A 10 Day Tooth Brushing Pilot Study- Report

Author(s):  
Anishma Ram

A major dental problem in persons with mental retardation/developmental disabilities is poor dental hygiene resulting in poor plaque control which leads to gingivitis, periodontal disease and dental caries. The most obvious reason for poor oral hygiene of such persons is their inability to clean the oral cavity adequately. Caregivers face many challenges in providing good oral care for such individuals. The electric toothbrush has been shown to be effective in plaque removal and gingivitis in both healthy and disabled/ special needs people. They are more superior at removing plaque and reducing gingivitis in both short- and long-term clinical trials. This study assessed the effectiveness of using electric toothbrushes as a means of plaque control in a 10-day pilot program. It was implemented as part of a life skills program at a special needs school in South Auckland. A total of 11 children participated in the program. Informed consent was obtained from parents/caregivers prior to the study. Electric toothbrushes and toothpastes were provided by the author of the study along with and oral hygiene instructions to the teachers/caregivers. The study was evaluated by comparing photos of the teeth before and after the pilot study. Plaque disclosing tablets were used to aid this process as it dyes the plaque making it visible to the eyes. Evaluation /feedback forms were also completed by teachers/caregivers of the special needs unit to ascertain the efficacy of the program. The findings of the study showed that using electric toothbrushes improved both the general plaque distribution and boosted children’s motivation to brush their teeth. The conclusion drawn from this study indicates that while electric toothbrushes are effective at plaque control, a longer intervention period is postulated to obtain clinically significant results or see a significant change in behavior.

2016 ◽  
Vol 5 (2) ◽  
pp. 113-117
Author(s):  
Sara Rayner ◽  
Trislyn Herrick ◽  
Christina Chiesa

ABSTRACT Aims The aim of this pilot study was to assess changes in gingival bleeding and biofilm accumulation in young adults undergoing oil-pulling treatment together with standardized oral hygiene practices, compared to a control group of patients that did not undergo oil pulling but maintained the standard oral hygiene practices outlined in the study. Materials and methods The experiment was designed as a randomized, two-way, single-blind, crossover with a 2-month washout period between two, 10-day experimental periods. A total of 28, randomly selected dental students who met the inclusion criteria were assessed for gingival bleeding and biofilm on six teeth before and after rinsing with sesame oil for 10 minutes per day, for a period of 10 days. The mean difference between the test and control group's reduction in scores was analyzed using the paired t-test. The level of significance was set at ? (alpha) = 0.05. Results There were no statistically significant differences on plaque biofilm accumulation and bleeding when compared with the control group. There was a higher reduction in gingival bleeding scores (albeit not statistically significant) among those who used sesame oil compared to those who did not. Conclusion Based on the current study, it appears that oil pulling for 10 minutes and for a period of 10 days using sesame oil has no significant benefit over brushing and flossing alone, on a sample of 28 dental students. How to cite this article Rayner S, Herrick T, Chiesa C, Hoover J, Karunanayake C. Efficacy of “Oil Pulling” on Gingival Health and Biofilm Accumulation in a Group of Young Adults: A Pilot Study. Int J Experiment Dent Sci 2016;5(2):113-117.


2020 ◽  
Vol 8 (2) ◽  
pp. 33 ◽  
Author(s):  
Alessandro Nota ◽  
Floriana Bosco ◽  
Shideh Ehsani ◽  
Francesca Giugliano ◽  
Giulia Moreo ◽  
...  

Objective: This pilot study is a prospective controlled clinical trial, designed to evaluate the short-term clinical results (the plaque index) of an educational/motivational program for home oral hygiene, directed to children and adolescents who live in family-homes. Methods: The setting of the project was the province of Milan (Italy), where two family-homes were selected. The study group included 26 children (16 females and 10 males) aged between 7 and 15 years, of Italian nationality, from the family-home communities. The control group included 26 children (15 females and 11 males, aged between 7 and 15 years) of Italian nationality, matched for age and gender distribution with the study group, that were not in a socially disadvantaged condition. Collection of the plaque index (PI) was performed at t0. Then, all basic oral hygiene instructions were given to all children/adolescents and their educators. Education and motivation were repeated in the same way after 4–7 weeks (T1), and after 10–12 weeks (T2). The PI was taken also at T1 and T2. Results: An improvement in the PI was generally found in both groups, but there was no statistically significant difference between the two groups over time. Multivariate analysis of variance (MANOVA) revealed a statistically significant effect of time [F (1, 52) = 90.73, p < 0.001], regardless of the assignment group, in consequence of which the plaque index presented a moderate and significant improvement. Conclusion: The present data confirm the validity of the educational/motivational program to improve oral hygiene in children/adolescents, regardless of the assignment group.


