Primary prevention of the main dental diseases in children at different stages of orthodontic treatment with bracket systems

Aim. Evaluation of the effective preventive methods of dental caries in children with dentoalveolar anomalies. Methods. Orthodontic treatment was received by 50 children aged 12-14 years with dentoalveolar anomalies who were treated by an orthodontist using ligature bracket and who had a compensated form of dental caries before the beginning of the hardware treatment. In the first group of children (control, 25 subjects) professional oral hygiene twice a year was followed by the coating of all teeth with fluoride. Children of the second group (25 subjects) after professional oral hygiene twice a year had their teeth covered with tooth enamel around brackets with Clinpro XT Varnish (3M ESPE) material containing fluorine, calcium and phosphate compounds. Dental examination every three months included assessment of oral hygiene and the state of the gums, the presence of carious defects, fillings and removed teeth, followed by the calculation of the main dental indices. Results. On the basis of studies of the dental status in children undergoing orthodontic treatment using brackets, the main dental indices such as DCF (decay/missing/filled), complex periodontal index, papillary-marginal-alveolar index were characterized at the stages of treatment. The analysis of the recorded values was performed in the comparison groups for each research method and the main statistically significant differences were identified. The study revealed that children from group 2 had positive dynamics of the state of periodontium within 18 months: the value of papillary-marginal-alveolar index among children from group 2 decreased by 5.4 times, the value of complex periodontal index decreased by 3.5 times. Children from group 2 had a significantly lower incidence of caries compared to the control group after 18 months of remineralizing therapy: the increase of complex periodontal index among children receiving orthodontic treatment with Clinpro XT Varnish coverage twice a year was only 1.42±0.16, incidence of caries of teeth surface reduced by 55%. Conclusion. On the basis of these studies, a comparative characteristics of the dental indices was performed at the stages of treatment using the brackets, depending on the used primary preventive measures; dental status of children at the stages of orthodontic treatment have their features: special oral hygiene tools should be guided by hygiene indices and complemented by remineralizing drugs.

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Effect of oral hygiene training on the plaque control in patients undergoing treatment with fixed orthodontic appliances

Stomatoloski glasnik Srbije ◽

10.2298/sgs1001007m ◽

2010 ◽

Vol 57 (1) ◽

pp. 7-13 ◽

Cited By ~ 1

Author(s):

Sava Matic ◽

Mirjana Ivanovic ◽

Predrag Nikolic

Keyword(s):

Oral Hygiene ◽

Orthodontic Treatment ◽

Control Group ◽

Orthodontic Appliances ◽

Preventive Program ◽

Gingival Health ◽

Fixed Orthodontic Appliances ◽

Increased Risk ◽

Group 2 ◽

Experimental Group

Introduction. During orthodontic treatment, there is increased risk of periodontal disease and caries. Therefore these patients must be trained to maintain proper oral hygiene to minimize risks. The aim of this study was to examine the effects of oral hygiene training with different devices as well as a motivation and remotivation in oral hygiene using brochures, verbal methods and tablets for plaque identification. Material and Methods. The study included 80 subjects, both genders, divided in control (20) and experimental groups (60). All examinees in the experimental groups used toothbrush Curaprox CP5460 for oral hygiene. Subjects in experimental group 1 used mouthwash Curasept ADS 205, in the experimental group 2 orthodontic toothbrush CD Ortho 60 and proximal toothbrush Curaprox CPS14 while subjects in experimental group 3 used proximal toothbrush Curaprox CPS14 and mouthwash Curasept ADS 205. All participants were given tablets erythrosine and brochure in which was explained and illustrated the use of the aforementioned means for oral hygiene. Control check ups were conducted at the beginning, after the first, third and sixth month of the preventive program. Results. The values of the examined parameters, plaque index (PI), gingival index (GI) and gingival bleeding index (GBI), in experimental groups were significantly lower compared to control group (p<0.05). Conclusion. Motivation, compliance and implementation of all preventive procedures proposed by this program, as well as regular controls, contributed in maintaining gingival health during orthodontic treatment.

