A prospective long term observational clinical study to evaluate the significance of manual tooth brushing on gingival recession

Mapping Intimacies ◽

10.21203/rs.3.rs-21593/v1 ◽

2020 ◽

Author(s):

Esam Dhaifullah ◽

koppolu Pradeep ◽

Butchibabu Kalakonda ◽

Esam Elkhatat

Keyword(s):

Oral Hygiene ◽

High Standard ◽

Gingival Recession ◽

Tooth Brushing ◽

Common Finding ◽

Maxillary Molars ◽

Correct Technique ◽

Oral Hygiene Instructions

Abstract Purpose:Gingival recession (GR) is a common finding in adult populations associated with varied etiologies. The aim of our study was to correlate the influence of tooth brushing on GR. Further, it was intended to evaluate the role of a corrective tooth brushing technique with proper oral hygiene instructions on progression/regression of GR on a long term (3 years) follow up.Methods:A total of 53 healthy subjects, male and female, 18 to 52 years of age, without any boneloss were examined. A questionnaire evaluated all the variables associated with tooth brushing in these subjects. Later, patients were instructed on Modified Stillman brushing technique and oral hygiene instructions were reinforced. All the parameters were measured by two trained calibrated examiners at the baseline and at 6 month intervals.Results:Majority of the subjects with GR at the first visit used hard toothbrush bristle (62.2%), brushed their teeth twice daily (56.7%) and did not know the correct technique of tooth brushing (83.1%). Those subjects with buccal recession evident in the first visit who maintained high standard of oral hygiene as per our instructions and had followed the correct brushing technique as advised, it was observed that GR progressed only at the following teeth: the first and second right mandibular premolars, right mandibular canines, left mandibular canines and first left maxillary molars (total 17. 9%).Conclusion:The results of our study validate that the various variables associated with tooth brushing such as type of tooth brush, type of tooth brushing technique and frequency of tooth brushing have a potential role that result in GR. Moreover, a correct tooth brushing technique together with good oral hygiene prevents further recession.

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Dental Implants: Prevalence, Association with Periodontal Diseases and Awareness of Oral Hygiene among Dental Implant Patients in Saudi Arabia: A Cross-Sectional Study

International Journal of Innovative Research in Medical Science ◽

10.23958/ijirms/vol05-i12/1015 ◽

2020 ◽

Vol 5 (12) ◽

pp. 615-619

Author(s):

Amal Abushal ◽

Malak Alqudsi ◽

Nujood Alahmadi ◽

Mohammed Almalsi ◽

Haifa Alharbi ◽

...

Keyword(s):

Oral Health ◽

Periodontal Disease ◽

Dental Implants ◽

Oral Hygiene ◽

Periodontal Diseases ◽

Public Awareness ◽

Gingival Recession ◽

Tooth Brushing ◽

Cross Sectional ◽

Health Concepts

Periodontal disease is a broad spectrum that involves different entities and severity levels of the disease. Dental implants, just like normal teeth, can be affected by periodontal disease. This descriptive questionnaire-based study provides a brief shot on the most prevalent periodontal diseases associated with dental implants, associated risk factors, and levels of understanding and awareness about oral hygiene in the Saudi population. Results concluded that 10.5% of population have dental implants. 28.5% the sample confirmed that they have some sort of periodontal disease. Most prevalent symptoms among patients with dental implants are in order: periodontal pockets, redness and blood spitting after tooth brushing, and finally gingival recession. Most associated co-morbidities are cardiovascular disease and diabetes mellitus. Regarding oral hygiene, through assessing two oral health concepts: twice daily tooth brushing, and balanced diet, it is found that more than half of the sample (51.3%) apply these two concepts in their life, while the rest of the sample misses one or both of these two concepts. Focus should be directed toward raising the public awareness about periodontal disease and its symptoms, especially in cases of dental implants, and raising understanding and awareness about different oral health concepts.

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A Dental Hygienist's and Therapist's Guide to the Management of Tooth Erosion

Primary Dental Journal ◽

10.1177/205016841600500306 ◽

2016 ◽

Vol 5 (3) ◽

pp. 58-63

Author(s):

Yana Ariyanayagam

Keyword(s):

At Risk ◽

Dental Care ◽

Oral Hygiene ◽

Structure And Function ◽

Dental Hygienist ◽

Tooth Erosion ◽

Preventative Care ◽

And Function ◽

Oral Hygiene Instructions

Dental care professionals can support patients to prevent and manage tooth erosion. The role of the dentist is to restore the structure and function of teeth damaged by acid erosion, while the role of the dental hygienist therapist is to work alongside the dentist to help manage and reduce the risk of tooth erosion. This article will highlight how the dental hygienist or therapist can identify tooth erosion. It will describe the features of tooth erosion and outline the causes. This article will discuss preventative care options for patients who are at risk of tooth erosion, including specific oral hygiene instructions, fluoride advice and use of other dental products.

