The Patient-Centred Interdental Cleaning Concept-Consensus Based on a Round Table

To consolidate clinical and scientific evidence and develop personalised recommendations for the optimal use of interdental devices, addressing the diverse needs of patients with varying oral health conditions based on the outcomes of an expert meeting.

A round table meeting was convened, gathering nine qualified experts from various European countries, including clinicians and researchers. Through tailored pre-formulated questions and facilitated group discussions, well-defined clinical recommendations and considerations for future research were developed, addressing general guidelines and specific interdental hygiene recommendations alongside potential barriers to implementation.

General advice emphasises toothbrushing with fluoride toothpaste and integrating interdental cleaning into daily routines. Depending on early clinical signs and symptoms of caries and periodontal disease, interdental cleaning should become a consistent part of daily care. In general, interdental brushes are the preferred option. However, specific recommendations address conditions such as gingivitis, periodontitis, dental implants, caries, removable prostheses and orthodontic treatments. Recommendations also highlight various age groups, emphasising personalised approaches and prioritising interdental cleaning based on clinical indicators. In addition to the clinical situation, individual preferences and dexterity should be considered. For example, non-wired interdental cleaning devices may be more suitable for novice users, while an oral irrigator may be recommended for those with limited dexterity-for example, older adults or patients with special needs.

Barriers to implementing interdental cleaning recommendations must be explored to provide practical solutions for the general population and dental care professionals. Strategies should include developing easily translatable educational content endorsed by professional societies to raise awareness, promoting behaviour change, tailoring care to individual needs, improving product usability, managing costs and addressing discomfort. It is also essential to align recommendations within the dental profession and prioritise interdental care in clinical practice, emphasising evidence-based guidelines and collaborative education efforts to ensure effective interdental hygiene practices are adopted.