Sambunjak D, Nickerson JW, Poklepovic T, et al. Flossing for the management of periodontal diseases and dental caries in adults. Cochrane Database Syst Rev. 2011 Dec 7;(12):CD008829. doi: 10.1002/14651858.CD008829.pub2.
National Institute of Dental and Craniofacial Research. Accessed March 14, 2018.
Centers for Disease Control and Prevention. CDC 24/7: Saving Lives, Protecting People; Oral Health. Accessed March 14, 2018.
Office of Disease Prevention and Health Promotion. Healthy People 2020. Accessed March 14, 2018.
American Dental Association Statement: Government, ADA recognize importance of flossing. ADA News. Accessed March 14, 2018.
Cho I, Blaser MJ. The human microbiome: at the interface of health and disease. Nat Rev Genet. 2012 Mar 13;13(4):260-70. doi: 10.1038/nrg3182.
Lourenço TG, Heller D, Silva-Boghossian CM, et al. Microbial signature profiles of periodontally healthy and diseased patients. J Clin Periodontol. 2014 Nov;41(11):1027-36. doi: 10.1111/jcpe.12302. Epub 2014 Sep 22.
Mombelli A. Microbial colonization of the periodontal pocket and its significance for periodontal therapy. Periodontol 2000. 2018 Feb;76(1):85-96. doi: 10.1111/prd.12147. Epub 2017 Nov 30.
Tanner ACR, Kressirer CA, Rothmiller S, et al. The Caries Microbiome: Implications for Reversing Dysbiosis. Adv Dent Res. 2018 Feb;29(1):78-85. doi: 10.1177/0022034517736496.
Nyvad B, Crielaard W, Mira A, et al. Dental caries from a molecular microbiological perspective. Caries Res. 2013;47(2):89-102. doi: 10.1159/000345367. Epub 2012 Nov 30.
American Dental Association. Mouth Healthy. Accessed March 14, 2018.
American Dental Association News Release: American Dental Association Statement on Regular Brushing and Flossing to Help Prevent Oral Infections. August 23, 2013. Accessed March 14, 2018.
Kaiser M. How long does the average person brush? Dentistry IQ. Academy of General Dentistry. September 30, 2014. Accessed March 14, 2018.
Bader HI. Floss or die: implications for dental professionals. Dent Today. 1998 Jul;17(7):76-8, 80-2.
U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2015 – 2020 Dietary Guidelines for Americans. 8th Edition. December 2015. Accessed March 14, 2018.
Catherine Saint Louis. Associated Press. “Feeling Guilty About Not Flossing? Maybe There’s No Need.” August 2, 2016. Accessed March 14, 2018.
Reuters U.S. Edition. One-fourth of Americans lie to dentists about flossing: survey. June 23, 2015. Accessed March 14, 2018.
Southam JD, Soames JV. Dental Caries (Ch 2). Oral Pathology Oxford, Oxford University Press. 1993.
48th ORCA Congress. Caries Research, 2001; 35(4), 265-316.
Ten Cate JM. In vitro studies on the effects of fluoride on de- and remineralization. J Dent Res. 1990 Feb;69 Spec No:614-9; discussion 634-6.
Neel E, Aljabo A, Strange, A, Ibrahim S, et al. Demineralization--remineralization dynamics in teeth and bone. Int J Nanomedicine. 2016 Sep 19;11:4743-4763. eCollection 2016.
Griffin SO Jones K, Tomar SL. An economic evaluation of community water fluoridation. J Public Health Dent. 2001 Spring;61(2):78-86.
Section on Oral Health. Maintaining and Improving the Oral Health of Young Children. Pediatrics 2014 Dec ; 134(6):1224-1229. Accessed March 14, 2018.
Centers for Disease Control (CDC). National Center for Health Statistics. Oral and Dental Health. Accessed March 14, 2018.
Watt RG, Listl S, Peres MA, Heilmann A, eds. Social inequalities in oral health: from evidence to action. London: International Centre for Oral Health Inequalities Research & Policy. 2015. Accessed March 14, 2018.
Yeh DY, Kuo HC, Yang YH, et al. The Responsiveness of Patients' Quality of Life to Dental Caries Treatment-A Prospective Study. PLoS One. 2016 Oct 24;11(10):e0164707. doi: 10.1371/journal.pone.0164707. eCollection 2016. doi: 10.1371/journal.pone.0164707.
Kornman KS, Page RC, Tonetti MS. The host response to the microbial challenge in periodontitis: assembling the players. Periodontol 2000. 1997 Jun;14:33-53.
