Impact of a Maternal Motivational Interviewing on Oral Health in the Mother-Child Dyad.

Motivational Interviewing (MI) has been included in dentistry programs. There exists a need for interventions in the mother-child dyad. The aim of this paper was to compare the effects of a MI-based educational program on oral care knowledge, attitudes, and practices (KAP) in the mother-child dyad to a Traditional Education-based program (TE). A community intervention trial was carried out. The experimental and control groups were made up of women between 18 and 45 years of age in the sixth month of gestation. Both groups were provided with TE. The experimental group additionally received a session based on the principles of the MI. Socio-demographic data, children's oral health KAP (COHKAP), that of the mother (MOHKAP), and maternal self-efficacy (MSE) in relation to children's oral health (COHMSE) were recorded. A baseline measurement was made, as well as a six-month follow up. The participants included 135 women with an average age of 24.88 ± 6.00. After intervention, the experimental group's COHKAP, MOHKAP, and COHMSE all increased (p < 0.001). When MI-based interventions are combined with TE, MSE and dental care KAP for the mother-child dyad in pregnant women can be improved.

Effect of silver diamine fluoride on adhesion and microleakage of a pit and fissure sealant to tooth enamel: in vitro trial.

AIM: To identify the effect of silver diamine fluoride in adhesion and microleakage of a pit and fissure sealant to tooth enamel. METHODS: An in vitro study including 120 human molars without caries, and caries grade 1 was performed. Molars were randomly divided into four groups. Occlusal surfaces of groups 2 and 4 were sealed. In groups 1 and 3 silver diamine fluoride (SDF) was placed in the occlusal surface and then molars were sealed according to manufacturer's instructions. Afterwards, all groups were submitted to the adhesion test. Groups 1 and 2 were placed in a forming cylinder and their roots were submerged in polymethyl methacrylate after that they were stored in deionised water (37 °C ± 1). Subsequently, they were tested by applying a tractional load (Instron machine, speed cross of 1 mm/min). Sealant adhesion was evaluated through: Resistance to the detachment (MPa), residues of sealant area (mm2) and adhesive remaining index (ARI) (0-3 interval). Microleakage test: Groups 3 and 4 were placed in a plastic container and subjected to 2000 cycles at different temperatures one at 6 °C ± 1 and the other at 60 °C ± 1. Later the occlusal surface was immersed for 24 h in 1% toluidine blue. Microleakage was observed by optical microscopy (10×) and was interpreted in micrometres. RESULTS: Of the samples without SDF 18.1 and 23.0% of the sealant remaining and of the samples with SDF present 100% of sealant remaining on enamel. Samples with SDF obtained an average in the test of detachment of 6.89 ± 3.09 MPa, whereas in the group without SDF the average obtained was 6.42 ± 3.35 MPa. Differences were not statistically significant (p = 0.579). Most of the samples not treated with SDF (81.6%) showed microleakage than those treated with SDF in which 47% presented microleakage. CONCLUSIONS: There is an improvement in the retention properties of a fissure sealant applied after treatment with silver diamine fluoride. The application of fissure sealant to improve the aesthetics of teeth treated with SDF is recommended.

Mothers' self-efficacy and children's oral health.

OBJECTIVES: To (i) test the validity of the Spanish Self-Efficacy Scale for Maternal Oral Care (SESMO), (ii) compare SESMO scores among socio-demographic groups and (iii) relate mothers' SESMO to children's dental status. METHODS: A limited census sample included 130 children and their mothers. The SESMO was applied through an interview, and the children's DMFT/dmft (number of decayed, missing and filled teeth) and OHI-S (oral hygiene score) were assessed through clinical examinations. To test the internal consistency and validity, the Spanish and English SESMO versions were compared. Dental status and oral hygiene were examined in different socio-demographic groups. RESULTS: Most of the families were from the middle socio-economic class, and the majority of children (65%) were ≤6 years of age. Cronbach's α was 0.82 for the English SESMO and 0.86 for the Spanish SESMO; both versions had a three-factor structure (one for each self-efficacy subscale). Overall, the factor loadings of the total and its subscale items were similar between the two SESMO versions. There was a correlation between the mothers' self-efficacy and the children's dental health status in deciduous dentition. CONCLUSIONS: The Spanish SESMO scale had similar internal consistency and validity as the previously validated English SESMO scale. Mothers' self-efficacy was associated with children's dental status in deciduous dentition but not with children's status in permanent dentition.