scholarly journals Effectiveness of Randomized Controlled Field Trial Instructing Parents to Supervise Children on Tooth Brushing Skills and Oral Hygiene

2019 ◽  
Vol 13 (1) ◽  
pp. 76-84
Author(s):  
Shukuru Zacharias ◽  
Febronia Kokulengya Kahabuka ◽  
Hawa Shariff Mbawalla

Background: Educating parents on supervision of tooth brushing ensures effective plaque removal, healthy gums and attainment of tooth brushing skills. Objective: To evaluate the effect of educating parents about children’s tooth brushing supervision on their own knowledge and act of supervision, their children’s tooth brushing skills, plaque score and gingival health. Methods: Two arms cluster randomized controlled field trial among 8-9 years primary school pupils and their parents. The intervention trial was an educational leaflet on step by step supervision of children during tooth brushing. The outcomes were; improved tooth brushing skills, oral hygiene status and gingival health, parental awareness and supervision of children’s tooth brushing. Data processing and statistical analysis was done using SPSS version 20.0. Frequency distribution for proportions, cross tabulations with Chi-square and adjusted binary logistic regression were performed. Results: A total of 237 pupils were followed to completion of the study. The odds of parents being aware and supervising children during tooth brushing were higher in the intervention group at follow-up 4.5 (1.5, 13.4) and 2.4 (1.3, 4.5) respectively. The unadjusted odds for good oral hygiene following intervention was 3.1 (1.4, 6.9) and that of tooth brushing skills 61.8 (7.7, 498.6). On adjusting with parental awareness and supervision of children during tooth brushing, odds of having tooth brushing skills increased to 88.2 (9.2, 847.4). Conclusion: Providing education to parents on children tooth brushing supervision effectively improved children’s tooth brushing skills, plaque score and gingival health emanating from awareness and act of supervision improvements revealed on their part.

2016 ◽  
Vol 89 (4) ◽  
pp. 525-533
Author(s):  
Shaijal Godha ◽  
Pralhad L Dasar ◽  
Sandesh N ◽  
Prashant Mishra ◽  
Sandeep Kumar ◽  
...  

Background and aim. To assess and compare the effects of different oral hygiene procedures on the reduction of morning bad breath, plaque and gingival status in healthy subjectsMethods. A four step cross-over trial was performed on 32 study subjects. They were allocated into four groups: Group I: tooth brushing; Group II: tooth brushing and tongue scraping; Group III: tooth brushing and mouth washing; and Group IV: tooth brushing, tongue scraping and use of mouthwash. A washout interval of 7 days was employed. At the beginning and at the end of all intervention periods, breath score was measured by hand held sulfide monitor (Breath Alert) at four time intervals. The Plaque and Gingival status was evaluated using Plaque and Gingival Index.Results. The highest reduction in mean breath score (2.12±0.65), plaque score (0.75±0.47) and gingival score (0.67±0.41) were found in the Group IV followed by Group II and Group III. A significant positive correlation was observed between plaque scores and gingival scores before intervention (r=0.443; p value<0.001) and after intervention (r=0.846; p value<0.001).Conclusion. The study findings suggest that mechanical aids in conjunction with chemical regimens are considered as the most effective method for reducing the morning bad breath in healthy subjects and should be incorporated in daily oral hygiene practices.


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.


2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Azrul Hafiz Abdul Aziz ◽  
Nik Mohd Syahmi Zainuzzaman ◽  
Nur Aliah Afifah Ibrahim ◽  
Nadia Halib

Introduction: Patient undergoes orthodontic treatment with fixed appliances have more plaque retentive area compare to normal person. Therefore, this patient requires higher standard of oral hygiene care. One of adjunctive cleaning device for oral hygiene care is water irrigator. There are several types of water irrigator available in the market such as syringe type, electricity and battery operated. However, the problem is the available water irrigators are expensive. Materials and Methods: A prototype of water irrigator was designed and constructed in USIM. The water irrigator is faucet powered so that the pressure can be easily controlled by adjusting the tap. Four dental arches with orthodontics brackets were prepared using sets of natural teeth mounted on plaster of paris. Artificial plaque was prepared and grown on the dental arches. Plaque score was recorded based on Rustogi modification of navy plaque index (RMNPI) before and after irrigation with water irrigator. The procedure was repeated using toothbrush which act as control group. All the data were collected and analysed using SPSS version 22. Results: The initial mean plaque score for water irrigator was 6.34 and 2.54 after cleaning. While the initial mean plaque score for toothbrush was 6.04 and 3.71 after cleaning. This showed that there were significantly reduction of 60% and 39% plaque score after using water irrigator and tooth brushing respectively. Conclusion(s): In conclusion, both tooth brushing and the new water irrigator can significantly remove dental plaque accumulation on the tooth surface. However, water irrigator showed better results in removal of dental plaque accumulation.


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