Controlling Plaque Biofilm
Oral healthcare is focused on preventing and treating oral diseases. Periodontal diseases and caries, while largely preventable, are pervasive. In most cases, they can be prevented by controlling plaque biofilm via toothbrushing, interdental cleaning, and modifying lifestyle-based risk factors (such as smoking, metabolic control, and dietary choices). These risk factors impact the host inflammatory response, and it is each patient’s individual response that contributes to periodontal health or tissue destruction. When prevention predominates, disease is less prevalent. Yet, it is apparent that prevention has not adequately impacted prevalence.
Based on clinical examinations conducted on more than 10,000 individuals, what percentage of adults older than 30 had periodontitis?
Considering that daily oral hygiene takes 5 minutes to 6 minutes (twice daily brushing for 2 minutes each time, and interproximal biofilm removal taking 1 minute to 2 minutes), disease prevention is largely within reach for most patients.
Home-based biofilm control suggestions can be personalized using the patient’s specific stage and grade status, plus other factors, such as which of the following?
Periodontal and peri-implant involvement has been described as microbially associated, host-mediated inflammation resulting in loss of attachment.
Effective and regular interproximal biofilm control is unrelated to disease prevention.
Floss combined with toothbrushing may reduce gingivitis in the short term (30 days) and medium term (3 months).
Interdental brushes may be better at reducing gingivitis than flossing in the short and medium term.
Stage I is defined as maximum probing depths of < 4 mm, Stage II by maximum probing depths 6 mm.
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