Efficacy of four toothbrushes on removal of plaque with modified Bass technique in Dental Hygiene Students at Cali

Summary: Aim: To evaluate the efficacy of four different designed toothbrushes (Colgate Microsonic ®, Colgate Twister Fresh®, Colgate 360 Sensitive® y Colgate 360®) to determine the clinical advantage on removal of plaque using modified Bass technique in dental hygiene students in Cali. Methods: This is a controlled clinical trial to compare the efficacy of four toothbrushes designs with different tooth brushing methods in 200 female dental hygiene students with ages from 15 to 43. Control group used any tooth brushing technique whereas test group used modified Bass technique. Follow up was made daily for 21 days with O´Leary Plaque Index. Results: Colgate Twister Fresh® toothbrush had more probability to reduce plaque index at any time of follow up period than other toothbrushes. Modified Bass technique had more chance to reduce plaque than other techniques but with no significant differences. Conclusions: there were no statistically significant differences between tooth brush techniques. None of the four designs of studied toothbrushes showed differences in regard to plaque elimination. Key words: Manual toothbrushes. Modified Bass tooth brushing technique. Dental plaque control. Oral hygiene practices.

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Treatment Success and User-Friendliness of An Electric Toothbrush App: A Pilot Study

Dentistry Journal ◽

10.3390/dj8030097 ◽

2020 ◽

Vol 8 (3) ◽

pp. 97

Author(s):

Viviane Humm ◽

Daniel Wiedemeier ◽

Thomas Attin ◽

Patrick Schmidlin ◽

Stefanie Gartenmann

Keyword(s):

Pilot Study ◽

Treatment Success ◽

Test Group ◽

Plaque Index ◽

Control Group ◽

Controlled Clinical Trial ◽

User Friendliness ◽

Short Period ◽

Electric Toothbrush ◽

And Control

Electronic and mobile health (eHealth/mHealth) are rapidly growing areas in medicine and digital technologies are gaining importance. In dentistry, digitalization is also an emerging topic, whereby more and more applications are being offered. As an example, using real-time feedback, digital application software (an app) was designed to help users brush their teeth more accurately. However, there is no data on the effectiveness and haptic of such apps. Therefore, a single-blinded, randomized controlled clinical trial was designed: twenty volunteers received an electric toothbrush with an associated app to assess whether the app-assisted toothbrushing is better than without. After a short period of familiarization with the electric toothbrush, plaque index (O‘Leary et al. 1972) was recorded and subjects were assigned to the test (with app; n = 10) or the control group (no app; n = 10). At the end of the 2-week pilot study period, plaque was again assessed and participants in the test group completed a questionnaire about the app’s user-friendliness. Statistical analysis revealed no significant differences between the test and control groups. The plaque index improved on average by 8.5% points in the test and 4.7% points in the control group. Fifty percent of the test group participants were of the opinion that they had achieved better cleaning results and would recommend the app to others, although the app contributed only marginally to increased plaque removal. However, such apps may nevertheless be helpful as motivational tools, especially when tracking and monitoring cleaning data. Therefore, more development and research on this topic is indicated.

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EFFECT OF HERBAL TOOTHPASTE CONTAINING NEEM LEAVES EXTRACT (AZADIRACHTA INDICA) AGAINST GINGIVITIS: A CLINICAL STUDY

International Journal of Applied Pharmaceutics ◽

10.22159/ijap.2019.v11s1.ar173 ◽

2019 ◽

pp. 117-119

Author(s):

AMELIA PRISCILLA SUGIARTA ◽

ROBERT LESSANG ◽

NATALINA .

Keyword(s):

Clinical Study ◽

Oral Cavity ◽

Azadirachta Indica ◽

Test Group ◽

Tooth Brushing ◽

Plaque Index ◽

Control Group ◽

Leaf Extracts ◽

Neem Leaves ◽

And Control

Objective: Neem leaves are known to have antibacterial, anti-inflammatory, antifungal, antiseptic, antitumor, antihyperglycemic, antiulcer, andantiviral effects. In addition, they can reduce the counts of plaque-forming bacteria in the oral cavity. This study aimed to evaluate the effect of anherbal toothpaste containing neem leaves extract against gingivitis.Methods: A total of 40 subjects were divided into two groups (n=20 each): Experimental and control. Those in the test group were instructed to brushtheir teeth twice a day for 7 days with neem leaves extract toothpaste, whereas the control group subjects were asked to continue with the non-herbalpaste they used for tooth brushing. Plaque index (PI) and papillary bleeding index (PBI) were measured on day 0 and day 7.Results: Significant reductions in PI and PBI were noted between the test and control groups.Conclusion: The findings of this clinical study provide evidence that neem leaf extracts are effective in reducing gingivitis.

