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

Bourgeois, Denis; Saliasi, Ina; Llodrá, Juan Carlos; Bravo, Manuel; Viennot, Stéphane; Carrouel, Florence

doi:10.1111/eos.12302

Cited by 31 publications

(31 citation statements)

References 24 publications

(26 reference statements)

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“…mutans are known to be associated with bacteremia and infective endocarditis [ 88 , 89 ]. Therefore, as previously demonstrated, 34.8% of young periodontally healthy subjects with ID biofilm bled [ 90 ]. The presence of these pathogens in the ID biofilm of young adults represents a danger and must be prevented.…”

Section: Discussionmentioning

confidence: 63%

Quantification of carious pathogens in the interdental microbiota of young caries-free adults

et al. 2017

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BackgroundThe majority of caries lesions in adults occur on the proximal tooth surfaces of the posterior teeth. A comprehensive study of the composition of the oral microbiota is fundamental for a better understanding of the etiology of interdental caries.MethodsTwenty-five caries-free subjects (20–35 years old) were enrolled in the study. The interdental biofilm of four interdental sites were collected. The real-time polymerase chain reaction (PCR) methodology were used to quantify (i) the following bacteria: Streptococcus spp., Streptococcus mutans, Lactobacillus spp., Enterococcus spp., and Enterococcus faecalis; (ii) the fungus Candida albicans; and (iii) total bacteria.ResultsStreptococcus spp. was the most abundant species, followed by Lactobacillus spp. and Enterococcus spp. Streptococcus spp. and Lactobacillus spp. were detected at all tested sites and Enterococcus spp. at 99% of sites. S. mutans was detected at only 28% of the tested sites and C. albicans was detected at 11% of sites. E. faecalis was never detected. In 54.5% of the biofilm inhabited by C. albicans, S. mutans was present. Moreover, 28% of the ID sites co-expressed S. mutans and Lactobacillus spp. The studied pathogens were organized into two correlated groups of species. Strikingly, the fungus C. albicans and the bacteria Enterococcus spp. cluster together, whereas Streptococcus spp., S. mutans and Lactobacillus spp. form one distinct cluster.ConclusionThe interdental biofilm of young caries-free adults is comprised of pathogens that are able to induce interproximal caries. That several of these pathogens are implicated in heart disease or other systemic diseases is an argument for the disruption of interdental biofilms using daily oral hygiene.

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Section: Discussionmentioning

confidence: 63%

Quantification of carious pathogens in the interdental microbiota of young caries-free adults

et al. 2017

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“…In daily oral hygiene activities, it is very difficult to reach this space and disrupt the biofilm of a healthy adult especially in the posterior parts of the mouth [ 10 ]. However, updated recommendations for tools and techniques have been recently identified for interdental cleaning, and these approaches aim to reduce interproximal plaque, reduce bleeding, control gingivitis and increase patient motivation and compliance for a more effective prophylaxis and a better quality of life [ 11 ]. Accessibility of interdental spaces of healthy adults with the use of calibrated IDBs has been demonstrated [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2018

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ObjectiveThe aim of this study was to evaluate the effectiveness of a preclinical oral prophylaxis education program by examining the effectiveness of the teaching module on changes to the students’ attitudes towards their individual hygiene behaviors with interdental brushes (IDBs).MethodsAs being part of a new didactic program on oral interproximal prophylaxis, all preclinical third-year students (n = 96) enrolled in the 2014/15 academic year received theoretical, preclinical, and clinical lessons on interproximal prophylaxis. The evaluation of educational outcomes was linked to observed changes in students' hygiene behaviors using interdental brushes. Knowledge, skills, attitudes, satisfaction, competence and performance were also explored. The evaluation interviews were recorded at each recall, i.e., 1 week, 1 month, 3 months and 1 year after baseline.ResultsMotivation to use IDBs is clearly related to the perception of the effectiveness of the brushes and the perception of bleeding reduction. At one week, 89.6% of subjects reported using IDBs. Individual use decreased significantly from one week to one month (-26%, p = 0.006) while a non-significant upward trend occurred between one month and three months. Among students reporting usage of IDBs at 1 year (20.8%), only 2.0% used IDBs daily. Most students would recommend IDBs to other people at the beginning (69.8%). However, this share dropped to 50% at 3 months. IDB-users prescribed more than non-users.Discussion and public health implicationsThe implementation of a module on interdental hygiene practices in the oral health program is strongly recommended. However, corrective measures should be considered regarding the organization and frequency of recall periods in order to improve the performance of the curriculum.

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“…This may be contributed to the easy use of the product. Despite the research showing that other interdental deplaquing methods are just as effective as floss, if not more, in removing plaque, patients may not perceive it that way during use. Participants of this study reported higher agreement in the plaque removal of floss.…”

Section: Discussionmentioning

confidence: 98%

“…According to De Freitas et al interdental deplaquing should be conducted on a 12‐ to 24‐hour basis to maintain gingival health. Regular interdental plaque control has shown a decrease in inflammation, bleeding, plaque scores, calculus and probing depths …”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes and behaviours of patients regarding interdental deplaquing devices: A mixed‐methods study

Smith

Moretti

Brame

et al. 2019

Int J Dental Hygiene

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Objectives This mixed‐methods study assessed patients' oral health literacy, motivation level and barriers regarding interdental plaque control. Methods Participants (n = 49) from a study comparing the use of Glide® Pro‐Health Floss Original (F) or GUM® Curved Soft‐Picks® Advance (SP) completed daily diaries and questionnaires regarding motivation, tiredness, confidence and satisfaction for their deplaquing method. The Mantel‐Haenszel chi‐square test was utilized. Data were also collected from 19 participants who attended focus group discussions regarding their oral health habits, knowledge, motivators and barriers with interdental plaque control. Discussions were digitally recorded, transcribed and imported into ATLAS.ti 7.5.15 to identify themes. Results There were no statistically significant differences between the two groups in relation to age, sex or ethnicity. F users reported statistically significant higher agreement about ability to remove food/debris (P = 0.01), cleaning thoroughly (P = 0.02) and clean feeling of the mouth (P = 0.01). SP users reported higher ease/efficiency of use (P = 0.01), convenience (P = 0.003), easy to hold (P = 0.0001) and easy use away from home (P = 0.008). Daily diaries revealed higher motivation and compliance/ease of use (SP). During the focus groups, some reported that they did not feel clean unless they deplaqued interdentally; however, most reported that they lacked motivation due to constraints on time, no desire due to lack of immediate or tangible rewards, and lack of knowledge on proper use of interdental devices or the benefits of using them. Conclusion This study showed that the lack of compliance may be due to poor literacy and lack of motivation in patients due to gaps in patient education.

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

Cited by 31 publications

References 24 publications

Quantification of carious pathogens in the interdental microbiota of young caries-free adults

Quantification of carious pathogens in the interdental microbiota of young caries-free adults

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

Knowledge, attitudes and behaviours of patients regarding interdental deplaquing devices: A mixed‐methods study

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