The Effect of Different Shapes of Interdental Brushes in the Management of Peri-implant Mucositis and Gingivitis

Launched by NATIONAL UNIVERSITY HEALTH SYSTEM, SINGAPORE · Jun 29, 2018

Keywords

ClinConnect Summary

There are two study phases during the whole course of the study.

1) Examiner Calibration: 15 volunteers will be recruited for examiner calibration before the study period. The intra-examiner reliability will be assessed using intraclass correlation coefficient. The following clinical parameters will be collected at day 0 and day 7.

Clinical Parameters:

i. Probing pocket depths (PPD) (6 points per tooth) ii. Full mouth bleeding score (FMBS) iii. Plaque at 8 sites (mesiobuccal, mesial, mesiolingual, lingual, distolingual, distal, distobuccal, and buccal) per implant

2) Study phase: Strati...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Age 21-80 years old
• • Medically healthy (ASA I or II)
• • Baseline plaque score of at least 75%
• • Probing depths of 4mm or less
• • Presence of interdental spaces that will allow an interdental brush (Size SS 0.8mm for barrel-shaped interdental brush and 0.6mm tapered interdental brush) to pass through without soft tissue trauma
• • Single moderately rough tissue level or bone level dental implants, which were restored with a single cement or screw-retained crown and in function for the past 2-5 years
• • Implants should have peri-implant mucositis defined as bleeding on probing without peri-implant bone loss after physiological remodelling (Rosen, et al. 2013)
• • Implants with at least 1mm of keratinized peri-implant mucosa
• Exclusion Criteria:
• • Embrasure space between the implant and adjacent tooth or between teeth is non-existent or too small to permit the use of an interdental brush
• • Self-declared pregnancy
• • Heavy smokers (1 pack a day)
• • Uncontrolled or poorly controlled medical conditions e.g. diabetes (HBA1c 8.5% and above)
• • Untreated oral conditions e.g. active periodontitis
• • On medications that will cause gingival enlargement
• • Any hyperplastic interdental papilla that will hinder interdental cleaning
• • Antibiotics intake within the past 3 months
• • Parkinson's disease and other debilitating diseases