which compromises the decision support for daily interdental cleaning during routine practice in individual oral prophylaxis. This study assesses the distribution of diameter access of interdental spaces in an 18- to 25-year-old adult population free of periodontal disease.MethodsIn March-April 2015, a cross-sectional study using random sampling was performed at the University Lyon 1, France. The interproximal dental spaces of 99 individuals were examined using a colorimetric calibrated probe associated with the corresponding calibrated interdental brush (IDB).ResultsOf the 2,408 out of 2,608 sites, the overall accessibility prevalence of any interdental brushing was 92.3%. In total, 80.6% of the sites required interdental brushes with smaller diameters (0.6–0.7 mm). In anterior sites, the diameter of the interdental brushes used was smaller (55.8% of IDB with 0.6 mm) than the diameter of the interdental brushes used in posterior sites (26.1% of IDB with 0.6 mm) (p < 0.01). The adjusted ORs indicate a significant association with the location of the sites (approximately doubling the risk of bleeding, i.e., OR = 1.9, in posterior sites).ConclusionsMost interdental sites can be cleaned using interdental brushes. Even in healthy people, interdental hygiene requirements are very high. Strengthening the oral hygiene capacity by specifically using interdental brushes can have an effect on the health of the entire population. Screening of the accessibility of the interdental space should be a component of a routine examination for all patients.

Educational outcomes of a new curriculum on interproximal oral prophylaxis for dental students

“…I.e., at T1 (1 week), the percentages were, respectively: 10% (no brush), 6% (less frequency than 1/week), etc. Last period refers to the immediately previous period, i.e., between 1 week and 1 month for T2 b: Chi square with continuity correction or bilateral Fisher exact test (SPSS) c: Recommendation to relatives [T1-T4] or prescriptions to patients [ 4 ] d: Student t-test (SPSS) e: Friedman test (SPSS) f: Cochran test (SPSS) g: ANOVA test with REGRESS procedure in SUDAAN 7.0 to make use of all data (patients with or without repeated measures) h: LOGISTIC procedure in SUDAAN 7.0 i: Paired comparisons are calculated only if Global p-value is <0.05. The symbol "≠" means p<0.05.…”

“…In young healthy adults, the interdental space holds approximately 16 billion bacteria, including P . gingivalis , a pathogen for heart disease and other systemic diseases [ 4 , 5 ]. Evidence suggests that the oral biofilm can have important health outcomes, such as periodontitis, and potential associations with and/or causes of cardiovascular disease, diabetes, chronic kidney disease, degenerative disease, and depression [ 5 , 6 ].…”

“…“In young individuals in whom the papillae fill out the interdental spaces, dental floss is the only tool which can reach into this area” [ 9 ]. One challenge, our challenge is to go against this generally induced idea that IDBs do not fall within the scope of individual prophylaxis in healthy adults whose accessibility is made difficult [ 4 ]. Consequently, they are mainly considered when the clinical signs of periodontal lesions appear in adult patients [ 8 ].…”

Interdental Aids-A Literature Review

“…Conical or pyramidal flexible rubber tip attached to handle. Uses: a) For cleaning debris from interdental areas b) Biofilm removal at and just below gingival margin [11] ( Figure 5).…”

Evaluation of the cleaning eff icacy of three different interdental cleaning devices: an in vitro study

“…6,9,11,12 Tüm avantajlarının yanı sıra, dikkatli kullanılmadığında metal gövdenin diş ve kök yüzeyinde travma oluşturması nedeniyle dentin hassasiyetini tetikleme ve interdental papilin zedelenmesi gibi dezavantajları da mevcuttur. 3,13 Bu sebeple üreticiler, kullanım kolaylığı sağlamak amacıyla metal içermeyen esnek gövdeli plastik ara yüz temizleyici araçları piyasaya sunmuşlardır.…”