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Partial caries removal in deep lesions: 19-30 months follow-up study

Revista da Faculdade de Odontologia de Porto Alegre ◽

10.22456/2177-0018.16367 ◽

2010 ◽

Vol 51 (1) ◽

pp. 20-23 ◽

Cited By ~ 3

Author(s):

Marisa Maltz ◽

Mauricio Moura ◽

Juliana Jobim Jardim ◽

Cyntia Marques ◽

Lilian Marly De Paula ◽

...

Keyword(s):

Survival Rates ◽

Test Group ◽

Control Group ◽

Controlled Clinical Trial ◽

Spontaneous Pain ◽

Filling Material ◽

Carious Dentine ◽

Caries Removal ◽

Partial Caries Removal

The aim of this multicenter randomized controlled clinical trial was to evaluate the effectiveness of partial caries removal followed by restoration in a single session (PDR) for deep caries lesions in Brazil (Porto Alegre and Brasilia) after 2-year follow-up. Inclusion criteria: patients with ≥ six years old presenting permanent molars with primary deep lesion, absence of periapical alterations, pulp sensitivity, absence of spontaneous pain and negative percussion test. The subjects were randomly assigned to test group - PDR, or control group - stepwise excavation (SW). SW consisted of partial removal of carious dentine, indirect pulp capping with calcium hydroxide cement, temporary filling, cavity re-opening after 60 days, removal of the remaining soft carious dentine and filling. Each group was divided according to the filling material: amalgam or resin. Clinical and radiographic evaluations were performed in annual basis. The outcomes were considered as pulp sensibility to cold test and absence of periapical alterations. There were performed 299 treatments, 153 PDR and 146 SW. There were no differences between the groups regarding baseline characteristics. After 2 years of follow-up, 204 restorations were evaluated and the therapy survival rates of PDR and SW were 95.45% and 80.85%, respectively (p=0.001). Reasons for failure: pulpitis, osteitis, hyperemia, necrosis, extraction and restoration fracture.. None variable was significantly associated with the outcome. From these results, it is possible to conclude that the PDR is a more successful treatment than SW. (Registration number at www.clinicaltrials.gov NCT00887952).

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Brief Motivational Interviewing Counseling to Improve Oral Hygiene Behavior Among Adolescent

10.53350/pjmhs2115103103 ◽

2021 ◽

Vol 15 (10) ◽

pp. 3103-3108

Author(s):

Ulliana . ◽

Bedjo Santoso ◽

Ulfah Utami ◽

Widi Nurwanti ◽

Aditya Nurrochman

Keyword(s):

Oral Health ◽

Motivational Interviewing ◽

Oral Hygiene ◽

Health Knowledge ◽

Dental Health ◽

Tooth Brushing ◽

Plaque Index ◽

Average Score ◽

Control Group

Aim: To analyze the effect of the brief motivational interviewing counselling approach on the knowledge, attitudes and tooth brushing practice of adolescents. Method: This research is a quasi-experiment with a pre-test and post-test design with a control group design. The research sample was 80 adolescents aged 12 and 13 years. Respondents were divided into two groups, namely 40 intervention and control groups based on inclusion criteria. The intervention group was given the MI approach, and the control group was assigned conventional dental health education. The MI group also received follow-up over the phone. Both groups filled out knowledge and attitude questionnaires before being given treatment. Plaque index and tooth brushing practice examinations were performed at baseline and four weeks after intervention. Results: The results showed an increase in the average score of oral health knowledge, attitude, tooth brushing practice in all groups. The plaque index showed a decrease in the average score in all groups. The test of both groups showed that brief MI counseling was more effective than conventional dental health education, oral health knowledge(p=<0.001), attitude((p=<0.001), tooth brushing practice( p = 0.001), plaque index (p = 0.011). Follow-up MI by telephone in adolescents is beneficial in the research during the covid-19 pandemic as a promotive and preventive effort to improve dental health behaviour. The MI method by telephone is very interesting for adolescents, easily accessible and time-efficient. Conclusion : The MI counselling brief intervention can change dental and oral health behaviour through increasing knowledge, attitudes, tooth brushing practices and reducing the dental and oral hygiene index scores of adolescents. MI interventions need to be combined with other interventions to get more effective results for research sustainability. Keywords: Motivational Interviewing, Oral Hygiene Behaviour, Adolescent

