scholarly journals Compliance & dexterity, factors to consider in home care and maintenance procedures

2007 ◽  
Vol 21 (spe) ◽  
pp. 34-38 ◽  
Author(s):  
Victoria Criado ◽  
Andrew Tawse-Smith
Keyword(s):  
Home Care ◽  
Oral Hygiene ◽  
Dental Plaque ◽  
Antimicrobial Agents ◽  
Oral Care ◽  
Oral Diseases ◽  
Preventive Program ◽  
Primary Means ◽  
Dental Professional ◽  
The Individual

Mechanical plaque control appears to be the primary means of controlling supragingival dental plaque build-up. Although daily oral hygiene practices and periodic professional care are considered the basis for any program aimed at the prevention and treatment of oral diseases, these procedures are technically demanding, time consuming and can be affected by the compliance and manual dexterity of the patient. Individual skills and acquired behavior patterns determine effectiveness of a preventive program and oral hygiene practice. Successful preventive programs and home care procedures clearly depend on the interaction and commitment between the dental professional and the patient. Identifying the capacity of the individual to comply with the professional recommendations and evaluating the dexterity of the patient to remove supragingival dental plaque will permit the implementation of an adequate preventive program and can help on the selection of adjunctive antimicrobial agents and devices needed to reach an effective oral care routine.

scholarly journals Effectiveness of brushing teeth in patients with reduced oral hygiene by laypeople: a randomized, controlled study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anna Greta Barbe ◽  
Aya Al-Barwari ◽  
Stefanie Hamacher ◽  
Renate Deinzer ◽  
Ulrike Weik ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Group Intervention ◽  
Controlled Study ◽  
Care Gap ◽  
Parallel Group ◽  
Dental Professional ◽  
The Individual ◽  
Time Required ◽  
Powered Toothbrush ◽  
Dental Professionals

Abstract Background To evaluate the success of plaque reduction after external toothbrushing by instructed laypeople versus dental professionals using either a manual or powered toothbrush. Longitudinal, randomized, parallel-group intervention study in periodontitis patients with reduced oral hygiene quality undergoing anti-infective therapy. Patients were randomly and equally assigned to one of four groups: laypeople using a manual or powered toothbrush or dental professionals using a manual or powered toothbrush. Plaque reduction (Quigley–Hein-Index (QHI), Marginal Plaque Index (MPI)), gingivitis (papilla bleeding index), and cleaning time (seconds) were investigated. Results Thirty-nine patients participated in the study. Neither the choice of toothbrush (p = 0.399) nor the use of a dental professional (p = 0.790) had a significant influence on plaque levels achieved. However, multivariate modeling indicated statistically significant differences in the external cleaning time between brushing groups, with longer time required by laypeople (p = 0.002) and longer use of the powered toothbrush (p = 0.024). Conclusion When the ability to carry out personal oral hygiene is reduced, external brushing by dental professionals or instructed laypeople who meet previously defined criteria such as sufficient personal oral hygiene at home could help to fill the emerging dental care gap. A combination of oral hygiene approaches adapted to the individual needs of the patients in need of external help is necessary for optimum oral hygiene. Trial registration: German Clinical Trials register (https://www.germanctr.de; number DRKS00018779; date of registration 04/11/2019).

scholarly journals Caregivers’ attitudes, knowledge and practices of oral care at nursing homes in Serbia

2016 ◽  
Vol 73 (7) ◽  
pp. 668-673 ◽  
Author(s):  
Ivica Stancic ◽  
Milos Petrovic ◽  
Aleksandra Popovac ◽  
Miroslav Vasovic ◽  
Nebojsa Despotovic
Keyword(s):  
Oral Health ◽  
Nursing Homes ◽  
Periodontal Disease ◽  
Oral Hygiene ◽  
Oral Care ◽  
The Elderly ◽  
Oral Diseases ◽  
Closed Type ◽  
Work Shifts ◽  
Self Administered Questionnaire

