Comparative evaluation of effectiveness of calibrated inter-dental brushes in maintaining oral hygiene and periodontal health: a randomized controlled clinical trial
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20231284Keywords:
Interdental cleansing aids, Interdental brushes, Oral hygiene, TOP method, Plaque index, Gingival indexAbstract
Background: Effective oral hygiene is a crucial factor in maintaining good oral health, which is associated with overall health and health-related quality of life. The control of biofilm is the common pillar of the prevention and control of periodontal disease. The interdental brush (IDB) currently represents the primary and most effective method available for interproximal cleaning compared with brushing alone or the combined use of tooth brushing and dental floss.
Methods: A total of 40 participants, with 10 each in control and test group, participated in the study. Clinical examination of gingival index, full mouth bleeding scores and plaque index were recorded supra gingival scaling was performed. Test group- interdental brushes were given and oral hygiene instructions were given through Touch-to Teach method (TOP). At 4 week and 6 week follow up oral hygiene instructions were repeated to respective groups. After 3 months, clinical examination was done and exit survey on patient-reported outcome measures was administered.
Results: Intergroup comparison of gingival index, plaque index and pocket probing depth showed statistically significant difference between test and control group.
Conclusions: Within the limitations of the study, we concluded that the appropriate use of interdental brushes along with effective oral hygiene maintenance using TOP permitted proper cleaning of the area with a significant reduction in plaque and gingivitis.
References
Carrouel F, Llodra JC, Viennot S, Santamaria J, Bravo M, Bourgeois D. Access to interdental brushing in periodontal healthy young adults: a cross-sectional study. PLoS One. 2016;11(5):e0155467.
Bourgeois D, Carrouel F, Llodra JC, Bravo M, Viennot S. A colorimetric interdental probe as a standard method to evaluate interdental efficiency of interdental brush. Open Dentistry J. 2015;9:431.
Sälzer S, Slot DE, Van der Weijden FA, Dörfer CE. Efficacy of inter‐dental mechanical plaque control in managing gingivitis a meta‐review. Journal of clinical periodontology. 2015;42:92-105.
Ustaoğlu G, Ercan E, Gümüş KÇ. Comparison of clinical efficacy and patient acceptance of interdental brush and silicone coated interdental pick: a randomized split-mouth, prospective clinical trial. Clinical Oral Investigations. 2020;24:2121-7.
Bourgeois D, Bravo M, Llodra JC, Inquimbert C, Viennot S, Dussart C, Carrouel F. Calibrated interdental brushing for the prevention of periodontal pathogens infection in young adults-a randomized controlled clinical trial. Scientific Reports. 2019;9(1):1-3.
Subramanya AP, Prabhuji ML. Comparative evaluation of efficacy and patient‐reported outcome measures of oral hygiene instruction methods for calibrated interdental brush. Int J Dental Hygiene. 2021;19(3):287-94.
Poklepovic T, Worthington HV, Johnson TM, Sambunjak D, Imai P, Clarkson JE, Tugwell P. Interdental brushing for the prevention and control of periodontal diseases and dental caries in adults. Cochrane Database Systematic Reviews. 2013;9(12):76-9.
Ustaoğlu G, Ercan E, Gümüş KÇ. Comparison of clinical efficacy and patient acceptance of interdental brush and silicone coated interdental pick: a randomized split-mouth, prospective clinical trial. Clinical Oral Investigations. 2020;24:2121-7.
Halappa M, Chandu G. Evaluation of usage of interdental aids among dentists as a preventive measure. J Indian Society Periodontology. 2015;19(1):4.
Slot DE, Dörfer CE, Van der Weijden GA. The efficacy of interdental brushes on plaque and parameters of periodontal inflammation: a systematic review. Int J Dental Hygiene. 2008;6(4):253-64.