scholarly journals Using mHealth to promote parents’ brushing of preschool children’s teeth: a protocol for a randomized factorial trial using the Multi-phase Optimization Strategy (MOST)

Trials ◽  
2022 ◽  
Vol 23 (1) ◽  
Author(s):  
Merna Ihab ◽  
Wafaa Essam El Din ◽  
Nour Ammar ◽  
Randa Yassin ◽  
Maha El Tantawi

Abstract Background Early childhood caries is a highly prevalent disease affecting young children. Parental brushing of children’s teeth is recommended during preschool years. Interventions to promote parental brushing of children’s teeth are assessed as a package in randomized clinical trials and the efficacy of separate components is not known. Methods and analysis The aim of this study is to develop an optimized behavior modification intervention to increase parents’ brushing of their pre-school children’s teeth using the multi-phase optimization strategy (MOST) guided by the Theory of Planned Behavior. Behavior change will be assessed by the percent reduction in children’s dental plaque index after 6 months and parents reporting of toothbrushing frequency. Two phases of MOST will be carried out. First, the preparation phase comprises the development of a conceptual framework, identifying candidate components, conducting a feasibility pilot study to assess the acceptability and the design features of three intervention components (motivational interviewing (MI), and two mobile health (mHealth) components: oral health promotion messages and storytelling videos delivered using WhatsApp messenger) in addition to setting an optimization objective. Second, the optimization phase constitutes a factorial trial assessing the three intervention components and developing the intervention by selecting the most effective components within the optimization constraint. Each component will be set at two levels: yes (the intervention is applied) and no (the intervention is not applied). A linear regression model will be used to assess the effect of the intervention components on the percent reduction in dental plaque index (primary outcome measure). The secondary outcome measure is the change in the frequency of parents’ brushing of the child’s teeth. The combination of components making up the new optimized intervention will be selected. Discussion This will be the first study to apply the MOST framework in the field of dentistry. The results of this study can guide the development of an optimized behavior modification interventions using mHealth and MI. Trial registration ClinicalTrials.gov, NCT04923581, Registered 11 June 2021.

2021 ◽  
Author(s):  
Merna Ihab ◽  
Wafaa Essam El Din ◽  
Nour Ammar ◽  
Randa Yassin ◽  
Maha El Tantawi

Abstract Background Early childhood caries is a highly prevalent disease affecting young children. Parental brushing of children’s teeth is recommended during preschool years. Interventions to promote parental brushing of children’s teeth are assessed as a package in randomized clinical trials and the efficacy of separate components is not known. Methods and Analysis The aim of this study is to develop an optimized behavior modification intervention to increase mothers’ brushing of their pre-school children’s teeth using the Multi-phase Optimization Strategy (MOST) guided by the Theory of Planned Behavior. Behavior change will be assessed by the percent reduction in children’s dental plaque index after 6 months and mothers’ reporting of toothbrushing frequency. Two phases of MOST will be carried out. First: the preparation phase comprises the development of a conceptual framework, identifying candidate components, conducting a feasibility pilot study to assess the acceptability and the design features of three intervention components (motivational interviewing (MI), and two mobile health (mHealth) components: oral health promotion messages, and storytelling videos delivered using WhatsApp messenger) in addition to setting an optimization objective. Second: the optimization phase constitutes a factorial trial assessing the three intervention components and developing the intervention by selecting the most effective components within the optimization constraint. Each component will be set at two levels: yes (the intervention is applied) and no (the intervention is not applied). A linear regression model will be used to assess the effect of the intervention components on the percent reduction in dental plaque index (primary outcome measure). The secondary outcome measure is the change in the frequency of mother’s brushing of the child’s teeth. The combination of components making up the new optimized intervention will be selected.Discussion This will be the first study to apply the MOST framework in the field of dentistry. The results of this study can guide to the development of an optimized behaviour modification interventions using mHealth and MI. Trial Registration This trial was registered on June 11th, 2021, in Clinical trials.gov. Registration number: NCT04923581.


