Iommiello Alessia M, Pesce Paolo, Sanavia Consuela, Arata Francesca, Caponio Vito C, Baldi Domenico, Migliorati Marco, Menini Maria
Department of Surgical and Diagnostic Sciences (DISC), University of Genoa, Genoa, Italy.
Department of Surgical and Diagnostic Sciences (DISC), University of Genoa, Genoa, Italy -
Minerva Dent Oral Sci. 2025 Aug;74(4):257-265. doi: 10.23736/S2724-6329.25.05105-8. Epub 2025 May 30.
The aim of the present study was to evaluate the opinion of Italian dental hygienists about the use of domiciliary water flosser for the oral hygiene of implant-supported fixed prostheses.
A narrative review of the literature is presented, and a digital questionnaire was shared on Facebook professional groups to be anonymously filled by Italian dental hygienists. A descriptive analysis of the answers was conducted.
Three hundred thirty-three dental hygienists participated of which 34% have worked for 0-5 years, 27.4% for 6-10 years, 26.81 27% for 10-20 years, and 11.14% for more than 20 years. Water flosser was recommended by the 49,7%. A small proportion of respondents, the 7.83%, thought that this intervention could cause emphysema/abscesses, while the 43.98% and the 36.75% believed respectively that it was either ineffective in the plaque removal or even it could push the biofilm under the gums. The 12.35% believed that the water flosser could cause gum recession, was difficult to use (20.48%) and it could damage the prosthodontic and implant components (1.2%). These information were acquired from textbooks (31.63%), web (25%), universities courses (57.23%), companies (25.6%), other courses (38.25%) and personal experience (6.33%). The 48.2% of the hygienists reported that they were often asked from their patients about water flosser, 47.3% rarely, 1.25% always and 3.3% never.
Although the scientific literature supports the use of water flosser in terms of efficacy and safety, Italian dental hygienists rarely recommend it for home oral hygiene of implant-supported prostheses mainly because they consider it ineffective or even dangerous.
本研究的目的是评估意大利牙科保健员对于使用家用牙线清洁器进行种植体支持的固定修复体口腔卫生护理的看法。
本文对文献进行了叙述性综述，并在Facebook专业群组中分享了一份数字问卷，供意大利牙科保健员匿名填写。对答案进行了描述性分析。
333名牙科保健员参与了调查，其中34%工作了0至5年，27.4%工作了6至10年，26.8%工作了10至20年，11.1%工作超过20年。49.7%的人推荐使用牙线清洁器。一小部分受访者（7.83%）认为这种干预可能会导致肺气肿/脓肿，而43.98%和36.75%的人分别认为它在去除牙菌斑方面无效，甚至可能将生物膜推到牙龈下方。12.35%的人认为牙线清洁器可能会导致牙龈退缩，使用困难（20.48%），并且可能损坏修复体和种植体部件（1.2%）。这些信息来自教科书（31.63%）、网络（25%）、大学课程（57.23%）、公司（25.6%）、其他课程（38.25%）和个人经验（6.33%）。48.2%的保健员报告说，他们的患者经常向他们询问牙线清洁器，47.3%的人很少被问，1.25%的人总是被问，3.3%的人从未被问。
尽管科学文献在功效和安全性方面支持使用牙线清洁器，但意大利牙科保健员很少推荐将其用于种植体支持修复体的家庭口腔卫生护理，主要是因为他们认为它无效甚至危险。