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The Moral Dimension of the Prophetic Ideal: Pushkin and His Readers

Slavic Review ◽

10.2307/3090299 ◽

2002 ◽

Vol 61 (3) ◽

pp. 490-518

Author(s):

Pamela Davidson

Keyword(s):

Role Model ◽

High Standard ◽

Russian Society ◽

Moral Integrity ◽

Nikolai Gogol ◽

Moral Dimension ◽

Moral Standards ◽

Mikhail Lermontov

In this article Pamela Davidson identifies a range of literary strategies that evolved in response to the disparity between the high standard of moral purity, which was a prerequisite for the Hebrew prophet, and the much laxer moral standards of Russian writers who adopted this role model. Strategies designed to reinforce the moral credentials of Aleksandr Pushkin, commonly regarded as the prototype of the poet-prophet, include the substitution of artistic for moral integrity (Nikolai Gogol'), the treatment of literary accounts of purification as evidence of the writer's moral standing (readings of “The Prophet”), the cult of martyrdom as an aspect of the writer's biography, derived from his suffering in life (Mikhail Lermontov) and extended to the interpretation of his death (Vladimir Solov'ev). Although these strategies enabled such later writers as Fedor Dostoevskii to assume the role of prophet, the blurring of the moral dimension of the prophetic ideal had long-term consequences for the development of Russian society and culture.

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A review on traditional practice of tooth brushing in Ayurveda and its relevance in current era

Journal of Complementary and Integrative Medicine ◽

10.1515/jcim-2018-0196 ◽

2019 ◽

Vol 16 (3) ◽

Author(s):

Durgawati Devi ◽

Rajeev Kumar Srivastava

Keyword(s):

Medicinal Plants ◽

Oral Hygiene ◽

Tooth Brushing ◽

The Body ◽

Daily Routine ◽

Traditional Practice ◽

Herbal Products ◽

Dental Floss ◽

Lifestyle Pattern

Abstract Ayurveda recommends sound and healthy life. It basically focuses on prevention rather than treatment. It includes a systematic lifestyle pattern which is composed of several principles and activities. Dinacharya (Daily routine) is one of the important principles. It includes various activities started from just before sunrise. All these activities are necessary for the maintenance of homeostasis of the body. Tooth brushing is one of the essential routines of Ayurveda daily practices. Traditionally it has been advocated with a soft twig of medicinal plants with or without herbal tooth powder. There are so many medicinal plants have been described in this context. Contradictory plants have also been described. Oral hygiene products are so much advanced and globalized nowadays. There are so many types of toothbrushes; dentifrices, dental floss, tongue scrapers, mouthwashes, oral irrigators, etc. are available along with specifications. Contemporary oral hygiene products esp. dentifrices are chemically rich and have their own side effects. No doubt these products have their own advantages like easy availability and adjustability according to current lifestyle. But their safety is questionable on long-term use. Herbal products have additional benefits over it that those are natural and easily adjustable and acceptable with body physiology.

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A Comparative Study of Dantashodhana Chroorna and Dantashodhana Paste after Scaling in Preventing the Recurrence of Dantasharkara (Calculus)

International Journal of Ayurvedic Medicine ◽

10.47552/ijam.v8i2.957 ◽

2017 ◽

Vol 8 (2) ◽

Author(s):

Makwana D ◽

Vaghela D B ◽

Patel K S

Keyword(s):

Oral Hygiene ◽

Dental Health ◽

Treatment Protocol ◽

Dental Calculus ◽

Drug Form ◽

Disease Avoidance ◽

Effect Of Therapy ◽

Group A

Introduction: 97.1 million Persons worldwide have Dental Calculus. Scaling is standard treatment protocol for the disease. Avoidance of oral hygiene results in recurrence. Ayurveda may be helpful in this aspect. This study was planned to compare the role of Dantashodhana Choorna and Dantashodhana paste in preventing the recurrence of â€˜Dantasharkaraâ€™ (Dental calculus) after scaling and to compare which was more convenient drug form. Materials and Method: For this study total 30 patients were registered and randomly divided into two groups, among which all patients completed the treatment. Patients were treated with; Ultrasonic scaling followed by Dantashodhana Choorna Pratisarana in group A and Dantashodhana paste application with the soft toothbrush in other group. Profoma were filled to decide better convenient drug form. Result: statistically insignificant result was obtained on comparing effect of therapy between both groups. Most persons preferred Dantashodhana paste for long term, regular use and use in diseased condition over Choorna. Conclusion: Â Dantashodhana paste application and Dantashodhana Choorna are almost equally effective in preventing the recurence of â€˜Dantasharkaraâ€™ (calculus) after scaling and to regain the gingival and dental health. Dantashodhana paste is more convenient way of oral hygiene in comparison to Choorna Pratisarana.Â