Chapple IL, Van der Weijden F, Doerfer C, et al. Primary prevention of periodontitis: managing gingivitis. J Clin Periodontol. 2015 Apr;42 Suppl 16:S71-6. doi: 10.1111/jcpe.12366.
Löe H. The Gingival Index, the Plaque Index and the Retention Index Systems. J Periodontol. 1967 Nov-Dec;38(6):Suppl:610-6. doi: 10.1902/jop.19126.96.36.1990.
Oral Health In America: A Report of the Surgeon General (Executive Summary). Accessed March 14, 2018.
Flemmig TF. Periodontitis. Ann Periodontol. 1999 Dec;4(1):32-8. doi: 10.1902/annals.19188.8.131.52.
Page RC, Schroeder HE. Pathogenesis of inflammatory periodontal disease. A summary of current work. Lab Invest. 1976 Mar;34(3):235-49.
Löe H, Anerud A, Boysen H, et al. Natural history of periodontal disease in man. Rapid, moderate and no loss of attachment in Sri Lankan laborers 14 to 46 years of age. J Clin Periodontol. 1986 May;13(5):431-45.
Socransky SS, Haffajee AD, Goodson JM, et al. New concepts of destructive periodontal disease. J Clin Periodontol. 1984 Jan;11(1):21-32.
Jeffcoat MK, Reddy MS. Progression of probing attachment loss in adult periodontitis. J Periodontol. 1991 Mar;62(3):185-9. doi: 10.1902/jop.19184.108.40.206.
Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol. 1999 Dec;4(1):1-6. doi: 10.1902/annals.19220.127.116.11.
American Academy of Periodontology Task Force Report on the Update to the 1999 Classification of Periodontal Diseases and Conditions. J Periodontol. 2015 Jul;86(7):835-8. doi: 10.1902/jop.2015.157001. Epub 2015 May 27.
Eke PI, Dye BA, Wei L, et al. Prevalence of periodontitis in adults in the United States: 2009 and 2010. J Dent Res. 2012 Oct;91(10):914-20. Epub 2012 Aug 30. doi: 10.1177/0022034512457373.
Eke PI, Dye BA, Wei L, et al. Update on Prevalence of Periodontitis in Adults in the United States: NHANES 2009 to 2012. J Periodontol. 2015 May;86(5):611-22. doi: 10.1902/jop.2015.140520. Epub 2015 Feb 17.
Löe H, Anerud A, Boysen H, et al. The natural history of periodontal disease in man. The rate of periodontal destruction before 40 years of age. J Periodontol. 1978 Dec;49(12):607-20. doi: 10.1902/jop.1918.104.22.1687.
Michalowicz BS, Aeppli DP, Kuba RK, et al. A twin study of genetic variation in proportional radiographic alveolar bone height. J Dent Res. 1991 Nov;70(11):1431-5. doi: 10.1177/00220345910700110701.
Michalowicz BS, Aeppli D, Virag JG, et al. Periodontal findings in adult twins. J Periodontol. 1991 May;62(5):293-9. doi: 10.1902/jop.1922.214.171.1243.
Alley CS, Reinhardt RA, Maze CA, et al. HLA-D and T lymphocyte reactivity to specific periodontal pathogens in type 1 diabetic periodontitis. J Periodontol. 1993 Oct;64(10):974-9. doi: 10.1902/jop.19126.96.36.1994.
Bergström J, Preber H. Tobacco use as a risk factor. J Periodontol. 1994 May;65(5 Suppl):545-50. doi: 10.1902/jop.1994.65.5s.545.
Hart TC, Shapira L, Van Dyke TE. Neutrophil defects as risk factors for periodontal diseases. J Periodontol. 1994 May;65(5 Suppl):521-9. doi: 10.1902/jop.1994.65.5s.521.
Kornman KS, Crane A, Wang HY, et al. The interleukin-1 genotype as a severity factor in adult periodontal disease. J Clin Periodontol. 1997 Jan;24(1):72-7.
Jamie Holmes. Gray Matter. “Flossing and the Art of Scientific Investigation” November 25, 2016. Accessed March 14, 2018.
Löe H, Von der Fehr FR, Schiött CR. Inhibition of experimental caries by plaque prevention. The effect of chlorhexidine mouthrinses. Scand J Dent Res. 1972;80(1):1-9.
