Oral Home Care and the Reasons for Seeking Dental Care by Individuals on Renal Dialysis

2002 ◽  
Vol 3 (2) ◽  
pp. 31-41 ◽  
Author(s):  
Farhad Atassi

Abstract A cross-sectional study of 90 patients on renal dialysis was conducted to assess oral home care practices and the reasons for seeking dental care among these patients. Participants were divided into three groups based on the time they have been on renal dialysis. The groups were: (1) dialysis for less than one year, (2) dialysis for 1 to 3 years, and (3) dialysis for more than 3 years. Information regarding oral home care such as frequency of brushing, oral hygiene aids, and reasons for seeking dental care was obtained through a personal interview with the patients. Their oral health status was assessed using a plaque index and a gingival index. The means of plaque index were 1.716 (S.D 0.64), 2.161 (S.D 0.36), and 2.255 (S.D 0.42) respectively for the groups. The means of gingival index were 1.4278 (S.D 0.67), 1.9667 (S.D 0.38), and 2.0556 (S.D 0.35) for the three groups respectively. Tukey's post hoc test showed significant difference in both the indices between first and second groups and between the first and third groups, no significant difference was found between the second and third groups. The results indicate that oral home care practices were inadequate due to the presence of an unacceptable level of oral hygiene among the patients. Miswak (a wooden, Salvadora persica, chewing stick that is popular in the middle east to mechanically clean the teeth) has been found to be popular among the subjects. The primary purpose of dental clinic visits was for treatment of a dental problem rather than for the prevention of dental disease. There is a need for oral health promotion and especially prevention programs among the patients on renal dialysis. Citation Atassi F. Oral Home Care and the Reasons for Seeking Dental Care by Individuals on Renal Dialysis. J Contemp Dent Pract 2002 May;(3)2: 031-041.

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.


2004 ◽  
Vol 12 (2) ◽  
pp. 149-153 ◽  
Author(s):  
Giovanna Pires da Silva Ribeiro de Rezende ◽  
Luciane Ribeiro de Rezende Sucasas da Costa ◽  
Regina Aparecida Cardoso

According to the current paradigm for promoting health, dental care should be a consideration from the first months of life, or even before birth. The aim of this paper is to evaluate mothers' knowledge of and attitude toward their babies' oral health after receiving guidance during the neonatal period. Forty-six mothers were contacted and asked about the advice they had received and how they felt about the information provided. The mothers recruited for the study were divided into two groups, A (n=25) and B (n=21), according to the time elapsed since their participation in the project, that is, less than or equal to three months and more than three months, respectively. A Wilcoxom rank sum test did not show any statistically significant difference between the two groups (p>0.05). Guidance on the baby's oral hygiene, breastfeeding the baby exclusively until the sixth month, as well as the restrictions imposed on sugar intake were what the mothers remembered most. Recommendations concerning good arch development and the use of bottles were what mothers remembered least. Regarding infant oral health, it would be advisable to schedule prenatal and neonatal visits, with the second post-natal consultation no later than four months after childbirth.


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.


Author(s):  
Letícia Ribeiro Coqueiro Barros ◽  
Danielle Gregorio ◽  
Márjori Frítola Yokoyama ◽  
Alessandra Vaz Pinto Hapner ◽  
Gabriela Fleury Seixas ◽  
...  

