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Professional flossing as a diagnostic method for gingivitis in the primary dentition

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Professional flossing as a diagnostic method for gingivitis in the primary dentition

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Título Professional flossing as a diagnostic method for gingivitis in the primary dentition
Autor Mariath, Adriela Azevedo Souza
Bressani, Ana Eliza Lemes
Haas, Alex Nogueira
Araujo, Fernando Borba de
Rösing, Cassiano Kuchenbecker
Abstract The aim of this study was to evaluate flossing as a diagnostic method for interproximal gingival bleeding in children. For this crossover study, 23 pre-schoolchildren presenting neither restorations nor approximal carious cavities and with at least 15% of gingival bleeding sites were selected. Examinations were performed at three different moments (3-4 days interval). Examinations comprised repeated measurements of two gingival indices with a 10-minute interval in the following sequences: the Ainamo & Bay Gingival Bleeding Index (GBI) followed by the Carter & Barnes flossing index (CBI); CBI followed by GBI; and GBI followed by GBI. Data analysis was performed only for the interproximal sites, considering the GBI as the gold-standard. Agreement between indices, sensitivity (SE), specificity (SP), positive (PPV) and negative predictive values (NPV) were estimated. Percentage agreements in sequences GBI-CBI, CBI-GBI and GBI-GBI were 70.3%, 76.4% and 84.5%, respectively. Validation of flossing in the first sequence (GBI-CBI) resulted in values of 0.61 (95%CI 0.53 – 0.68), 0.72 (95%CI 0.69 – 0.76), 0.33 (95%CI 0.28 – 0.39) and 0.89 (95%CI 0.86 – 0.92) respectively for SE, SP, PPV and NPV. It can be concluded that professional flossing is a useful tool in the diagnosis of interproximal gingival inflammatory status in children, especially in conditions of gingival health.
Contido em Brazilian oral research. São Paulo. Vol. 22, no. 4 (Oct./Dec. 2008), p. 316-321
Assunto Gengivites
Odontopediatria : Periodontia
Placa dentaria
[en] Dental plaque
[en] Dentition
[en] Diagnosis
[en] Gingivitis
[en] primary
Origem Nacional
Tipo Artigo de periódico
URI http://hdl.handle.net/10183/20730
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