Efficacy of water flossing on clinical parameters of inflammation and plaque: A four-week randomized controlled trial

REFERENCES

1. 1.↵
   1. Petersen PE,
   2. Ogawa H.

   The global burden of periodontal disease: towards integration with chronic disease prevention and control Periodontol 2000. 2012 Oct;60(1Su):15-39.

   OpenUrlCrossRefPubMedGoogle Scholar
2. 2.↵
   1. Diaz PI,
   2. Hoare A,
   3. Hong B-Y.

   Subgingival microbiome shifts and community dynamics in periodontal diseases. J Calf Dent Assoc. 2016 Jul;44(7):421-35.

   OpenUrlGoogle Scholar
3. 3.↵
   1. Chapple ILC,
   2. Van der Weijden F,
   3. Doerfer C, et al.

   Primary prevention of periodontitis: managing gingivitis. J Clin Periodontol. 2015 Apr;47(Suppl 16):S71-S6.

   OpenUrlGoogle Scholar
4. 4.↵
   1. Van der Weijden FA
   2. Slot DE.

   Efficacy of homecare regimens for mechanical plaque removal in managing gingivitis a meta review. J Clin Periodontol. 2015 Apr;42(Suppl 16):S77-S91.

   OpenUrlGoogle Scholar
5. 5.↵
   1. Van der Weijden GA,
   2. Hioe KP.

   A systematic review of the effectiveness of self-performed mechanical plaque removal in adults with gingivitis using a manual toothbrush J Clin Periodontol. 2005;32(Suppl 6):214-28.

   OpenUrlCrossRefPubMedGoogle Scholar
6. 6.↵
   1. Rosema NAM,
   2. Slot DE,
   3. Van Palenstein Helderman WH, et al.

   The efficacy of powered toothbrushes following a brushing exercise: a systematic review. Int J Dent Hygiene. 2016 Feb;14(1):29-41.

   OpenUrlGoogle Scholar
7. 7.↵
   1. Sälzer S,
   2. Slot DE,
   3. Van der Weijden FA,
   4. Dörfer CE.

   Efficacy of inter-dental mechanical plaque control in managing gingivitis--a meta-review. J Clin Periodontol. 2015 Jan;42(Suppl 16):S92-105.

   OpenUrlGoogle Scholar
8. 8.↵
   1. Dunn, M.

   The hydraulic dental syringe [Internet]. Fort Collins (CO): Northern Colorado History: 2016 Apr 8 [cited 2023 Jan 16]. Available from: www.northerncoloradohistory.com/hydraulic-dental-syringe-foco/

   Google Scholar
9. 9.↵
   1. Flemmig TF,
   2. Newman MG,
   3. Doherty FM, et al.

   Supragingival irrigation with 0.06% chlorhexidine in naturally occurring gingivitis. I. 6 month clinical observations. J Periodontol. 1990 Feb;61(2):112-7.

   OpenUrlPubMedGoogle Scholar
10. 10.
    1. Chaves ES,
    2. Kornman KS,
    3. Manwell MA, et al.

    Mechanism of irrigation effects on gingivitis. J Periodontol. 1994 Nov;65(11):1016-21.

    OpenUrlPubMedGoogle Scholar
11. 11.↵
    1. Brownstein CN,
    2. Briggs SD,
    3. Schweitzer KL, et al.

    Irrigation with chlorhexidine to resolve naturally occurring gingivitis. A methodologic study. J Clin Periodontol. 1990 Sep;17(8):588-93.

    OpenUrlCrossRefPubMedGoogle Scholar
12. 12.↵
    1. Barnes CM,
    2. Russell CM,
    3. Reinhardt RA, et al.

    Comparison of irrigation to floss as an adjunct to tooth brushing: Effect on bleeding, gingivitis and supragingival plaque. J Clin Dent. 2005;16(3):71-7.

    OpenUrlPubMedGoogle Scholar
13. 13.↵
    1. Goyal CR,
    2. Lyle DM,
    3. Qaqish JG,
    4. Schuller R.

    Evaluation of the plaque removal efficacy of a water flosser compared to string floss in adults after a single use. J Clin Dent. 2013; 24(2):37–42.

    OpenUrlGoogle Scholar
14. 14.↵
    1. Magnuson B,
    2. Harsono M,
    3. Stark PC, et al.

    Comparison of the effect of two interdental cleaning devices around implants on the reduction of bleeding: A 30-day randomized clinical trial. Compend of Contin Ed in Dent. 2013 Nov-Dec;34(Spec No 8):2-7.

    OpenUrlGoogle Scholar
15. 15.↵
    1. Rosema NAM,
    2. Hennequin-Hoenderdos NL,
    3. Berchier CE, et al.

