The efficacy of interdental brushes on plaque and parameters of periodontal inflammation: a systematic review.

Department of Periodontology, Academic Centre for Dentistry Amsterdam, Louwesweg 1, Amsterdam,The Netherlands.
International Journal of Dental Hygiene (Impact Factor: 0.68). 12/2008; 6(4):253-64. DOI: 10.1111/j.1601-5037.2008.00330.x
Source: PubMed

ABSTRACT The aim of the study was to asses the effect of the use of interdental brushes (IDB) in patients as an adjunct to toothbrushing compared with toothbrushing alone or other interdental oral hygiene devices on plaque and the clinical parameters of periodontal inflammation.
MEDLINE-PubMed and the Cochrane Central register of controlled trials (CENTRAL) were searched through November 2007 to identify appropriate studies. Clinical parameters of periodontal inflammation such as plaque, gingivitis, bleeding and pockets were selected as outcome variables.
Independent screening of the titles and abstracts of 218 MEDLINE-PubMed and 116 Cochrane papers resulted in nine publications that met the eligibility criteria. Mean values and standard deviations were collected by data extraction. Descriptive comparisons are presented for brushing alone or brushing and woodsticks; meta-analyses were also performed for the floss comparison.
As an adjunct to brushing, the IDB removes more dental plaque than brushing alone. Studies showed a positive significant difference using IDB with respect to the plaque scores, bleeding scores and probing pocket depth. The majority of the studies presented a positive significant difference in the plaque index when using the IDB compared with floss.

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    Periodontal Disease, Dental Caries and Hypersensitivity :A milleniel view, 1 edited by Lakshman P. Samaranayake, 01/2014: chapter Periodontal Disease: pages 12-25; MIMS Pte Ltd, 6 Shenton Way #15-08 Tower 2 Singapore 068809 Website:
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    ABSTRACT: BDS, BSc(Hons.), LLB(Hons.), MSc, DDS(Edin.), DDRRCR, FDSRCPS, FRCD(C). AbstrACt Background: Daily oral biofilm disruption by clients is recommended by oral health professionals to prevent oral diseases and to maintain optimal oral and overall health. Since periodontal diseases and caries are prevalent interproximally, the adjunctive use of interdental aids is highly recommended. Objectives: To evaluate the effectiveness of interdental brushing as an adjunct to toothbrushing for the primary outcome of interproximal gingival bleeding and a secondary outcome of interproximal plaque. Methods: Only randomized controlled trials were included. Studies were included irrespective of publication status and language. Hand searching was conducted in two peer reviewed journals, with references mined. Pharmaceutical companies that develop and manufacture interdental brushes were also contacted for unpublished or ongoing clinical trials. Sixty-two studies were retrieved from the literature with seven studies meeting the inclusion/ exclusion criteria. Forest plots and Chi-square tests were used to determine the presence of heterogeneity. Random effects model, relative risk and 95% confidence intervals were used in the analysis. Results: Four studies were included in the meta analysis for bleeding outcome. Although some heterogeneity was present among the studies, the interdental brush groups demonstrated statistical significance for reducing interproximal bleeding compared to the dental floss groups, p = 0.003. Plaque outcomes were analyzed using seven studies, with interdental brush demonstrating statistically significant differences to dental floss, p = 0.024. Conclusion: Interdental brush is an effective alternative to dental floss for reducing interproximal bleeding and plaque in clients with filled or open embrasures.
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    ABSTRACT: Aim Materials and methods Results Conclusion Aim of this study was to analyze the efficacy of oral hygiene procedures and devices in the prevention of peri-implant disease. The use of oral hygiene maneuvers and their typology were investigated in two hundred patients, with at least one implant placed. Data about frequency and duration of domiciliary dental care were collected together with risk factors and anamnestic data too. Plaque and bleeding indices were used to evaluate the oral status of the sample and, sequentially, a statistical analysis was performed. The results demonstrate that patients who used oral hygiene devices (interdental brush, dental floss) associated to toothbrush show lower plaque index values. The simultaneous use of different devices achieves better results than the use of a single one. No significant differences were noticed between the single use of each device. The use of the oral hygiene devices analyzed and presented in this study, alone or in combination, could be recommended in order to prevent peri-implant disease. no <10 die

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