Author(s):  
Zerina Hadžić ◽  
Ivan Puhar

Introduction: C-reactive Protein (CRP) as an inflammatory biomarker can be easily determined in saliva, but the values of salivary CRP in periodontitis are not well-studied. The aim of this study was to analyze and determine the values of salivary CRP in non-smokers with periodontitis stage 3 or 4 before and after supragingival and subgingival full-mouth periodontal therapy.Methods: Standard periodontal parameters and saliva samples were collected in 12 non-smoking patients. Patients in the test group (n = 6) underwent supragingival and subgingival full-mouth periodontal therapy, and the control group (n = 6) received only supragingival full-mouth therapy. Both groups received the same oral hygiene instructions in addition to therapy. After 3 months, re-registration of periodontal parameters and re-sampling of saliva for analysis of salivary CRP were done for both groups.Results: Statistical analysis revealed large differences in the values of clinical periodontal parameters and CRP levels in the test group after therapy. Values of salivary CRP in the test and control groups were lower 3 months the therapy; however, the results were not statistically significant. The correlation of clinical periodontal parameters and salivary CRP varied in both groups.Conclusion: Our pilot study reveals decreased concentrations of salivary C-reactive protein in non-smoking patients following non-surgical periodontal therapy. Further studies are needed to prove the reliability of salivary CRP as a biomarker for periodontitis.


2021 ◽  
Vol 16 (1) ◽  
pp. 223-236
Author(s):  
Nurul Asyikin Yahya ◽  

Fixed orthodontic appliances causes plaque accumulation, which leads to the formation of dental caries and gingivitis. Therefore, concise oral hygiene instructions (OHI) is necessary to avoid the occurrence of these diseases. Massive Open Online Course (MOOC) ensures interactive learning to improve knowledge retention. MOOC transfers the responsibility of learning OHI to the patients with remote guidance from the clinician, thus reduces clinical time. This research aimed to develop the MOOC learning content on OHI in orthodontic practice. The secondary aim was to assess the overall analytics data among learners enrolled for the completion rate and time taken to complete the MOOC. The ADDIE principles which were, "Analyse, Design, Develop, Implement and Evaluate", were used to develop the MOOC. The contents were based on a published pamphlet of OHI from the Ministry of Health, Malaysia. The MOOC was pre-tested, and content was improved based on the feedback from users and experts. The MOOC named “Penjagaan Kebersihan Pendakap Gigi” utilises the Bahasa Melayu language to educate learners regarding oral care with orthodontic appliances. Sixty-two learners joined the MOOC, with 77.4% achieving a high rate of completion of the MOOC learning content. There were forty-six female learners (74.2%), while male learners comprised sixteen (25.8%). The median (interquartile range) time taken to complete MOOC learning content were 31.50 minutes, (13.00 minutes to 55.50 minutes). This shows that MOOC could be an alternative platform to instruct patients on OHI with fixed appliances. MOOC can potentially reduce clinical time to teach OHI to patients.


2021 ◽  
Author(s):  
Hollie-Ann Lee Shortland ◽  
Sally Hewat ◽  
Gwendalyn Webb ◽  
Anne E. Vertigan

