Top

Clinical Oral Investigations

Published in:

01-01-2021 | Wound Debridement | Original Article

Effect of interdental brush design on plaque during nonsurgical periodontal therapy

Authors: Christian Wehner, Selma Husejnagic, Brenda Laky, Xiaohui Rausch-Fan, Andreas Moritz, Hady Haririan

Published in: Clinical Oral Investigations | Issue 1/2021

Abstract

Objective

The aim of this randomized controlled trial was to evaluate the interproximal cleaning efficacy of waist-shaped compared with straight soft interdental brushes in patients undergoing nonsurgical periodontal therapy.

Materials and methods

Ten patients diagnosed with periodontitis stage II or III were scheduled for nonsurgical periodontal therapy. Baseline plaque control record (PCR), modified approximal plaque index (API), papillary bleeding index (PBI), probing pocket depth (PPD), and bleeding on probing (BOP) were evaluated. Four interdental spaces of equal sizes were determined, and baseline plaque indices (PI) were assessed on eight surfaces of the respective adjacent teeth, resulting in 640 measuring positions. Interdental brushes with a straight or waist-shaped design were randomly allocated to the right or left side, and patients received oral hygiene instructions. Follow-up measurements including PCR, API, PBI, and site-specific PI were performed during initial nonsurgical periodontal therapy sessions and reevaluation which was undertaken 8 weeks afterwards.

Results

PCR, API, and PBI decreased significantly compared with baseline at each time point (p < 0.001).

PPD (waist-shaped, baseline 4 mm (range, 2–9 mm) vs. reevaluation 3 mm (range, 1–6 mm); p < 0.001; straight, baseline 4 mm (range, 2–10) vs. reevaluation 3 mm (range, 1–6) mm; p < 0.001) and BOP (p = 0.008) showed significant reduction in both groups. Sub-analysis of site-specific areas including line angles and interproximal areas revealed no significant reduction of plaque during the observation period between both brush designs. No difference between straight and waist-shaped brushes regarding PPD or BOP decrease was found.

Conclusion

The efficacy of both interdental brush designs concerning plaque control in patients undergoing nonsurgical periodontal therapy was similar.

Clinical relevance

The use of interdental brushes is essential for biofilm removal in patients during initial periodontal therapy, regardless of brush design.

Clinical trial registration

ISRCTNregistry (#ISRCTN24498365), http://www.isrctn.com/ISRCTN24498365

Available only for authorised users

Chapple IL, Van der Weijden F, Doerfer C et al (2015) Primary prevention of periodontitis: managing gingivitis. J Clin Periodontol 42(Suppl 16):S71–S76CrossRef

Valen H, Scheie AA (2018) Biofilms and their properties. Eur J Oral Sci 126(Suppl 1):13–18CrossRef

Hajishengallis G (2014) The inflammophilic character of the periodontitis-associated microbiota. Mol Oral Microbiol 29:248–257CrossRef

Ji S, Choi YS, Choi Y (2015) Bacterial invasion and persistence: critical events in the pathogenesis of periodontitis? J Periodontal Res 50:570–585CrossRef

Lang NP, Cumming BR, Löe H (1973) Toothbrushing frequency as it relates to plaque development and gingival health. J Periodontol 44:396–405CrossRef

Axelsson PA (2014) Commentary: periodontitis is preventable. J Periodontol 85:1303–1307CrossRef

Costa FO, Costa AA, Cota LOM (2020) The use of interdental brushes or oral irrigators as adjuvants to conventional oral hygiene associated with recurrence of periodontitis in periodontal maintenance therapy: a 6-year prospective study. J Periodontol 91:26–36

Murakami S, Mealey BL, Mariotti A, Chapple ILC (2018) Dental plaque-induced gingival conditions. J Periodontol 89(Suppl 1):S17–S27PubMed

Magnusson I, Lindhe J, Yoneyama T, Liljenberg B (1984) Recolonization of a subgingival microbiota following scaling in deep pockets. J Clin Periodontol 11:193–207CrossRef

10.

Lang NP, Cumming BR, Löe HA (1977) Oral hygiene and gingival health in Danish dental students and faculty. Community Dent Oral Epidemiol 5:237–242CrossRef

11.

Caton JG, Blieden TM, Lowenguth RA, Frantz BJ, Wagener CJ, Doblin JM, Stein SH, Proskin HM (1993) Comparison between mechanical cleaning and an antimicrobial rinse for the treatment and prevention of interdental gingivitis. J Clin Periodontol 20:172–178CrossRef

12.

Poklepovic T, Worthington HV, Johnson TM et al (2013) Interdental brushing for the prevention and control of periodontal diseases and dental caries in adults. Cochrane Database Syst Rev 18(12):CD009857

13.

Sälzer S, Slot DE, Van der Weijden FA, Dörfer CE (2015) Efficacy of inter-dental mechanical plaque control in managing gingivitis--a meta-review. J Clin Periodontol 42(Suppl 16):S92–S105CrossRef

14.