Background/Aim. Within the elderly population, residents in nursing homes, there is a greather risk of caries, periodontal disease and teeth loss. Assistance of caregivers in maintaininig good oral hygiene besides improving oral health can improve of residents general health and the qulity of their lives. The aim of this study was to examine the attitudes of caregivers and knowledge about oral health, as well as the practice regarding oral care they apply at nursing homes in Serbia. Methods. The survey was conducted at the Gerontology Center Belgrade, consisting of four nursing homes located in the urban area. The study included 58 caregivers. They were contacted on working days, in all work shifts, during January, February and March of 2013. They were asked to fill in a self-administered questionnaire consisting of 26 closed-type questions. Results. The caregivers mostly considered that it was very important to take care of oral health of the residents, but 69% responded that the level of their oral health was low or very low. As the main barriers to oral hygiene maintenance, the caregivers indicated lack of time. The caregivers had more knowledge about periodontal disease than about the main cause of caries and its prevention. Formal medical education had the influence on the knowledge about oral diseases. Oral hygiene procedures carried out by the mayority of caregivers were denture cleaning and tooth brushing. Conclusion. The caregivers were aware of the limitations in everyday oral care of nursing homes residents in Serbia, although solving these problems requires the involvement of the entire public health service.

scholarly journals Age and oral health: current considerations

2007 ◽  
Vol 21 (spe) ◽  
pp. 29-33 ◽  
Author(s):  
Andrew Tawse-Smith
Keyword(s):  
Risk Factors ◽  
Periodontal Disease ◽  
Dental Plaque ◽  
Alveolar Bone ◽  
Periodontal Diseases ◽  
The Elderly ◽  
Preventive Program ◽  
Age Related ◽  
The Individual ◽  
Complex Scenario

Dental plaque is still considered the main etiological factor for periodontal diseases. Our understanding of periodontal disease has advanced from the previous concepts where gingivitis slowly progressed to periodontitis to a more complex scenario that correlates several risk factors in the pathogenesis of periodontal disease. Among these factors, age has been associated with increased rates of periodontal disease as the population gets older. Although the loss of alveolar bone and periodontal attachment is common in the elderly population, and there is evident age-related changes in the periodontium, severe periodontitis is not a natural consequence of ageing. The importance of identifying the risk factors that participate in the pathogenesis of periodontal disease at an early phase, both of the individual and the disease, as well as evaluating the capacity of the individual to control dental plaque will enable the implementation of an adequate preventive program, where the needs and limitations of the individual are considered to specifically tailor the oral hygiene procedures and the mouthwashes to be used.

scholarly journals The Effectiveness and Impact of Preoperative Dental Hygiene Care on the Incidence of Postoperative Pneumonia after Esophagectomy: An Interventional Prospective Study

2020 ◽  
Author(s):  
Kazuhiko Mori ◽  
Keiichi Jimbo ◽  
Susumu Aikou ◽  
Mitsuhiro Okazaki ◽  
Tomoaki Sato ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Dental Plaque ◽  
Bacterial Load ◽  
Oral Care ◽  
Postoperative Mortality ◽  
Oral Bacteria ◽  
Historical Control ◽  
Postoperative Pneumonia ◽  
Clinical Effects ◽  
Tongue Coating

