The Flossing Revolution: Water vs. Air Microbubbles
Water flossing has been a topic of discussion among dental professionals for quite some time. But how effective is it really? A recent study dives deep into this question.
The Source Article Details
Efficacy of water flossing on clinical parameters of inflammation and plaque: A four-week randomized controlled trial by Deborah Mancinelli-Lyle et al. in 2023.
The Source Article's Abstract
The primary prevention of periodontitis is controlling gingivitis daily. The study objective was to compare the efficacy of a pulsating water flosser to a pulsating water flosser infused with air microbubbles on clinical signs of inflammation and plaque.
One hundred and five participants were enrolled in this single-blind, single-center, parallel, four-week, IRB/IEC-approved clinical trial. Participants were randomly assigned to one of three groups: water flosser (WF) plus manual toothbrush, water flosser infused with microbubbles of air (MBWF) plus manual toothbrush, or dental floss (DF) plus manual toothbrush. Bleeding on probing (BOP), Modified Gingival Index (MGI), and Rustogi Modification Navy Plaque Index (RMNPI) scores were recorded at baseline, 2-weeks, and 4-weeks.
All participants completed the study (n=105). All groups showed a statistically significant reduction for BOP, MGI, and RMNPI at 4-weeks. The WF group showed a statistically significant greater reduction in whole mouth BOP (0.41) compared to MBWF (0.32) and DF (0.19). This was also true for MGI (0.37, 0.30, and 0.20, respectively) and RMNPI (0.13, 0.11, and 0.06, respectively).
This study demonstrates that a manual toothbrush and water flosser, with or without microbubbles, is an effective oral care regimen for controlling gingivitis over four weeks.
Citing the Source Article (APA)
Mancinelli-Lyle, D., Qaqish, J.G., Goyal, C.R., Schuller, R. (2023). Efficacy of water flossing on clinical parameters of inflammation and plaque: A four-week randomized controlled trial. Journal of Dental Hygiene, 97(5), 166-186. N/A
Study Design: A Closer Look
The study was a four-week, single-blind, randomized controlled trial involving 105 participants. It compared the efficacy of a regular water flosser, a water flosser infused with air microbubbles, and traditional dental floss.
Three key metrics were evaluated: Bleeding on Probing (BOP), Modified Gingival Index (MGI), and Rustogi Modification Navy Plaque Index (RMNPI).
Key Findings: Numbers Speak
- BOP: The water flosser group showed a greater reduction compared to the other groups.
- MGI: Again, the water flosser group led the way.
- RMNPI: All groups showed a reduction, but the water flosser group had the most significant decrease.
Implications for the Dental Community
The study clearly indicates that water flossing can be a potent tool in the fight against gingivitis and plaque. This could revolutionize oral care regimens and potentially reduce the prevalence of periodontal diseases.
It’s worth noting that no adverse events were reported, making water flossing a safe option as well.
What are your thoughts on the efficacy of water flossing? Is it time to make the switch or do traditional methods still hold their ground? Feel free to leave a comment below.