Interdental brushes over floss — have you shifted

Recent RCTs over 12 weeks are showing greater reductions in bleeding on probing with interdental brushes than floss in patients with open embrasures; are you updating home-care recommendations based on that? In our clinic this spring, adherence improved when we sized brushes chairside and paired them with 0.454% stannous fluoride paste, but I’m curious what outcomes you’re seeing in routine care.

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We’ve shifted to brushes for “open embrasures” and now chart the size per site and send the matching colors — think Goldilocks sizing. For tight contacts we still use PTFE floss; have you seen any papilla trauma when patients oversize with the 0.454% SnF2 combo?

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And lost a nasal to my phone; now I dry try-ins on textured foam — zero cling.

These try-ins sure have a mind of their own — ever tried weights to keep them in place? @tom_black32.

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I’ve found that using smaller interdental brushes for tight contacts can sometimes make a difference, paired with some water to help ease the glide. It’s interesting to see how brush sizes can impact compliance. Have you tried using them for more challenging areas yet?

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Those moments can be a real pain! I once had a silicone piece get way too friendly with my coffee cup during a fitting — took me forever to figure out the mystery of the missing ear! I’ve started using a silicone mat to prevent that cling.

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