Para evitar doenças como cárie dentária e problemas periodontais é importante estimular hábitos de higiene bucal adequados para que o biofilme seja eficientemente removido pelos indivíduos. O presente estudo objetivou-se a comparar o índice de higiene bucal de um grupo de crianças antes e após estratégias motivacionais de higiene bucal e promoção de saúde. A amostra foi constituída por 43 crianças, 10 a 15 anos, de uma escola pública. Os dentes foram evidenciados com fucsina e o índice de Higiene Oral Simplificado (IHOS) foi avaliado, por um único pesquisador, 7 dias antes (IHOS-1) e 60 dias após (IHOS-2) a uma estratégia de motivação educacional em saúde bucal. Para análise dos dados utilizou-se GraphPad Prism 6 (GraphPad Software Inc., San Diego, CA, EUA), teste de normalidade D’Agostino & Pearson seguido do teste Wilcoxon para dados não paramétricos, e para paramétricos teste T-Student. Foi possível observar uma redução significativa da presença de biofilme (p = 0,028), principalmente no dente 26 (p = 0,023), enfatizando que após a realização de estratégias de promoção de saúde bucal são eficazes. Tanto no IHOS-1 quanto no IHOS-2, a arcada superior foi a arcada com maior presença de biofilme evidenciado (p < 0,001). Em relação aos gêneros, não houve diferença significante entre cada avaliação, no entanto, o gênero feminino apresentou redução significante dos valores do índice (p = 0,003). Conclui-se que as estratégias educativas- motivacionais, tendo como foco o controle do biofilme dental, impactaram positivamente na prática de higiene bucal pelos escolares.   Palavras-chave: Crianças. Saúde Bucal. Higiene Bucal. Placa Dental. Abstract To avoid diseases such as dental caries and periodontal problems, it is important to encourage oral hygiene habits, so that biofilm is efficiently removed by individual. This study aimed to compare the oral hygiene index of a group of children before and after motivational strategies for oral hygiene and health promotion. The sample consisted of 43 children, 10 to 15 years old, from a public school. The teeth were evidenced with fuchsin and the Simplified Oral Hygiene Index (IHOS) was evaluated, by a single researcher, 7 days before (IHOS-1) and 60 days after (IHOS-2) to an educational motivation strategy in oral health. For data analysis, GraphPad Prism 6 (GraphPad Software Inc., San Diego, CA, USA) was used, D’Agostino & Pearson normality test followed by the Wilcoxon test for non-parametric data, and for parametric T-Student test. It was possible to observe a significant reduction in the presence of biofilm (p = 0.028), mainly in tooth 26 (p = 0.023), emphasizing that after carrying out oral health promotion strategies, they are effective. In both IHOS-1 and IHOS-2, the upper arch was the arch with the highest presence of biofilm evidenced (p <0.001). Regarding genders, there was no significant difference between each evaluation, however, the female gender showed a significant reduction in the index values (p = 0.003). It is concluded that educational-motivational strategies, focusing on the control of dental biofilm, had a positive impact on the practice of oral hygiene by students.   Keywords: Child. Oral Health. Oral Hygiene. Dental Plaque.  


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mitra Zolfaghari ◽  
Mina Shirmohammadi ◽  
Houra Shahhosseini ◽  
Mehrshad Mokhtaran ◽  
Simin Z. Mohebbi

Abstract Background This study aimed to design a gamified smartphone application (app) and assess its efficacy for education of mothers regarding oral healthcare of their children. Methods In this pretest–posttest controlled clinical trial, a simple app and a gamified version of it were designed to enhance the oral health knowledge and practice of mothers. The app contains information about early childhood caries, health diet, sugars, baby-oral hygiene, fluoride effect, fluoride toothpaste, tooth-brushing training video and regular dental visits. The opinion of experts and 3 mothers were obtained and both apps were revised accordingly. The intervention was implemented on mothers of preschoolers referring to the specialty dental clinic of Tehran School of Dentistry in 2019. The mothers were randomly allocated to the simple app or gamified app group. Before the intervention, all mothers filled out a questionnaire regarding oral health knowledge and practice, and their demographics were collected. The plaque index (PI) of children was also measured. The mothers filled out the same questionnaire 1 month after the intervention, and the PI of children was measured again. Paired t test and linear regression model were used for statistical analysis of the data. Results Totally, 58 mother and child pairs entered the study; 40% of children were boys. The mean age of children was 4.7 ± 1.2 years. The mean knowledge score of mothers in the pretest was 10.5 and 11.3 in simple app and gamified app group, respectively, which changed to 13.1 and 14.3, respectively in the posttest. The mean practice score of mothers was 4.4 and 4.8 in simple app and gamified app groups, respectively in the pretest, which changed to 8.5 and 8, respectively in the posttest. The mean dental plaque index of children in the pretest was 0.8 and 1 in simple app and gamified app groups, respectively, which changed to 0.5 and 0.5, respectively in the posttest. Children had better Plaque control in gamified app group (P < 0.05). Conclusion After 1 month, both apps effectively improved the oral-health knowledge and practice of mothers while oral hygiene as a result of plaque control was superior in children of mothers using the gamified app. Trial registration IRCT, IRCT20131102015238N2. Registered 24 February 2019—Retrospectively registered, https://fa.irct.ir/trial/36600.


