Discussion
calculus, bleeding, gingivitis, periodontium
DENTAL CARIES, BLEEDING, INFLAMMATION, PERIODONTITIS, PERIODONTAL DISEASES, GINGIVITIS, DENTAL PLAQUE, CAVITY
Herein, the clinical effectiveness of the MCOI in improving oral hygiene was evaluated, with a focus on gingival inflammation. First, the PI was measured to detect the change in the volume of dental plaque using this new device. In both groups, there was an increase in dental plaque after the clinical trial, although the PI of only the control group was statistically significant (Fig. The SBI showed a significant increase in gingivitis only in the control group after the clinical trial (Fig. After the clinical trial, BOP was significantly changed in both groups; in the MCOI group, BOP was decreased, and in the control group, BOP was increased (Fig. It was determined that the attached supra-gingival biofilm on the surface of the teeth was not removed effectively; however, the subgingival biofilm was removed more efficiently by the MCOI, probably because the MCOI is designed to eject water at an angle of 45° to the gingival margin (Fig. The PI and SBI can be regarded as subjective indices that can vary depending on the investigator. To address this issue, all measurements were performed randomly by a single investigator. The BOP evaluation in this study is a reliable indicator of gingival inflammation, which is useful for predicting the progression of periodontitis; however, bleeding on two or three consecutive appointments is more likely to be trustedOral biofilms are the primary cause of dental caries and periodontal diseasesThe amount of biofilm in the gingival region has an immediate effect on the progression of gingivitis; therefore, removal of the biofilm is the first choice for periodontal health prevention, without concern for host susceptibility. Early intervention and removal of dental plaque or calculus are of utmost importance in preventing periodontal diseases and maintaining a healthy periodontium In conclusion, these findings provide evidence of the effectiveness of MCOI in maintaining periodontal health and a healthy microbial ecology in the oral cavity.