Abstract Background: Postoperative pneumonia is a major cause of postoperative mortality after esophagectomy. Preoperative oral hygiene care is reportedly effective to prevent pulmonary complications after esophagectomy. Methods: Since April 2012, we have included preoperative oral hygiene in the standard perioperative care regimen for esophagectomy and have accumulated data on 188 consecutive patients undergoing esophagectomy to evaluate oral hygiene care’s effectiveness. To determine basic (i.e. non-clinical) and clinical effects of preoperative oral care, we prospectively observed the incidence rate of postoperative pneumonia and accumulated perioperative culture study and oral bacteria count data on these 188 patients. One hundred five patients studied in our previous retrospective study from 2009 to 2012 were enrolled as a historical control.Results: In the current study’s patients, no significant reduction of postoperative pneumonia was observed compared to the historical control (30 out of 188 vs. 21 out of 105, P=0.423). Perioperative culture studies showed significantly decreased positivity in preoperative oral samples (11% in dental plaque and 13% in tongue coating) but no such decrease was observed in studies of postoperative gastric juice and endotracheal sputum. With the exception of postoperative endotracheal sputum, perioperative cultures had few of the pathogenic microbes identified in pneumonia patients. In the analyses of oral bacterial count, oral microbial flora were significantly decreased after oral care in both dental plaque (median ratio to before care: 1:0.13, P<0.0001) and tongue coating (median ratio: 1:0.015, P<0.0001); however, only in the dental plaque did the decrease last until the day of the operation (median ratio: 1:0.10, P=0.0008). Logistic regression analysis showed only the bacterial amount in dental plaque on the operation day (P=0.026) to be marginally correlated to the incidence of pneumonia. Conclusions: Although perioperative oral hygiene care had a significant impact on oral bacterial load, its contribution to the prevention of postoperative pneumonia was limited.Trial registration: This study was registered and approved by the institutional review board of The University of Tokyo Hospital: Approval number: 3383, Date: 26th November, 2011

ORAL DISEASES STATUS AND KNOWLEDGE, PRACTICE FOR ORAL CARE OF THE PRIMARY SCHOOL’S PUPILS IN THE CITY AND MOUNTAIN OF THUA THIEN-HUE PROVINCE

2014 ◽  
pp. 177-184
Author(s):  
Tan Tai Tran ◽  
Toai Nguyen ◽  
Ngoc Hoat Luu
Keyword(s):  
Dental Caries ◽  
Dental Care ◽  
Oral Hygiene ◽  
Primary Schools ◽  
Oral Care ◽  
Oral Disease ◽  
Oral Diseases ◽  
Caries Prevalence ◽  
Knowledge And Practice ◽  
Primary Pupils

Background: Oral disease is now the major public health problems. There is few research on the status of dental caries and its relationship to the knowledge and practice of oral hygiene practices among schoolchildren. The objectives of this study were to (1) describe the current status of oral diseases; (2) find out knowledge and practice of oral care and a number of factors related to dental caries. Subjects and Methods: This is a cross-section study what was carried out on 1406 schoolchildren aged 7-11-year- olds attending Grade 1–5 at two primary schools of the Hue city and four primary schools of mountain. Clinical examination and interview questions of knowledge and practice to dental care for all subjects. Results: Dental caries prevalence was 77.6%, the mean dmft/DMFT score was 4.22/1.51; gingivitis, tarta, dental plaque were 33.2%, 31.2%, 55.5% respectively. The questionnaires about oral hygiene, 26.5% of children had not good knowledge, 67.6% had not good practice. Dental caries related with practicing daily oral hygiene (OR = 2.21, p <0.01) and with the knowledge of dental care (OR = 1.44, p <0.05). There is the relationship between knowledge and practice not yet good (OR = 5.25, p <0.01). Conclusions: Oral diseases, particularly dental caries prevalence is still high in primary pupils. It’s necessary for education on knowledge and practice of oral disease prevention for primary pupils. Keywords: Oral disease, primary pupils, oral health KP

scholarly journals Сучасні предмети догляду за ротовою порожниною, методики чищення зубів у дорослих і дітей

2017 ◽  
Author(s):  
G. M. Melnychuk ◽  
M. O. Kushnirenko ◽  
A. S. Melnychuk ◽  
R. S. Kashivska
Keyword(s):  
Oral Hygiene ◽  
Treatment Plan ◽  
Oral Care ◽  
Decisive Role ◽  
Periodontal Tissue ◽  
Remote Areas ◽  
Carious Lesions ◽  
Dental Diseases ◽  
The Individual ◽  
The Right

