In Defense of Flossing: Can We Agree It's Premature to Claim Flossing is Ineffective to Prevent Dental Caries?

The Journal of Evidence-based Dental Practice
Lance T Vernon, Jason D Seacat

Abstract

Current evidence pertaining to the effectiveness of flossing and caries prevention is potentially being misinterpreted by health oversight bodies, which may have significant implications for current and future public flossing guidelines. We identify and discuss several methodological deficiencies, including the lack of validated measures of flossing skill, over-reliance on self-reported flossing behavior, and the lack of current guidelines on how to interpret and apply evidence-based findings to specific clinical scenarios that are present in the studies of flossing effectiveness included in the Cochrane Review. As such, we argue that it is premature for health oversight bodies to conclude that flossing is ineffective in the prevention of dental caries. Our research group, which is funded by the National Institutes of Health (NIH), is developing a valid and reliable provider-observed measure of tooth brushing and flossing skill that may help promote higher quality flossing evidence in the future.

Citations

Jul 5, 2018·Community Dentistry and Oral Epidemiology·Ninuk HariyaniLoc Giang Do
Feb 14, 2019·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·Lance T VernonStephen J Zyzanski
Feb 9, 2019·Journal of Clinical Periodontology·Eduardo BernabéAnna L Suominen
Apr 24, 2020·Journal of Dental Research·J T MarchesanJ Beck
Nov 30, 2019·BMC Public Health·Majid GhasemianpourAnoosheh Ghasemian
Mar 7, 2021·International Journal of Environmental Research and Public Health·Eun-Jeong Kim, Su-Jin Han

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