Axelsson P, Lindhe J. Effect of controlled oral hygiene procedures on caries and periodontal disease in adults. J Clin Periodontol. 1978 May;5(2):133-51.
Theilade E, Wright WH, Jensen SB, et al. Experimental gingivitis in man. II. A longitudinal clinical and bacteriological investigation. J Periodontal Res. 1966;1:1-13.
Löe H. Oral hygiene in the prevention of caries and periodontal disease. Int Dent J. 2000 Jun;50(3):129-39.
Santos A. Evidence-based control of plaque and gingivitis. J Clin Periodontol. 2003;30 Suppl 5:13-6.
Kressin NR, Boehmer U, Nunn ME, et al. Increased preventive practices lead to greater tooth retention. J Dent Res. 2003 Mar;82(3):223-7. doi: 10.1177/154405910308200314.
Jepsen S, Blanco J, Buchalla W, et al. Prevention and control of dental caries and periodontal diseases at individual and population level: consensus report of group 3 of joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases. J Clin Periodontol. 2017 Mar;44 Suppl 18:S85-S93. doi: 10.1111/jcpe.12687.
Merchant A, Pitiphat W, Douglass CW, et al. Oral hygiene practices and periodontitis in health care professionals. J Periodontol. 2002 May;73(5):531-5. doi: 10.1902/jop.2002.73.5.531.
American Academy of General Dentistry. "Should I Floss?" Know Your Teeth. Accessed March 14, 2018.
American Academy of Periodontology. Statement from the AAP on flossing efficacy. August 2, 2016. Accessed March 14, 2018.
Dye B, Thornton-Evans G, Li X, et al. Dental caries and tooth loss in adults in the United States, 2011-2012. NCHS Data Brief. 2015 May;(197):197.
Petersen PE, Bourgeois D, Ogawa H, et al. The global burden of oral diseases and risks to oral health. Bull World Health Organ. 2005 Sep;83(9):661-9. Epub 2005 Sep 30. doi: /S0042-96862005000900011.
Gustafson BE, Quansel CE, Lanke L, et al. The Vipeholm dental caries study; the effect of different levels of carbohydrate intake on caries activity in 436 individuals observed for five years. Acta Odontol Scand. 1954 Sep;11(3-4):232-64.
Fitzgerald RJ. Microbiological aspects of dental caries. J Am Dent Assoc. 1963 May;66:597-9.
Von der Fehr FR, Löe H, Theilade E. Experimental caries in man. Caries Res. 1970;4(2):131-48. doi: 10.1159/000259635.
Selwitz RH, Ismail AI, Pitts NB. Dental caries. Lancet. 2007 Jan 6;369(9555):51-9. doi: 10.1016/S0140-6736(07)60031-2.
Featherstone JD. The science and practice of caries prevention. J Am Dent Assoc. 2000 Jul;131(7):887-99.
American Dental Association. Caries Risk Assessment Form (Age 0-6). Accessed March 14, 2018.
American Dental Association. Caries Risk Assessment Form (Age >6). Accessed March 14, 2018.
Young DA, Featherstone JD, Roth JR. Curing the silent epidemic: caries management in the 21st century and beyond. J Calif Dent Assoc. 2007 Oct;35(10):681-5.
United States Department of Health and Human Services (DHHS). Centers for Disease Control and Prevention: National Center for Health Statistics. Third National Health and Nutrition Examination Survey, 1988-1994 NHANES III Data File. Public Use Data File Documentation No. 762000. Accessed March 14, 2018.
Grossi SG, Zambon JJ, Ho AW, et al. Assessment of risk for periodontal disease. I. Risk indicators for attachment loss. J Periodontol. 1994 Mar;65(3):260-7. doi: 10.1902/jop.19188.8.131.520.
Papapanou PN. Periodontal diseases: epidemiology. Ann Periodontol. 1996 Nov;1(1):1-36. doi: 10.1902/annals.19184.108.40.206.
Lang NP, Tonetti MS. Periodontal risk assessment (PRA) for patients in supportive periodontal therapy (SPT). Oral Health Prev Dent. 2003;1(1):7-16.
Trombelli L, Farina R, Ferrari S, et al. Comparison between two methods for periodontal risk assessment. Minerva Stomatol. 2009 Jun;58(6):277-87.
Cronin AJ, Claffey N, Stassen LF. Who is at risk? Periodontal disease risk analysis made accessible for the general dental practitioner. Br Dent J. 2008 Aug 9;205(3):131-7. doi: 10.1038/sj.bdj.2008.653.
