Abstract
Data sources
Medline and the Cochrane Central Register of Controlled Trials were used to find relevant studies.
Study selection
Studies were screened independently by two reviewers. Randomised controlled trials and controlled clinical trials were selected if they were conducted in individuals of over 18 years of age who were in good general health, and which used plaque, bleeding or gingivitis as outcome measures. Case reports, letters, and narrative or historical reviews were excluded and only English-language papers were considered.
Data extraction and synthesis
Because of the heterogeneity of the studies' designs, a qualitative summary was presented.
Results
Seven publications describing eight clinical experiments met the inclusion criteria. The improvement in gingival health observed in the studies represented a significant reduction of bleeding realised by the use of triangular woodsticks. None of the studies that scored plaque demonstrated any significant advantage of the use of woodsticks over alternative methods of plaque removal in people who had gingivitis.
Conclusions
The evidence from clinical controlled trials shows that woodsticks do not have an additional effect on visible interdental plaque, but do, however, help improve interdental gingival inflammation.
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References
Löe H, Theilade E, Jensen SB . Experimental gingivitis in man. J Periodontol 1965; 36: 177–187.
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Authors and Affiliations
Additional information
Address for correspondence: Nienke Hoenderdos, Academic Centre for Dentistry Amsterdam, Department of Periodontology, Louwesweg 1, 1066 EA Amsterdam, The Netherlands. E-mail: n.hoenderdos@acta.nl
Hoenderdos NL, Slot DE, Paraskevas S, Van der Weijden GA. The efficacy of woodsticks on plaque and gingival inflammation: a systematic review. Int J Dent Hyg 2008; 6: 280–289
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Tucker, R. Do woodsticks work?. Evid Based Dent 10, 43 (2009). https://doi.org/10.1038/sj.ebd.6400646
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DOI: https://doi.org/10.1038/sj.ebd.6400646