{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T06:57:16Z","timestamp":1792479436648,"version":"4.5.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2018,2,26]],"date-time":"2018-02-26T00:00:00Z","timestamp":1519603200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"publisher","award":["K01 DE027087"],"award-info":[{"award-number":["K01 DE027087"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"publisher","award":["K23 DE025093"],"award-info":[{"award-number":["K23 DE025093"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"publisher","award":["R01 DE023836"],"award-info":[{"award-number":["R01 DE023836"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1RR025747, UL1TR000083"],"award-info":[{"award-number":["UL1RR025747, UL1TR000083"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Dent Res"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:p>The purpose of this study was to evaluate the associations between interdental cleaning behavior and the prevalence of caries and periodontal disease and numbers of missing teeth, with data from the National Health and Nutrition Examination Survey (2011 to 2012 and 2013 to 2014). Analysis included the following parameters: interproximal clinical attachment level (iCAL) \u22653 mm, interproximal probing depth (iPD) \u22654 mm, number of coronal and interproximal caries, number of missing teeth, \u22651 surfaces with coronal caries, and periodontal profile classes (PPCs). Chi-square was used for bivariate associations. Associations of interdental cleaning with outcomes were assessed with multiple linear regression and generalized logit regression, adjusting for age, race, sex, diabetes, smoking, education, dental visits, and sugar consumption. Nonusers had a significantly higher percentage of sites with iCAL \u22653 mm and iPD \u22654 mm as compared with individuals who used interdental cleaning devices ( P &lt; 0.0001). Individuals with a higher frequency of cleaning (4 to 7\u00d7\/wk) had a significantly lower extent of sites with iCAL \u22653 mm as compared with lower-frequency cleaning (1 to 3\u00d7\/wk; P \u2264 0.05). Interdental cleaning users showed lower numbers of coronal caries, interproximal coronal caries, and missing teeth as compared with nonusers ( P &lt; 0.0001). Nonusers had 1.73-times (95% confidence interval, 1.53 to 1.94) higher odds for having \u22651 surfaces of coronal caries as compared with interdental cleaning users, regardless of the weekly frequency. Individuals were less likely to be in diseased PPCs if they were interdental cleaning users. Low-frequency cleaners (1 to 3\u00d7\/wk) had significantly greater odds (1.43; 95% confidence interval, 1.08 to 1.88) to have severe disease (PPC-G) versus health (PPC-A) than were high-frequency cleaners (4 to 7\u00d7\/wk). Interdental cleaning users showed lower levels of periodontal disease and caries and lower numbers of missing teeth. Higher frequency of interdental cleaning was correlated with increased periodontal health. Individuals with severe periodontal disease could show additional oral health benefits by increasing cleaning frequency. The data support the use of interdental cleaning devices as an oral hygiene behavior for promoting health.<\/jats:p>","DOI":"10.1177\/0022034518759915","type":"journal-article","created":{"date-parts":[[2018,2,26]],"date-time":"2018-02-26T17:06:13Z","timestamp":1519664773000},"page":"773-778","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":74,"title":["Interdental Cleaning Is Associated with Decreased Oral Disease Prevalence"],"prefix":"10.1177","volume":"97","author":[{"given":"J.T.","family":"Marchesan","sequence":"first","affiliation":[{"name":"Department of Periodontology, School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"},{"name":"Center for Oral and Systemic Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, 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Hill, Chapel Hill, NC, USA"},{"name":"Department of Dental Ecology, School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,2,26]]},"reference":[{"key":"bibr1-0022034518759915","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12800"},{"key":"bibr2-0022034518759915","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.1975.tb00313.x"},{"key":"bibr3-0022034518759915","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12765"},{"key":"bibr4-0022034518759915","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12685"},{"key":"bibr5-0022034518759915","doi-asserted-by":"publisher","DOI":"10.1016\/j.chom.2011.09.008"},{"key":"bibr6-0022034518759915","doi-asserted-by":"publisher","DOI":"10.1177\/0022034512457373"},{"issue":"122","key":"bibr7-0022034518759915","first-page":"1","author":"Ervin RB","year":"2013","journal-title":"NCHS Data 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