Importance of Interdental Cleaning Aids for Gingival Health of Patients with Fixed Dental Prosthesis
DOI:
https://doi.org/10.51253/pafmj.v76iSUPPL-10.13254Keywords:
Dental Prosthesis, Gingival Index, Interdental Cleaning, Oral Hygiene, Plaque IndexAbstract
Objective: To evaluate the association between frequency of interdental cleaning and plaque and gingival indices among patients following fixed dental prosthesis placement.
Study design: Prospective analytical study
Place and Duration of Study: Armed Forces Institute of Dentistry (AFID) Rawalpindi, Pakistan, from Jun 2024 to Sep 2024.
Methodology: 268 patients aged 18 years and older with recently installed fixed dental prostheses were evaluated at 15 days, 1.5 months, and 3 months. Silness and Löe criteria were used to record plaque and gingival indices. Patient interview was used to evaluate interdental cleaning habits. Frequency of interdental cleaning and oral hygiene indices were correlated using SPSS version 23.
Results: Interdental cleaning was performed by 74.63% of the sample group at 15 days, 85.82% at 1.5 months, and 97.76% at 3 months from the day of placement of fixed dental prosthesis. The percentage of patients not doing any interdental cleaning considerably reduced with the passage of time, 25.4% at 15 days, 14.2% at 1.5 months, and just 2.2% at 3 months. The frequency of interdental cleaning was statistically associated with plaque index (PI) and gingival index (GI) at 15 days (PI: p < 0.001; GI: p = 0.006), 1.5 months (PI and GI: p < 0.001), and 3 months (PI: p = 0.004; GI: p < 0.001).
Conclusion: Interdental cleaning reduced the plaque and gingival index in interproximal areas with fixed dental prosthesis. Instructions for oral hygiene show improvement of oral health among the patients.
Downloads
References
1. Abdulkareem AA, Al-Taweel FB, Al-Sharqi AJB, Gul SS, Sha A, Chapple ILC. Current concepts in the pathogenesis of periodontitis: from symbiosis to dysbiosis. J Oral Microbiol 2023; 15(1): 2197779.
http://doi.org/10.1080/20002297.2023.2197779
2. Dragomir LP, Nicolae FM, Gheorghe DN, Popescu DM, Dragomir IM, Boldeanu L, et al. The influence of fixed dental prostheses on the expression of inflammatory markers and periodontal status: narrative review. Medicina 2023; 59(5): 941.
http://doi.org/10.3390/medicina59050941
3. Gennai S, Nisi M, Perić M, Marhl U, Izzetti R, Tonelli M, et al. Interdental plaque reduction after the use of different devices in patients with periodontitis and interdental recession: a randomized clinical trial. Int J Dent Hyg 2022; 20(2).
http://doi.org/10.1111/idh.12578
4. Wehner C, Husejnagic S, Laky B, Rausch-Fan X, Moritz A, Haririan H. Effect of interdental brush design on plaque during nonsurgical periodontal therapy. Clin Oral Investig 2020.
http://doi.org/10.1007/s00784-020-03337-x
5. Staehle HJ, Frese C, Sekundo C. Mechanical plaque control of the interdental space with the “Heidelberg set.” Quintessence Int 2021; 52(2): 176–186.
http://doi.org/10.3290/j.qi.b872241
6. Moore GC, Smith KT, Christiansen MM, Anderson L, Moravec LJ, Okano DK, et al. The effect of interproximal home oral hygiene on clinical parameters and inflammatory biomarkers in periodontal maintenance patients. J Periodontol 2023.
http://doi.org/10.1002/jper.22-0631
7. Bevilacqua L, Lorenzon MG, Bjedov M, Costantinides F, Angerame D, Maglione M. Evaluation of the efficacy of inter-dental brush and dental floss for peri-implant mucositis: a crossover randomized clinical trial. Int J Dent Hyg 2024; 22(3): 779–788. http://doi.org/10.1111/idh.12793
8. Agrawal A, Sawhney A, Panda S, Gupta N, Khale PA, Rathod V, Singh Makkad R. Comparison of the efficacy of different oral hygiene aids in maintaining periodontal health in patients with gingivitis. Cureus 2023; 15(8): e44391. http://doi.org/10.7759/cureus.44391
9. 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 Dent Hyg 2008; 6(4): 253–264. http://doi.org/10.1111/j.1601-5037.2008.00336.x
10. Graziani F, Gennai S, Solini A, Petrini M. A systematic review and meta-analysis of epidemiologic observational evidence on the effect of periodontitis on diabetes: An update of the EFP-AAP review. J Clin Periodontol 2018 ; 45(2): 167–187. http://doi.org/10.1111/jcpe.12837
11. Aroonratana P, Lertpimonchai A, Samaranayake L. The association between interdental cleaning and periodontitis in an urban Thai adult cohort: a cross-sectional study. BMC Oral Health 2024; 24: 1185.
