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

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Personalised interdental cleaning is key for optimal oral health. Experts recommend interdental brushes for most, with tailored device choices based on individual needs and conditions for better hygiene outcomes.

Keywords:
bleedingdental care professionalgingivitisinterdental brushesinterdental cleaningperiodontal diseaseplaque

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Area of Science:

  • Dental Hygiene
  • Periodontology
  • Preventive Dentistry

Background:

  • Optimal interdental cleaning is crucial for preventing oral diseases.
  • Diverse patient needs require tailored interdental device recommendations.
  • Current guidelines require consolidation based on expert consensus.

Purpose of the Study:

  • To consolidate clinical and scientific evidence on interdental devices.
  • To develop personalized recommendations for interdental device use.
  • To address diverse patient needs and oral health conditions.

Main Methods:

  • Convened a round table meeting with nine European experts (clinicians and researchers).
  • Utilized tailored questions and facilitated group discussions to formulate recommendations.
  • Addressed general guidelines, specific interdental hygiene, and implementation barriers.

Main Results:

  • Emphasized daily toothbrushing with fluoride toothpaste and consistent interdental cleaning.
  • Interdental brushes are generally preferred; specific devices recommended for gingivitis, periodontitis, implants, caries, prostheses, and orthodontics.
  • Highlighted personalized approaches considering age, clinical indicators, dexterity, and individual preferences (e.g., non-wired devices, oral irrigators).

Conclusions:

  • Barriers to interdental cleaning implementation require practical solutions.
  • Strategies include educational content, behavior change promotion, tailored care, improved usability, cost management, and discomfort reduction.
  • Alignment within the dental profession and prioritizing evidence-based interdental care are essential.