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Dental status of professional athletes

Kazan medical journal ◽

10.17816/kmj2020-365 ◽

2020 ◽

Vol 101 (3) ◽

pp. 365-370

Author(s):

J G Hajiyev

Keyword(s):

Oral Cavity ◽

Oral Hygiene ◽

Clinical Manifestations ◽

Maximum Level ◽

The State ◽

Dental Status ◽

Professional Athletes ◽

Control Group ◽

Periodontal Tissues ◽

Periodontal Inflammation

Aim. To reveal the rate and severity of clinical manifestations of common dental diseases and dentofacial anomalies in professional athletes Methods. The effect of intense physical exertion and overtraining syndrome on the state of the organs and tissues of the dental system were examined in 200 professional athletes aged 1825 years between 2014 and 2016. Five groups where each has the same number of athletes (n=40) included: team sport athletes (volleyball, handball), martial arts athletes (wrestling, boxing), gymnasts, swimmers, athletes. The control group consisted of 40 individuals who were not professionally involved in sports. The state of the oral cavity, in particular periodontal tissues, was judged by changes in the following indicators: prevalence of dentofacial anomalies, the incidence of dental caries, state of the oral cavity hygienic using by simplified oral hygiene index (OHI-S) ( Green J.С., Vermillion J.R., 1963), degree of gums bleeding by using the MuhlemannCowell bleeding index, degrees of severity of periodontopathy by using the papillary-marginal alveolar index (RMA) [Massler, Schour (1949) in Parma modification (1960)]. Results. According to the values of the simplified oral hygiene index the worst state of the oral cavity hygienic was in wrestlers (2.120.022 points) and boxers (2.030.029) compared to the control group (1.620.026, p=0.049 and p=0.001, respectively). Catarrhal gingivitis and generalized chronic periodontitis are most often diagnosed in the groups of wrestling (82.56.01%), gymnastics (77.56.60%), boxing (70.07.25%) and swimming (70.07.25%). Dentoalveolar anomalies were more often detected in boxers (77.5% of cases, p=0.001) and in gymnasts (34.0%, p=0.365) compared to the control group. In these groups, diastema was also more often diagnosed. Conclusion. Periodontal inflammation indicators were higher in wrestlers and gymnasts groups compared to the dental status of all other groups of athletes; caries and maximum level of dental anomalies are more common for boxers.

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Antibiofilm Activity of Mangosteen (Garcinia mangostana L.) Flavonoids against Streptococcus mutans Bacteria

Conservative Dentistry Journal ◽

10.20473/cdj.v10i2.2020.48-50 ◽

2020 ◽

Vol 10 (2) ◽

pp. 48

Author(s):

Sri Kunarti ◽

Aulia Ramadhani ◽

Laskmiari Setyowati

Keyword(s):