http://doi.org/10.1186/s12903-024-04980-6
12. Loe H, Silness J. Periodontal disease in pregnancy. I. Prevalence and severity. Acta Odontol Scand 1963; 21: 533–551.
http://doi.org/10.3109/00016356309011240
13. Crocombe LA, Brennan DS, Slade GD, Loc DO. Is self interdental cleaning associated with dental plaque levels, dental calculus, gingivitis and periodontal disease? J Periodontal Res 2012; 47(2): 188–197. http://doi.org/10.1111/j.1600-0765.2011.01420.x
14. Tankova H, Lazarova Z. A comparative study of full mouth bleeding score (FMBS) and gingival index Loe and Silness (GILS) in assessing gingival status of children aged 10–14 years. J IMAB 2024; 30(1): 5387–5391. http://doi.org/10.5272/jimab.2024301.5387
15. Mohapatra S, Mohandas R. Plaque cleaning efficacy of waist-shaped interdental brushes among individuals with open interproximal spaces: a systematic review. Evid Based Dent 2024.
http://doi.org/10.1038/s41432-024-01036-0
16. Worthington HV, MacDonald L, Poklepovic Pericic T, Sambunjak D, Johnson TM, Imai P, et al. Home use of interdental cleaning devices, in addition to toothbrushing, for preventing and controlling periodontal diseases and dental caries. Cochrane Database Syst Rev 2019; 4(4): CD012018 http://doi.org/10.1002/14651858.CD012018.pub2
17. Basnyat SKC, Sapkota B, Shrestha S, Rimal U. Association between use of interdental cleansing aids and gingival conditions in fixed dental prosthesis patients. Kathmandu Univ Med J 2020; 18(3): 243–28. http://doi.org/10.3126/kumj.v18i3.49217
18. Poklepovic T, Worthington HV, Johnson TM, Sambunjak D, Imai P, Clarkson JE, et al. Interdental brushing for the prevention and control of periodontal diseases and dental caries in adults. Cochrane Database Syst Rev 2013; 12: CD009857. http://doi.org/10.1002/14651858.CD009857
19. Ortolan MS, Viskić J, Štefančić S, Sitar R, Vojvodić D, Mehulić K. Oral hygiene and gingival health in patients with fixed prosthodontic appliances – A 12-month follow-up. Coll Antropol 2012; 36(1): 213–220.
20. Paqué PN, Attin T, Ender A, Al-Majid A, Wegehaupt F, Sener B, et al. Impact of interdental brush shape on interpapillary cleaning efficacy: a clinical trial. Sci Rep 2020; 10(1): 7922.
http://doi.org/10.1038/s41598-020-64816-5
21. Kim YJ, Gil YM, Bae KH, Kim SJ, Ihm J, Cho HJ. The use of interdental cleaning devices and periodontal disease contingent on the number of remaining teeth in Korean adults. Sci Rep 2022; 12(1): 13853. http://doi.org/10.1038/s41598-022-17885-7
22. Imai PH, Hatzimanolakis PC. Interdental brush and dental floss in the prevention of periodontal diseases and dental caries: a systematic review. Int J Dent Hyg 2021; 19(1): 3–16. http://doi.org/10.1111/idh.12466
23. Hyder T, Butt AS, Quraeshi S, Anwar A, Rahman S. Assessment of oral hygiene practices and the factors influencing selection of tooth and interdental-cleaning devices: a cross-sectional survey of Pakistani adults. Pak J Med Health Sci 2023; 17(1): 352–355.
Downloads
Published
Issue
Section
Categories
License
Copyright (c) 2026 Aliza Abbas, Muhammad Sharjeel Ashraf, Yasir Ikram Ahmed, Asma Wahid Ali, Syed Adil Tanvir, Natasha Fatima

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.





