For decades, the federal government — not to mention your dentist — has insisted that daily flossing is necessary to prevent cavities and gums so diseased that your teeth fall out.
Turns out, all that flossing may be overrated.
The latest dietary guidelines for Americans, issued by the Departments of Agriculture and Health and Human Services, quietly dropped any mention of flossing without notice. This week, The Associated Press reported that officials had never researched the effectiveness of regular flossing, as required, before cajoling Americans to do it.
In a statement issued on Tuesday, the American Academy of Periodontology acknowledged that most of the current evidence fell short because researchers had not been able to include enough participants or “examine gum health over a significant amount of time.”
The revelation has caused a stir among guilt-ridden citizens who strive to floss daily but fall short of that lofty goal. Among experts, however, it has been something of an open secret that flossing has not been shown to prevent cavities or severe periodontal disease.
A review of 12 randomized controlled trials published in The Cochrane Database of Systematic Reviews in 2011 found only “very unreliable” evidence that flossing might reduce plaque after one and three months. Researchers could not find any studies on the effectiveness of flossing combined with brushing for cavity prevention.
“It is very surprising that you have two habits, flossing and toothbrushing without fluoride, which are widely believed to prevent cavities and tooth loss, and yet we don’t have the randomized clinical trials to show they are effective,” said Dr. Philippe Hujoel, a professor of oral health sciences at the University of Washington in Seattle.
The American Dental Association’s website says flossing “is an essential part of taking care of your teeth and gums.” Last year, Dr. Edmond R. Hewlett, a spokesman for the group and a professor of restorative dentistry at the University of California, Los Angeles, said, “We’re confident that disturbing the bacteria in plaque with brushing and flossing is, indeed, beneficial.”
Actually, that is only half proved: Brushing with fluoride does prevent dental decay. That flossing has the same benefit is a hunch that has never been proved.
If it is any consolation, there is some mediocre evidence that flossing does reduce bloody gums and inflammation known as gingivitis. That Cochrane review found that regular brushers and flossers had less gum bleeding than people who only brushed, although the authors cautioned that the quality of the evidence was “very low.”
Early gingivitis is a long way from severe periodontal disease. Still, some dentists argue that despite a lack of rigorous study, flossing matters if it can reverse initial gum problems.
“Gum inflammation progresses to periodontitis, which is bone loss, so the logic is if we can reduce gingivitis, we’ll reduce the progression to bone loss,” said Dr. Sebastian G. Ciancio, the chairman of the department of periodontology at the University at Buffalo.
Severe periodontal disease may take five to 20 years to develop.
“It’s a very insidious, slow, bone-melting disease,” said Dr. Wayne Aldredge, the president of the American Academy of Periodontology, who practices in Holmdel, N.J.
Even without rigorous evidence that flossing prevents late-stage periodontal disease, Dr. Aldredge urges his patients to floss. Those who quit are “rolling the dice,” he said.
“You don’t know if you’ll develop periodontal disease, and you can find out too late,” he said.
Maybe the evidence that flossing reduces tooth decay or gum disease does not hold up because we are all such poor flossers. Superflossers, like the zealous hygienist at your dentist’s office, aim to “hug the neck of the tooth” and get below the gum line, Dr. Hujoel said.
But we common folk, staring woefully at our bathroom mirrors, tend to lightly give it the once-over.
A review of six trials found that when professionals flossed the teeth of children on school days for almost two years, they saw a 40 percent reduction in the risk of cavities.
So maybe perfect flossing is effective. But scientists would be hard put to find anyone to test that theory.
Turns out, all that flossing may be overrated.
The latest dietary guidelines for Americans, issued by the Departments of Agriculture and Health and Human Services, quietly dropped any mention of flossing without notice. This week, The Associated Press reported that officials had never researched the effectiveness of regular flossing, as required, before cajoling Americans to do it.
In a statement issued on Tuesday, the American Academy of Periodontology acknowledged that most of the current evidence fell short because researchers had not been able to include enough participants or “examine gum health over a significant amount of time.”
The revelation has caused a stir among guilt-ridden citizens who strive to floss daily but fall short of that lofty goal. Among experts, however, it has been something of an open secret that flossing has not been shown to prevent cavities or severe periodontal disease.
A review of 12 randomized controlled trials published in The Cochrane Database of Systematic Reviews in 2011 found only “very unreliable” evidence that flossing might reduce plaque after one and three months. Researchers could not find any studies on the effectiveness of flossing combined with brushing for cavity prevention.