Treatment of any dental diseases: caries and its complications, non-carious lesions, diseases of periodontal tissue and oral mucosa begins with professional oral hygiene and patient's hygienic training.The aim of the study – to describe modern oral care products, including various types of toothbrushes (manual, electrical, ionic, ultrasound), indicate their strengths and weaknesses; describe additional items for oral cavity cleaning, terms of flosses use, interdental brushes and stimulants, tongue cleaners, irigators and basic methods of teethbrushing.Materials and Methods. We conducted a literature review for 1999–2017 years, classified modern items for oral care, found and described the indications and methods of their use.Results and Discussion. We found that use only toothbrush for effective oral hygiene is not sufficient, because today is a large arsenal of available additional items for thorough cleaning of remote areas of teeth; argued that proper brushing skills can be lost with time, that's why patients need hygiene remotivation, repeated conversations and supervised teethbrushing with results visualization every 3 months.Conclusions.  Knowledge of teethbrushing methods and choosing the right tools for this has a decisive role in the patient's treatment plan, because a large part of the success depends on the individual oral care and the cooperation of a patient with a doctor.

scholarly journals Evaluation of oral health in patients with mental disorders attended at the clinic of oral diagnosis of a public university

2013 ◽  
Vol 42 (5) ◽  
pp. 344-349 ◽  
Author(s):  
Marina Sena Lopes Da Silva Sacchetto ◽  
Natália Silva Andrade ◽  
Maria Hellen Sâmia Fortes Brito ◽  
Divana Maria Martins Parente Lira ◽  
Simone Souza Lobão Veras Barros
Keyword(s):  
Mental Disorders ◽  
Oral Hygiene ◽  
Public University ◽  
Personal Hygiene ◽  
Oral Diseases ◽  
Dental Floss ◽  
The Social ◽  
Dmft Index ◽  
One Year ◽  
Dental Professional

INTRODUCTION: Many people suffering from mental disorders fail to adequately perform self-care, especially in relation to personal hygiene and in particular to oral hygiene. For these individuals, the prevention and ongoing clinical monitoring are essential. OBJECTIVE: To investigate the oral diseases that most affect patients with mental disorders attended in the Dental College of the Federal University of Piauí (UFPI). METHODOLOGY: Patients treated during the 2nd half of 2011 and 1st half of 2012 were examined. The DMFT index was used for evaluation of dental caries and the CPI index for periodontal evaluation. The statistical analyzes were performed with SPSS (Statistical Package for the Social Sciences), version 18.0, using a descriptive statistics to determine averages, standard deviations and frequencies. RESULT: 67.50% of the 40 patients had contact with the surgeon dentist for over one year, 95% performed their own oral hygiene and 70% did not use dental floss. The average of DMFT was 14.18. Of the patients, 49.13% needed of restorations of one surface and 60% needed dental prosthesis. Moreover, 33.75% of sextants evaluated had periodontal pockets. CONCLUSION: It can be noticed that patients with mental illness have a high risk of developing oral disorders, however, few carriers visite a dental professional regularly. In addition, the delay to seek treatment and lack of staff training, lead to solutions often crippling.

scholarly journals Influence of different types of partial dentures on dental plaque accumulation

2005 ◽  
Vol 52 (2) ◽  
pp. 97-102
Author(s):  
Tatjana Puskar ◽  
Dubravka Markovic ◽  
Larisa Blazic ◽  
Bojana Jefic
Keyword(s):  
Oral Hygiene ◽  
Dental Plaque ◽  
Plaque Index ◽  
Control Group ◽  
Oral Diseases ◽  
Preventive Effect ◽  
The Third ◽  
Modified Method ◽  
Different Types ◽  
Experimental Group

The aim of the paper was to assess influence of different types of partial dentures on dental plaque accumulation. The study was conducted in three experimental and one control group with 30 examinees each. In the first experimental group were patients with partial acrylic dentures, in the second were patients with overdentures and in the third group were the patients with metal skeletal dentures. Dental plaque on the remaining teeth was measured by Silness-Loe modified method. Dental plaque scores were obtained at a time when dentures were given to patients and after 6 and 12 months of wearing, respectively. The plaque index of all teeth after 12 months of wearing dentures was relatively low in all three examined groups which resulted from previous education and motivation of examinees for oral hygiene maintenance. However, the highest risk of oral diseases caused by dental plaque is in patients with partial acrylic dentures, then in patients with overdentures, and best preventive effect was achieved in patients with metal skeletal dentures.

