Graziani F, Palazzolo A, Gennai S, Karapetsa D, Giuca M R, Cei S, Filice N, Petrini M, Nisi M
Department of Surgical, Medical, Molecular and Critical Area Pathology, University of Pisa, Pisa, Italy.
Periodontology Unit, UCL Eastman Dental Institute, London, UK.
Int J Dent Hyg. 2018 Aug;16(3):389-396. doi: 10.1111/idh.12318. Epub 2017 Oct 2.
To determine the efficacy of 4 different oral hygiene regimens involving adjunctive interdental cleaning devices in unsupervised young subjects with intact interdental papilla.
Sixty periodontally healthy subjects were randomly allocated to 4 groups following different oral hygiene regimens (T-7): use of manual toothbrush alone; manual toothbrush plus dental floss; manual toothbrush plus interdental brushes; and manual toothbrush plus rubber interdental picks. Oral hygiene instructions (OHI) were given. One week after (T0), professional supragingival scaling and polishing was performed, and subjects were then reseen every 2 weeks (T14 and T28). At T-7, T0, T14 and T28, full-mouth plaque score (FMPS), full-mouth bleeding score (FMBS) and angulated bleeding index (AngBI) were taken.
During the first week (T-7/T0 unclean phase), FMPS decreased significantly in all groups except the group using dental floss. At T28, a significant decrease in FMPS (P < .001, all groups) and FMBS (P < .05, all groups except the group using flossing P < .001) was noted. Interdental FMPS showed significantly lower values in subjects treated with interdental brushes or rubber interdental picks vs toothbrushing alone (P < .05). The use of interdental picks was associated with reduced interdental FMBS when compared to flossing (P < .05).
In young subjects, with no interdental attachment loss, toothbrushing or toothbrushing and adjunctive interdental cleaning devices such as dental floss, interdental brushes or interdental rubber picks can significantly reduce both plaque and gingival inflammation. Use of interdental brushes or rubber picks reduces more interdental plaque in comparison with toothbrushing alone.
确定4种不同口腔卫生方案（包括使用辅助性牙间隙清洁工具）在未接受监督的、牙间乳头完整的年轻受试者中的效果。
60名牙周健康受试者按照不同口腔卫生方案被随机分为4组（T-7）：仅使用手动牙刷；手动牙刷加牙线；手动牙刷加牙间隙刷；手动牙刷加橡胶牙间隙清洁器。给予口腔卫生指导（OHI）。1周后（T0），进行专业的龈上洁治和抛光，然后每2周复诊一次（T14和T28）。在T-7、T0、T14和T28时，记录全口菌斑评分（FMPS）、全口出血评分（FMBS）和角度出血指数（AngBI）。
在第一周（T-7/T0清洁前阶段），除使用牙线的组外，所有组的FMPS均显著降低。在T28时，FMPS（P <.001，所有组）和FMBS（P <.05，除使用牙线组P <.001外的所有组）均显著降低。与仅使用牙刷相比，使用牙间隙刷或橡胶牙间隙清洁器治疗的受试者牙间隙FMPS显著更低（P <.05）。与使用牙线相比，使用橡胶牙间隙清洁器可降低牙间隙FMBS（P <.05）。
在没有牙间附着丧失的年轻受试者中，刷牙或刷牙联合牙线、牙间隙刷或橡胶牙间隙清洁器等辅助性牙间隙清洁工具均可显著减少菌斑和牙龈炎症。与仅刷牙相比，使用牙间隙刷或橡胶牙间隙清洁器可减少更多牙间隙菌斑。
