Does Toothbrushing Affect Gingival Keratinization?

Mackenzie, Ian C.

doi:10.1177/003591577206501234

Cited by 20 publications

(16 citation statements)

References 14 publications

(15 reference statements)

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Section: Combination Of Mechanical and Chemical Biofilm Management Asmentioning

confidence: 99%

“…It can be summarized that toothbrushing, aimed at removing dental plaque, is an essential element of periodontal treatment and control of pocket infections. It could be shown that beyond mechanical cleaning, stimulation of tissues by toothbrushing provided several benefits, including an increase in keratinization of the oral epithelium, capillary gingival circulation, proliferative activity of the junction basal cells as well as the repair of small breaks in the junctional epithelium and prevention of direct access of periodontal pathogens into the gingival tissue (56,61,78,121,122). However, modern concepts for the prevention and therapy of biofilm-associated infections, such as periodontitis (and also gingivitis, caries and endodontic infections), should not solely be based on mechanical removal, but also on the use of adjuvant substances with antibacterial properties (100,108).…”

Section: Combination Of Mechanical and Chemical Biofilm Management Asmentioning

confidence: 99%

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Patient self‐care of periodontal pocket infections

Arweiler¹,

Auschill²,

Sculean³

2017

Periodontology 2000

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Treatment of periodontitis aims to control the infection caused by the periodontal pathogenic flora and includes mechanical debridement of root surfaces to disrupt the supragingival and subgingival biofilm. As periodontal pockets of ≤ 5 mm can be perform in a stable condition and may not need additional therapy, the ability and the willingness of the patient to perform good oral hygiene on a long-term basis are of utmost importance for ensuring long-term success of periodontal treatment. In this context, the aim of all home-care measures must be the optimal control of plaque biofilm in order to prevent or treat gingival inflammation as a primary stage of periodontitis. Despite the fact that toothbrushing and other mechanical cleaning practices are the most important elements for preventing periodontal diseases or their progression, other factors, including education, motivation, manual dexterity and compliance with professional recommendation, provision of time and socio-economic status, as well as risk factors, play a role. The present article provides an overview on the various possibilities for self-care of residual pockets in patients with periodontitis.

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Section: Combination Of Mechanical and Chemical Biofilm Management Asmentioning

confidence: 99%

Section: Combination Of Mechanical and Chemical Biofilm Management Asmentioning

confidence: 99%

Patient self‐care of periodontal pocket infections

Arweiler¹,

Auschill²,

Sculean³

2017

Periodontology 2000

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“…Despite this, 2 of these still had improved plaque scores compared with the week when they used the singleheaded brush. The tendency to trauma may be related to the previous lack of stimulation by toothbrushing and it may be that, after using the brush for some time keratinization would ensue, providing a strengthened mucosal barrier (Mackenzie 1972).…”

Section: Statisticsmentioning

confidence: 99%

Clinical evaluation of plaque removal with a double‐headed toothbrush

Gibson

Joyston-Bechal

Smales

1988

J Clinic Periodontology

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A blind, two-way, crossover clinical trial, completed by 44 adult subjects, instructed in specific oral hygiene techniques, was carried out to compare the effectiveness of plaque removal between a new Scandinavian double-headed toothbrush and a popular single-headed brush, each used for one week. The results showed that the double-headed brush was significantly more effective in removing plaque overall than a conventional brush. The effect was most evident on all lingual surfaces, especially in the lower arch and molar regions. It was also particularly pronounced when the double-headed toothbrush was allocated for use in the 2nd week of the study. There was no significant difference in the cleaning ability of the 2 brushes on the buccal surfaces of the teeth.

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“…The effects of toothbrushing include promotion of keratinization of the oral epithelium (Orban 1930, Mackenzie 1972) and sulcus epithelium (Caffesse et al. 1982), enhancement of capillary gingival circulation (Brill & Krasse 1959, Hanioka et al.…”

mentioning

confidence: 99%