AI Article Synopsis

  • Evidence on periodontal health in orthodontic patients who do or do not use dental floss is limited.
  • A study involving 330 patients showed that non-flossers had significantly worse gum health measures, including higher plaque and gingival indexes, deeper probing pockets, and greater attachment loss.
  • The analysis found that males with lower incomes and those who do not floss were more likely to experience gingival bleeding compared to their peers.

Article Abstract

Introduction: Evidence comparing periodontal conditions in orthodontic patients who regularly use or do not use dental floss is scarce.

Methods: The subjects were 330 patients who had been under fixed orthodontic treatment for at least 6 months. They were examined by 1 calibrated examiner for plaque and gingival indexes, probing pocket depths, clinical attachment losses, and excessive resin around brackets. Socioeconomic background, time with orthodontic appliances, and use of dental floss were assessed in interviews. Unadjusted and multiple logistic regression analyses were used to assess the associations.

Results: The results demonstrated statistically significant higher means of plaque index, gingival index, pocket probing depth, and clinical attachment loss for nonusers of dental floss. Intragroup analyses showed higher means of these parameters in proximal sites and posterior teeth, compared with their counterparts' buccal and lingual sites and anterior teeth, respectively. After multivariate analysis, male subjects (P = 0.044) with a household income less than 5 national minimum wages (P = 0.044), and nonusers of dental floss (P = 0.000) showed higher probabilities of gingival bleeding (>30%) than did their counterparts.

Conclusions: Orthodontic patients who use dental floss regularly have somewhat better gingival conditions than those who do not use floss.

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Source
http://dx.doi.org/10.1016/j.ajodo.2011.06.028DOI Listing

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