A study involving 77 patients with chronic periodontal disease evaluated plaque index, papilla level, interdental bleeding index, probing depths, and bleeding on probing (BOP). Each patient was hand-scaled to remove obvious calculus deposits, instructed in brushing, and either taught to floss or use curved interdental brushes. All patients were evaluated at 6 and 12 weeks, had instructions reviewed, and were given a new supply of interdental cleaning materials. At 6 weeks, those using interdental brushes had significantly less plaque than the flossing group and had fewer bleeding sites. These changes continued to be evident at the 12-week evaluation. All measurable indices (BOP, papilla levels, interdental bleeding, etc) had improved significantly as well. Final results indicated that more plaque was re-moved for both groups, but the group using interdental brushes had significantly and consistently better results than the flossing group. It is evident that patients can improve their periodontal situation using common methods of intervention before beginning more definitive treatment.
(Source: Dental Abstracts, May/June 2007)