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RELATED FACTORS TO RELAPSE IN DEPRESSED PATIENTS AFTER COGNITIVE BEHAVIOURAL THERAPY DURING ONE YEAR PROSPECTIVE FOLLOW-UP

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2011.5.2 ◽

2011 ◽

pp. 13-19

Author(s):

Nhu Minh Hang Tran ◽

Huu Cat Nguyen ◽

Dang Doanh Nguyen ◽

Van Luong Ngo ◽

Vu Hoang Nguyen ◽

...

Keyword(s):

Cognitive Behavioral Therapy ◽

Relapse Rate ◽

Behavioral Therapy ◽

Cognitive Behavioral ◽

Control Group ◽

Controlled Clinical Trial ◽

Related Factors ◽

Depressed Patients ◽

One Year

Objectives: To determine factors impact on the relapse in depressed patients treated with Cognitive Behavioral Therapy (CBT) during one year follow-up. Materials and Methods: 80 depressed patients divided into two groups, group 1: included 40 patients treated with CBT; group 2: 40 patients on amitriptyline. Non-randomized controlled clinical trial, opened, longiditual and prospective research. Results and Conclusions: relapse rate after CBT during 1 year follow-up is 10% (compared to 25% in control group), related factors to relapse rate in depression after CBT are age and education. Shared predictors between 2 groups are severity and recurrence of depression. Key words: Depression, relapse, Cognitive Behavioral Therapy (CBT)

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Clinical and Immunological Efficacy of Mangosteen and Propolis Extracted Complex in Patients with Gingivitis: A Multi-Centered Randomized Controlled Clinical Trial

Nutrients ◽

10.3390/nu13082604 ◽

2021 ◽

Vol 13 (8) ◽

pp. 2604

Author(s):

Jin-Young Park ◽

Kyung-A Ko ◽

Ji-Yeong Lee ◽

Jae-Woon Oh ◽

Hyun-Chang Lim ◽

...

Keyword(s):

Patient Reported Outcomes ◽

Daily Intake ◽

Test Group ◽

Control Group ◽

Controlled Clinical Trial ◽

Control Groups ◽

Immunological Parameters ◽

Significant Difference ◽

Patient Reported ◽

And Control

Background: Mangosteen and propolis extracts (MAEC) have been potential therapeutic agents known to exhibit powerful antioxidant and anti-inflammatory properties. The aim of the current study was to evaluate the clinical and immunological efficacy of MAEC as well as safety and patient-reported outcomes (PROMs) on gingivitis and incipient periodontitis. Methods: This study was performed on 104 patients diagnosed with gingivitis or incipient periodontitis. At baseline, the participants were randomly allocated to either the test group, with daily intake of a single capsule containing 194 mg of MAEC for eight weeks, or control group, with placebo. Clinical periodontal evaluation and immunological parameters from saliva and gingival sulcular fluid were assessed at baseline, four, and eight weeks. Individual PROMs were assessed by OHIP-14 questionnaires. Results: There was a significant difference of modified gingival index at four and eight weeks between the test and control groups. In the test group, crevicular interleukin (IL)-6 was reduced, and the salivary matrix metalloproteinase (MMP)-9 was increased after eight weeks. PROMs were improved up to four weeks compared to placebo. Conclusion: Oral administration of MAEC would have a potential to reduce gingival inflammation clinically and immunologically in the patients with gingivitis and incipient periodontitis.

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Effectiveness of Family-Centered Oral Health Promotion on Toddler Oral Health in Hong Kong

Journal of Dental Research ◽

10.1177/00220345211036663 ◽

2021 ◽

pp. 002203452110366

Author(s):

K.F. Yu ◽

W. Wen ◽

P. Liu ◽

X. Gao ◽

E.C.M. Lo ◽

...

