Interdental hygiene index – A proposal of dual-purpose tool for patient assessment and motivation
Open accessAbstract
BACKGROUND: Interdental areas are more prone to plaque accumulation, thereby increasing the susceptibility for periodontal diseases. Proper method of interdental hygiene assessment and motivation to use interdental aids can potentially reduce the burden of periodontal diseases. MATERIALS AND METHODS: Fifty consecutive volunteer participants who presented with gingival inflammation were recruited based on the set of inclusion criteria. Further, proposed interdental hygiene index (IDHI) and gingival index were recorded by the examiner. Patient-reported outcome measures (PROMs) were recorded on the baseline and 4-week follow-up visits. Descriptive statistics and correlation analysis were performed. RESULTS: The study comprised 50 participants with 22 male and 23 female participants. At baseline, the mean/standard deviation of IDHI was 1.32 ± 0.10 and 0.62 ± 0.21 on follow-up, respectively. For Gingival Index (GI) at baseline, the mean/standard deviation was 1.61 ± 0.15 and 0.70 ± 0.24 on follow-up, respectively. Correlation analysis revealed a significant correlation between IDHI and GI at baseline and follow-up. Majority of the participants scored 0 on the Visual Analogue Scale (VAS) for pain, rated "Good" for acceptability of procedure and perceived efficacy of interdental brush. Participants reported to have acquired "High level of motivation" to use an interdental brush. CONCLUSION: IDHI is a simple and reliable tool to assess the interdental areas of the patient and motivate to use interdental brush for the maintenance of good oral hygiene. PROMs also revealed positive responses from participants.
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Toothbrush and dental floss or interproximal brushes motivation can improve oral health, but the motivation must be repeated to be efficient.
“Toothbrush and dental floss or interproximal brushes motivation can improve oral health, but the motivation must be repeated to be efficient [32–35].”
From Concordance and Clinical Outcomes Improvement Following Oral Hygiene Motivation: A Systematic Review and Report of the Workshop of the Italian Societies of Dental Hygiene (2024) · cites this paper as [33]
The Introduction recommends toothbrushes for periodontal maintenance, and the Discussion and Conclusion describe motivating patients to use interdental brushes for good oral hygiene. The Discussion says improvement at a follow-up visit may further motivate patients, but it does not say motivation must be repeated to be effective; the passages also do not establish this for dental floss. Page numbers are unavailable in our copy. (LLM, conf=0.85)
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Cites
Validity of four pain intensity rating scales
Ferreira-Valente, M. A., Pais-Ribeiro, J. L., & Jensen, M. P. (2011) · Pain · doi:10.1016/j.pain.2011.07.005 · Cited by 1,872 · see citing works
Demırcı, M., Tuncer, S., & Yuceokur, A. A. (2010) · European Journal of Dentistry · doi:10.1055/s-0039-1697839 · Cited by 220 · see citing works
Banthia, R., Chandki, R., & Banthia, P. (2011) · Journal of Indian Society of Periodontology · doi:10.4103/0972-124x.84377 · Cited by 194 · see citing works
Slot, D. E., Dörfer, C., & van der Weijden, G. A. (2008) · International Journal of Dental Hygiene · doi:10.1111/j.1601-5037.2008.00330.x · Cited by 181 · see citing works
Indices for measuring periodontitis: a literature review
Dhingra, K., & Vandana, K. L. (2011) · International Dental Journal · doi:10.1111/j.1875-595x.2011.00018.x · Cited by 109 · see citing works
Examiner alignment and assessment in clinical periodontal research
Hefti, A. F., & Preshaw, P. M. (2012) · Periodontology 2000 · doi:10.1111/j.1600-0757.2011.00436.x · Cited by 101 · see citing works
Kotsakis, G. A., Lian, Q., Ioannou, A. L., Michalowicz, B. S., John, M. T., & Chu, H. (2018) · Journal of Periodontology · doi:10.1002/jper.17-0368 · Cited by 97 · see citing works
