The purpose of this clinical trial was to compare the efficacy of a ne
w flossing aid (Flosser(R)) with finger flossing on preventing plaque
and gingival inflammation. 35 adults who did not use dental floss rout
inely were assigned randomly to one of 2 treatment groups (Flosser(R)
or finger flossing) in a 2-period, single-blind crossover study. After
prophylaxis, subjects were instructed to use the flossing aid or fing
er floss 1 x per day and to continue brushing for 30 days. Gingival in
flammation (GI & BPI) and plaque (PI) were assessed prior to the proph
ylaxis and at 30 days. After a 30 day ''washout'' period, subjects wer
e again reassessed for gingival inflammation and plaque, given a proph
ylaxis, assigned the opposite treatment (2nd treatment period) that th
ey receivd the first treatment period, and assessed (GI, BPI & PI) aft
er 30 days. Comparing the mean difference of the 30-day buccal interpr
oximal scores between the treatment groups (flossing aid scores minus
finger flossing scores) showed that the mean differences with 95% CI w
ere: -0.013 +/- 0.067 [GI], -0.017 +/- 0.044 [BP] and 0.019 +/- 0.014
[PI]. No statistically significant differences from zero (0.05 alpha)
were observed using the t-test. There was a high level of compliance (
90%) with the prescribed regiment, and subjects preferred (56%) the fl
ossing aid slightly over finger flossing. Even though there were no st
atistically or clinically significant differences in gingivitis and pl
aque scores between the 2 flossing groups, the positive inclination fo
r the flossing aid makes it a desirable addition to the armamentarium
of preventive dentistry.