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Importance of Interproximal Hygiene

Do you already know the importance of interproximal hygiene in your daily oral hygiene routine?

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Importance of Interproximal Hygiene

  2. 2. 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”)
  4. 4. 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?
  5. 5. 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
  6. 6. 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
  7. 7. 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
  8. 8.  Unknown  Lack of motivation  Fear  Difficulty WHY INTERDENTAL HYGIENE IS NOT PERFORMED
  10. 10. Closed interproximal space Open interproximal space  Dental tape and floss  Interproximal brushes  Irrigator  Irrigator
  11. 11. 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
  12. 12. 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.
  13. 13.  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
  14. 14. 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
  15. 15. 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
  16. 16. Quality  Polyurethane coated wire  Tynex Filaments: white, to detect bleeding black, 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
  17. 17. 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.
  18. 18. 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
  19. 19. 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)
  20. 20. IRRIGATOR Suitable for:  Those who need especially thorough hygiene  Dental implant patients  Orthodontic patients  Diabetic patients (at greater risk for periodontitis)