Oral Hygiene Indirect Instruction and Periodic Reinforcements: Effects on Index Plaque in Schoolchildren

2009 ◽  
Vol 34 (1) ◽  
pp. 31-34 ◽  
Author(s):  
Jonas Almeida Rodrigues ◽  
Patrícia Aleixo dos Santos ◽  
Wagner Baseggio ◽  
Silmara Aparecida Milori Corona ◽  
Regina Guenka Palma-Dibb ◽  
...  

The aim of this study was to evaluate the effectiveness of the indirect instruction and the influence of the periodic reinforcement on the plaque index in schoolchildren. Forty schoolchildren aged from 7 to 9 years old were selected from a public school. After determining the initial O'Leary Plaque Index all schoolchildren were submitted to a program for oral hygiene through indirect instruction –"The Smiling Robot". The schoolchildren were divided into 2 groups: with and without motivation reinforcement. The index plaque exam was performed in both groups after 30, 60 and 90 days of the educational program. Comparing the groups, the plaque index decreasing could be observed in the group with reinforcement with statistically significant difference. For the group with reinforcement, statistically significant difference among the evaluations was found. For the group without reinforcement, significant decrease in the plaque index was found after 30 days when compared to the first, third and fourth evaluations. The indirect instruction with "The Smiling Robot" promoted a positive initial impact on the decrease of plaque index in the schoolchildren. The periodic reinforcements showed more suitable results and significant reduction of the plaque index in the course of the evaluations.

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.


2015 ◽  
Vol 10 (1) ◽  
pp. 17-21
Author(s):  
TK Bhagat ◽  
A Shrestha ◽  
TN Yadav

Aim To determine the oral hygiene status of 6-14 years old school children in Rajbiraj, Nepal. Materials and Methods Three hundred school children from public and private schools were examined for oral hygiene status using OHI(S). Descriptive statistics and independent sample t-tests were done. Results There was no significant difference in the oral hygiene status among gender, but the oral hygiene status of the children in private schools was better than that of the public school. Conclusion Large number of public school children had poor oral hygiene compared to private school children. Hence, oral health education programs should be conducted on a frequent basis to improve their oral hygiene status. DOI: http://dx.doi.org/10.3126/jcmsn.v10i1.12763 Journal of College of Medical Sciences-Nepal, 2014, Vol.10(1); 17-21


2017 ◽  
Vol 13 (4) ◽  
pp. 328-332 ◽  
Author(s):  
Basnyat S KC ◽  
B. Sapkota ◽  
S. Shrestha

Background Gingival inflammation and periodontal disease are the common complications of fixed dental prosthesis. They can be overcome by good oral hygiene maintenance.Objective The objective of this study was to assess the oral hygiene and gingival condition in patients after placement of fixed dental prosthesis for a period of six months. It was also analyzed how factors like type of fixed dental prosthesis (Single crown, fixed partial denture) and material (Metal, Porcelain fused to metal) are statistically associated with oral hygiene and gingival health.Method The sample consisted of 50 patients visiting the Dental Outpatient Department of Dhulikhel Hospital. The oral examinations were conducted using basic diagnostic tools (Mouth mirror, periodontal probe and explorer). Teeth and gingiva were examined using the Plaque and Gingiva Index by Silness and Löe. The examinations were conducted after 14 days and six months after placement of fixed dental prosthesis along with the oral hygiene instructions. Paired sample t-test were done to find statistical association using SPSS 16.0.Result Our results revealed no significant difference in plaque index among patients with single crown whereas fixed partial denture showed statistical significance. No significant differences were found for type of material. The statistical analysis showed similar results for gingival index.Conclusion Our research showed that single crown had no significant difference on Plaque index and Gingival index of the patient after 14 days and six months, whereas, Fixed partial denture showed significant difference. Both metal and porcelain fused to metal crown revealed no statistically significant difference on Plaque index and Gingival index.


