![]() ![]() Using “flossing” as shorthand for interdental cleaning can also be problematic in that patients may be unaware of alternative devices, which may be more pleasant or effective for them. 15 Patients who do not see positive results from flossing may not continue to do so. Flossing is a technique-sensitive intervention 14 as exemplified by the differences in benefit observed when comparing study designs involving self-flossing and professional flossing. 13 Some people presume flossing is ineffective or unnecessary, which can also make it harder for them to adopt the daily habit. ”Flossing” is often used as a common, shorthand term for interdental cleaning, which can become problematic in the real world where many people report a strong dislike for that particular activity. While cleaning between teeth is important in maintaining oral health, it is a concept that includes several barriers people encounter on the way to adoption. 11, 12 Two minutes per whole mouth can also be expressed as thirty seconds per quadrant or about four seconds per tooth. Understanding that the use of surrogate measures decreases the certainty with which a recommendation can be made, the available systematic reviews found a brushing duration of two minutes was associated with greater reduction in plaque than brushing for a single minute. 10ĭata examining the question of optimal duration of daily tooth-brushing encounters relies on plaque indices, which are surrogate measures rather than direct measure of caries or gingivitis. 4, 8, 9 In addition, high level evidence shows that 5,000 ppm fluoride (available with a prescription) results in significantly more arrest of root caries lesions than use of OTC levels of fluoride (1,000-1,500ppm). 5-7 It is important to recognize that in these studies, it was the frequency of tooth-brushing with a fluoride toothpaste that was evaluated rather than tooth-brushing alone.Īlthough the measures used to assess the benefit varied, studies examining the effect of over-the-counter (OTC) fluoride dentifrice on caries incidence in children and adolescents found the fraction of caries prevented ranged from 16% per tooth to 31% per surface versus placebo or no dentifrice, and concluded that fluoride-containing toothpaste was effective in caries control. Review of the scientific literature, along with guidance from governmental organizations and professional associations found sufficient evidence to support the contention that twice-daily brushing, when compared with lower frequencies, was optimal for reducing risk of caries, 2-4 gingival recession or periodontitis. While a seemingly simple statement, the guidance for brushing twice daily with a fluoride toothpaste for two minutes weaves together a number of discrete components. Brush your teeth twice a day with a fluoride toothpaste for two minutes.This Oral Health Topic page is an executive summary of that work and relevant ADA policy. ![]() Lifestyle considerations comport with current ADA policy. The general and personalized recommendations were developed in accordance with a rapid evidence assessment methodology, 1 meaning that the evidence examined was derived from existing systematic reviews. Lifestyle considerations to enhance oral health and wellness.Personalized recommendations specifically targeted to meet the needs of the individual patient, especially patients at increased risk of caries and/or gingivitis and.General recommendations that are applicable to most people.In 2017, the ADA Council on Scientific Affairs identified three aspects of home oral care that dentists should discuss with their patients: Considering the amount of time that should be devoted to daily oral hygiene, it is important to understand the scientific evidence that supports home oral care recommendations for patients. The time for that same person to brush and clean between his or her teeth each day might be estimated to be around 30 hours per year. An individual who visits the dentist twice a year for an oral exam and dental prophylaxis will spend approximately two hours per year in the dental chair. Spending the right amount of time engaged in appropriate home oral care is essential to helping minimize the risk of caries and periodontal disease. ![]()
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