Lang NP, Suvan JE, Tonetti MS. Risk factor assessment tools for the prevention of periodontitis progression a systematic review.J Clin Periodontol. 2015 Apr;42 Suppl 16:S59-70. doi: 10.1111/jcpe.12350.
Liu B, Faller LL, Klitgord N. Deep sequencing of the oral microbiome reveals signatures of periodontal disease. PLoS One. 2012;7(6):e37919. doi: 10.1371/journal.pone.0037919. Epub 2012 Jun 4.
Arweiler NB, Auschill TM, Sculean A. Patient self-care of periodontal pocket infections. Periodontol 2000. 2018 Feb;76(1):164-179. doi: 10.1111/prd.12152. Epub 2017 Dec 1.
Straub AM, Salvi GE, Lang NP. Supragingival plaque formation in the human dentition. Lang NP, Ättstrom R, Löe H. Proceedings of the European workshop on mechanical plaque removal. Quinessence, Chicago; 1998.
van der Weijden GA, Hioe KP. A systematic review of the effectiveness of self-performed mechanical plaque removal in adults with gingivitis using a manual toothbrush. J Clin Periodontol. 2005;32 Suppl 6:214-28. doi: 10.1111/j.1600-051X.2005.00795.x.
Deery C, Heanue M, Deacon S. The effectiveness of manual versus powered toothbrushes for dental health: a systematic review. J Dent. 2004 Mar;32(3):197-211. doi: 10.1016/j.jdent.2003.11.006.
Van der Weijden GA, Timmerman MF, Nijboer A, et al. A comparative study of electric toothbrushes for the effectiveness of plaque removal in relation to toothbrushing duration. Timerstudy. J Clin Periodontol. 1993 Aug;20(7):476-81.
Ganss C, Schlueter N, Preiss S, et al. Tooth brushing habits in uninstructed adults--frequency, technique, duration and force. Clin Oral Investig. 2009 Jun;13(2):203-8. doi: 10.1007/s00784-008-0230-8. Epub 2008 Oct 14.
Macgregor ID, Rugg-Gunn AJ. Toothbrushing duration in 60 uninstructed young adults. Community Dent Oral Epidemiol. 1985 Jun;13(3):121-2.
Bass CC. An effective method of personal oral hygiene. J La State Med Soc. 1954 Feb;106(2):57-73; contd.
Gilson CM, Charbeneau GT, Hill HC. A comparison of physical properties of several soft toothbrushes. J Mich Dent Assoc 1969; 51: 347.
Van der Weijden GA, Timmerman MF, Danser MM, et al. Relationship between the plaque removal efficacy of a manual toothbrush and brushing force. J Clin Periodontol. 1998 May;25(5):413-6.
Deery C, Heanue M, Deacon S, et al. The effectiveness of manual versus powered toothbrushes for dental health: a systematic review. J Dent. 2004 Mar;32(3):197-211. doi: 10.1016/j.jdent.2003.11.006.
Deacon SA, Glenny AM, Deery C, et al. Different powered toothbrushes for plaque control and gingival health. Cochrane Database Syst Rev. 2010 Dec 8;(12):CD004971. doi: 10.1002/14651858.CD004971.pub2.
Warren PR, Ray TS, Cugini M, et al. A practice-based study of a power toothbrush: assessment of effectiveness and acceptance. J Am Dent Assoc. 2000 Mar;131(3):389-94.
Drisko CL. Periodontal self-care: evidence-based support. Periodontol 2000. 2013 Jun;62(1):243-55. doi: 10.1111/prd.12012.
Gjermo P, Flötra L. The plaque removing effect of dental floss and toothpicks a group-comparison study. J Periodontal Res. 1969;4(2):170.
Biesbrock A, Corby PM, Bartizek R, et al. Assessment of treatment responses to dental flossing in twins. J Periodontol. 2006 Aug;77(8):1386-91. doi: 10.1902/jop.2006.050399.
Corby PM, Biesbrock A, Bartizek R, et al. Treatment outcomes of dental flossing in twins: molecular analysis of the interproximal microflora. J Periodontol. 2008 Aug;79(8):1426-33. doi: 10.1902/jop.2008.070585.
Axelsson P, Nyström B, Lindhe J. The long-term effect of a plaque control program on tooth mortality, caries and periodontal disease in adults. Results after 30 years of maintenance. J Clin Periodontol. 2004 Sep;31(9):749-57. doi: 10.1111/j.1600-051X.2004.00563.x.
