@article {722,
	title = {Professional flossing as a diagnostic method for gingivitis in the primary dentition},
	journal = {Braz Oral Res},
	volume = {22},
	number = {4},
	year = {2008},
	note = {<p>Mariath, Adriela Azevedo SouzaBressani, Ana Eliza LemesHaas, Alex NogueiraAraujo, Fernando Borba deRosing, Cassiano KuchenbeckerengValidation StudiesBrazil2009/01/17 09:00Braz Oral Res. 2008 Oct-Dec;22(4):316-21.</p>
},
	month = {Oct-Dec},
	pages = {316-21},
	abstract = {<p>The aim of this study was to evaluate flossing as a diagnostic method for interproximal gingival bleeding in children. For this crossover study, 23 pre-schoolchildren presenting neither restorations nor approximal carious cavities and with at least 15\% of gingival bleeding sites were selected. Examinations were performed at three different moments (3-4 days interval). Examinations comprised repeated measurements of two gingival indices with a 10-minute interval in the following sequences: the Ainamo \&amp; Bay Gingival Bleeding Index (GBI) followed by the Carter \&amp; Barnes flossing index (CBI); CBI followed by GBI; and GBI followed by GBI. Data analysis was performed only for the interproximal sites, considering the GBI as the gold-standard. Agreement between indices, sensitivity (SE), specificity (SP), positive (PPV) and negative predictive values (NPV) were estimated. Percentage agreements in sequences GBI-CBI, CBI-GBI and GBI-GBI were 70.3\%, 76.4\% and 84.5\%, respectively. Validation of flossing in the first sequence (GBI-CBI) resulted in values of 0.61 (95\%CI 0.53 - 0.68), 0.72 (95\%CI 0.69 - 0.76), 0.33 (95\%CI 0.28 - 0.39) and 0.89 (95\%CI 0.86 - 0.92) respectively for SE, SP, PPV and NPV. It can be concluded that professional flossing is a useful tool in the diagnosis of interproximal gingival inflammatory status in children, especially in conditions of gingival health.</p>
},
	keywords = {Child, Child, Preschool, Cross-Over Studies, Dental Devices, Home Care, Dental Plaque/*prevention \& control, Gingival Hemorrhage/*diagnosis, Gingivitis/*diagnosis/prevention \& control, Humans, Periodontal Index, Predictive Value of Tests, Sensitivity and Specificity, Tooth, Deciduous},
	isbn = {1807-3107 (Electronic)1806-8324 (Linking)},
	url = {http://www.ncbi.nlm.nih.gov/pubmed/19148386},
	author = {Mariath, A. A. and Bressani, A. E. and Haas, A. N. and Araujo, F. B. and Rosing, C. K.}
}