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The prevalence and distribution of gingival recession in subjects with a high standard of oral hygiene

Journal Of Clinical Periodontology ◽

10.1111/j.1600-051x.1994.tb00278.x ◽

1994 ◽

Vol 21 (1) ◽

pp. 57-63 ◽

Cited By ~ 191

Author(s):

Giovanni Serino ◽

Jan L. Wennstrom ◽

Jan Lindhe ◽

Lennart Eneroth

Keyword(s):

Oral Hygiene ◽

High Standard ◽

Gingival Recession

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Evaluation of the Effect of Oral Hygiene Instructions on Maintenance of Gingival Health

World Journal of Dentistry ◽

10.5005/jp-journals-10015-1379 ◽

2016 ◽

Vol 7 (3) ◽

pp. 123-125 ◽

Cited By ~ 2

Author(s):

Sangeeta U Nayak ◽

Swati Pralhad

Keyword(s):

Oral Health ◽

Oral Hygiene ◽

Periodontal Diseases ◽

Adult Population ◽

Tooth Brushing ◽

Plaque Index ◽

Gingival Index ◽

Gingival Health ◽

The Individual ◽

Oral Hygiene Instructions

ABSTRACT Aim Tooth brushing is the most widespread means of controlling plaque at home. Research on instruction techniques for promotion of oral health abilities plays an important role in the prevention of periodontal diseases. Thus the aim of the present study was to compare the effect of written and oral individualized instructions of oral hygiene on gingivitis in an adult population. Materials and methods Sixty participants above the age of 18 years were included in the study. They were randomly allocated into one of the three groups: Oral instructions, written instructions, and oral individualized instructions. For all the participants, plaque and gingival indices were recorded using periodontal probe with Williams's markings and a mouth mirror, at baseline, at the end of 1st, 2nd, and 3rd week. Results Plaque and gingival index scores reduced in all the groups. However, it was seen that plaque index significantly reduced in the group receiving individualized instructions. Conclusion In view of the results of the present study, it can be implied that oral hygiene instructions should be provided, and they should be tailormade for each individual that would help correct the individual deficits in the learners. How to cite this article Nayak SU, Pralhad S. Evaluation of the Effect of Oral Hygiene Instructions on Maintenance of Gingival Health. World J Dent 2016;7(3):123-125.

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From Permanent Positions to Visiting Jobs

Nordic Theatre Studies ◽

10.7146/nts.v30i1.106925 ◽

2018 ◽

Vol 30 (1) ◽

pp. 89-114

Author(s):

Marjatta Häti-Korkeila ◽

Laura Gröndahl

Keyword(s):

High Standard ◽

Employment Policy ◽

Short Term ◽

Collegial Support ◽

Research Material ◽

Permanent Working ◽

Working Community ◽

Trade Magazines

ABSTRACTThe transition to a freelance employment policy from permanent working contracts has had various repercussions on artistic practices in Finnish theatres. This article examines the changes that have taken place in the working culture of statutory funded institutional theatre since the early 1990s, focusing on the shifting roles and positions of directors, dramaturges, producers, and artistic managers. The research material consists of theatre statistics, interviews, and public discussions in the theatre field presented mainly in trade magazines and seminar minutes. Although the theatres still have a significant number of permanently employed artists, the percentage of short-term visits has steadily increased. This goes especially for directors and dramaturges, who mainly focus only on their own productions and do not participate in the long-term development of the theatres’ repertoires or artistic strategies as a whole. It is hard to create ongoing ensemble work and a spirit of a working community when a significant part of the artistic staff keeps constantly changing. In small and medium-sized theatres, the managers are now responsible for the artistic leadership without any collegial support of permanently engaged directors and dramaturges. They usually have to direct plays or undertake dramaturgical work without compensation, even if they do not have a proper education or experience in that field. In the changing economic conditions, the role of a producer has gained importance in planning and leading theatre activities and production work. This puts more emphasis on organizational, financial, and marketing issues than previously. Current priorities are now focussed on a high standard of artistic programming and the nurturing of public interest.

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