Comparison between subjective and colorimetric probe technique in grading interdental embrasure spaces in esthetic zone

Abstract

Background: An effective nonsurgical and surgical periodontal treatment cannot be accomplished by brushing alone as it does not detach the plaque interdentally. Interdental cleaning aids can remove this interdental plaque. This optimizes the plaque control. Selecting the right size of interdental brush fills the entire interdental space thereby cleaning all the areas of the embrasure. Aim: The aim of the study was to assess the grading of gingival embrasure by periodontists with subjective technique and calibrated interdental probe. Subjects and Methods: Ten healthy patients were selected for the study. Gingival embrasures of patients were assessed with discretion by six periodontists. Later, every periodontist was educated about the use of calibrated probes. After a specific time-lapse, all the periodontists have examined the same patients again with the calibrated interdental probe. The embrasures in the patients were examined from left to right in maxillary and mandibular single-rooted and bicuspid teeth. Statistical Analysis: The assessment of scores between calibrated and arbitrary techniques by a single doctor for each gingival embrasure in all the patients was calculated by the Wilcoxon matched pair test. Comparison between doctors with the mean error was calculated by the Kruskal–Wallis ANOVA. Results: Significant results were observed in grading gingival embrasures by individual periodontists for every tooth between calibrated and arbitrary techniques. Conclusions: Based on morphology and location of teeth the gingival embrasure space differs. Choosing an interdental aid subjectively, probably will not give an appropriate cleaning viability. To accomplish a legitimate cleaning viability, an appropriate size interdental brush ought to be chosen for a specific embrasure. Utilizing a calibrated interdental probe helps the clinician choose an appropriate interdental brush for a specific embrasure space.