What’s new for the clinician – summaries of recently published papers


  • V Yengopal




peri-implantitis, interproximal


Interdental cleaning devices in the form of dental floss and interdental brushes have traditionally being used as adjuncts to plaque removal in the interproximal areas of teeth. However, their routine use among younger adolescents has been reported in many studies to be less than optimal. In orthodontic patients, fixed braces promote supra- and subgingival accumulation of biofilm by impeding oral
hygiene resulting in an altered oral microbiome, enamel decalcification and gingivitis1. It was recently shown that patients with upper and lower multibracket appliances are affected significantly more frequently by gingivitis (65%) and white spot lesions (30%).1 Additionally, in the predominantly young orthodontic patients, interdental spaces are often too narrow to use interdental brushes and flossing is challenging and time-consuming. Oral irrigators are easy to use even in the presence of orthodontic braces and are therefore favoured by many patients. Most oral irrigators use a stream of water only to mechanically remove plaque from interproximal areas but there are also oral irrigators which use a mixture of air and water, called microburst technology.


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Wiesmüller, V, Kasslatter, M, Zengin, B et al. Cleansing efficacy of an oral irrigator with microburst technology in orthodontic patients—a randomized-controlled crossover study. Clin Oral Invest 2023; 27, 2089–2095 DOI: https://doi.org/10.1007/s00784-023-05003-4

Reis IN, do Amaral GC, Hassan MA, Villar CC, Romito GA, Spin-Neto R, Pannuti CM. The influence of smoking on the incidence of peri-mplantitis: A systematic review and meta-analysis. Clinical Oral Implants Research. 2023 Jun;34(6):543-54 DOI: https://doi.org/10.1111/clr.14066




How to Cite

Yengopal, V. (2023). What’s new for the clinician – summaries of recently published papers. South African Dental Journal, 78(06), 318–320. https://doi.org/10.17159/sadj.v78i06.16906



Evidence-based Dentistry

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