Oral Hygiene Tools for Biofilm Removal Around Implants

Summary

The objective of this clinical trial is to determine which interproximal hygiene device is most effective at eliminating dental plaque on implants. The main questions to be answered are:

Which interproximal hygiene device is most effective in reducing dental plaque (dental floss, superfloss, irrigator, or interproximal brush)? The researchers will compare the different devices using a plaque disclosing agent and standardized photography.

Participants:

Participants will attend a visit where the screw-retained crown will be removed, and the subgingival area will be stained with a plaque disclosing agent. The first photograph will be taken, and then the crown will be replaced. Subsequently, one of the four methods will be used randomly. The crown will be removed again, and a second photograph will be taken.

Conditions

• Healthy
• Hygiene
• Biofilm Removal

Interventions

DEVICE

• Dental Floss (Vitis®, Dentaid, Barcelona, Spain).

Dental Floss: A piece of dental floss approximately 40-50 cm in length was taken and placed between the index and middle fingers of each hand, leaving about 2-3 cm free in the middle. The floss was then inserted, embracing the mesial and distal surfaces, and moved up and down three times on each side

DEVICE

• Superfloss (Oral B®, Procter & Gamble, USA)

Superfloss: The stiffened end was used to introduce the thread and the spongy-floss into the interproximal area on both the mesial and distal parts, and a gentle back-and-forth motion was applied to remove bacterial plaque. The spongy-floss was then pulled through to the regular floss section and gently slid under the gumline, followed by an up-and-down motion. These movements were repeated three times on each side.

DEVICE

• Oral irrigator (Waterpick®, Water Pik, Inc., CO., USA)

Oral Irrigator: The finest tip was selected and placed in the mesiobuccal, distobuccal, mesiolingual, and distolingual interproximal spaces. The irrigator was activated at medium power (2/3), and the process was repeated three times on each side for five seconds.

DEVICE

• Interproximal brushes (Interprox®, Vitis, Dentaid, Spain)

Interproximal Brush Group: According to the interproximal space, the appropriate size was selected for each case. The brush was then placed horizontally in the interproximal space mesially and distally, and a back-and-forth movement was performed three times on each side.

Sponsors & Collaborators

• Universitat Internacional de Catalunya

  lead OTHER

Principal Investigators

• Andres Pascual La Rocca, PhD · Universitat Internacional de Catalunya

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2019-04-11

Primary Completion

2023-09-21

Completion

2024-04-23

Countries

• Spain

Study Locations