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Effectiveness of dental floss in the management of gingival health: A 6-month follow-up of a randomized controlled clinical trial

Reiniger, Ana Paula P ; CR Tavares, Rodrigo ; Ortigara, Gabriela B. ; Tatsch, Karen F ; Uliana, Jaine C. ; Wikesjö, Ulf ME ; Moreira, Carlos Heitor Cunha ; Kantorski, Karla Z.

Clinical oral investigations, 2024-05, Vol.28 (6), p.319, Article 319 [Periódico revisado por pares]

Berlin/Heidelberg: Springer Berlin Heidelberg

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  • Título:
    Effectiveness of dental floss in the management of gingival health: A 6-month follow-up of a randomized controlled clinical trial
  • Autor: Reiniger, Ana Paula P ; CR Tavares, Rodrigo ; Ortigara, Gabriela B. ; Tatsch, Karen F ; Uliana, Jaine C. ; Wikesjö, Ulf ME ; Moreira, Carlos Heitor Cunha ; Kantorski, Karla Z.
  • Assuntos: Adult ; Bleeding ; Clinical outcomes ; Dental Devices, Home Care ; Dental floss ; Dentistry ; Effectiveness studies ; Female ; Follow-Up Studies ; Gingiva ; Gingival index ; Gingivitis - prevention & control ; Gingivitis - therapy ; Health promotion ; Humans ; Hygiene ; Inflammation ; Male ; Medical personnel ; Medicine ; Middle Aged ; Oral hygiene ; Oral Hygiene - education ; Periodontal Index ; Registration ; Toothbrushes ; Toothbrushing ; Training ; Treatment Outcome
  • É parte de: Clinical oral investigations, 2024-05, Vol.28 (6), p.319, Article 319
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
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    ObjectType-Undefined-3
  • Descrição: Objectives To evaluate, (i) if subjects submitted to a structured oral hygiene training program (OHt) maintain adopted habits over 180 days without professional guidance; and (ii) in perspective whether flossing provides additional benefits to toothbrushing on gingival health. Materials and methods Seventy-five adult subjects showing approximately 40% proximal gingival bleeding were randomized to receive OHt (1 session weekly over 8 weeks) using toothbrush and dental floss or toothbrush alone. The subjects were then followed over 180 days without professional guidance. Primary outcomes were mean interproximal Gingival Index (GI) and GI = 2 (gingival bleeding). Mixed linear models were used for the comparison between groups ( p  < 0.05). Results 68 subjects received OHt, 48 subjects completed the 180-day follow-up. Subjects maintained adequate oral hygiene routines. Besides a reduction in gingival inflammation, no alterations in gingival status were observed among groups, subjects additionally instructed to use dental floss showing a mean interproximal GI = 2 of 12.8 ± 2.5 compared with 19.8 ± 2.2 for subjects limited to tooth brushing alone. Conclusions OHt intensive training promotes gingival health and maintenance lasting at least 6 months without professional supervision reinforcing important principles: (i) dental health professionals should dedicate time training and motivating their patients to reach adequate self-performed plaque control; and (ii) the adjunctive use of dental floss appears essential to reduce interproximal gingival inflammation in subjects with intact interdental papillae. Clinical relevance Dentists need to invest time in training/motivating/engage their patients to achieve adequate OH; adjunct flossing in subjects with papilla filling the interdental space appears essential to reach and maintain gingival health. Clinicaltrials.Gov (53831716.5.0000.5346). Trial registration The protocol registration was filed May 9, 2018 (# 538,311,716.5.0000.5346) on ClinicalTrials.gov. An NCT number (NCT04909840) was generated upon completed registration.
  • Editor: Berlin/Heidelberg: Springer Berlin Heidelberg
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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