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The study suggested that treatment should not be based on the correction of a non-existent nail deformity. [7] [8] In some cases, however, there is nail deformity. [9] Ingrown toenails are caused by weight-bearing (activities such as walking and running) in patients that have too much soft skin tissue on the sides of their nail.
Dental floss (waxed) Levi Spear Parmly (1790-1859), [4] a dentist from New Orleans, is credited with inventing the first form of dental floss. [5] In 1819, he recommended running a waxen silk thread "through the interstices of the teeth, between their necks and the arches of the gum, to dislodge that irritating matter which no brush can remove and which is the real source of disease."
After healing, the nail fold skin remains low and tight at the side of the nail. The rationale is that the nail itself is usually healthy, but overgrown by skin; when walking, the bilateral nail folds are pressed upwards, which is why narrowing the nail causes excessive recurrences, contrary to narrowing the nail fold. [6]
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