2021 ◽  
Author(s):  
Merna Ihab ◽  
Wafaa Essam El Din ◽  
Nour Ammar ◽  
Randa Yassin ◽  
Maha El Tantawi

Abstract BackgroundEarly childhood caries is a highly prevalent disease affecting young children. Parental brushing of children’s teeth is recommended during preschool years. Interventions to promote parental brushing of children’s teeth are assessed as a package in randomized clinical trials and the efficacy of separate components is not known. Methods and AnalysisThe aim of this study is to develop an optimized behavior modification intervention to increase mothers’ brushing of their pre-school children’s teeth using the Multi-phase Optimization Strategy (MOST) guided by the Theory of Planned Behavior. Behavior change will be assessed by the percent reduction in children’s dental plaque index after 6 months and mothers’ reporting of toothbrushing frequency. Two phases of MOST will be carried out. First: the preparation phase comprises the development of a conceptual framework, identifying candidate components, conducting a feasibility pilot study to assess the acceptability and the design features of three intervention components (motivational interviewing (MI), and two mobile health (mHealth) components: oral health promotion messages, and storytelling videos delivered using WhatsApp messenger) in addition to setting an optimization objective. Second: the optimization phase constitutes a factorial trial assessing the three intervention components and developing the intervention by selecting the most effective components within the optimization constraint. Each component will be set at two levels: yes (the intervention is applied) and no (the intervention is not applied). A linear regression model will be used to assess the effect of the intervention components on the percent reduction in dental plaque index (primary outcome measure). The secondary outcome measure is the change in the frequency of mother’s brushing of the child’s teeth. The combination of components making up the new optimized intervention will be selected.DiscussionThis will be the first study to apply the MOST framework in the field of dentistry. The results of this study can guide to the development of an optimized behaviour modification interventions using mHealth and MI. Trial Registration This trial was registered on June 11th, 2021, in Clinical trials.gov. Registration number: NCT04923581.


BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e048114
Author(s):  
Michiko Furuta ◽  
Kenji Takeuchi ◽  
Toru Takeshita ◽  
Yukie Shibata ◽  
Shino Suma ◽  
...  

ObjectivesWe examined the trend in the number of missing teeth in a Japanese community over a 10-year period and the potential associated explanatory factors.DesignProspective cohort study.SettingA population-based study conducted in 2007, 2012 and 2017 in Japan (Hisayama Study).ParticipantsResidents of a Japanese community aged 40–79 years undergoing dental examination in 2007 (n=2665), 2012 (n=2325) and 2017 (n=2285).Outcome measuresThe number of missing teeth, periodontal condition, dental caries experience, dental plaque index and oral health behaviours were evaluated each year. The longitudinal analysis of variation in these factors were assessed using mixed models.ResultsThe age-adjusted and sex-adjusted mean number of missing teeth decreased with time (6.80 in 2007, 6.01 in 2012 and 4.99 in 2017). The mean clinical attachment level (CAL), prevalence of periodontitis and dental plaque index decreased over the study period, while dental caries experience slightly increased. The level of oral health behaviour increased over time. Poisson mixed models showed that changes in mean CAL and dental caries experience were positively associated with the change in the number of missing teeth over time. Linear mixed models showed that changes in dental plaque index and no regular dental visit were positively associated with changes in mean CAL.ConclusionsThese findings suggest that a decreasing trend regarding the number of missing teeth in Japan might be associated with improvements in the periodontal condition due to changes in oral hygiene level and oral health behaviour.


2020 ◽  
Vol 8 (2) ◽  
pp. 57-63
Author(s):  
Cimi Ilmiawati ◽  
Nurhayati Nurhayati ◽  
Bambang Bambang

Background: Dental plaque is a soft, structured, calcified layer of bacteria that accumulates and attaches to the surface of the tooth. Efforts are made to eliminate and prevent plaque on the surface of the tooth by plaque control. Plaque control can be done mechanically, chemically, or a combination of both. Chemical control is done by using toothpaste. Catechin gambier toothpaste are polyphenolic compounds that have antibacterial activity which can prevent adhesion, inhibit the enzyme activity of glucosyltransferase and kills plaque forming bacteria. Objective: To determine the effect of catechin gambier on decreasing dental plaque index. Methods: This study is a true experimental study with pre-test and post-test control group design, conducted in March – April 2019. The subjects of this study were 44 students of Faculty of Dentistry, Andalas University. The subjects were divided into two groups, one group used catechin gambier toothpaste and an control group used placebo. Plaque index was calculated using an Turesky-Gilmore-Glickman of Quingley-Hein. Data was analyzed by t-test. Results: Average of dental plaque index in treatment group was higher than placebo group. Independent t-test showed that there was significant difference of dental plaque index beetwen two groups (p<0,001). Conclusion: Catechin gambier toothpaste can reduce dental plaque index.


