Flossing, Periodontal Diesase, and Caries

Dentistry Today

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New York University (NYU) researchers published a study in the Journal of Periodontology on the treatment outcomes of dental flossing in twins. The purpose was to as-sess the effects of dental flossing on the microbial composition of interproximal plaque samples in matched twins. It was a 2-treatment, examiner masked, randomized, parallel-group, controlled study. Research­ers studied 51 well-matched twin pairs (each set was a case and a control), regarding their treatment responses to dental flossing over a 2-week period. After 2 weeks, putative periodontal path­ogens and cariogenic bacteria were overabundant in the group that did not floss compared to the group that performed flossing. The twins who flossed had a significant decrease in gingival bleeding compared to twins who did not floss. Relative to baseline, bleeding scores were reduced by 38% over the 2 weeks in the flossing group of twins. The authors concluded, “In a well-matched twin cohort, tooth and tongue brushing plus flossing significantly de­creased the abundance of microbial species associated with periodontal disease and dental caries after a 2-week program.” Because they live together and have similar dietary habits and health pract­ices, twins are considered excellent subjects for research that compares periodontal diseases and dental caries development in people of the same age from similar environments. This re­search stems from a 5-year study funded by a National Institute of Dental and Craniofacial Research grant to assess the relative significance of potential factors in caries development utilizing 500 pairs of twins.


(Source: NYU College of Dentistry, December 17, 2008)