Dental Caries ◽

Streptococcus Mutans ◽

Tooth Enamel ◽

Tooth Surface ◽

Control Group ◽

Antibiofilm Activity ◽

Garcinia Mangostana ◽

Control Group Design ◽

Biofilm Inhibition ◽

Significant Difference

Background: Dental caries is one of the most common infectious diseases and often occurs in the community caused by bacteria. Attached bacteria in the tooth surface for a long time will form a biofilm and will lead to demineralization characterized by damage in the structure of the tooth enamel. The bacteria that cause dental caries and can form biofilms is Streptococcus mutans. The bacteria inside biofilms are more resistant to antibacterial agents. Flavonoids in mangosteen pericarp extract can be a cleaner alternative for the anti-biofilm cavity that has properties against Streptococcus mutans. Purpose: To determine the activity of flavonoids in mangosteen pericarp extract at a certain concentration against Streptococcus mutans bacteria. Methods: This study was a laboratory experimental study with a post-test only control group design. Streptococcus mutans were diluted according to the Mc Farland dilution standard 106 in Tryptic Soy Broth (TSB) medium and put in a flexible U-bottom microtiter plate. Then it was incubated for 5x24 hours and checked using crystal violet simple staining to see the formation of biofilms. Flavonoid extract of mangosteen pericarp performed serial dilution in a concentration of 100%, 50%, 25%, 12.5%, 6.25%, 3.125%, 1.56%, and 0.78% was added, and the incubation process were conducted for 1x24 hours. OD (Optical Density) readings were done with a wavelength of 595 nm. Results: There was a significant difference between the test groups and the positive control group. The concentration of 100% had the anti-biofilm activity and showed the value of the highest percentage of inhibition, whilst the concentration of 0.78% showed a minimum biofilm inhibition concentration. The results were demonstrated by a statistical analysis test. Conclusion: Flavonoid extract of mangosteen pericarp at a certain concentration has anti-biofilm activity against Streptococcus mutans biofilm.

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Evaluation of school-based prevention program in Turkey: Results of a 24-month study

European Journal of Dentistry ◽

10.4103/1305-7456.178312 ◽

2016 ◽

Vol 10 (02) ◽

pp. 245-249 ◽

Cited By ~ 2

Author(s):

Coruh Turksel Dulgergil ◽

Ertugrul Ercan ◽

Hakan Colak

Keyword(s):

Oral Hygiene ◽

Permanent Teeth ◽

School Age Children ◽

Control Group ◽

Chi Square ◽

The Difference ◽

Group 5 ◽

Group 2 ◽

Chi Square Analysis ◽

Provincial Center

ABSTRACT Objective: In this paper, cavity experiences of children with different levels of eruption and cavity activities that are enrolled at an elementary school with semi-rural characteristics in Kırıkkale Provincial center were monitored for 2 years after a variety of protective applications. Materials and Methods: Three hundred and twenty-two children at the age of 7–11 were included in this study. Children were grouped as follows according to their cavity experiences and applications done: Group 1 - control group (with or without cavities) – was given hygiene training only; Group 2 - with medium level cavity activity (2–4 cavities in average) – oral hygiene training + surface restoration applied; Group 3 - children with 2–4 cavities on average – oral hygiene training + professional flour gel applied; Group 4 - children with 2–4 cavities in average – oral hygiene training + flour gel applied with brush; Group 5 - children with extreme cavity activity (children with 5 or more cavities) – oral hygiene training + surface restoration + professional flour gel combination applied. Results: At the end of the 2nd year, 277 children were reached. The increase of number of cavities in permanent teeth was determined as 35%, 0%, 1%, 0%, and 7% in groups 1–5, respectively. The difference between groups was found to be significant (Chi-square analysis, Pearson Chi-square = 27.002, P < 0.01). Conclusion: These findings have showed that, in Kırıkkale Provincial center, some cavity-preventive measures such as surface restoration and gel applications, along with hygiene training, could provide optimum protection for school-age children.

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The Relationship of Orthodontic Treatment Need with Periodontal Status, Dental Caries, and Sociodemographic Factors

The Scientific World JOURNAL ◽

10.1100/2012/498012 ◽

2012 ◽

Vol 2012 ◽

pp. 1-6 ◽

Cited By ~ 15

Author(s):

Ruhi Nalcaci ◽

Serhat Demirer ◽

Firat Ozturk ◽

Burcu A. Altan ◽

Oral Sokucu ◽

...