Keyword(s):

Health Promotion ◽

Oral Health ◽

Feeding Habits ◽

Test Group ◽

Control Group ◽

Oral Health Promotion ◽

Educational Counseling ◽

Hygiene Practices ◽

Family Centered ◽

Counseling Approach

Early childhood caries is common in Hong Kong, and parental practices on maintaining good oral health of their young children are far from satisfactory. This article reports on the effectiveness of a randomized controlled trial on family-centered oral health promotion to new parents in establishing proper feeding habits and oral hygiene practices and in reducing caries risk among 3-y-old toddlers. At baseline, pregnant mothers and their husbands were recruited and randomly allocated into 2 groups. The test group received individualized oral health education (OHE) via a behavioral and educational counseling approach while the control group received the OHE pamphlets only. Information related to the feeding habits, oral hygiene practices, and oral health of the toddlers was collected by parent-completed questionnaires and oral examination annually via home visits. A total of 580 families were recruited at baseline, and 436 toddlers were followed up when they reached 3 y old (test, n = 228; control, n = 208; follow-up rate, 75.2%). The proportions of toddlers who held food in the mouth, fell asleep when milk feeding, had prolonged use of the nursing bottle, ate before bed, and consumed a sweet snack daily were significantly lower in the test group than in the control group (all P < 0.05). Significantly higher proportions of toddlers brushed their own teeth twice daily, were brushed by their parents twice daily, and used fluoride toothpaste than in the control group (all P < 0.001). Toddlers in the test group had better oral health status with a lower level of visible plaque, Streptococcus mutans, white spot lesion, and cavitated lesion (all P < 0.05). Family-centered oral health promotion and individualized OHE for parents via a behavioral and educational counseling approach are more effective in establishing good feeding habits and parental toothbrushing practices and in decreasing the caries risk of their toddlers than the distribution of OHE pamphlets alone (ClinicalTrials.gov NCT02937194).

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Supragingival plaque removal with and without dentifrice: a randomized controlled clinical trial

Brazilian Dental Journal ◽

10.1590/s0103-64402012000300009 ◽

2012 ◽

Vol 23 (3) ◽

pp. 235-240 ◽

Cited By ~ 4

Author(s):

Fabricio B. Zanatta ◽

Raquel P. Antoniazzi ◽

Tatiana M. P. Pinto ◽

Cassiano K. Rösing

Keyword(s):

Clinical Trial ◽

Test Group ◽

Control Group ◽

Controlled Clinical Trial ◽

Separate Analysis ◽

Randomized Controlled Clinical Trial ◽

Significance Level ◽

Plaque Removal ◽

Randomized Controlled ◽

Removal Capacity

The aim of this study was to compare the efficacy of dental plaque removal by brushing with and without conventional dentifrice. Twenty-four students aged 17 to 28 years participated in this randomized controlled clinical trial. Quadrants 1-3 or 2-4 were randomly allocated to the test group (brushing without dentifrice) or control group (brushing with dentifrice). After 72 h of cessation of oral hygiene, Quigley & Hein (Turesky) plaque index was assessed before and after brushing by a calibrated and blind examiner. Overtime and intergroup comparisons were performed by Student's paired sample t-test at 5% significance level. The results showed that both groups after toothbrushing presented statistically significant reductions in plaque, with no differences between them (from 3.06 ± 0.54 to 1.27 ± 0.26 versus from 3.07 ± 0.52 to 1.31 ± 0.23). A separate analysis of the buccal and lingual aspects also showed no significant differences between groups. It may be concluded that the use of a conventional dentifrice during toothbrushing does not seem to enhance plaque removal capacity.

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The treatment of chronic periodontitis by non-surgical periodontal therapy in association with diode laser compared to conventional non-surgical therapy

Journal of Advanced Health Care ◽

10.36017/jahc2003-008 ◽

2020 ◽

Author(s):

Bellia Loredana ◽

Ruggiero Roberta ◽

Nicolò Michele

Keyword(s):