2019 ◽  
Vol 21 (4) ◽  
pp. 371
Author(s):  
Fernando Yamamoto Chiba ◽  
Cléa Adas Saliba Garbin ◽  
Tânia Adas Saliba ◽  
Artênio José Ísper Garbin ◽  
Suzely Adas Saliba Moimaz

AbstractThe control of dental plaque by chemical means can be a valuable auxiliary resource for individuals who have difficulties in performing dental plaque control through regular oral hygiene procedures. The aim of this study was to evaluate the effect of chlorhexidine and fluorine varnishes on the levels of Streptococcus mutans (S. mutans) present in the dental biofilm and on the dental plaque index. The study was carried out in a sample comprised thirty-nine schoolchildren between 13 and 15 years of age, distributed into 2 groups. Group I received a single layer of varnish with chlorhexidine and thymol on the maxillary right first molar. Group II received the application of varnish with fluoride following the same methodology. S. mutans count and dental plaque index recording were performed 7 days before the application and 7, 15 and 30 days after the treatment. It was observed that chlorhexidine and fluoride varnishes significantly reduced the number of S. mutans in dental plaque for 30 days (p<0.05). There was no difference between the varnishes. With regard to the dental plaque index, there was no alteration in any of the experimental time periods for both groups. It was concluded that varnishes, mainly those that contain fluoride, can be an interesting alternative for the prevention of dental caries in collective oral health programs. Keywords: Chlorhexidine. Fluorides. Dental Plaque. ResumoO controle da placa dental por meios químicos pode ser um valioso recurso auxiliar para indivíduos que apresentam dificuldades em realizar o controle da placa dental por meio de procedimentos regulares de higiene bucal. O objetivo neste estudo foi avaliar o efeito dos vernizes de clorexidina e de flúor sobre os níveis de Streptococcus mutans (S. mutans) presentes no biofilme dental e sobre o índice de placa dental. O estudo foi realizado em uma amostra composta por 39 escolares, entre 13 e 15 anos de idade, distribuídos em 2 grupos. O grupo I recebeu uma única aplicação de verniz com clorexidina e timol no primeiro molar superior direito. O grupo II recebeu a aplicação de verniz com flúor seguindo a mesma metodologia. A contagem de S. mutans e o índice de placa dental foram registrados 7 dias antes da aplicação e 7, 15 e 30 dias após o tratamento. Observou-se que os vernizes de clorexidina e flúor reduziram significativamente o número de S. mutans na placa dental por 30 dias (p <0,05). Não houve diferença entre os vernizes. Com relação ao índice de placa dental, não houve alteração em nenhum dos períodos experimentais para ambos os grupos. Concluiu-se que os vernizes, principalmente aqueles que contêm flúor, podem ser uma alternativa interessante para a prevenção da cárie dentária em programas coletivos de saúde bucal. Palavras-chave: Clorexidina. Fluoretos. Placa Dentária.


e-GIGI ◽  
2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Claudiette Brigita Pantow ◽  
Sarah M. Warouw ◽  
Paulina N. Gunawan

