Int J Stomatol

Int J Stomatol ›› 2021, Vol. 48 ›› Issue (6): 656-663.doi: 10.7518/gjkq.2021107

• Original Articles • Previous Articles     Next Articles

Effects of mechanical adjacent surface plaque control measures on periodontal nonsurgical treatment: a systematic review

Huang Xiaohui(),Qi Benting,Yang Jie,Liu Yu,Sun Weibin()   

  1. Dept. of Periodontology, Nanjing Stomatology Hospital, Medical School of Nanjing University, Nanjing 210008, China
  • Received:2021-02-06 Revised:2021-07-12 Online:2021-11-01 Published:2021-10-28
  • Contact: Weibin Sun E-mail:961747781@qq.com;lyyvettte@163.com
  • Supported by:
    National Natural Science Foundation of China(51772144);Nanjing Medical Science and Technique Development Foundation(QRX17080)

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Abstract:

Objective Numerous studies have been conducted on plaque control measures in the interdental space, including on dental floss, interdental brush, toothpicks, and dental water jet. The knowledge and skills of dentists should be upgraded to provide patients with excellent plaque control measures. This systematic review evaluated the effectiveness of mechanical plaque control measures on adjacent plaque control of patients with periodontitis and discussed effective evidence-based dental interventions so dentists can apply appropriate adjacent plaque control measures for their patients. Methods Articles published in PubMed, EMbase, Cochrane, Web of Science, CNKI, CBM, and Wanfang database were searched from March 1980 to April 2020. Articles that involved mechanical adjacent plaque control in patients with periodontitis were included in this study. Participants and interventions: patients who were diagnosed with periodontal disease and who were administered with adjacent plaque control measures during periodontal treatment were selected. The articles that met the inclusion criteria were systematically evaluated. Possible quantitative analyses were performed. Results Thirteen studies were finally included for the analysis. Results showed that compared with dental floss, interdental brush significantly improved plaque index (P<0.000 01). The sample size was small, and the range of publication time was broad. Conclusion The use of adjacent plaque control measures for patients with periodontitis can remove more dental plaques. As an auxiliary means of brushing the teeth, interdental brushes can remove more plaques than flossing alone.

Key words: periodontitis, plaque, mechanical interdental cleaning, systematic review

CLC Number: 

  • R781.4

TrendMD: 

Fig 1

Flow diagram of selecting literatures"

Tab 1

Basic characteristies of the included studies"

文献 研究类型 观察周期 菌斑控制措施 测量指标 结论
Gjermo
1970[7]		 RCT
平行对照		 基线
1月		 牙线
牙间隙刷		 Silness & Loë PLI 在宽的牙间隙区,牙间隙刷更适合去除邻面菌斑
Jackson
2006[8]		 RCT
平行对照		 基线
6周
3月		 牙线
牙间隙刷		 Silness & Loë PLI、PD、RIPL、EIBI、BOP 通过齿间清洁,尤其是使用齿间刷可以改善牙周情况
章彦彦
2010[9]		 RCT
平行对照		 基线
3月
6月
9月		 牙线
牙间隙刷		 PLI、PD、BI、AL 各组复查时,PLI、BOP、PD均较基线明显改善,但9个月后指数有所反弹
金爱琼
2011[10]		 RCT
平行对照		 基线
6周		 牙线
牙间隙刷		 Silness & Loë PLI、PD、RIPL、EIBI、BOP 使用牙间隙刷,慢性牙周炎患者获益明显,体现为牙周体征改善、炎症减轻
周铨
2014[11]		 RCT
平行对照		 基线
6周
3月
6月		 牙间隙刷
冲牙器		 Turesky修正Quigley-Hein评分、PD、GI 冲牙器和牙间隙刷,作为牙刷的有效辅助工具,对于中重度牙周病患者的牙周维护期均具有良好的控制菌斑作用
Goyal
2016[12]		 RCT
平行对照		 基线
2周		 牙间隙刷
冲牙器		 Navy,Rustogi修正、BOP 冲牙器比牙间隙刷更有效地减少两周内的牙龈出血
谢乐
2017[13]		 RCT
平行对照		 基线
1月
3月		 仅牙刷
牙线
冲牙器
仅冲牙器		 GI、Turesky修正Quigley-Hein评分 冲牙器配合刷牙比单纯刷牙在1个月及3个月后能更有效的清除牙菌斑,减少牙龈出血
袁丹
2018[14]		 RCT
平行对照		 基线
1月
3月		 牙线
冲牙器		 Turesky修正Quigley-Hein评分、BOP 刷牙联合压力喷雾式冲牙器可有效减少牙菌斑附着,降低并发症
张宇辰
2019[15]		 RCT
平行对照		 基线
1月
3月		 牙线
冲牙器		 PLI、GI
牙龈出血发生率		 冲牙器应用于牙周病临床治疗效果明显,能有效减少牙菌斑,降低牙龈出血等并发症发生率
Kiger
1991[16]		 RCT
交叉对照		 基线
1月		 仅牙刷
牙线
牙间隙刷		 Turesky修正Quigley-Hein评分、Wolffe指数、GI 牙间隙刷与牙刷连用比单用牙刷或牙刷与牙线连用能更有效去除邻面菌斑
Christou
1998[17]		 RCT
Split mouth		 基线
6周		 牙线
牙间隙刷		 Volpe修正Quigley-Hein评分、PD、BOP 使用牙间隙刷更能有效地去除牙菌斑并显著降低PD
Rösing
2006[18]		 RCT
Split mouth		 基线
单次使用		 仅牙刷
牙线
牙间隙刷		 Silness & Loë PLI 对于牙周维护期受试者而言,牙间隙刷比牙线更能有效去除牙间龈上菌斑
李中琴
2009[19]		 RCT
split-mouth		 基线
单次使用		 牙线
牙间隙刷		 Turesky修正Quigley-Hein评分 使用牙间隙刷可以更有效地控制因牙间乳头退缩而暴露的较大牙间隙处的菌斑

Fig 2

Baseline forest map of the included study PLI"

Fig 3

The forest map of the decrease in PLI value within 1 month of the included study"

Fig 4

The forest map of the decrease in PLI value within 3 month of the included study"

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