Jordan RA, Hong HM, Lucaciu A, Zimmer S (2014) Efficacy of straight versus angled interdental brushes on interproximal tooth cleaning: a randomized controlled trial. Int J Dent Hyg 12:152–157CrossRef

15.

Larsen HC, Slot DE, Van Zoelen C, Barendregt DS, Van der Weijden GA (2017) The effectiveness of conically shaped compared with cylindrically shaped interdental brushes - a randomized controlled clinical trial. Int J Dent Hyg 15:211–218CrossRef

16.

Chongcharoen N, Lulic M, Lang NP (2012) Effectiveness of different interdental brushes on cleaning the interproximal surfaces of teeth and implants: a randomized controlled, double-blind cross-over study. Clin Oral Implants Res 23:635–640CrossRef

17.

Schnabl D, Goebel G, Kadletz A et al (2019) Cleansing efficacy of waist-shaped interdental brushes. A randomized-controlled crossover study. J Clin Periodontol 47(1):30–35

18.

Rösing CK, Daudt FA, Festugatto FE, Oppermann RV (2006) Efficacy of interdental plaque control aids in periodontal maintenance patients: a comparative study. Oral Health Prev Dent 4:99–103PubMed

19.

Caton JG, Armitage G, Berglundh T, Chapple ILC, Jepsen S, Kornman KS, Mealey BL, Papapanou PN, Sanz M, Tonetti MS (2018) A new classification scheme for periodontal and peri-implant diseases and conditions - introduction and key changes from the 1999 classification. J Periodontol 89(Suppl 1):S1–S8PubMed

20.

O'Leary TJ, Drake RB, Naylor JE (1972) The plaque control record. J Periodontol 43:38CrossRef

21.

Silness J, Loe H (1964) Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand 22:121–135CrossRef

22.

Research Randomizer. Available at: https://www.randomizer.org

23.

Bakdash B (1994) Oral hygiene and compliance as risk factors in periodontitis. J Periodontol 65(Suppl 5S):539–544CrossRef

24.

Christou V, Timmerman MF, Van der Velden U, Van der Weijden FA (1998) Comparison of different approaches of interdental oral hygiene: interdental brushes versus dental floss. J Periodontol 69:759–764CrossRef

25.

Worthington HV, MacDonald L, Poklepovic Pericic T et al (2019) Home use of interdental cleaning devices, in addition to toothbrushing, for preventing and controlling periodontal diseases and dental caries. Cochrane Database Syst Rev 4:CD012018PubMed

26.

Serino G, Rosling B, Ramberg P, Socransky SS, Lindhe J (2001) Initial outcome and long-term effect of surgical and non-surgical treatment of advanced periodontal disease. J Clin Periodontol 28:910–916CrossRef

27.

Rosling B, Serino G, Hellström MK, Socransky SS, Lindhe J (2001) Longitudinal periodontal tissue alterations during supportive therapy. Findings from subjects with normal and high susceptibility to periodontal disease. J Clin Periodontol 28:241–249CrossRef

28.

Turesky S, Gilmore ND, Glickman I (1970) Reduced plaque formation by the chloromethyl analogue of victamine C. J Periodontol 41:41–43CrossRef

29.

Wolff D, Joerss D, Dörfer CE (2006) In vitro-cleaning efficacy of interdental brushes with different stiffness and different diameter. Oral Health Prev Dent 4:279–285PubMed

30.

Baumgartner G, Wiedemeier DB, Hofer D, Sener B, Attin T, Schmidlin PR (2019) In vitro cleaning potential of waist-shaped interdental brushes. Swiss Dent J 129:360–367PubMed

31.

Parodontale Therapie – das Würzburger Konzept. Available at: https://www.bzb-online.de/bzb_0611.htm

Title: Effect of interdental brush design on plaque during nonsurgical periodontal therapy
Authors: Christian Wehner
Selma Husejnagic
Brenda Laky
Xiaohui Rausch-Fan
Andreas Moritz
Hady Haririan
Publication date: 01-01-2021
Publisher: Springer Berlin Heidelberg
Keywords: Wound Debridement
Dental Plaque Index
Bleeding on Probing
Initial Periodontal Therapy
Published in: Clinical Oral Investigations / Issue 1/2021
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-020-03337-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Effect of interdental brush design on plaque during nonsurgical periodontal therapy

Abstract

Objective

Materials and methods

Results

Conclusion

Clinical relevance

Clinical trial registration

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objective

Materials and methods

Results

Conclusion

Clinical relevance

Clinical trial registration

Please log in to get access to this content

Other articles of this Issue 1/2021

Effect of digital enhancement on the radiographic assessment of vertical root fractures in the presence of different intracanal materials: an in vitro study

Immediate versus delayed application of bone morphogenetic protein-2 solution in damaged extraction sockets: a preclinical in vivo investigation

The reproducibility of electronic color measurements of the marginal gingiva

Root-end microsurgery using a premixed tricalcium silicate putty as root-end filling material: a prospective study

Effect of intracanal cryotherapy application on postoperative endodontic pain: a systematic review and metaanalysis

Effects of competitive sports on temporomandibular dysfunction: a literature review