Effectiveness of Super Floss and Water Flosser in Plaque Removal for Patients Undergoing Orthodontic Treatment: A Randomized Controlled Trial

Objectives. This study aimed to compare the effectiveness of super floss and water flosser in plaque removal for patients undergoing orthodontic treatment. Methods. A single-blind, randomized, controlled, parallel clinical trial with a split-mouth protocol was conducted on young adult orthodontic pa...

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Main Authors: Nozha Sawan, Afnan Ben Gassem, Faisal Alkhayyal, Aroob Albakri, Nada Al-Muhareb, Eman Alsagob
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2022/1344258
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author Nozha Sawan
Afnan Ben Gassem
Faisal Alkhayyal
Aroob Albakri
Nada Al-Muhareb
Eman Alsagob
author_facet Nozha Sawan
Afnan Ben Gassem
Faisal Alkhayyal
Aroob Albakri
Nada Al-Muhareb
Eman Alsagob
author_sort Nozha Sawan
collection DOAJ
description Objectives. This study aimed to compare the effectiveness of super floss and water flosser in plaque removal for patients undergoing orthodontic treatment. Methods. A single-blind, randomized, controlled, parallel clinical trial with a split-mouth protocol was conducted on young adult orthodontic patients who were recruited from Riyadh Specialized Dental Center in Riyadh, Saudi Arabia. The type of floss used was randomly assigned to each side of the oral cavity; Super-Floss® (Oral-B) was used on one side, while the Waterpik® water flosser was used on the other. Patients’ plaque level was assessed using Rustogi et al. modified navy plaque index (RMNPI) at baseline and immediately after cleaning. Results. A total of 62 subjects were screened; however, only 34 subjects were enrolled in the study with an equal number of males and females. Overall, the plaque score was significantly reduced from 0.56 ± 0.35 to 0.13 ± 0.26 in the super floss group and from 0.61 ± 0.35 to 0.13 ± 0.28 in the water flosser group. There was no significant difference between the mean difference of super floss and water flosser (p=0.951). On the other hand, there was no significant difference between both groups in terms of the preintervention plaque score (p=0.379). The water flosser had a greater effect size on plaque removal compared to super floss on distal interproximal surface of the molar tooth with a mean difference of (−0.21, 95% CI: 00.37 to −0.04, p=0.033). Conclusions. The use of super floss or water flosser as interproximal aids for plaque removal in patients undergoing orthodontic treatment are both effective. Trial registration. ISRCTN, ISRCTN83875016. Registered 12 September 2021-retrospectively registered, https://www.isrctn.com/ISRCTN83875016.
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spelling doaj-art-892571fefe29474685581bc524a08fde2025-02-03T05:57:22ZengWileyInternational Journal of Dentistry1687-87362022-01-01202210.1155/2022/1344258Effectiveness of Super Floss and Water Flosser in Plaque Removal for Patients Undergoing Orthodontic Treatment: A Randomized Controlled TrialNozha Sawan0Afnan Ben Gassem1Faisal Alkhayyal2Aroob Albakri3Nada Al-Muhareb4Eman Alsagob5Preventive Dental Sciences DepartmentDepartment of Pediatric Dentistry and OrthodonticsDirector of the Quality & Patient’s Safety Department at Riyadh Specialized Dental CenterCollege of DentistryCollege of DentistryPreventive Dental Sciences DepartmentObjectives. This study aimed to compare the effectiveness of super floss and water flosser in plaque removal for patients undergoing orthodontic treatment. Methods. A single-blind, randomized, controlled, parallel clinical trial with a split-mouth protocol was conducted on young adult orthodontic patients who were recruited from Riyadh Specialized Dental Center in Riyadh, Saudi Arabia. The type of floss used was randomly assigned to each side of the oral cavity; Super-Floss® (Oral-B) was used on one side, while the Waterpik® water flosser was used on the other. Patients’ plaque level was assessed using Rustogi et al. modified navy plaque index (RMNPI) at baseline and immediately after cleaning. Results. A total of 62 subjects were screened; however, only 34 subjects were enrolled in the study with an equal number of males and females. Overall, the plaque score was significantly reduced from 0.56 ± 0.35 to 0.13 ± 0.26 in the super floss group and from 0.61 ± 0.35 to 0.13 ± 0.28 in the water flosser group. There was no significant difference between the mean difference of super floss and water flosser (p=0.951). On the other hand, there was no significant difference between both groups in terms of the preintervention plaque score (p=0.379). The water flosser had a greater effect size on plaque removal compared to super floss on distal interproximal surface of the molar tooth with a mean difference of (−0.21, 95% CI: 00.37 to −0.04, p=0.033). Conclusions. The use of super floss or water flosser as interproximal aids for plaque removal in patients undergoing orthodontic treatment are both effective. Trial registration. ISRCTN, ISRCTN83875016. Registered 12 September 2021-retrospectively registered, https://www.isrctn.com/ISRCTN83875016.http://dx.doi.org/10.1155/2022/1344258
spellingShingle Nozha Sawan
Afnan Ben Gassem
Faisal Alkhayyal
Aroob Albakri
Nada Al-Muhareb
Eman Alsagob
Effectiveness of Super Floss and Water Flosser in Plaque Removal for Patients Undergoing Orthodontic Treatment: A Randomized Controlled Trial
International Journal of Dentistry
title Effectiveness of Super Floss and Water Flosser in Plaque Removal for Patients Undergoing Orthodontic Treatment: A Randomized Controlled Trial
title_full Effectiveness of Super Floss and Water Flosser in Plaque Removal for Patients Undergoing Orthodontic Treatment: A Randomized Controlled Trial
title_fullStr Effectiveness of Super Floss and Water Flosser in Plaque Removal for Patients Undergoing Orthodontic Treatment: A Randomized Controlled Trial
title_full_unstemmed Effectiveness of Super Floss and Water Flosser in Plaque Removal for Patients Undergoing Orthodontic Treatment: A Randomized Controlled Trial
title_short Effectiveness of Super Floss and Water Flosser in Plaque Removal for Patients Undergoing Orthodontic Treatment: A Randomized Controlled Trial
title_sort effectiveness of super floss and water flosser in plaque removal for patients undergoing orthodontic treatment a randomized controlled trial
url http://dx.doi.org/10.1155/2022/1344258
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