scholarly journals A new drug for xerostomia combination therapy

2016 ◽  
Vol 12 (2) ◽  
pp. 2-10
Author(s):  
С. Григорьев ◽  
S. Grigoryev ◽  
А. Козьменко ◽  
A. Kozmenko
Keyword(s):  
Clinical Trial ◽  
Dental Plaque ◽  
Oral Care ◽  
Plaque Formation ◽  
Effectiveness Study ◽  
Oral Diseases ◽  
Study Results ◽  
Medical University ◽  
Therapy Department

<p class="p1"><span class="s1">The article presents the effectiveness study results of the foam «Oral Care Foam 2 in 1» with the aim of moisturizing the mucous tunic of the mouth and preventing oral diseases for patients with xerostomia caused by medication taking. The clinical trial was conducted at the premises of the Dental Therapy Department of the Ural State Medical University. There was analyzed thedata on 60 patients having the signs of a dry mouth, having bacterial test provenoral moniliosis. On the basis of the study ndings one can conclude that usingthe foam «Oral Care Foam 2 in 1» regularly improves the quality of oral hygiene care, slows down the process of dental plaque formation and growth in patients with xerostomia caused by medication taking; causes no irritation and can be used for moisturizing purposes. </span></p>

scholarly journals Distribution of dental plaque and gingivitis within the dental arches

2017 ◽  
Vol 45 (5) ◽  
pp. 1585-1596 ◽  
Author(s):  
Prem K. Sreenivasan ◽  
Kakarla V.V. Prasad
Keyword(s):  
Oral Hygiene ◽  
Dental Plaque ◽  
Oral Diseases ◽  
Gingival Inflammation ◽  
Human Teeth ◽  
Posterior Teeth ◽  
Supragingival Plaque ◽  
Natural Teeth ◽  
Hygiene Education ◽  
Written Informed Consent

Objective The natural accumulation of supragingival plaque on surfaces of human teeth is associated with gingival inflammation and the initiation of common oral diseases. This study evaluated the distribution of dental plaque and gingivitis scores within the dental arches after prophylaxis. Methods Adult subjects from the Dharwad, India area representing the general population who provided written informed consent were scheduled for screening. Healthy subjects over the age of 18 years, not currently requiring any medical or dental care, and presenting with a complement of at least 20 natural teeth were recruited for this parallel design study. Enrolled subjects (n = 41) underwent oral examinations for dental plaque (PI) and gingivitis (GI) using the Turesky modification of the Quigley-Hein and the Löe-Silness Index, respectively, at the baseline visit, followed by a whole mouth dental prophylaxis. Subjects were given fluoride toothpaste for twice daily oral hygiene for the next 30 days. Subjects were recalled on days 15 and 30 for PI and GI examinations identical to baseline. Results Analyses indicated that mean scores for PI and GI on either arch and the whole mouth were higher than 2 and 1, respectively, during all examinations. Anterior surfaces consistently exhibited lower PI scores than posterior regions of either arch, or the entire dentition. Regional GI differences within the dentition were similar to PI scores, with lower scores on anterior than posterior teeth. Prophylaxis reduced both the frequency and mean scores of both PI and GI, irrespective of arch, with lower scores observed on anterior than posterior regions during all recall visits. Molar and lingual regions consistently exhibited higher PI and GI scores compared with anterior surfaces. At all examinations, mean scores for both plaque and gingivitis were higher on approximal vestibular than mid-vestibular surfaces. Conclusions Differences observed in PI and GI within the dentition have several practical implications: (a) there are advantages of whole mouth assessments for oral health (b) a need for oral hygiene formulations to reduce the larger deposits of dental plaque in the posterior region and resultant gingival inflammation, and (c) a requirement for ongoing oral hygiene education.

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