Hellström MK, Ramberg P, Krok L, et al. The effect of supragingival plaque control on the subgingival microflora in human periodontitis. J Clin Periodontol. 1996 Oct;23(10):934-40.
Macgregor ID, Balding JW, Regis D. Flossing behaviour in English adolescents. J Clin Periodontol. 1998 Apr;25(4):291-6.
Kinane DF. The role of interdental cleaning in effective plaque control: need for interdental cleaning in primary and secondary prevention. Lang NP, Ättstrom R, Löe H. Proceedings of the European workshop on mechanical plaque control. Quintessence, Chicago, 1998.
Bergenholtz A, Olsson A. Efficacy of plaque-removal using interdental brushes and waxed dental floss. Scand J Dent Res. 1984 Jun;92(3):198-203.
Kiger RS, Nylund K, Feller RP. A comparison of proximal plaque removal using floss and interdental brushes. J Clin Periodontol 1991; 18: 681-684.
Noorlin I, Watts TL. A comparison of the efficacy and ease of use of dental floss and interproximal brushes in a randomised split mouth trial incorporating an assessment of subgingival plaque. Oral Health Prev Dent. 2007;5(1):13-8.
Goyal CR, Lyle DM, Qaqish JG, et al. Comparison of Water Flosser and Interdental Brush on Reduction of Gingival Bleeding and Plaque: A Randomized Controlled Pilot Study. J Clin Dent. 2016 Jun;27(2):61-65.
Slot DE, Dörfer CE, Van der Weijden GA. The efficacy of interdental brushes on plaque and parameters of periodontal inflammation: a systematic review. Int J Dent Hyg. 2008 Nov;6(4):253-64. doi: 10.1111/j.1601-5037.2008.00330.x.
Hoenderdos NL, Slot DE, Paraskevas S, et al. The efficacy of woodsticks on plaque and gingival inflammation: a systematic review. Int J Dent Hyg. 2008 Nov;6(4):280-9. doi: 10.1111/j.1601-5037.2008.00335.x.
Cronin MJ, Dembling WZ, Cugini M, et al. A 30-day clinical comparison of a novel interdental cleaning device and dental floss in the reduction of plaque and gingivitis. J Clin Dent. 2005;16(2):33-7.
Poli PP, Cicciu M, Beretta M, et al. Peri-Implant Mucositis and Peri-Implantitis: A Current Understanding of Their Diagnosis, Clinical Implications, and a Report of Treatment Using a Combined Therapy Approach. J Oral Implantol. 2017 Feb;43(1):45-50. doi: 10.1563/aaid-joi-D-16-00082. Epub 2016 Oct 19.
Araujo MWB, Charles CA, Weinstein RB, et al. Meta-analysis of the effect of an essential oil-containing mouthrinse on gingivitis and plaque. J Am Dent Assoc. 2015 Aug;146(8):610-622. doi: 10.1016/j.adaj.2015.02.011.
Gunsolley JC. A meta-analysis of six-month studies of antiplaque and antigingivitis agents. J Am Dent Assoc 2006; 137: 1649-1657.
Bidwell J. Fluoride mouthrinses for preventing dental caries in children and adolescents. Public Health Nurs. 2018 Jan;35(1):85-87. doi: 10.1111/phn.12364. Epub 2017 Sep 25.
Zimmer S, Kolbe C, Kaiser G, et al. Clinical efficacy of flossing versus use of antimicrobial rinses. J Periodontol. 2006 Aug;77(8):1380-5. doi: 10.1902/jop.2006.050362.
World Dental Federation (FDI). Oral Health Worldwide: A report by the FDI World Dental Federation. Accessed March 14, 2018.
Jönsson B, Ohrn K, Oscarson N, et al. An individually tailored treatment programme for improved oral hygiene: introduction of a new course of action in health education for patients with periodontitis. Int J Dent Hyg. 2009 Aug;7(3):166-75. doi: 10.1111/j.1601-5037.2008.00350.x.
Renz A, Ide M, Newton T, et al. Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal diseases. Cochrane Database Syst Rev. 2007 Apr 18;(2):CD005097. doi: 10.1002/14651858.CD005097.pub2.
Pew Charitable Trusts. A Costly Dental Destination. Accessed March 14, 2018.
National Governor’s Association. States Focus on Strategies to Improve Oral Health. Accessed March 14, 2018.
American Academy of Periodontology. CDC: Half of American Adults Have Periodontal Disease. September 4, 2012.
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