The use of interdental brushes or oral irrigators as adjuvants to conventional oral hygiene associated with recurrence of periodontitis in periodontal maintenance therapy: a 6-year prospective study

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dc.creatorFernando de Oliveira Costa
dc.creatorAmanda Almeida Costa
dc.creatorLuís Otávio de Miranda Cota
dc.date.accessioned2025-08-20T19:56:47Z
dc.date.accessioned2025-09-09T01:08:10Z
dc.date.available2025-08-20T19:56:47Z
dc.date.issued2020-01
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1002/JPER.18-0637
dc.identifier.issn1943-3670
dc.identifier.urihttps://hdl.handle.net/1843/84463
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofJournal of Periodontology
dc.rightsAcesso Restrito
dc.subjectOral hygiene
dc.subjectCompliance
dc.subjectMaintenance
dc.subjectPeriodontitis
dc.subjectDental devices, home care
dc.subjectTobacco use disorder
dc.subjectHemorrhage
dc.subjectToothbrushing
dc.subject.otherCompliance
dc.subject.otherMaintenance
dc.subject.otherOral hygiene
dc.subject.otherPeriodontitis
dc.titleThe use of interdental brushes or oral irrigators as adjuvants to conventional oral hygiene associated with recurrence of periodontitis in periodontal maintenance therapy: a 6-year prospective study
dc.typeArtigo de periódico
local.citation.epage36
local.citation.issue1
local.citation.spage26
local.citation.volume91
local.description.resumoBackground: Prospective studies investigating the influence of adjuvants to oral hygiene procedures on the recurrence of periodontitis (RP) during periodontal maintenance therapy (PMT) programs have not been previously reported. The aim of this study was to compare the effect of oral irrigator devices or interdental brushes as adjuncts to toothbrushing associated with dental flossing to improving periodontal condition and reducing RP among individuals under PMT. Methods: From a 6-year prospective PMT cohort study (n = 268), 142 individuals who attended at least one PMT visit within 12 months were determined to be eligible. According to oral hygiene adjuvants use, they were categorized into three groups: 1) manual brushing/dental flossing + interdental brushes (BDF + Ib; n = 44); 2) manual brushing/dental flossing + oral irrigator (BDF + Oi; n = 36); and 3) only manual brushing/dental flossing (BDF; n = 62). Full-mouth periodontal examination and oral hygiene habits were evaluated at two time points: T1 (after active periodontal therapy) and T2 (6 years). Results: RP was significantly higher among BDF when compared with BDF + Ib and BDF + Oi. The final logistic model in T2 for RP included the following items: manual brushing/dental flossing alone (odds ratio [OR] = 1.94); age > 50 years (OR = 1.98), smoking (OR = 3.51), bleeding on probing >30% sites (OR = 4.10), and the interaction between manual brushing/dental flossing alone and smoking (OR = 6.1). A protective effect on RP was observed in BDF + Oi individuals (OR = 0.52). Conclusions: BDF + Ib and BDF + Oi individuals presented lower rates of RP and better periodontal condition when compared to BDF individuals. Including these adjuvants to conventional oral hygiene have shown to improve biofilm control during PMT leading to a better periodontal status maintenance.
local.identifier.orcidhttps://orcid.org/0000-0002-7687-1238
local.identifier.orcidhttps://orcid.org/0000-0001-9787-3323
local.identifier.orcidhttps://orcid.org/0000-0003-1517-5842
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE CLÍNICA
local.publisher.initialsUFMG
local.url.externahttps://aap.onlinelibrary.wiley.com/doi/10.1002/JPER.18-0637

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