Strahan J D, Bashaarat A, Greenslade R N
J Clin Periodontol. 1977 Dec;4(5):13-22. doi: 10.1111/j.1600-051x.1977.tb00048.x.
Bacterial plaque at the dento-gingival margin is always associated with gingivitis. Measures which keep the area free from plaque will maintain health or encourage healing of existing gingivitis. Scaling and polishing at 6-month intervals may be sufficient for those patients who practice near-perfect oral hygiene but it is not an effective way of promoting the resolution of established gingivitis. A change to effective oral hygiene measures by the patient is the major factor in resolving gingivitis, but the association with scaling and polishing provides the ideal combination. Toothbrushing may only clean the oral and facial aspects of the teeth so interdental cleaning is necessary where gingivitis is established. There is no clear evidence that any particular oral hygiene routine is better than any other for all patients. It is generally agreed that thoroughness is extremely important. There is a variety of ways of motivating patients to practice effective oral hygiene but all reports indicate that it is most likely to be effective on a person-to-person basis. Motivation itself is not enough and must be associated with education and instruction. Long-term failure is likely unless the message is reinforced at regular intervals.
牙-牙龈边缘的细菌菌斑总是与牙龈炎相关。保持该区域无菌斑的措施将维持健康或促进现有牙龈炎的愈合。对于那些口腔卫生近乎完美的患者，每6个月进行一次洗牙和抛光可能就足够了，但这并不是促进已确诊牙龈炎消退的有效方法。患者改用有效的口腔卫生措施是解决牙龈炎的主要因素，但洗牙和抛光与之相结合则提供了理想的组合。刷牙可能只能清洁牙齿的口腔面和外侧面，因此在已确诊牙龈炎的情况下，牙间隙清洁是必要的。没有明确证据表明任何一种特定的口腔卫生习惯对所有患者都比其他习惯更好。人们普遍认为彻底清洁极为重要。有多种方法可以激励患者养成有效的口腔卫生习惯，但所有报告都表明，最有可能有效的是一对一的方式。仅有激励本身是不够的，还必须与教育和指导相结合。除非定期强化信息，否则很可能会出现长期失败的情况。