    The effect of different interdental cleaning devices on gingival bleeding. J Int Acad Periodontol. 2011 Jan;13(1):2-10.

    OpenUrlPubMedGoogle Scholar
16. 16.↵
    1. Sharma NC,
    2. Lyle DM,
    3. Qaqish JG, et al.

    Effect of a dental water jet with orthodontic tip on plaque and bleeding in adolescent patients with fixed orthodontic appliances. Am J Ortho Dentofacial Orthop. 2008 Apr;133(4):565-71.

    OpenUrlGoogle Scholar
17. 17.↵
    1. Ren X,
    2. He J,
    3. Cheng R, et al.

    The efficacy and safety of oral irrigator on the control of dental plaque and gingivitis: a randomized, single-blind, parallel-group clinical trial. Int J Environ Res Public Health. 2023 Feb;20(4): 3726.

    OpenUrlGoogle Scholar
18. 18.↵
    1. Goyal CR,
    2. Lyle DM,
    3. Qaqish JG,
    4. Schuller R.

    Efficacy of two interdental cleaning devices on clinical signs of inflammation: a four-week randomized controlled trial. J Clin Dent. 2015;26(2):55-60.

    OpenUrlGoogle Scholar
19. 19.↵
    1. Goyal CR,
    2. Qaqish J,
    3. Schuller R,
    4. Lyle DM.

    A direct comparison of two interdental cleaning devices on clinical signs of inflammation: a four-week randomized controlled trial. Ann Clin J Dent Health. 2018;7:12-15.

    OpenUrlGoogle Scholar
20. 20.↵
    1. Sawan N,
    2. Gassem AB,
    3. Alkhayyal F, et al.

    Effectiveness of super floss and water flosser in plaque removal for patients undergoing orthodontic treatment: a randomized controlled trial. Int J Dent. 2022 Aug 31;2022:1344258.

    OpenUrlGoogle Scholar
21. 21.
    1. Abdellatif H,
    2. Alnaeimi N,
    3. Alruwais H, et al.

    Comparison between water flosser and regular floss in the efficacy of plaque removal in patients after a single use. Saudi Dent J. 2021 Jul;33(5):256-9.

    OpenUrlGoogle Scholar
22. 22.↵
    1. Tyler D,
    2. Kan J,
    3. Goh HH.

    Effectiveness of Waterpik^® for oral hygiene maintenance in orthodontic fixed appliance patients: a randomized controlled trial. J Orthod. 2023 May 19;14653125231173708. Epub ahead of print. PMID: 37203873.

    OpenUrlPubMedGoogle Scholar
23. 23.↵
    1. Simões M,
    2. Cleto S,
    3. Pereira MO,
    4. Vieira MJ.

    Influence of biofilm composition on the resistance to detachment. Water Sci Technol. 2007;55(8-9):473-80.

    OpenUrlAbstract/FREE Full TextGoogle Scholar
24. 24.↵
    1. Watt DL,
    2. Rosenfelder C,
    3. Sutton CD.

    The effect of oral irrigation with a magnetic water treatment device on plaque and calculus. J Clin Periodontol. 1993 May;20(5):314-7.

    OpenUrlPubMedGoogle Scholar
25. 25.↵
    1. Johnson KE,
    2. Sanders JJ
    3. Gellin RG,
    4. Palesch YY.

    The effectiveness of a magnetized water oral irrigator (Hydro Floss^®) on plaque, calculus and gingival health. J Clin Periodontol. 1998 Apr; 25(4):316-21.

    OpenUrlPubMedGoogle Scholar
26. 26.↵
    1. Krauter, PW,
    2. Harrar JE,
    3. Orloff SP,
    4. Bahowick SM.

    Test of a magnetic device for the amelioration of scale formation [Internet]. Washington DC: US Department of Energy; 1996 [cited 2023 Sept 10]. Available from www.osti.gov/biblio/567404.

    Google Scholar
27. 27.
    1. Limpert GJC,
    2. Raber JL.

    Test of nonchemical scale control devices in a once-through system [Internet]. Washington DC: US Department of Energy; 1985. [cited 2023 Sept 10]. Available from www.osti.gov/biblio/6089699.

    Google Scholar
28. 28.↵
    1. Coey JMD,
    2. Cass S.

    Magnetic water treatment. J Magnet Mat. 2000 Feb; 209(1-3):71-4.

    OpenUrlGoogle Scholar
29. 29.↵
    1. Lin P-J,
    2. Chuang M-C,
    3. Chang S-C.

    Efficacy of using oxygen microbubble device for facultative anaerobe removal. IET Nanobiotechnol. 2018 Aug;12(7):973-80.

    OpenUrlGoogle Scholar
30. 30.↵
    1. Parini MR,
    2. Eggett DL,
    3. Pitt WG.