2021 ◽  
Vol 76 (3) ◽  
pp. 130-135
Author(s):  
Noluthando L Buthelezi ◽  
Thomas K Madiba

Most orthodontic patients struggle to maintain good oral hygiene during treatment. To determine oral hygiene habits and status of patients undergoing fixed orthodontic treatment at University of Pretoria, Oral and Dental Hospital. A cross-sectional descriptive study. A modified, validated, self-administered questionnaire was used, and clinical examinations were conducted using Orthodontic Plaque Index, Gingival index, and Bleeding index. The questionnaire sought to determine knowledge and practice patterns. Data analysis included frequencies and correlations using chi-square test, with a significance of p<0.05.Fifty patients participated with 34(68%) being female with ages from 10 to 28 and a mean of 18,5. Seventy percent avoided sticky foodstuff, 74% used mouthwash, 56% flossed daily and 84% brushed twice daily. However, 82% consumed sugar containing drinks. Clinical exam revealed an Orthodontic Plaque Index mean of 2.6, Gingival Index mean of 0.1 while the Bleeding Index was 13.3 and 90% had normal gingiva. There was a significant difference in Gingival Index score between patients at age category 10-19 and 18-24 (p< 0.05). This study revealed a satisfactory oral hygiene status among patients at the institution with the majority of patients maintaining good oral hygiene practices. However, 82% consumed sugar sweetened beverages.


2018 ◽  
Vol 75 (12) ◽  
pp. 1202-1208
Author(s):  
Bojana Davidovic ◽  
Mirjana Ivanovic ◽  
Dejan Bokonjic ◽  
Svjetlana Jankovic ◽  
Jelena Eric ◽  
...  

Background/Aim. Oral health is an important part of overall health. Good oral health is important for oral diseases prevention and health maintenance of respiratory system. The aim of the study was to evaluate oral hygiene and periodontal health parameters of asthmatic children and to compare them with children without asthma as well as to evaluate those parameters according to type of used medications and time of taking medications in children with asthma. Methods. This epidemiological study included 68 children with asthma and 68 children without asthma or any other chronic disease aged from 6 to 16 years. Parameters used in this study were Greene-Vermillion index, L?e-Silness gingival index and Community Periodontal Index (CPI). Results. Good oral hygiene (31.1%) was more present in children without asthma whereas poor hygiene (20.0%) was more frequent in children with asthma (p < 0.001). Healthy gingiva was more frequent in children without asthma (25%) while mild (58.8%) and moderate gingival inflammation (5.9%) were more frequent in the group of children with asthma (p < 0.01). Mean CPI values were higher in children with asthma (p < 0.001). Mean values of Plaque Index, Gingival Index and CPI did not show statistically significant difference in relation to type of administered medication. However, taking medications in the afternoon was related to higher mean values of Plaque Index and Gingival Index (p < 0.05) within the group of children with asthma. Conclusion. Children with asthma had poorer oral hygiene and were diagnosed with greater values of oral hygiene and periodontal indices compared with the group of children without asthma. For this reason, it is necessary to promote oral health and establish good oral hygiene habits in asthmatic children.


2021 ◽  
Vol 71 (3) ◽  
pp. 957-61
Author(s):  
Samrina Nasir ◽  
Rubab Jawed ◽  
Zeeshan Kibria ◽  
Shazia Makhdoom ◽  
Aiman Khan ◽  
...  

Objective: To determine the effects of supervised tooth brushing exercise on the oral hygiene status of school going children in Peshawar. Study Design: Prospective observational study. Place and Duration of Study: This study was conducted at a girl’s government school in university town, Peshawar, from Jul to Dec 2018. Methodology: All girls between age 7-10 years with mixed dentition, minimum plaque index score 2 and gingival index score 0 were included in the study. Sixty four girls were allocated into group A (intervention) and group B (control) using computer generated random numbers. Intervention group (32 subjects) was exposed to video plus supervised tooth brushing on a cast model while control group (32 subjects) only exposed to video on brushing technique. The plaque index score was recorded for oral hygiene status as outcome measure of intervention after one month. Results: The mean age of the participants was 9.53 ± 1.08 years. There was statistically significant difference in the plaque scores of interventional and control group after one month (0.3125 ± 0.470 vs. 1.312 ± 0.644, p<0.001) as compared to baseline data (1.90 ± 0.296 vs. 2.0 ± 0.00, p=0.83). The difference for frequency of tooth brushing between the two groups was not statistically significant (p=0.088). Parental watch during tooth brushing between the two groups was statistically insignificant (p=0.055). Conclusion: Supervised tooth brushing improved the oral hygiene status of the children therefore oral health education was effective in establishing good oral health among school children.


