**8.2 Teeth with ligature wiring splint**

Brushing must be done carefully and mouthwash should be advised to be rinsed regularly to stop the plaque growth. Interdental brush or proxa brushes are best suited for use under the wire of splints and interdental areas.

The interdental area between the teeth harbor's plaque and it has to be cleaned with interdental aids using dental floss, interdental brushes or unitufted brushes.

Dental floss a thread like material is used to clean interdental area with tight interdental contact. The dental floss is inserted or passed between the two teeth and moved in to and fro motion to clean the interdental area below the gum papilla. Dental floss is passed between every interdental area between teeth and activated to get rid of plaque. **Figure 1** shows the use of dental floss between upper right lateral incisor and canine.

Interdental brushes have shown to be the best in interdental cleaning. The use of interdental bushes can only be accomplished, if slight spacing is present between adjacent teeth either due to spacing or minimal gingival recession. **Figure 2** shows the use of interdental brush in between two central incisors.

**Figure 1.** *The use of dental floss between upper right lateral incisor and canine.*

**Figure 2.** *The use of interdental brush between two central incisors.*

Unitufted or single tufted brushes are advocated in patients with spacing between teeth or severe gingival recession. Unitufted brushes are easy to use and effective in cases with big interdental space. **Figure 3** shows the use of unitufted brush between the two central incisors. **Figure 4** shows the use of unitufted brush on the lingual side under beneath the ligature or fiber splint.
