Background: Without mechanical cleaning, gingivitis can develop within three weeks.
The first clinical sign is bleeding on positive probing. The accumulation of dental
biofilm triggers an inflammatory gingival response. In the past decade, attention
has focused mainly on interproximal areas and the use of customized interproximal
toothbrushes. The aim of this study was to evaluate the effectiveness of individualized
oral hygiene education and its role in dental disease prevention among patients with
dental problems. Methods: Altogether, 102 patients, 38 males and 64 females, were
included in the study. All patients were aged over 18 years. Before treatment, patients
were clinically and radiologically examined, their full mouth plaque score (FMPS),
full mouth bleeding score (FMBS), and bleeding on brushing (BOB) were recorded, and
matrix-metalloproteinase-8 (MMP-8) was measured by using a chair-side MMP-8 measuring
system. Patients in group A had gingivitis but no periodontal damage, and group B
had periodontal damage. Patients in both groups were divided into four subgroups based
on their toothbrushing habits and the oral health education they received. Three months
after the initial examination, each patient was examined three more times (2, 4, and
12 weeks later). Results: It was concluded that subjects in groups A1 and B1 showed
a significant reduction in BOB, MMP-8, FMBS, and FMPS levels after two weeks. Solo
Prophylaxis (A1 and B1) remained a well-constructed protocol and caused the complete
resolution of interdental inflammation after two weeks. Other subgroups achieved significant
reductions only after 12 weeks. Conclusions: BOB and MMP-8 tests are valuable complements
in preventive dentistry, and are able to detect potential pathological processes.
The clinical relevance of BOB testing, in addition to FMBS, FMPS and gingival inflammation
testing, can be demonstrated to patients, which may increase compliance.