Keyword(s):

Dental Caries ◽

Significant Relationship ◽

Orthodontic Treatment ◽

Treatment Needs ◽

Treatment Need ◽

Periodontal Status ◽

Normal Occlusion ◽

Periodontal Index ◽

Relationship Of ◽

The Relationship

The aim of this study was to determine the relationship of orthodontic malocclusion with periodontal status, dental caries, and sociodemographic status. Our study population consisted of a sample of 836 school children (384 male and 452 female, aged 11–14 years). Four experienced orthodontists and two experienced periodontists performed the clinical examinations. The Treatment Priority Index (TPI), Community Periodontal Index of Treatment Needs (CPITN), decayed, missing, filled teeth (DMFT) scores, and a questionnaire that surveyed socio-demographic status of students were used. Spearman’s rank correlation coefficients were used to measure the association between variables. TPI scores showed that 36.4% of the students had normal occlusion, while 41.2% had slight, 15.7% had definite, 4% had severe, and 2.7% had very severe malocclusion. TPI values did not show any significant differences between pupils in different age, gender, socioeconomic status groups, and CPITN scores, whereas there was a significant relationship between TPI and DMFT scores. The orthodontic treatment need was not significantly correlated with CPITN or socio-demographic status; however, the correlation coefficient showed a significant relationship between TPI and DMFT scores.

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Is Entamoeba Gingivalis a Risk Factor for Periodontal Diseases? A Case-Control Study

10.26810/perioj.2019.a3 ◽

2019 ◽

Vol 3 (1) ◽

pp. 18-28 ◽

Cited By ~ 1

Author(s):

Sandy Shabaan Hassan ◽

Gihane Gharib Madkour ◽

Ramy Wahba Henin ◽

Selvia Wahib Fayek Gad ◽

Amany Ahmed Abd El-Aal

Keyword(s):

Oral Hygiene ◽

Case Control Study ◽

Periodontal Diseases ◽

Case Control ◽

Control Group ◽

Healthy Control ◽

Hematoxylin And Eosin ◽

Group 3 ◽

Group 2 ◽

Control Study

Background: Entamoeba gingivalis was the first commensal parasite detected in the oral cavity of humans, and a high incidence has been reported in patients with poor oral hygiene. The current study aimed to investigate the association of Entamoeba gingivalis with gingivitis and periodontitis among Egyptian subjects. Methods: A total of 120 plaque samples were collected for this case-control study and were divided as follows: 40 plaque samples from gingivitis patients (group 1), 40 from stage II grade A and B periodontitis patients (group 2), and 40 samples from healthy volunteers (group 3). Diagnosis of parasitic stages relied on direct microscopic detection using permanent stains, trichrome stain, and hematoxylin and eosin (H&E) stain, in addition to ocular micrometry to confirm the diagnosis. Results: The occurrence of Entamoeba gingivalis within the gingivitis group was significantly higher (40%) than that observed in the control group (22.5%), whereas the occurrence within the periodontitis group was 15%. Samples from diseased subjects, regardless of immune status, were found to be moderately to severely affected with numerous parasitic nests, in contrast to a moderate near mild occurrence that was recorded in the healthy control group. Moreover, Entamoeba gingivalis occurrence was significantly higher (77.4%) in subjects with bad oral hygiene. Conclusion: The results of the present study suggest a potential role for the neglected oral parasitic Entamoeba gingivalis, especially the intensively multiplying forms, in the pathogenesis of periodontal diseases. This certainly needs further elucidation on a larger scale to explore the basis behind such multiplication, which may be related to genetic variation or may be pathophysiological in origin.

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THE STATE OF HYGIENE AND LOCAL IMMUNITY OF THE ORAL CAVITY IN PATIENTS WITH ANOREXIA NERVOSA

INTERNATIONAL ACADEMY JOURNAL Web of Scholar ◽

10.31435/rsglobal_wos/28022019/6340 ◽

2019 ◽

pp. 10-13

Author(s):

M. Yu. Antonenko ◽

L. L. Reshetnyk ◽

E. V. Moskalenko ◽

N. A. Zelinska ◽

O. A. Znachkova

Keyword(s):

