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Supragingival and Subgingival Irrigation (fluid penetration…
Supragingival and Subgingival Irrigation
water flosser
device that safely delivers a pulsating stream of water or other solution around and between teeth above the gingival margin and into the gingival sulcus or periodontal pocket
hydrokinetic activity - pulsating water creates compression and decompression zone (impact zone and flushing zone)
fluid penetration
toothpick/wooden wedge: depends on embrasure
interdental brush: depends on embrasure
oral rinsing: 2 mm
dental floss: 3 mm
toothbrush: 1-2 mm
dental water flosser: 6 mm
benefits of home irrigation
gingival inflammation
periodontal pathogens reduction
bleeding reduction
reduction in inflammatory and destructive host response
biofilm removal
indication for recommendation
individuals with special needs
around dental implants
those noncompliant with dental floss
individuals with diabetes
periodontal maintenance
around orthodontic appliances
place standard tip at 90 degree angle at the neck of the tooth
use the water spray to trace along gingival margin
subgingival tip
slide rubber tip gently beneath gingival margin
tip at 45 degree angle
water pressure at lowest setting
Irrigants
chlorhexidine: dilute with water
listerine: use at full strength
water