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Interproximal Aids

Group 2

Rajveer Athwal

on 1 November 2012

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Transcript of Interproximal Aids

Interproximal Aids Group 2 Why do we need interproximal aids? Types of interdental
cleaning aids Side effects/ Compliance Summary & Treatment Plan Any questions? -Asadoorian J. CDHA Position Paper . Canadian Journal of Dental Hygiene . 2006;40(3):1-10

-Bergenholtz and Olsson, 1984; Kiger et al, 1991; Christou et al, 1998)

-Crocombe LA, Brennan DS, Slade GD, Loc DO - Is self interdental cleaning associated with dental plaque levels, dental calculus, gingivitis and periodontal disease? Journal of Periodontal Research, 2012; 47: 188-197

-Dental Nursing. Interdental oral hygiene aids and their application. Dental Nursing, March 2012, Vol 8

-Gjermo and Flotra, 1970; Nayak and Wade, 1977; Bassiouny and Grant, 1981

-Imai, Yu and McDonald, 2001

-Ishak and Watts, 2006

-Pucher J, Jayaprakash P, Aftyka T, Sigman L, Van Swol R. Clinical evaluation of a new flossing device. Quintessence Int. 1995;26(4):273-78.

-Segelnick SL. A survey of floss frequency, habit and technique in a hospital dental clinic and private periodontal practice. NY State Dent J. 2004;70(5):28-33

-Sjögren K, Lundberg A, Birkhed D, Dudgeon DJ, Johnson MR. Interproximal plaque mass and fluoride retention after brushing and flossing—a comparative study of powered toothbrushing, manual toothbrushing and flossing. Oral Health Prev Dent. 2004;2(2):119-24.

-Waerhaug, 1976


-http://dentaletc.umaryland.edu/dhyg313/oral_health/aids.pdf Type III – the embrasure space is not filled due to extensive recession or complete papillary loss Type I – the gingival papilla fills the embrasure space completely Type II – gingival papilla partially fills embrasure due to papillary recession Floss Dental stick End tufted brush Interdental brushes Interproximal brush/proxy brush Wood/Plastic waxed/unwaxed Oral irrigator Water pick/Water flosser Brush Picks Gauze strip Interdental tips Rubber/Plastic Dental Floss Types of interdental
cleaning aids Floss End tufted brush Interdental brushes Interproximal brush/proxy brush Wood/Plastic waxed/unwaxed Oral irrigator Water pick/Water flosser Brush Picks Gauze strip Interdental tips Rubber/Plastic Interdental brushes Used for small interdental spaces Waxed/unwaxed Can be flavoured - Mint, bacon, cupcake... Disadvantages Not effective on concave surfaces "Difficult to use, time-consuming and tedious.." Requires patients to have greater dexterity Gently glide floss in zig-zag motion Challenging when there are close proximal contact or when a fixed appliance is in place Patient compliance is low Small bristled head brush for plaque removal around: Interproximal surfaces
Orthodontic appliances
Dental Implants Available in a variety of widths 2 x daily - Sweeping softly backwards and forwards interdentally Wooden Sticks Cleaning in-between teeth after eating Reaches areas toothbrush bristles can’t and dislodge particles stuck in between teeth. Disadvantages Can damage enamel, lacerate gums and break veneer bonds Severe cases: broken teeth Not a common interproximal aid. Never considered as a substitute for brushing and flossing Requires light touch (cc) image by nuonsolarteam on Flickr Oral Irrigator First produced in 1962 Plaque removal / biofilm disturbance via a pressurised, pulsating stream of water Multiple positive trials over a period of 40 years For Orthodontic patients, Implant patients, Periodontal maintenance Other interdental cleaning aids End tufted brush Used in open embrasures where there is little or no papilla Interdental tips Used in open embrasures and for gingival stimulation BrushPicks Used for interproximal cleaning and for gingival stimulation Gauze strips Used to clean abutment teeth, teeth at the end of a row, and between teeth that are widely spaced References Oral Health Instructions (cc) image by nuonsolarteam on Flickr Radiographs Confirm extent of bone loss and level of caries Scaling
Root planning Remove tougher dental plaques, its products, subgingival and supragingival calculus Restoration
carious teeth Carious teeth restored and filled with appropriate dental materials Brush twice a day Mouthwash Smoking
cessation Use SUITABLE interproximal aids and.... Attend regular check-ups Bleeding/ discomfort
Economic factors (cost)
Health beliefs
Perceived dentist indifference Lack of patient dexterity/ability
Lack of motivation
Self-destructive behaviour
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