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Trial reportClinical oral investigations2024

Effectiveness of dental floss in the management of gingival health: A 6-month follow-up of a randomized controlled clinical trial.

Ana Paula P Reiniger, Rodrigo Cr Tavares, Gabriela B Ortigara, Karen F Tatsch, Jaine C Uliana, Ulf Me Wikesjö, Carlos Heitor Cunha Moreira, Karla Z Kantorski

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical oral investigations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04909840 (Effectiveness of the Use of Dental Floss for Gengivite Treatment in Adults), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04909840 nacompletednot on this map

Effectiveness of the Use of Dental Floss for Gengivite Treatment in Adults: a Randomized Clinical Trial

TypeinterventionalSponsorUniversidade Federal de Santa MariaRan2018 to 2020Enrolled76ConditionsGingivitisArmsInstructions oral hygiene with toothbrush plus dental floss, Instructions oral hygiene with toothbrush only
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ana Paula P ReinigerPost-Graduate Program in Oral Sciences, Federal University of Santa Maria, Avenida Roraima n. 1000, Prédio 26F, Santa Maria, RS, 97015-900, Brasil.
Rodrigo Cr TavaresPost-Graduate Program in Oral Sciences, Federal University of Santa Maria, Avenida Roraima n. 1000, Prédio 26F, Santa Maria, RS, 97015-900, Brasil.
Gabriela B OrtigaraPost-Graduate Program in Oral Sciences, Federal University of Santa Maria, Avenida Roraima n. 1000, Prédio 26F, Santa Maria, RS, 97015-900, Brasil.
Karen F TatschPost-Graduate Program in Oral Sciences, Federal University of Santa Maria, Avenida Roraima n. 1000, Prédio 26F, Santa Maria, RS, 97015-900, Brasil.
Jaine C UlianaPost-Graduate Program in Oral Sciences, Federal University of Santa Maria, Avenida Roraima n. 1000, Prédio 26F, Santa Maria, RS, 97015-900, Brasil.
Ulf Me WikesjöLaboratory for Applied Periodontal & Craniofacial Research, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.
Carlos Heitor Cunha MoreiraPost-Graduate Program in Oral Sciences, Federal University of Santa Maria, Avenida Roraima n. 1000, Prédio 26F, Santa Maria, RS, 97015-900, Brasil.
Karla Z KantorskiPost-Graduate Program in Oral Sciences, Federal University of Santa Maria, Avenida Roraima n. 1000, Prédio 26F, Santa Maria, RS, 97015-900, Brasil. kzkantorski@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate, (i) if subjects submitted to a structured oral hygiene training program (OHt) maintain adopted habits over 180 days without professional guidance; and (ii) in perspective whether flossing provides additional benefits to toothbrushing on gingival health. MATERIALS AND

methodsSeventy-five adult subjects showing approximately 40% proximal gingival bleeding were randomized to receive OHt (1 session weekly over 8 weeks) using toothbrush and dental floss or toothbrush alone. The subjects were then followed over 180 days without professional guidance. Primary outcomes were mean interproximal Gingival Index (GI) and GI = 2 (gingival bleeding). Mixed linear models were used for the comparison between groups (p < 0.05).

results68 subjects received OHt, 48 subjects completed the 180-day follow-up. Subjects maintained adequate oral hygiene routines. Besides a reduction in gingival inflammation, no alterations in gingival status were observed among groups, subjects additionally instructed to use dental floss showing a mean interproximal GI = 2 of 12.8 ± 2.5 compared with 19.8 ± 2.2 for subjects limited to tooth brushing alone.

conclusionsOHt intensive training promotes gingival health and maintenance lasting at least 6 months without professional supervision reinforcing important principles: (i) dental health professionals should dedicate time training and motivating their patients to reach adequate self-performed plaque control; and (ii) the adjunctive use of dental floss appears essential to reduce interproximal gingival inflammation in subjects with intact interdental papillae. CLINICAL RELEVANCE: Dentists need to invest time in training/motivating/engage their patients to achieve adequate OH; adjunct flossing in subjects with papilla filling the interdental space appears essential to reach and maintain gingival health. CLINICALTRIALS: GOV : (53831716.5.0000.5346).

trial registrationThe protocol registration was filed May 9, 2018 (# 538,311,716.5.0000.5346) on ClinicalTrials.gov. An NCT number (NCT04909840) was generated upon completed registration.

Indexed as

Dental Devices, Home CareAdultFemaleFollow-Up StudiesGingivitisHumansMaleMiddle AgedOral HygienePeriodontal IndexToothbrushingTreatment OutcomeDental flossGingival healthGingivitisOral hygiene

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.