    Removal of Streptococcus mutans biofilm by bubbles. J Clin Periodontol. 2005 Nov;32(11):1151-6.

    OpenUrlCrossRefPubMedWeb of ScienceGoogle Scholar
31. 31.↵
    1. Parini MR,
    2. Pitt WG.

    Dynamic removal of oral biofilms by bubbles. Colloids Surf B Biointerfaces. 2006 Sept;52(1):39-46.

    OpenUrlCrossRefPubMedGoogle Scholar
32. 32.↵
    1. WMA

    . Declaration of Helsinki – Ethical principles for medical research involving human participants [Internet]. Ferney-Voltaire (FR): World Medical Association; 2023 [cited 12 Sept 2023]. Available from www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/

    Google Scholar
33. 33.↵
    1. US Food & Drug Administration

    . International Council for Harmonization (ICH) guidance documents [Internet]. Washington DC: US Health and Human Services; 2023 [cited 2023 Sept 12]. Available from www.fda.gov/science-research/clinical-trials-and-human-subject-protection/ich-guidance-documents

    Google Scholar
34. 34.↵
    1. Schulz KF,
    2. Altman DG,
    3. Moher D et al.

    CONSORT 2010 Statement: Updated guidelines for reporting parallel group randomised trials. BMJ. 2010;8;340:c332.

    OpenUrlGoogle Scholar
35. 35.↵
    1. Hoffman TC,
    2. Glasziou PP,
    3. Boutron I, et al.

    Better reporting of interventions: Template for intervention description and replication (TIDierR) checklist and guide. BMJ. 2014;7:348;g1687.

    OpenUrlGoogle Scholar
36. 36.↵
    1. Rustogi KN,
    2. Curtis JP,
    3. Volpe AR, et al.

    Refinement of the modified Navy plaque index to increase plaque scoring efficiency in gumline and interproximal tooth areas. J Clin Dent. 1992;3(Suppl C):C9-12.

    OpenUrlPubMedGoogle Scholar
37. 37.↵
    1. Lobene RR,
    2. Weatherford T,
    3. Ross NM, et al.

    A modified gingival index for use in clinical trials. Clin Prev Dent. 1986 Jan-Feb;8(1):3-6.

    OpenUrlPubMedGoogle Scholar
38. 38.↵
    1. American Dental Association Council on Scientific Affairs

    . Acceptance program requirements: Powered interdental cleaners or oral irrigators [Internet]. Chicago (IL): American Dental Association; 2020 Aug. Available from: adaseal{at}ada.org.

    Google Scholar
39. 39.↵
    1. American Dental Association Council on Scientific Affairs

    . Acceptance program requirements: Toothbrushes [Internet]. Chicago (IL): American Dental Association; 2016 Apr. Available from: adaseal{at}ada.org.

    Google Scholar
40. 40.↵
    1. Freeman MF,
    2. Tukey JW.

    Transformations related to the angular and the square root. Ann Math Stat. 1950 Dec;21(4):607-11.

    OpenUrlCrossRefGoogle Scholar
41. 41.↵
    1. Zou Y,
    2. Grender J,
    3. Adam R,
    4. Levin L.

    A meta-analysis comparing toothbrush technologies on gingivitis and plaque. Int Dent J. 2023 Jul 20:S0020-6539(23)00100-4.

    Google Scholar
42. 42.↵
    1. Dörfer CE,
    2. Wundrich K,
    3. Staehle HJ,
    4. Pioch T.

    Gliding capacity of different dental flosses. J Periodontol. 2001 May;72(5):672-8.

    OpenUrlPubMedGoogle Scholar
43. 43.
    1. Bergenholtz A,
    2. Bjorne A,
    3. Glantz P-O,
    4. Vikström B.

    Plaque removal by various triangular toothpicks. J Clin Periodontol 1980; 7:121-128.

    OpenUrlPubMedGoogle Scholar
44. 44.
    1. Zanatta FB,
    2. de Mattos WD,
    3. Moreira CHC,
    4. Gomes SC,
    5. Rösing CK.

    Efficacy of plaque removal by two types of toothpick. Oral Health Prev Dent. 2008;6(4):309-14.

    OpenUrlPubMedGoogle Scholar
45. 45.
    1. Hennequin-Hoenderdos NL,
    2. Van der Sluijs E,
    3. Van der Weijden GA,
    4. Lot DE.

    Efficacy of a rubber bristles interdental cleaner compared to an interdental brush on dental plaque, gingival bleeding and gingival abrasion: a randomized clinical trial. Int J Dent Hyg. 2018 Aug;16(3):380-8.

    OpenUrlGoogle Scholar
46. 46.↵
    1. Terezhalmy GT,
    2. Bartizek R,
    3. Biesbrock AR.