2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Dr. Sneha Meshram ◽  
Dr. Deepti Gattani ◽  
Dr. Akhilesh Shewale ◽  
Dr. Swapneel Bodele

Background-Gingivitis is inflammation of gingival. The most common cause of gingivitis is poor oral hygiene. Personality is the combination of characteristics or qualities that form an individual’s distinctive character. The oral health of the people may be affected by different personality characters. .The aim of the study was to assess the impact of the personality traits on oral hygiene performance and gingival health in dental OPD patients. Objectives-To assess the relationship between different personality traits with oral hygiene index score, gingival index score, plaque index score, oral hygiene practice, other habits, dental visits, income groups, education. Materials and Methods- In total 620 subjects of Department of Periodontlogy from Swargiya Dadasaheb Kalmegh Smruti dental College and Hospital, Nagpur India were selected for the study. The personality characters were assessed by using the Eysenck Personality Questionnaire Revised Short-form (EPQRS). Based on this questionnaire, the subjects were divided in to three subgroups Extroversion, Neuroticism and Psychoticism. Result-It was found that Simplified Oral Hygiene Index, Plaque Index Gingival Index was more in person with neuroticism type of personality. Conclusion -The findings of the present study suggested that there exist no co relation between various personality traits and associated oral health status. However further trials should be conducted in future to validate the present findings.


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.


2020 ◽  
Vol 19 ◽  
pp. e208189
Author(s):  
Saba N. Yaseen ◽  
Aisha A. Qasim ◽  
Ali R. Al-Khatib

Aim: The aim of this study was to investigate the effect of different mouth washes and to study the effect of text message reminder on the oral health status of orthodontic patients treated with fixed appliances. Methods: This study was a clinical trial with pre-test and post-test control group design, conducted on 24 patients undergoing fixed orthodontic treatment aged 15-30 years. The patients randomly divided into two groups; one received a weekly telephone text massage reminder for the instructions of brushing and rinsing while the second group did not receive any messages. Ortho-plaque index and gingival index were used to evaluate the patient’s oral hygiene status. The reading indices after brushing only were regarded as a control, then the patients were instructed to use two mouth washes, one containing sodium fluoride with cetylpyridinium chloride, the second containing chlorhexidine digluconate with cetylpyridinium chloride and Aloe Vera. Each one was used routinely for 4 weeks with the same amount and method. The washout period between the two types mouth washes was 4 weeks with a standardized toothbrush and paste. Results: Ortho-plaque index values decreased over the time between first, second and third visits. However, this index raised up at the fourth visit and again dropdown at the fifth visit. Similar results were detected for gingival index. Also, significant interaction between messages and the assessments was recorded for gingival index with a significant difference between the group of text messages and without text messages group (p<0.05). Conclusions: The results of this study showed that the combination of sodium fluoride with cetylpyridinium chloride was more potent for plaque control, while chlorhexidine digluconate with cetylpyridinium chloride and Aloe Vera combination showed a better gingival improvement. Moreover, the text messages reminder could enhance, but not replace direct oral hygiene instruction in orthodontic patients.


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


Sign in / Sign up

Export Citation Format

Share Document