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IMPORTANCE OF INTERPROXIMALHYGIENE
DENTAID MEDICAL DEPARTMENT
Interproximal space
Contact point
WHAT IS THE INTERPROXIMAL AREA?
DEFINITION: “It is the space that is situated underneath the contact point of two adjacent teeth”
Closed interproximal space: the gum (papilla) covers the interdental area
Open interproximal space : the gum does not cover the interdental area and spaces appear (“black triangle”)
IMPORTANCE OF INTERPROXIMAL HYGIENE
In the absence of interproximal hygiene, oral biofilm and food debris accumulate.
Biofilm favours the onset of oral diseases and disorders:
Interdental Caries
Gum Disease Halitosis
WHY IS INTERPROXIMAL HYGIENE IMPORTANT?
INTERDENTAL CARIES
Absence of interproximal hygiene
Interdental biofilm build-up
Acid production Enamel Demineralisation
INTERPROXIMAL CARIES
77.5% of caries are of interproximal origin
Susceptible patient:Acidic oral environment, non-buffering saliva
GUM DISEASE
Gingivitis
Prevalence: 60-85%
“Infection, inflammation and bleeding of the gums without any destruction of support tissues”
Periodontitis
Prevalence: 35%
“Infection, inflammation and bleeding of the gums with destruction of support tissues”
Absence of interdental hygiene
Accumulation of plaque in interdental space and in the
gingival sulcus
INFLAMMATION OF THE GUM AND DEEPENING OF PLAQUE
THE SAME OCCURS IN IMPLANTS
HALITOSIS
Halitosis
Prevalence: 30%
“Set of unpleasant odours that come out of the mouth”
90% of oral origin
40% tongue
60% gum diseases (gingivitis and periodontitis)
Absence of interproximal
hygiene
Accumulation of plaque in interdental space and in the gingival sulcus
INFLAMMATION OF THE GUM AND DEEPENING OF BIOFILM
GROWTH OF ANAEROBIC (WITHOUT OXYGEN) BACTERIA
VSC PRODUCTION: BAD BREATH
Diet rich in sulphur-containing proteins
Unknown
Lack of motivation
Fear
Difficulty
WHY INTERDENTAL HYGIENE IS NOT PERFORMED
INTERDENTAL HYGIENE TOOLS
Closed interproximal space
Open interproximal space
Dental tape and floss
Interproximal brushes
Irrigator
Irrigator
Recommended for closed interproximal spaces
With proper technique, they can remove up to 80% of interproximal plaque
Remove subgingival plaque, as they can be inserted 2-3.5 mm under the gingival margin
Floss has a round cross section, while tape has a flat cross section
DENTAL TAPE AND FLOSS
DENTAL TAPE AND FLOSS – INSTRUCTIONS FOR USE
Cut approximately 50 cm of floss/tape and wrap most of it around one of your middle fingers. Wrap the rest of the floss/tape around the same finger on your other hand. This finger can gather the floss/tape as it is used. Tighten a 2-3 cm piece of floss/tape using your thumbs and index fingers.
Insert the floss, moving it back and forth. When the floss reaches the gum line, bend it against one of your teeth and slide it gently between teeth and gums until you feel resistance (never apply forcefully). Repeat these steps on all teeth.
Floss: polyester filaments with a round, narrow cross section
For acquiring the habit: VITIS waxed dental floss
For experienced flossers: VITIS unwaxed dental floss
For sensitive gums, braces, etc.:VITIS soft dental floss with fluoride and mint
Tape: nylon filaments with a flat cross section for increased sweeping surface
For increased sweeping surface and supply of fluoride and freshness: VITIS waxed dental tape with fluoride and mint
For increased sweeping surface: VITIS waxed dental tape
DENTAL TAPE AND FLOSS
INTERPROXIMAL BRUSHES
Recommended for open interproximal spaces
•The use of an interproximal brush combined with traditional brushing significantly reduces plaque and gingivitis
•They are the interproximal hygiene tool most widely accepted by patients
INTERPROXIMAL BRUSHES – INSTRUCTIONS FOR USE
Insert the brush between teeth
Movement should be in and out, without turning the brush
Gently clean gingival sulcus Repeat same movement from the inner side
Quality Polyurethane coated wire
Tynex Filaments:white, to detect bleedingblack, to detect biofilm debris
Durability Plastic coated neck
Protective cap
Precision and comfort Anti-slip groove
Flexibility Flexible, handle and neck,
no memory effect
Adaptable
INTERPROX
INTERPROX PLUS AND ACCESS
The 90º angled head allows for comfortable cleaning of rear areas (premolars and molars)
Interproximal brushes with a longer handle make it easier to reach spaces in the back of the mouth and allow for better aid from caregivers, parents, etc.
INTERPROX GEL
Recommended to be used with interproximal brushes
Provides antiseptic action (contains CPC) in interdental spaces
Helps reduce bleeding and inflammation of gums
Helps to prevent tooth decay in these spaces (contains Sodium fluoride, 1450 ppm)
Non-abrasive gel
IRRIGATOR
Pressurised pulsating stream of water (or solution) applied to teeth and gums to sweep away plaque and stimulate gums
Technique to be used as a complement to brushing and to other interdental cleaning tools (never as a substitute) for open and closed interproximal spaces
Clinical effects:
Decrease in plaque indices Caries prevention Reduction of gingival bleeding and inflammation
(Improves gum health)
IRRIGATOR
Suitable for:
Those who need especially thorough hygiene
Dental implant patients
Orthodontic patients
Diabetic patients (at greater risk for periodontitis)