Current concepts in toothbrushing and interdental cleaning
Current concepts in toothbrushing and interdental cleaning
复制标题
DOI：
10.1111/j.1600-0757.2008.00273.x
复制
发表时间：
2008-01-01
影响因子：
18.6
通讯作者：
Claydon, Nicholas C.
中科院分区：
文献类型：
--
作者：
Claydon, Nicholas C.
最佳家用牙菌斑控制措施的好处包括有机会在一生中保持功能性牙列、降低牙周附着丧失的风险、优化外观和口气清新等美学价值，以及降低复杂、不舒服和昂贵的牙科护理的风险。从广义上讲，有助于个人口腔健康状况的自我护理或家庭活动包括手动或电动刷牙结合齿间清洁。世界卫生组织将自我护理定义为“个人通过自我支持活动或转介给医疗保健专业人员进行诊断和护理来预防、诊断和治疗个人疾病的所有活动”。所有牙周病学研讨会都强调了牙菌斑控制措施的重要性。然而，值得注意的是，关于机械牙菌斑控制的评论 (10) 首先考虑标准牙刷，其次考虑电动牙刷，最后考虑齿间清洁。尽管事实上，就牙周病和龋齿发生的风险分析而言，邻间区域的风险最大。事实上，邻间斑块控制的重要性及其减少炎症的有效性已有充分记录 (44, 45)。应当理解，单独的牙刷能够去除达1mm的龈下菌斑，但在邻间区域无效。因此，各种机械和电气设备的开发得到了批准，目的是使用户能够达到更高标准的齿间清洁。弗兰森（Frandsen，32 岁）在他关于口腔卫生习惯的开创性文章中指出，没有
The benefits of optimal home-use plaque-control measures include the opportunity to maintain a functional dentition throughout life, a reduction in the risk of loss of periodontal attatchment, optimization of esthetic values such as appearance and breath freshness, and also a reduced risk of complex, uncomfortable and expensive dental care. Broadly speaking, the self-care or home-use activities that contribute to the oral health status of an individual include toothbrushing by manual or electric means combined with interdental cleaning. Self-care has been defined by the World Health Organization as Ôall the activities that the individual takes to prevent, diagnose and treat personal ill health by self-support activities or by referral to a healthcare professional for diagnosis and careÕ.The importance of plaque-control measures is emphasized in all workshops on periodontology. However, it is worth noting that reviews on mechanical plaque control (10) consider standard toothbrushing first, electric toothbrushing second and interdental cleaning last of all. This, despite the fact that in terms of risk analysis for the development of periodontal disease and caries, the interproximal areas carry most risk. Indeed, the importance of interproximal plaque control, and its effectiveness at reducing inflammation, are well documented (44, 45). It is appreciated that the toothbrush alone is capable of removing up to 1 mm of subgingival plaque, but is ineffective in the interproximal region. Hence, the development of a variety of mechanical and electrical devices have been sanctioned, with the aim of enabling the user to achieve higher standards of interdental cleaning. Frandsen (32), in his seminal article on oral hygiene practices, states that no