Effect of Interdental Flossing on the Incidence of Proximal Caries in Children

Abstract

A clinical study was designed to evaluate the effect of frequent interdental flossing on the incidence of proximal dental caries. School children from a fluoride-deficient area were studied after clinical and radiographic examinations. Each child had at least one contralateral pair of intact, contacting proximal tooth surfaces between the distal surface of the primary cuspid and the mesial surface of the first permanent molar. Randomly selected test surfaces were flossed each school day with unwaxed dental floss by researchers. The contralateral surfaces served as controls. Flossing was done for eight months, discontinued for four months, and reinstituted for another eight months. A significant reduction in the incidence of proximal caries resulted.

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References

Hennon, D.K. ; Stookey, G.K. ; and Muhler, J.C. : Prevalence and Distribution of Dental Caries in Preschool Children, JADA 79:1405-1414, 1969.

Mcphail, C.W.B. ; Curry, T.M. ; Hazel-Ton , R.D. ; Paynter, K.J. ; and William-Son , R.G. : The Geographic Pathology of Dental Disease in Canadian Central Arctic Populations, J Can Dent Assoc 38:288-296, 1972.

Holm, A.K. , and Arvidsson, S. : Oral Health in Preschool Swedish Children, Odontol Revy 25:81-98, 1974.

Rugg-Gunn, A.J. ; Holloway, P.J. ; and Davies, T.G.H. : Partial Recording in Caries Incremental Studies in English Schoolchildren, Community Dent Oral Epidemiol 3: 11-19, 1975.

Graves, R.C. , and Burt, B.A. : The Pattern of the Carious Attack in Children as a Consideration in the Use of Fissure Sealants, J Prev Dent 2 :28-32, 1975.

Poole, D.F.G. , and Newman, H.N. : Dental Plaque and Oral Health , Nature (Lond) 234:329-331, 1971.

McHugh, W.D. (ed.): Dental Plaque-A Symposium Held in the University of Dundee 22-24, 1969, D C Thompson & Co. Ltd., 1970 , p 8.

Katz, S. ; McDonald, J.L. ; and Stookey, G.K. : Preventive Dentistry in Action, Upper Montclair, NJ: D C Publishing, 1972, p 138.

Carlos, J.P. (ed) : Prevention and Oral Health-A Conference Sponsored by the John E. Fogarty International Center for Advanced Study in the Health Sciences and the National Institute of Dental Research, Bethesda, Maryland: Department of Health, Education, and Welfare Publication No. (NIH) 74-707,1973, p 69.

10.

Wright, G.Z. ; Banting, D.W. ; and Feasby, W.H. : The Dorchester Dental Flossing Study: A Preliminary Report, Caries Res, 10:379-385, 1976.

11.

Siegal, S. : Non-Parametric Statistics, New York, McGraw-Hill Book Co., 1956, p 67.

12.

Macmahon, B. , and Pugh, T.F. : Epidemiology, Principles and Methods, Boston: Little, Brown & Co., 1970, pp 233, 234.

13.

Hadjimarkos, D.M. , and Storvick , C.A. : Bilateral Occurrence of Dental Caries, Oral Surg 3:1206-1209, 1950.

14.

Marthaler, T.M. : A Standardized System of Recording Dental Conditions, Helv Odontol Acta 10: 1-18, 1966.