Comparison of marginal bleeding using a periodontal probe or an interdental brush as indicators of gingivitis

Hofer, Deborah; Sahrmann, Philipp; Attin, Thomas; Schmidlin, P. R.

doi:10.1111/j.1601-5037.2010.00483.x

Cited by 18 publications

(13 citation statements)

References 19 publications

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“…A site was defined as healthy (i.e., yes) if it was assigned either Code 0, indicating healthy gingival tissues with no bleeding, or Code 1, indicating that bleeding representing tissue reaction to horizontal pressure in the interdental area applied by an interdental brush was present. Bleeding is scored as either present or absent for each interdental site after 30 s. Interdental brushes can be considered a valid alternative to a periodontal probe in assessing marginal bleeding in gingivitis patients [ 14 ]. Subject defined baseline bleeding risk according to the percentage of bleeding interdental sites was determined to be high-level if the subject had bleeding sites ≥ 30% and low-level if the subject had bleeding sites < 30%.…”

Section: Methodsmentioning

confidence: 99%

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

et al. 2016

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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.

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Section: Methodsmentioning

confidence: 99%

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

et al. 2016

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“…The Bleeding on Interdental Brushing Index (BOIB) was recorded, as was the bleeding response to the horizontal pressure applied in the interdental area by a calibrated IDB . After 30 s, bleeding at each gingival unit was recorded according to the following scale: 0, absence of bleeding after 30 s; and 1, bleeding after 30 s .…”

Section: Methodsmentioning

confidence: 81%

Efficacy of interdental calibrated brushes on bleeding reduction in adults: a 3-month randomized controlled clinical trial

et al. 2016

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This study investigated the effect of interdental brushes on the reduction of interproximal bleeding in adults without periodontal disease. Forty-six adults were enrolled in a 3-month, observer-blinded, parallel-group randomized control trial. The test group used a standard manual toothbrush twice daily and an interdental brush daily. The control group used a standard manual toothbrush. At each visit, a calibrated colorimetric probe was used in all interdental spaces to determine the appropriate size of the interdental brush required, the brush of the corresponding size was introduced into the interproximal space, and the presence of bleeding was recorded. The outcome was the frequency of bleeding after application of the appropriate interdental brush. All participants were evaluated 1 wk, 1 month, and 3 months after the baseline visit. The overall preventive fraction with respect to bleeding frequency was 46% at 1 wk and 72% at 3 months. More bleeding reduction was observed in anterior sites than in posterior sites (80% vs. 69%, respectively). Participants with low baseline bleeding frequency presented with less bleeding (OR = 2.3). This study shows that daily use of calibrated interdental brushes reduces interdental bleeding. These findings may support interdental cleaning as an effective means to help individuals maintain and/or achieve optimal oral health.

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“…and/or the evaluation of the tendency of the marginal gingiva to bleed upon mechanical stimulation exerted typically by a periodontal probe. These methods were first described more than 45 years ago and have not changed much since then (Table ) …”

Section: Methodsmentioning

confidence: 99%

“…These methods were first described more than 45 years ago and have not changed much since then (Table 2). 4,[36][37][38][39][40][41][42][43][44][45][46][47][48] In an attempt to circumvent the subjectivity of examiner scoring, non-invasive methods based on digital technologies were introduced more recently. These methods mainly aim at measuring the volumetric or color changes that occur in the gingival tissues due to plaque-induced inflammation.…”

Section: Clinical Parametersmentioning

confidence: 99%

Plaque‐induced gingivitis: Case definition and diagnostic considerations

Trombelli

Farina

Silva

et al. 2018

J Clinic Periodontology

258

212

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Based on available methods to assess gingival inflammation, GC could be simply, objectively and accurately identified and graded using bleeding on probing score (BOP%) CONCLUSIONS: A patient with intact periodontium would be diagnosed as a GC according to a BOP score ≥ 10%, further classified as localized (BOP score ≥ 10% and ≤30%) or generalized (BOP score > 30%). The proposed classification may also apply to patients with a reduced periodontium, where a GC would characterize a patient with attachment loss and BOP score ≥ 10%, but without BOP in any site probing ≥4 mm in depth.

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Comparison of marginal bleeding using a periodontal probe or an interdental brush as indicators of gingivitis

Cited by 18 publications

References 19 publications

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

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

Efficacy of interdental calibrated brushes on bleeding reduction in adults: a 3-month randomized controlled clinical trial

Plaque‐induced gingivitis: Case definition and diagnostic considerations

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