Abrams, K., Caton, J. G., & Polson, A. M. (1984) · Journal of Periodontology · doi:10.1902/jop.1984.55.11.629 · Cited by 68 · see citing works
Comparative Effectiveness of Flossing and Brushing in Reducing Interproximal Bleeding
Graves, R. C., Disney, J. A., & Stamm, J. W. (1989) · Journal of Periodontology · doi:10.1902/jop.1989.60.5.243 · Cited by 66 · see citing works
Establishment of a New Marginal Plaque Index With High Sensitivity for Changes in Oral Hygiene
Deinzer, R., Jahns, S., & Harnacke, D. (2014) · Journal of Periodontology · doi:10.1902/jop.2014.140285 · Cited by 59 · see citing works
Modeling Shifts in Microbial Populations Associated with Health or Disease
Dalwai, F., Spratt, D., & Pratten, J. R. (2006) · Applied and Environmental Microbiology · doi:10.1128/aem.72.5.3678-3684.2006 · Cited by 55 · see citing works
Bourgeois, D. M., Saliasi, I., Llodrá, J. C., Bravo, M., Viennot, S., & Carrouel, F. (2016) · European Journal Of Oral Sciences · doi:10.1111/eos.12302 · Cited by 40 · see citing works
Access to Interdental Brushing in Periodontal Healthy Young Adults: A Cross-Sectional Study
Carrouel, F., Llodrá, J. C., Viennot, S., Santamaria, J., Bravo, M., & Bourgeois, D. M. (2016) · PLoS ONE · doi:10.1371/journal.pone.0155467 · Cited by 32 · see citing works
Hofer, D., Sahrmann, P., Attin, T., & Schmidlin, P. R. (2010) · International Journal of Dental Hygiene · doi:10.1111/j.1601-5037.2010.00483.x · Cited by 25 · see citing works
The Bleeding on Brushing Index: a novel index in preventive dentistry
Rosenauer, T., Wagenschwanz, C., Kühn, M., Kensche, A., Stiehl, S., & Hannig, C. (2017) · International Dental Journal · doi:10.1111/idj.12300 · Cited by 25 · see citing works
Bourgeois, D. M., Carrouel, F., Llodrá, J. C., Bravo, M., & Viennot, S. (2015) · The Open Dentistry Journal · doi:10.2174/1874210601509010431 · Cited by 19 · see citing works
The Relationship of Materia Alba and Dental Plaque to Periodontal Disease
Kimball, G. C. (1952) · Journal of Periodontology · doi:10.1902/jop.1952.23.3.164 · Cited by 6 · see citing works
Avula, H. (2013) · Journal of Indian Society of Periodontology · doi:10.4103/0972-124x.119293 · Cited by 3 · see citing works
Suhana, M. A. I., Farha, A., & Hassan, B. M. (2020) · PubMed · Cited by 3 · see citing works
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1 of the 20 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- [21]Periodontal Disease – StatPearls – NCBI Bookshelf [Last accessed on 2020 Nov 11] Available from: https://www.ncbi.nlm.nih.gov/books/NBK554590/
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Abbinante, A., Antonacci, A., Antonioni, M., Butera, A., Castaldi, M., Cotellessa, S., Di Marco, C., Gangale, M., Izzetti, R., Luperini, M., et al. (2024) · International Journal of Dentistry · doi:10.1155/2024/8592336 · Cited by 15 · see citing works
Zubardiah, L., & Rivai, Z. S. P. (2023) · Jurnal Kedokteran Gigi Terpadu · doi:10.25105/jkgt.v5i1.16780 · Cited by 1 · see citing works
Ortega, J. A. H., Ortíz, M. S., Lara, J. S., Murisi, P. U., Restrepo, M. J. F., Abularach, L. P. V., & Rodríguez, J. (2025) · Revista Odontología Pediátrica · doi:10.20960/odontolpediatr.00041
- Authors
- Subramanya, A., & Prabhuji, M. V.
- Venue
- Journal of Indian Society of Periodontology
- Published
- 2021
- Volume
- 25
- Issue
- 6
- Pages
- 532
- ISSN
- 0972-124X (ISSN-L)
- PMC
- PMC8603800
- OpenAlex
- W3209377914
- Cited by
- 3
- References
- 20
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1
- FWCI
- 0.52
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc-sa
- Locations
- Journal of Indian Society of Periodontology (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Dentistry › General Dentistry › Dental Research and COVID-19
- Keywords
- interdental plaque, interdental brushes, gingival index, gingivitis, patient motivation, oral hygiene maintenance, patient-reported outcomes, periodontal disease prevention, interdental aids
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