“…In general, studies have shown that only manual brushing and dental flossing do not significantly reduce proximal biofilm and gingivitis. 18,20,23,30,[40][41][42] In addition, the effective cleaning of the interdental spaces using toothbrushes is a real challenge. 33 Studies showed better results in reducing PI, gingival index, and BOP with the use of interdental brushes 4,20,21,23,33 and revealed superiority of irrigating devices.…”