Dental Tribune Pakistan Edition No.1, 2017

NEWS Proving effective oral instructions in a clinical setting By Curaden AG D espite advances in good oral health care, many patients and dental professionals r e m a i n u n c e r t a i n a b o u t o r a l physiopathology and the concept of disruption of interdental biofilm. Although patients may have bought more oral care products and become more interested in their dental hygiene, many still do not know how to use them correctly. A previous article introduced to the outstanding research done by Prof. Denis Bourgeois, Dean of the University of Lyon's dental faculty in France. He presented scientific evidence that interdental brushes, in particular CURAPROX CPS interdental brushes, are efficient tools to interrupt the interdental biofilm. However, questions remain about the level of individual training that the dental staff should provide for their patients. Naturally, dental professionals agree that, despite clinical evidence that supports the importance of interdental biofilm management, effective daily cleaning of interdental spaces remains a challenge among their patients. Removal of interproximal plaque is considered important for the maintenance of gingival health, prevention of periodontal diseases and the reduction of caries, as well as the prevention of systemic diseases. However, dentistry still argues whether today's interdental cleaning tools are sufficient to interrupt biofilm development. Professionals debate on which tools to use and how to use them correctly, as uncertainty has remained about how to maintain clean interdental spaces.(cid:9) As Bourgeois concludes, the majority of studies have reported a positive significant difference in the plaque index when using an interdental brush compared with floss. In general, interdental brushes were found to be more effective in removing plaque compared with brushing alone or the combined use of toothbrushing and dental floss. Establishing the accessibility and widths of the interdental spaces should therefore be part of the routine examination of all patients. Its goal is to identify the distribution of interdental brush accessibility site by site and to choose the largest diameter that can pass between the teeth without causing discomfort or trauma. An interdental brush that is sized correctly for each interdental space is easy to handle and atraumatic, yet effective. Individual instruction important for good interdental health One major problem with interdental cleaning has always been patient ability and motivation. "Interdental cleaning does not readily become an established part of daily oral hygiene," said Bourgeois throughout his presentation. Damage to the interdental papilla and abrasive trauma to the dental surface result from a lack of motivation and training. Furthermore, bleeding may stop patients from using interdental brushes even though bleeding will stop after several uses if an interdental brush of the correct diameter is used. Oral and periodontal diseases are not only due to sugar consumption or heredity, but result 2017(cid:9) Pakistan Edition(cid:9)DENTAL TRIBUNE(cid:9) 11 January In his presentation at the FDI Annual World Dental Congress in Poznan in Poland, Prof. Denis Bourgeois presented scientific evidence that interdental brushes, in particular CURAPROX CPS interdental brushes, are efficient tools to interrupt the interdental biofilm. from a lack of proper dental hygiene. (cid:9) "The reason for oral and periodontal diseases is not a lack of antiseptics, a lack of fluoride or a lack of massage of the gingivae. Antiseptics continue to be used, but mouthwash does not stop bleeding. Only the right technique of cleaning interdentally, repetition of this technique and regular training can reduce the risk of bleeding and oral bacteria," says Bourgeois. "From a clinical point of view, the oral prophylactic goal of achieving thorough cleaning with minimal damage, due to the misuse of interdental brushes, is important. It is necessary to emphasise individual instruction and selection of oral hygiene means with a view to attaining a high level of cleanliness with little or no harm to either soft or hard tissue." (cid:9) Oral prophylaxis should therefore be taught individually and not in lectures. By correcting and repeating the right cleaning technique, prevention of oral and systemic disease can be achieved. Currently, Bourgeois offers prophylaxis training courses for dental students. In these, they are taught the correct use of oral hygiene tools such as interdental brushes, cleaning techniques, and the importance of motivation and repetition. As observed by the course presenter, 95 per cent of the dental students continue to use interdental brushes after two years of completing the training. "Interdental cleaning needs to become an established part of daily oral hygiene for the reduction of interproximal plaque, the control of gingivitis and improvement of patient motivation. If you use a toothbrush twice a day, you have to use interdental brushes once a day. If not, you will risk your health," Bourgeois says. A probe as key to successful interdental cleaning(cid:9) As an effective and predictable tool to objectively measure the size of the interdental spaces, interdental probes are now increasingly used by some dental hygienists to help choose the right access diameter defined by the thickness of the wire core. A study by Bourgeois et al., titled "A colorimetric interdental probe as a standard method to evaluate interdental efficiency of interdental brush", emphasised the need for choosing the right diameter so that the interdental brush can easily fit the interdental space. Apart from the individual anatomy, interproximal spaces can change with age, periodontal health or dental treatment. While under-sizing of the interdental brush will affect its efficiency, Continued on Page 15 IDS 2017: Organisers to stage Career Day again DT International L OOMINGTON, Ind., USA - Dental COLOGNE, Germany: After its successful launch in 2015, Career Day will be hosted again during this year's International Dental Show (IDS), the organisers have announced. Young people seeking a career in the dental industry, as well as experienced dental professionals looking for job opportunities or further training, will have the opportunity to meet with representatives of prominent dental companies from all over the world. More than 2,400 companies from about 60 countries are expected to attend the world's most important industry get-together for the international dental market in Cologne from 21 to 25 March 2017.(cid:9) For IDS exhibitors, Career Day offers a platform for presentations on professional training, further education and career advancement. In the Recruitment Lounge, linked to the presentation area, facilities will be available for individual meetings in discreetly partitioned areas.(cid:9) On Career Day, held on 25 March, university graduates, trainees in the fields of dentistry and dental technology, and pupils and school-leavers who would like to find out about training and career opportunities in the dental industry can obtain a first impression of the various spheres of activity of the participating companies. In addition, the initiative offers fully trained persons or career- changers information about further training options and career opportunities in the dentalindustry.(cid:9) Meetings with candidates on Career Day can easily be arranged using the online scheduling facility on the IDS homepage. However, spontaneous speed meeting is also possible. All exhibitors involved in the initiative will be announced on the IDS homepage and be mentioned in a dedicated printed flyer. The Career Day aims to accelerate communication and information exchange between IDS exhibitors and newcomers to the profession or people interested in a career in the dental industry. Career Day was successfully introduced at IDS 2015 by the Association of German Dental Manufacturers and Koelnmesse. This year, the event will be hosted in the area between Halls 4 and 5. DT News Europe

Dental Tribune Pakistan Edition No.1, 2017

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