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prevention International magazine for oral health No. 1, 2018

| manufacturer news optimal management of interdental biofi lm Optimal prophylaxis with interdental brushes An increasing number of dental professionals are emphasising the importance of interdental brushes in primary, secondary and tertiary pro- phylaxis. These interdental cleaners are indispensable when it comes to optimal management of interdental biofi lm to maintain oral health. In dentistry (and medicine), there are three types of prevention: primary, secondary and tertiary. Primary prevention is concerned with avoiding diseases and their causes. Four factors are import- ant here: good oral hygiene, a healthy diet, professional preventa- tive measures (such as fl uoridation, cleaning and fi ssure sealing) and education. While patients are able to remove supragingival biofi lm through manual plaque control, subgingival biofi lm can only be eliminated by a professional cleaning. Primary prevention, especially daily oral care, forms the foundation to prevent caries, periodontal disease and other infl ammation, keeping the mouth healthy. This refl ects modern practice philosophy: it is best when the patient is already healthy when he or she enters the practice. This requires proper instruction in oral care, establishing good oral hygiene habits, and the use of the optimal products and tech- niques in perfect combination. Secondary prevention aims to slow down the progression of dis- ease, for example during the development of periodontal disease or peri-implant mucositis. Secondary prophylaxis diagnoses caries and periodontal disease as early as possible, proactively remineralises enamel and treats orthodontic misalignment early on. Tertiary prevention begins when tooth function has been lost. Secondary and tertiary prophylaxis are everyday matters in many Swiss dental practices, but primary prophylaxis is our ambitious aim. Owing to modern dental prevention, the team can ensure that a patient keeps his or her teeth for life. How can we achieve the best possible prophylaxis? Modern prophylaxis encompasses the following factors and steps: recognising the patient’s individual problems in maintaining his or her oral health and his or her daily oral care habits, removing su- pragingival plaque and calculus, providing individual instruction on the use of oral hygiene tools, establishing a bleeding index, mon- itoring via radiographs, providing nutritional advice and following a fl uoridation programme. Furthermore, prophylaxis individually adapted to the patient ensures the therapy’s long-term success. Properly coached oral health practitioners are indispensable. That is where CURAPROX comes in. Individual coaching pro- grammes with the best products, personal advice and preven- tative instruction for patients on how to use the oral hygiene products ensure the therapy’s success. CURAPROX products and educational concepts are the key to prophylaxis that is successful in the long run. Proper and regular use of high-quality toothbrushes, dental fl oss and, most importantly, interdental brushes from CURAPROX means that patients achieve complete cleaning. CURAPROX is an indispensable part of any prophylactic treatment. Healthy gaps need care Today, the focus of biofi lm management is on the interdental area. A toothbrush only cleans around 60–70 per cent of the surface area of the teeth, the remaining 30–40 per cent being interdental surfaces and thus impossible for a toothbrush to access. From the perspective of optimised prophylaxis, CURAPROX offers the fi nest interdental brushes on the market, providing a more effective and gentler alternative to dental fl oss. The interdental brushes in the CPS prime and CPS perio lines are easy to use and long-last- ing. Owing to technological innovations, CURAPROX interdental brushes are produced with long, fi ne bristles and very thin CURAL wires. The wire means that the bristles are very pliable, ensuring a thorough clean—even of the smallest interdental spaces. Be- fore and after every professional tooth cleaning, the practice team should recommend the use of CURAPROX interdental brushes and thoroughly instruct patients in their use. The fi ne CPS prime is ideal for closed interdental spaces. In a study titled “Effi cacy of interdental calibrated brushes on bleed- ing reduction in adults: A 3-month randomized controlled clinical trial”, French researchers at the University of Lyon spent three months investigating whether interdental brushes could reduce interproximal bleeding in patients with gingivitis. One test group used a manual toothbrush twice a day, while the other group also used CPS prime interdental brushes. The researchers used a cal- ibrated colorimetric probe to establish the size of the interdental spaces and therefore the correct brush sizes. The result was that interproximal bleeding was reduced by 47 per cent after one week and 71 per cent after three months. Secondary prophylaxis just with the CPS perio Many dental practices now offer secondary prophylaxis pro- grammes. As soon as the active therapy phase is complete, the patient follows a specifi c periodontal care protocol that takes into account his or her oral health status, for example if the patient’s papillae are badly injured or if there are black triangles. Regardless of the method used in periodontal treatment, the periodontist’s work only constitutes around 30 per cent of the treatment’s suc- cess. Patients themselves are responsible for the other 70 per cent. Cleaning interdental spaces is an intrinsic part of secondary prophylaxis. The CPS perio is ideal for periodontal patients: it 68 prevention 1 2018

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