Oral Hygiene ◽

Oral Fluid ◽

Mirror Image ◽

The State ◽

The Body ◽

Immunological Methods ◽

Control Group ◽

Poor Oral Hygiene ◽

Local Immunity ◽

Group I

Aim: to study the state of local immunity and oral hygiene in patients with GP suffering from AN.Materials and methods: 35 patients with AN were examined at the age of 19-35 years. In the study we used immunological methods, an index assessment of the state of oral hygiene (PMA, API, GI).Results and discussion: in patients of I group poor oral hygiene was established. The amount of lysozyme in the oral fluid in I group was 0.014 ± 0.07 g/l. A decrease SIgA (11SIgA) was established in patients of I group: I, II and control (135.31 ± 23.17, 130.26 ± 24.21 and 300.34 ± 27.38 mg/l, respectively). A tendency to an increase in the level of IgG in the oral fluid in patients of group II compared with I and the control group (5.35 ± 0.36, vs. 4.57 ± 0.04 and 4.98 ± 0.23 g/l, respectively) was established.Conclusions: poor oral hygiene is an objective indicator which reflects low motivation to maintain oral health. The observed immunodeficiency (11SIgA) in patients with GP is a mirror image of changes occurring in the body of patients with AN.

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Effects of remote digital monitoring on oral hygiene of orthodontic patients: a prospective study

BMC Oral Health ◽

10.1186/s12903-021-01793-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Linda Sangalli ◽

Fabio Savoldi ◽

Domenico Dalessandri ◽

Stefano Bonetti ◽

Min Gu ◽

...

Keyword(s):

Oral Hygiene ◽

Orthodontic Treatment ◽

Group Differences ◽

Control Group ◽

Study Group ◽

Remote Monitoring System ◽

Carious Lesions ◽

Significant Difference ◽

Digital Monitoring ◽

Plaque Control

Abstract Background Remote digital monitoring during orthodontic treatment can help patients in improving their oral hygiene performance and reducing the number of appointments due to emergency reasons, especially in time of COVID-19 pandemic where non-urgent appointments might be discouraged. Methods Thirty patients scheduled to start an orthodontic treatment were divided into two groups of fifteen. Compared to controls, study group patients were provided with scan box and cheek retractor (Dental Monitoring®) and were instructed to take monthly intra-oral scans. Plaque Index (PI), Gingival Index (GI), and White Spot Lesions (WSL) were recorded for both groups at baseline (t0), every month for the first 3 months (t1, t2, t3), and at 6 months (t4). Carious Lesions Onset (CLO) and Emergency Appointments (EA) were also recorded during the observation period. Inter-group differences were assessed with Student's t test and Chi-square test, intra-group differences were assessed with Cochran’s Q-test (significance α = 0.05). Results Study group patients showed a significant improvement in plaque control at t3 (p = 0.010) and t4 (p = 0.039), compared to control group. No significant difference was observed in the number of WSL between the two groups. No cavities were detected in the study group, while five CLO were diagnosed in the control group (p = 0.049). A decreased number of EA was observed in the study group, but the difference was not significant. Conclusions Integration of a remote monitoring system during orthodontic treatment was effective in improving plaque control and reducing carious lesions onset. The present findings encourage orthodontists to consider this technology to help maintaining optimal oral health of patients, especially in times of health emergency crisis.

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Oral health of children and adolescents with or without attention deficit hyperactivity disorder (ADHD) living in residential care in rural Rhineland-Palatinate, Germany

10.21203/rs.2.16231/v3 ◽

2019 ◽

Author(s):

Vicky Ehlers ◽

Angelika Callaway ◽

Sophia Wantzen ◽

Michael Patyna ◽

James Deschner ◽

...

