TePe 2014 Patient Presentation Eng ......

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  • Dental Stick Floss TePe

    Interdental Brush

    © TePe Canada 2015

    Dr. Steven Faigan 250-868-8626

    www.okanaganperiodontics.com Orchard Plaza Professional Building

    102-1890 Cooper Rd, Kelowna, BC V1Y 8B7

    tepecanada.com

  • Can J Den Hyg 2014;48(2):70-71

    CDHA position statement: Interdental brushing

    To download and print the position statement, please go to http://www.cdha.ca/pdfs/Profession/Resources/CDHA_interdental_brushing_statement.pdf

    LIMITED abilityADEQUATE ability

    HIGH motivation

    Type I embrasure Type II embrasure Type III embrasure* All embrasure types

    Recommend Recommend interdental brush

    LIMITED motivation

    Assess client’s level of ability

    Assess motivation

    Assess intraoral anatomy

    Clinical signs:

    • redness • swelling • soft interdental papilla • bleeding (with or without stimulation) • plaque (visible or not)

    and/or periodontitis

    * Photo courtesy Sherry Saunderson

    On February 25, 2014, the Canadian Dental Hygienists Association (CDHA) Board of Directors endorsed the following position statement on interdental brushing and the practice guideline, “Interdental Brushing or Flossing: Self-Care Recommendations for Clients with Interdental Inflammation.”

    POSITION STATEMENT Interdental self-care is important for disrupting the oral biofilm and maintaining oral health.1 The use of an interdental brush is an effective alternative to dental floss in achieving interproxi- mal health by eliminating both plaque and bleeding. When assessing a client’s ability and motivation for daily interdental self-care, it is recommended that the practitioner consider the following factors: 1. The client’s preferences 2. The cost and availability of the product 3. The intraoral anatomy, such as the presence of fixed prosthe- ses and orthodontics, and the anatomy of embrasure space

    CDHA recommends that further research be undertaken to

    • develop an accurate and reliable index for assessing inter- proximal dental plaque. This is particularly important in assess- ing Type 1 embrasures where visibility is limited and for incor- porating the recent developments in oral biofilm maturation and its effects on gingival inflammation.1

    • investigate other interdental aids’ effectiveness in Type 1 embrasures as viable alternatives to dental floss for clients who lack dexterity.1

    • study long-term compliance with and effectiveness of inter- dental aids to address the Hawthorne effect on the short-term results.1

    • study long-term unintended outcomes and/or consequences of interdental brush use on hard and soft tissues.

    Endnote 1Imai PH, Yu X, MacDonald D. Comparison of interdental brush to dental floss for reduction of clinical parameters of periodon- tal disease: a systematic review. Can J Dent Hyg. 2012;46(1):63–78.

    BIBLIOGRAPHY Chongcharoen N, Lulic M, Lang NP. Effectiveness of different interdental brushes on cleaning the interproximal surfaces of teeth and implants: a randomized controlled, double-blind cross-over study. Clin Oral Impl Res. 2012;23:635–40. Imai PH, Yu X, MacDonald D. Comparison of interdental brush to dental floss for reduction of clinical parameters of periodon- tal disease: a systematic review. Can J Dent Hyg. 2012;46(1):63–78. Ishak N, Watts TLP. A comparison of the efficacy and ease of

    NOTE This position statement considered research studies that compared interdental brushing with the use of dental floss. The research papers selected did not compare interdental brushing with other interdental devices.

    use of dental floss and interproximal brushes in a randomised split mouth trial incorporating an assessment of subgingival plaque. Oral Health Prev Dent. 2007;5:13–18. Slot DE, Dorfer CE, Van der Weijden GA. The efficacy of inter- dental brushes on plaque and parameters of periodontal inflammation: a systematic review. Int J Dent Hyg. 2008;6:253–64. Tu Y-K, Jackson M, Kellett M, Clerehugh V. Direct and indirect effects of interdental hygiene in a clinical trial. J Dent Res. 2008;87(11):1037–42.

    PRACTICE GUIDELINE

    Interdental Brushing or Flossing: Self-Care Recommenda- tions for Clients with Interdental Inflammation