“It is very surprising that you have two habits, flossing and toothbrushing without fluoride, which are widely believed to prevent cavities and tooth loss, and yet we don’t have the randomized clinical trials to show they are effective,” said Dr. Philippe Hujoel, a professor of oral health sciences at the University of Washington in Seattle.
The American Dental Association’s website says flossing “is an essential part of taking care of your teeth and gums.” Last year, Dr. Edmond R. Hewlett, a spokesman for the group and a professor of restorative dentistry at the University of California, Los Angeles, said, “We’re confident that disturbing the bacteria in plaque with brushing and flossing is, indeed, beneficial.”
Actually, that is only half proved: Brushing with fluoride does prevent dental decay. That flossing has the same benefit is a hunch that has never been proved.
If it is any consolation, there is some mediocre evidence that flossing does reduce bloody gums and inflammation known as gingivitis. That Cochrane review found that regular brushers and flossers had less gum bleeding than people who only brushed, although the authors cautioned that the quality of the evidence was “very low.”
Early gingivitis is a long way from severe periodontal disease. Still, some dentists argue that despite a lack of rigorous study, flossing matters if it can reverse initial gum problems.
“Gum inflammation progresses to periodontitis, which is bone loss, so the logic is if we can reduce gingivitis, we’ll reduce the progression to bone loss,” said Dr. Sebastian G. Ciancio, the chairman of the department of periodontology at the University at Buffalo.
Severe periodontal disease may take five to 20 years to develop.
“It’s a very insidious, slow, bone-melting disease,” said Dr. Wayne Aldredge, the president of the American Academy of Periodontology, who practices in Holmdel, N.J.
Even without rigorous evidence that flossing prevents late-stage periodontal disease, Dr. Aldredge urges his patients to floss. Those who quit are “rolling the dice,” he said.
“You don’t know if you’ll develop periodontal disease, and you can find out too late,” he said.
Maybe the evidence that flossing reduces tooth decay or gum disease does not hold up because we are all such poor flossers. Superflossers, like the zealous hygienist at your dentist’s office, aim to “hug the neck of the tooth” and get below the gum line, Dr. Hujoel said.
But we common folk, staring woefully at our bathroom mirrors, tend to lightly give it the once-over.
A review of six trials found that when professionals flossed the teeth of children on school days for almost two years, they saw a 40 percent reduction in the risk of cavities.
So maybe perfect flossing is effective. But scientists would be hard put to find anyone to test that theory.
The latest dietary guidelines for Americans, issued by the Departments of Agriculture and Health and Human Services, quietly dropped any mention of flossing without notice. 이게 핵심이네
Maybe the evidence that flossing reduces tooth decay or gum disease does not hold up because we are all such poor flossers. 이게 핵심
So maybe perfect flossing is effective. But scientists would be hard put to find anyone to test that theory. 이거도
반면 flossing 을 잘못해서 잇몸퇴축과 치간칫솔의 금속부분이 치아 옆면을 갈리는 부작용등 그 잘못된 사용으로 인한 부작용은 생각하는것 보다 엄청 심각함
결론은 양치만 잘하고 정기적으로 치과검진 스케일링 하는게 정답이라는것
양치질이나 잘하고 1년에 두번 스케일링이나 잘해라 치실 치간칫솔 사용해서 멀쩡한 잇몸 씹창내서 잇몸퇴축시키지말고
스켈링 2번도 부족 사실 네번씩 하긴해야함
치실을 사용해서 얻을수 있는 이익은 너무 작지만 부작용은 잇몸을 계속 자극하고 밑으로 누르고 치아사이의 공간이 없는 젊은 사람들이 치아사이를 파고들면서 잇몸에 상처를 내는등 그 부작용이 너무나 심각함 잇몸이 꽉차있는 사람들이 치간칫솔을 억지로 사용했다가 40살도 되기전에 잇몸병으로 임플란트 급행열차 탄다
치실하고 치간칫솔 썼을 때 뭐가 나온다는 건 양치질 습관이 잘못 됐건 정기검진이 안 되건 문제가 있단 거임 그러면 거기에 맞는 합리적 처치를 해야지 치실 치간칫솔을 더 쓴다?ㅋㅋ
잘 이해했네
근데 치아 배열 때문에 음식물이 잘 끼는 치아가 있음. 난 거기 중점적으로 치실함
칫솔질로 가능하고 3개월마다 스케일링 추천
그래서 난 고기같은 ㅈㄴ 끼는 음식 먹었을 때 무조건 고기가 끼는 어금니 부위만 집중적으로 하고 나머진 잇몸 사이까진 안넣는다...
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