The efficacy of woodsticks on plaque and gingival inflammation: A systematic review

Department of Periodontology, Academic Centre of Dentistry Amsterdam, Louwesweg 1, Amsterdam, The Netherlands.
International Journal of Dental Hygiene (Impact Factor: 1.06). 12/2008; 6(4):280-9. DOI: 10.1111/j.1601-5037.2008.00335.x
Source: PubMed


To review the literature on whether a hand-held triangular woodstick, as compared with no adjunct or other interdental cleaning device in addition to daily toothbrushing, can improve clinical parameters of gingival inflammation.
MEDLINE and the Cochrane Central Register of Controlled Trials (CENTRAL) were searched through February 2008 to identify appropriate studies. Plaque and gingivitis were selected as outcome variables.
Independent screening of the titles and abstracts of 181 MEDLINE and 65 CENTRAL papers yielded seven publications with eight clinical experiments that met the eligibility criteria. The improvement in gingival health, as observed in seven studies, represents a significant incremental benefit realized by the use of triangular woodsticks. None of the studies that scored plaque demonstrated any significant advantage to the use of woodsticks, as opposed to alternative methods, in gingivitis patients.
Evidence from controlled trials, most of which were also randomized, shows that woodsticks do not have an additional effect on visible interdental plaque or gingival index, but do, however, provide an improvement in interdental gingival inflammation by reducing the bleeding tendency.

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    • "Recently, a systematic review was conducted to review the literature on whether a hand-held triangular wood-stick, as compared to no adjunct or other interdental cleaning device in addition to daily tooth brushing, could improve the clinical parameters of gingival inflammation. Evidence from the controlled trials, most of which were also randomized, showed that wood-sticks did not have an additional effect on visible interdental plaque or the gingival index, but did however, provide an improvement in interdental gingival inflammation by reducing the bleeding tendency.[24] "
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    Clinical Oral Investigations 09/2012; 17(3). DOI:10.1007/s00784-012-0836-8 · 2.35 Impact Factor
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    Journal Of Clinical Periodontology 08/2009; 36 Suppl 10(s10):20-6. DOI:10.1111/j.1600-051X.2009.01418.x · 4.01 Impact Factor
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