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


2020 ◽  
Vol 11 (3) ◽  
pp. 559-562
Author(s):  
Mahdieh Zarabadipour ◽  
Reihaneh Saffari ◽  
Monirsadat Mirzadeh

Introduction: Dental plaque removal is an important goal in oral hygiene program. The public interest in herbal medicine and natural products has grown in the past few years. Siwak (Salvadora persica L. (kharijal)) is an ancient tooth stick that has preventive and therapeutic effects on oral cavity. The aim of the present study is to evaluate the effect of siwak chewing sticks on plaque accumulation on tooth surface. Materials and Methods: In this randomized clinical trial study 80 volunteer was selected randomly for complete the study chart. They were enrolled in the study for being in the one of the four study groups: active siwak, inactive siwak, usual tooth brush and no-oral hygiene. The participants wanted to use their instruction for 6 days. Base line (PI-1) and 3-day (PI-2) and 6-day (PI-3) plaque indexes was recorded by Sillness and Loe method. Data evaluation was done using SPSS-22 and Kruskal Wallis Test, Chi-Square Tests. Results: There was a significant reduction of the plaque index in PI-3 (p= 0.029). But in the others, there was no significant difference in the change of plaque index between groups (p>0.05). Conclusion: It is concluded that siwak were able to reduce dental plaque as a mechanical tooth brush and if it uses in active form (fresh plant), the reduction of plaque accumulation is more prominent and effective.


2010 ◽  
Vol 11 (4) ◽  
pp. 25-32 ◽  
Author(s):  
Fatin Awartani ◽  
Farhad Atassi

Abstract Aim The aim of this study was to evaluate the oral hygiene status of patients with fixed orthodontic appliances. Methods and Materials The following indices were used to evaluate the oral hygiene status of patients in orthodontic treatment: gingival bleeding index (GBI), plaque index (PI), and ortho-plaque index (OPI). A self-administrated questionnaire was prepared covering oral hygiene practice, oral hygiene cleaning aids, and number of visits to a dental hygienist. Results Fifty patients (15–30 years old) were selected for the study from among the orthodontic patients treated at the King Saud University College of Dentistry, Riyadh, Saudi Arabia. Results showed that the PI and OPI were high with mean scores of 65.24 (SD 16.43) and 53.56 (SD 8.74) respectively, while the average GBI was a much lower value at 19.14 (SD 7.95). No significant difference was observed between male and female patients for the PI (p=0.925) and for the OPI (p=0.072), but a significant difference was observed for the GBI at the 5 percent significance level (p=0.033). The result of OPI showed that 20 (40 percent) of the patients had fair oral hygiene, whereas 30 (60 percent) had poor oral hygiene. Only 16 (32 percent) of the participants reported visiting the dental hygienist during their orthodontic treatment, while the remaining 34 (68 percent) did not. Conclusion The oral home care of the orthodontic patients surveyed was not at an optimal level, which indicated the need to establish an oral hygiene maintenance program. Clinical Significance Inadequate oral home care among orthodontic patients may make them more prone to develop gingivitis during orthodontic treatment. It is, therefore, essential that oral hygiene instructions and a hygiene maintenance program not be overlooked during orthodontic treatment. Citation Atassi F, Awartani F. Oral Hygiene Status among Orthodontic Patients. J Contemp Dent Pract [Internet]. 2010 July; 11(4):025-032. Available from: http://www.thejcdp.com/journal/ view/volume11-issue4-atassi


2017 ◽  
Vol 46 (5) ◽  
pp. 284-291 ◽  
Author(s):  
Jéssica Damares LAGO ◽  
Laiza Maria Grassi FAIS ◽  
Andréia Affonso Barretto MONTANDON ◽  
Lígia Antunes Pereira PINELLI

Abstract Objective Due increased number of elders living in long-term care institutions, actions designs to improve their oral health are essential. Thus, the aim of this study was to evaluate the impact of an educational program for the caregivers through the assessment of the oral hygiene of institutionalized elders. Material and method The education program consisted in lectures to caregivers about oral health that were performed once a month. The subjects were 40 functionally dependent institutionalized elders and 14 caregivers. Hygiene habits, plaque index, and tongue coating/discoloration of the elders were measured before the educational program (baseline- T0) and after 6 (T1), 12 (T2), 18 (T3) and 24 months (T4). Caregivers answered questions about their knowledge, doubts and implementation of dental care (T0 to T4). Result After analyzing the data (Friedman, Chi-square and Spearman α = 0.05), a gradual improvement in the oral hygiene of the subjects was observed, with an increased frequency of brushing (p=0.0005), a change in the brush type (p=0.0065) and a reduction in the plaque index (p<0.05) and tongue coating (p<0.05). Caregivers showed a marked improvement in their dental care knowledge. Conclusion It was concluded that the educational program for caregivers had a positive impact in the oral health of institutionalized elderly observed by the increased in the effectiveness of oral hygiene parameters such as plaque index and tongue coating, contributing to the knowledge gain in hygiene by caregivers.


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