Surgical Treatment ◽

Diode Laser ◽

Surgical Therapy ◽

Test Group ◽

Control Group ◽

Probing Depth ◽

Baseline Test ◽

Mechanical Therapy ◽

Non Surgical Treatment

Mechanical surface treatment and removal of the above and subgingival biofilm (Tartar ablation; SRP) are considered the most suitable tools for the treatment of periodontal inflammatory diseases, with the aim of destroying bacterial bioflim, reducing bacteria, and slowing down recolonization by pathogenic microorganisms. Often, however, the only S&RP are not enough, as there are patients who are experiencing relapses. Recently, laser therapy has been suggested as a potential tool to improve the outcome of periodontal non-surgical treatment. The objective of the following study was to evaluate the clinical healing of periodontal pockets treated with mechanical therapy, scaling and root planing, and diode laser application, compared to that obtained with non-surgical mechanical therapy alone. The study was designed as a randomized controlled clinical trial. Patients in the control group (13 patients) underwent conventional non-surgical therapy only, while patients in the test group (17 patients) were associated with conventional non-surgical treatment, a laser irradiation session. At baseline and after 6 months, the parameters of probing depth (PD), bleeding on probing (BOP), gingival recession (REC) were assessed The main variable of this study was the PD (probing depth) FMPS and FMBS at follow-up improved in both groups. The FMPS baseline test group 32.59 ± 6.74 - follow up 12.00 ± 3.16. The baseline of the control group showed 33.00 ± 9.55, the follow up 13.15 ± 4.85 The FMBS baseline test group found 24.29 ± 5.01 while at follow 9.65 ± 2.69. The baseline control group 30.31 ± 7.74, Follow up 11.08 ± 2.33. There is a statistical significance. (P.VALUE 0.0001) There were no significant differences between the groups in terms of PD, CAL and BOP at baseline and at follow-up. PD Test group 4,89±1,58 3,95±0,85 0,0001 Control group 5,02±1,57 4,01±0,86 CAL (mm)Test group 0,89±2,29 0,77±1,91 Control group 0,28±1,38 0,24±1,14 REC Test group 0,19±0,49 0,19±0,51 Control group 0,06±0,29 0,57±029 BOP Test group 51,2% 23,5% Control group 54,0% 20,9% The results showed differences in both baseline and follow-up for REC. Test group 0,19±0,49 0,19±0,51-Control group0,06±0,29 0,57±029 In intra-group analyzes, there are differences between baseline and follow-up for all values, except for REC in the control group. The diode laser can be used as an appropriate device for periodontal treatments, but it can offer additional and significant benefits if used according to appropriate protocols and parameters, and especially if associated with non-surgical, manual and ultrasound periodontal instrumentation, always site-specific , as it is a tool that does not replace traditional methods.

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Effect of a Vibration System on Pain Reduction during Injection of Dental Anesthesia in Children: A Randomized Clinical Trial

International Journal of Dentistry ◽

10.1155/2021/8896408 ◽

2021 ◽

Vol 2021 ◽

pp. 1-8

Author(s):

Muhanad AlHareky ◽

Jehan AlHumaid ◽

Sumit Bedi ◽

Maha El Tantawi ◽

Mazin AlGahtani ◽

...

Keyword(s):

Clinical Trial ◽

Test Group ◽

The United States ◽

Nerve Fibers ◽

T Test ◽

Control Group ◽

Controlled Clinical Trial ◽

Clinical Trial Registry ◽

Dental Anesthesia ◽

Gate Control Theory

Background. The ‘‘gate control’’ theory suggests pain can be reduced by simultaneous activation of larger diameter nerve fibers using appropriate coldness, warmth, rubbing, pressure, or vibration. This study investigated the efficacy of a device combining cold and vibration, for needle-related procedural pain in children. Methodology. A total of 51 children aged 5–12 years participated in this randomized controlled clinical trial. Half of the children were in the control group and received maxillary buccal infiltration, by injecting 1.8 ml of 2% lidocaine with 1 : 100,000 adrenaline using topical anesthesia 20% benzocaine gel for 15 seconds, while the other half were in the test group and received the same anesthesia using a commercially available external cold and a vibrating device. A face version of Visual Analogue Scale (VAS) was used as a subjective measure to assess the child’s pain experience. The parents were requested to evaluate the child’s ability to tolerate pain using a behavioral/observational pain scale. Sound, Eyes, and Motor (SEM) scale and Faces, Legs, Activity, Cry, and Consolability (FLACC) scale were used to record the child’s pain as perceived by the external evaluator. T-test or Mann–Whitney U-test was used for scale variables, paired sample T-test or Wilcoxon rank t-test was used for before and after data, and chi-square was used for categorical variable, based on the results of normality test. Results. The results showed a statistically significant reduction in pain after the injection for the test group compared with control using VAS scale (mean = 6.68 (1.09) and 8.42 (0.50); p = 0.001 ) and FLACC scale (mean = 5.92 (1.05) and 8.16 (0.54); p = 0.002 ), but not when using SEM scale (mean 3.22 (0.42) and 4.24 (2.74); p = 0.08 ). Conclusions. Combined external cold and vibrating devices can be an effective alternative in reducing experienced pain and fear in children undergoing infiltration dental anesthesia. This study was registered with clinical trial registry of the United States National Institutes of Health (NIH) at ClinicalTrials.gov (NCT03953001).

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