Keyword(s):

Attention Deficit Hyperactivity Disorder ◽

Oral Health ◽

Children And Adolescents ◽

Residential Care ◽

Oral Hygiene ◽

Orthodontic Treatment ◽

Dietary Habits ◽

Control Group ◽

Dental Visit ◽

Hyperactivity Disorder

Abstract Background: Attention deficit hyperactivity disorder (ADHD) is defined as childhood neurobehavioural disorder. Due to short attention span, oral hygiene and dental treatment of such individuals can be challenging. Aim of this study was to evaluate the oral health of children and adolescents with and without ADHD living in residential care in rural Rhineland-Palatinate, Germany. Methods: Included in the study were 79 participants (male/female:58/21, age 9-15 years) living in residential care: 34 participants with ADHD and 45 participants without ADHD (control). Oral examination included the following parameters decayed, missing, filled teeth in the primary dentition (dmft), decayed, missing, filled surfaces/teeth in the secondary dentition (DMFS/DMFT), approximal plaque index (API), bruxism and orthodontic treatment. Additionally, oral hygiene, last dental visit and treatment performed, and dietary habits were assessed by questionnaire. Results: There were no significant differences in dmft, API, bruxism and oral hygiene habits between groups. However, participants with ADHD tended to have higher DMFS/DMFT values than the control group. Ongoing orthodontic treatment was found more often in the control group. The ADHD group tended to consume acidic/sugary beverages and sweet snacks more often than the controls. Different treatments (control visit/prophylaxis, dental therapy, orthodontic treatment) were performed at the last dental visit in the two groups. Conclusions: Within the limitations of this study , oral health was similar in children and adolescents with or without ADHD from the same residential care setting. Parents/guardians need instructions for better supervision of oral hygiene and dietary habits to improve the poor oral health of children with or without ADHD.

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Індексна оцінка стану тканин пародонта в осіб із первинним гіпотиреозом

CLINICAL DENTISTRY ◽

10.11603/2311-9624.2017.3.8065 ◽

2017 ◽

Author(s):

A. V. Chornij ◽

V. V. Shmanko

Keyword(s):

Thyroid Gland ◽

Oral Cavity ◽

Oral Hygiene ◽

Periodontal Diseases ◽

Primary Hypothyroidism ◽

The State ◽

Periodontal Tissues ◽

Periodontal Index ◽

Index Evaluation ◽

Index Estimation

In recent decades, both in the world and in our country, thyroid gland diseases are not only widespread, but also have a tendency to constant growth. Currently, more attention is paid to diseases of the thyroid gland that are associated with endemic foci of iodine defi ciency in soil and water.The aim of the study – to investigate the state of periodontal tissues in individuals with primary hypothyroidism.Materials and Methods. We conducted a survey of 86 people with primary hypothyroidism, 16 of them with manifestation and 70 with subclinical forms. A comparison group was 45 people without thyroid gland diseases. Index assessment of periodontal tissues included the defi nition of a simplifi ed oral hygiene index of the oral cavity of the Green-Vermillion (Oral Hygiene Index-Simlifi ed, Green-Vermillion, 1964), the degree of gingival infl ammation was determined by Parma (C. Parma, 1960, Papillary-Marginal Alveolar Index)), the state of periodontal tissues in the complex periodontal index (KPI) (1987), destructive changes in the bone tissue of the alveolar appendix were determined by the Fux index.Results and Discussion. The article presents the results of the index estimation of periodontal tissues in individuals with primary hypothyroidism. An analysis of the conducted index evaluation found that they had a poor level of hygienic state of the oral cavity. This was manifested by the development of infl ammatory and, to a lesser extent, infl ammatory and dystrophic lesions of periodontal tissues, as evidenced by papillarymarginalalveolar (PMA) and complex periodontal indices (KPI).Conclusions. Even more signifi cant changes in these indicators were found in individuals with a manifestation of hypothyroidism. So, we can conclude that in persons with primary hypothyroidism metabolic processes ofthe organism are violated, which leads through a number of pathophysiological changes to the activity of parodontopathogenic microfl ora and the development of infl ammatory and infl ammatory and dystrophic periodontal diseases.

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