Abstract: Dental health education conducted to the elementary school students is one of promotive effort to increase oral and dental health. The aim of this study was to know the influence of dental health education about tooth-brushing method toward dental plaque index in the elementary school students of Inpres Lapangan. Research was done in Inpres Lapangan elementary school using quasy experimental method. Samples were taken using total sampling method in a total of 50 respondents. This research used Wilcoxon statistical analysis test. The result showed that before dental health education conducted to the students dental plaque index was moderate category after dental health education conducted, dental plaque index increased to good category. Wilcoxon analysis test showed value of significance p<0,001. This statistical analysis concluded that there was influence of dental health education about tooth brushing method toward dental plaque index of the elementary students in Inpres LapanganKeywords: dental health education,tooth brushing method,plaque indexAbstrak: Penyuluhan cara menyikat gigi pada siswa sekolah dasar merupakan salah satu upaya promotif dalam meningkatkan kesehatan gigi dan mulut anak. Tujuan penelitian ini ialah untuk mengetahui pengaruh penyuluhan cara menyikat gigi terhadap indeks plak gigi pada siswa SD Inpres Lapangan. Penelitian dilakukan di SD Inpres Lapangan, dengan menggunakan metode penelitian quasy eksperimental. Jumlah sampel yang diambil sebanyak 50 siswa dengan teknik pengambilan sampel yaitu total sampling. Penelitian ini menggunakan uji analisis statistik Wilcoxon. Hasil penelitian menunjukkan bahwa sebelum dilakukan penyuluhan cara menyikat gigi indeks plak awal ialah kategori sedang dan setelah dilakukan penyuluhan cara menyikat gigi indeks plak akhir ialah kategori baik. Hasil uji analisis statistik Wilcoxon ini menunjukkan p<0,001. Hasil analisis ini menunjukan ada pengaruh yang bermakna dari penyuluhan cara menyikat gigi terhadap indeks plak gigi pada siswa SD Inpres Lapangan.Kata kunci: penyuluhan kesehatan gigi, cara menyikat gigi, indeks plak


2014 ◽  
Vol 2 (1) ◽  
pp. 46-55
Author(s):  
Dara Puspita Harvi ◽  
Nur Indrawati Lipoeto ◽  
Hidayati Hidayati

Dental plaque is the primary etiologic in the development of caries and periodontal disease. Chlorhexidine gluconate 0.2% is the mouthwash that is widely used and effective in reducing dental plaque index, but this mouthwash is chemical with few side effects if used for long periods. Propolis is a bee product that has a high content of flavonoids antibacterial and has many benefits in health and has minimal side effects because it belongs to natural product. This study aims to determine differences in the gargling effectiveness using Chlorhexidine gluconate 0.2% and bee propolis solution 12.38% (Apis mellifera) in reducing dental plaque index. The method used in this research was a clinical experimental with the design of one group pretest and posttest. The subjects consisted of 20 students of MA DR. Abd. Ahmad PGAI Padang. Dental plaque index was measured using PHP plaque index before and after gargling using the solution of bee propolis (Apis mellifera) 12.38% and chlorhexidine gluconate 0.2%. The data of research findings were analyzed using paired T-test (p<0.05). The results show that the mean of plaque index reduction of gargling using the solution of bee propolis 12.38% (Apis mellifera) is 0,88 with the standard deviation of ± 0.66 and the mean of plaque index of gargling using Chlorhexidine gluconate 0. 2% is 1.56 with the standard deviation of ± 0.79. There is a significant difference with p value = 0.005 (p <0.05). Chlorhexidine gluconate 0.2% shows higher reduction, but this mouthwash is the chemical with few side effects, while the solution of bee propolis 12.38% (Apis mellifera) is a natural substance that is safer to use.


Children ◽  
2018 ◽  
Vol 5 (4) ◽  
pp. 50 ◽  
Author(s):  
Javad Ramezaninia ◽  
Mohammad Naghibi Sistani ◽  
Zohreh Ahangari ◽  
Hemmat Gholinia ◽  
Iman Jahanian ◽  
...  

2021 ◽  
Vol 6 (2) ◽  
pp. 27-36
Author(s):  
Jeffrey . ◽  
Marlin Himawati

Abstract Dental plaque is formed from biofilm that coats the surface of the teeth and is an indicator of dental and oral hygiene. One way to control plaque is by brushing your teeth. Herbal toothpaste is expected to inhibit plaque growth because it is related to the ability of herbal ingredients to inhibit microbial growth. This study aims to determine the comparison of the effectiveness of herbal and non-herbal toothpaste on reducing the plaque index in children aged 15-18 years (WHO). This type of research is  experimental with pretest-postest group design on 30 respondents obtained by total sampling method and divided into 2 groups. A total of 15 respondents in the first group used herbal toothpaste and 15 respondents in the second group used non-herbal toothpaste. The plaque index is measured based on the Loe and Silness plaque index. Paired t test was used to determine the difference in dental plaque index before and after treatment. The results showed that there were significant differences in the dental plaque index on the use of herbal and non-herbal toothpaste for children aged 15-18 years. Keywords: plaque index, herbal toothpaste, non herbal toothpaste


Sign in / Sign up

Export Citation Format

Share Document