    Plaque-removal efficacy of four types of dental floss. J Periodontol. 2008 Feb;79(2):45-51.

    OpenUrlGoogle Scholar
47. 47.↵
    1. Higgins JPT,
    2. Thomas J,
    3. Chandler J,
    4. Cumpston M,
    5. Li T,
    6. Page MJ,
    7. Welch VA

    (editors). Cochrane Handbook for Systematic Reviews of Interventions. 2nd Ed. Chichester (UK): John Wiley & Sons; 2019. Chapter 11, Network meta-analysis.

    Google Scholar
48. 48.↵
    1. Kotsakis GA,
    2. Lian Q,
    3. Ioannou AL, et al.

    A network meta-analysis of interproximal oral hygiene methods in the reduction of clinical indices of inflammation. J Periodontol. 2018 May;89(5):558-70.

    OpenUrlGoogle Scholar
49. 49.↵
    1. Liang M,
    2. Lian Q,
    3. Kotsakis GA, et al.

    Bayesian network meta-analysis of multiple outcomes in dental research. J Evid Based Dent Pract. 2020 May;20(1):101403.

    OpenUrlGoogle Scholar
50. 50.↵
    1. Rotella K,
    2. Bosma ML,
    3. McGuire JA, et al.

    Habits, practices and beliefs regarding floss and mouthrinse among habitual and non-habitual users. J Dent Hyg. 2022 Jun;96(3):46-58.

    OpenUrlFREE Full TextGoogle Scholar
51. 51.
    1. Kleber CJ,
    2. Putt MS.

    Formation of flossing habit using a floss-holding device. J Dent Hyg. 1990 Mar;64(3):140-3.

    OpenUrlPubMedGoogle Scholar
52. 52.↵
    1. Tedesco L,
    2. Keffer MA,
    3. Fleck-Kandath C.

    Self-efficacy, reasoned action, and oral health behavior reports: a social cognitive approach to compliance. J Behav Med. 1991;14(4):341-55.

    OpenUrlCrossRefPubMedWeb of ScienceGoogle Scholar
53. 53.↵
    1. Goyal CR,
    2. Qaqish JG,
    3. Schuller R,
    4. Lyle DM.

    Evaluation of the addition of a water flosser to manual brushing on gingival health. J Clin Dent. 2018 Dec;29(4):81-6.

    OpenUrlGoogle Scholar
54. 54.↵
    1. Lyle DM,
    2. Goyal CR,
    3. Qaqish JG,
    4. Schuller R.

    Comparison of water flosser and interdental brush on plaque removal: A single-use pilot study. J Clin Dent. 2016 Mar;27(1):23-6.

    OpenUrlGoogle Scholar
55. 55.
    1. Slot DE,
    2. Lyle DM,
    3. Van der Sluijs E, et al.

    Water flosser compared to interdental brush on bleeding scores and gingival abrasion. J Dent Res. 2018;97(Spec Iss B):Abstract #0622.

    OpenUrlGoogle Scholar
56. 56.↵
    1. Goyal CR,
    2. Lyle DM,
    3. Qaqish JG,
    4. Schuller, R.

    Comparison of water flosser and interdental brush on reduction of gingival bleeding and plaque: a randomized controlled pilot study. J Clin Dent. 2016 Jun;27(2):61-5.

    OpenUrlGoogle Scholar
57. 57.↵
    1. Frascella JA,
    2. Fernandez P,
    3. Gilbert RD,
    4. Cugini M.

    A randomized, clinical evaluation of the safety and efficacy of a novel oral irrigator. Am J Dent. 2000 Apr;13(2):55-8.

    OpenUrlPubMedGoogle Scholar
58. 58.↵
    1. Erbe C,
    2. Klukowska M,
    3. Timm HC, et al.

    A randomized controlled trial of a power brush/irrigator/mouthrinse routine on plaque and gingivitis reduction in orthodontic patients. Angle Orthod. 2019 May;89(3):378-84.

    OpenUrlGoogle Scholar
59. 59.↵
    1. Ramseier CA,
    2. Petitat C,
    3. Trepp S, et al.

    Clinical parameters and oral fluid biomarkers in gingivitis subjects using an electric toothbrush with irrigator vs a manual toothbrush alone over 8 weeks: A randomized controlled clinical trial. Oral Health Prev Dent. 2021 Jan;19(1):137-47.

    OpenUrlGoogle Scholar
60. 60.↵
    1. Trombelli L,
    2. Farina R,
    3. Silva CO,
    4. Tatakis DN.

    Plaque-induced gingivitis: case definition and diagnostic considerations. J Clin Periodontol. 2018 Jun;45(Suppl 20):S44-S67.

    OpenUrlGoogle Scholar