Abstract BackgroundPoor oral health is a known predictor of aspiration pneumonia in vulnerable populations such as the elderly and chronically ill and has been linked to systemic disease, morbidity, and mortality. Reduced oral health not only places individuals at a greater risk of aspiration pneumonia but may result in pain or poorer dentition which can impact on mastication and swallowing. Consequences of this may include reduced oral intake, malnutrition, poorer health outcomes and reduced quality of life. Few evidence-based protocols exist to manage oral care in aged care populations, and maintenance of good oral hygiene is difficult for nursing and care staff to facilitate. However, myofunctional devices reportedly improve oral hygiene, oral behaviours, and swallowing, along with breathing and speech. The primary aims of this study are to assess the feasibility and acceptability of a using a myofunctional device to improve oral care and swallowing function in an aged care population. Methods/DesignThis project is a pilot study that involves a five-week intervention for oral hygiene and dysphagia for residents >65 years old in an aged care setting. Feasibility will be measured by number of consenting participants, trial completion rates, and treatment adherence. Acceptability will be measured through verbal surveys of aged care residents and a questionnaire of care staff assisting with the intervention. Secondary outcome measures will record changes in oral hygiene and dysphagia pre and post intervention. DiscussionThe results of this trial will provide important information regarding the acceptability and feasibility of utilising a myofunctional device to improve oral care and dysphagia in elderly patients in an aged care facility. This knowledge will further guide and inform design of a larger trial or future research. Trial registrationThis trial was registered 8/10/2021 with the Australian New Zealand Clinical Trials Registry and allocated the ACTRN: ACTRN12621001359820. Web address for trial: https://www.anzctr.org.au/ACTRN12621001359820.aspx


e-GIGI ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Preazy Agung C. Penda ◽  
Stefana H. M. Kaligis ◽  
Juliatri .

Abstract: Teeth and mouth are important parts in human body. In order to perform its function properly, dental and oral hygiene need to be considered. Dental and oral hygiene can be observed from the formation of plaque. The effort to prevent plaque formation is called plaque control. Plaque control can be done naturally by masticating fibrous foods, inter alia apple. This study aimed to determine whether there were any difference in plaque index between before and after masticating an apple. Samples were collected by using total sampling method. There were 44 samples, obtained from 72 students of Senior High School Sorong, West Papua. The results showed that the average of plaque index before and after masticating an apple was 2.1 and 1.2. The paired sample t-test showed a P value of 0.000. Conclusion: There was a significant difference in plaque index before and after masticating an apple.Keywords: plaque index, masticating, appleAbstrak: Gigi dan mulut merupakan bagian penting dalam tubuh manusia.Agar dapat menjalankan fugsinya dengan baik, kesehatan gigi dan mulut perlu diperhatikan.Tingkat kebersihan gigi dan mulut dapat dilihat dari pembentukan plak.Upaya pencegahan timbulnya plak disebut dengan kontrol plak.Kontrol plak dapat dilakukan secara alamiah yaitu dengan mengunyah makanan berserat, salah satunya adalah buah apel. Penelitian ini bertujuan untuk mengetahui apakah terdapat perbedaan indeks plak sebelum dan sesudah pengunyahan buah apel. Metode yang digunakan dalam penelitian ini ialah metode Pra eksperimental dengan rancangan pretest and posttest one group only yang dilakukan pada siswa kelas XI SMA Negeri 1 Sorong Papua Barat. Metode pengambilan sampel yang digunakan ialah total sampling dengan jumlah responden 44 dari 72 siswa. Hasil penelitian menunjukkan rerata indeks plak sebelum pengunyahan buah apel ialah 2,1 dan rerata indeks plak sesudah pengunyahan buah apel ialah 1,2. Analisis data menggunakan uji paired t-test menunjukkan P = 0,000. Simpulan: Terdapat perbedaan yang signifikan antara indeks plak sebelum dengan sesudah pengunyahan buah apel.Kata kunci: indeks plak, pengunyahan, buah apel


Author(s):  
Andrea Ballini ◽  
Stefania Cantore ◽  
Luca Signorini ◽  
Rajiv Saini ◽  
Salvatore Scacco ◽  
...  

The scientific community has definitely demonstrated the importance of the use of mouthwash in daily oral hygiene. In our pilot study, we tested the effectiveness of a novel mouth rinse containing sea salt, xylitol, and lysozyme. Streptococcus mutans (S. mutans) growth, and plaque index in adolescent patients aged 14–17 years, were observed. The bacterial load was investigated by in vitro microbiological analysis; the plaque index was assessed through the O’Leary’s Plaque Control Record (PCR). The study has shown that the use of a sea salt-based mouthwash in daily oral hygiene reduces the bacterial levels of S. mutans (p < 0.01) linked to the combined action of xylitol and lysozyme, together with the action of sea salt. Our preliminary data confirm and improve the main results reported in the scientific literature on the importance of the use of xylitol, lysozyme, and sea salt in oral health.


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