Last but not least, the relationship between periodontitis in its most advanced forms and systemic diseases has been undergoing studies for years. The mechanisms suggested for these are of two types. Once there, they might cause an inflammatory response similar to that occurring in the gums. On the other hand, another mechanism involves inflammatory mediators occurring in the gums, which might also travel through the bloodstream and reach other tissues, or that the liver might react due to these inflammatory compounds by producing acute phase reactants such as C-reactive protein.
In this respect, the studies that show greatest robustness are those that relate periodontal disease with diabetes, with cardiovascular diseases, and with adverse pregnancy outcomes, specifically with pre-term delivery and low birth weight. The interproximal hygiene tools available must ensure the disruption and elimination of the interdental biofilm on the one hand, and the reduction and control of gum inflammation on the other.
We detail below a set of scientific publications that support the use of these interproximal hygiene tools. In the 1st Iberian Workshop on plaque control and oral hygiene, it was concluded that t he joint use of manual brushing and different interproximal hygiene systems floss and brushes improves interdental plaque control compared with manual brushing, with an increased effect of between 2.
As for the prevention of gingivitis, the additional effect ranges between 2. Regarding comparison between both interproximal hygiene methods, it was shown that there is greater motivation to use interproximal brushes, since ease of use and comfort is greater than for flossing, and to be effective, flossing requires instruction and training. In fact, flosses and tapes do not enjoy the same scientific endorsement as interproximal brushes, due precisely to the difficulty of using them properly.
A randomised clinical trial conducted on patients with chronic periodontitis showed that with interdental cleaning, especially with interproximal brushes, patients were able to improve clinical periodontal outcomes before root surface debridement. These results can be used as a source of encouragement for periodontal patients to thereby increase compliance and maintain the results of non-surgical periodontal therapy. In another trial involving healthy young subjects, it was found that most interdental spaces can be cleaned with interproximal brushes.
According to this study, and because interdental hygiene requirements are very strict, it was concluded that t he specific use of interproximal brushes can have a primary preventive effect on the health of the entire population and that examining interdental space accessibility should be routine for all patients. The most important review made to date determined that interdental cleaning with interproximal brushes is the most effective method for removing interdental plaque and that most interdental hygiene tools have an effect, albeit variable, on gingivitis.
Intrusion phenomenon of natural tooth bounded by implant-prostheses: a clinical report. Dental caries pattern in primary dentition among Korean children. Korean Association of Medical Journal Editors. E-mail: koreamed kamje. J Korean Acad Prosthodont.
Published online December 31, Corresponding Author: Sang-Ho Oh. Subjects Ten healthy young adults 5 males and 5 females with class I normal occlusion consented to participate in the study. Measurement of TPTC Due to unfavorable approach of the posterior teeth in an upright posture, experiment was operated in a supine posture.
Statistical analysis The statistical evaluation of the data was performed using the software package SPSS version Table I Tightness N of proximal tooth contact left: maxilla, right: mandible Click for larger image. This study was supported by research funds from Chosun University, Evaluation of tightness of proximal tooth contact in permanent dentition. Table I Tightness N of proximal tooth contact left: maxilla, right: mandible. Andrews LF.
The six keys to normal occlusion. Am J Ortho ;— The academy of prosthodontics. The glossary of prosthodontic terms 8th ed. J Prosthet Den ; Wheeler RC. In: An atlas of tooth form. Philadelphia: W. Saunders Co; Sluder TB. Clinical dental anatomy, histology, physiology and occlusion. In: Studevant CM, editor. The art and science of operative dentistry. New York: McGraw-Hill; The relation between irregularities of the teeth and periodontal disease.
Br Dent J ;— Influence of interdental contacts on periodontal status. J Periodontol ;— Interdental periodontal intrabony defects. Prevalence, localization and etiological factors. J Clin Periodontol ;— Relationship between proximal tooth open contacts and periodontal disease. Tightness of dental contact points in spaced and non-spaced permanent dentitions. Eur J Orthod ;— A 5-and 8-year clinical evaluation of a posterior composite resin. Quintessence Int ;— Clinical evaluation of proximal contacts of Class II esthetic direct restoration.
Campagni WV. The final touch in the delivery of a fixed prosthesis. CDA J ;— Lindquist JT. In: Thesis: A study of the intra-arch relationships in normal human dentitions. Indiana University School of Dentistry; Evaluation of proximal contacts with shim stock. J Oral Rehabil ;— The magnitude of interproximal spaces between adjacent teeth. Am J Dent ;— An example of a contact point is when you pass dental floss in between two teeth.
You should feel some resistance of the contact point while the floss is being passed through. Part of the interproximal space is occupied by the interdental papilla. The interdental papilla is a triangular fold of gingival tissue. The part of the interproximal space not occupied is called the embrasure. Forgot your password? Sign in with Facebook. Sign in with Apple. Description The interproximal surface concerns the surfaces between each teeth.
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