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1.
Can J Dent Hyg ; 56(3): 147-154, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36451997

RESUMEN

Background: This article describes the development of an oral hygiene self-care behaviour change intervention (Safeguard Your Smile [SYS]) for Punjabi immigrant adults, using the Behaviour Change Wheel (BCW) theoretical framework. Methods: The 3 stages and 8 steps of the BCW were followed to develop the face-to-face SYS intervention. Identification of the problem in behavioural terms was enabled by referring to the results of a qualitative focus group (FG) previously conducted by the research team. Following the BCW method, the sources of behaviour were defined in terms of capability, opportunity, and motivation. Appropriate intervention functions, policy categories, behaviour change techniques (BCTs), and modes of delivery were then identified, selected, and mapped. Concrete strategies were chosen to bring about the desired oral hygiene self-care behavioural change. Results: Two main barriers to oral hygiene self-care faced by Punjabi immigrant adults were identified from the original FG: 1) inadequate knowledge and 2) inconsistent daily routine. Oral hygiene self-care behaviour was designated as a target behaviour, detailing frequency, duration, and technique. Five intervention functions (education, training, modelling, environmental restructuring, and enablement) and 2 policy categories (communication and service provision) were identified to influence the capability, opportunity, and motivation related to oral hygiene self-care behaviour. Nine BCTs were selected to influence desired oral hygiene self-care behaviour among adults. Conclusion: The development process for this SYS intervention may be employed by researchers to design a behaviour change intervention for other populations. However, additional strategies tailored to each specific context and population must be incorporated.


Contexte: Cet article décrit le développement d'une intervention de changement de comportement en matière de soins personnels d'hygiène buccodentaire à l'intention des immigrants pendjabis appelée Safeguard Your Smile (SYS), en utilisant le cadre théorique de la « roue de changement de comportement ¼ (RCC). Méthodologie: Les 3 stades et les 8 étapes de la RCC ont été suivis pour élaborer l'intervention de SYS en personne. Cibler le problème en matière de comportement a été rendu possible en se référant aux résultats d'un groupe de discussion qualitatif (GD) précédemment mené par l'équipe de recherche. Les sources du comportement ont été définies en matière de capacité, d'opportunité et de motivation, selon la méthode de la RCC. Les rôles d'intervention, les catégories de politiques, les techniques de changement de comportement (TCC) et les modes de prestation appropriés ont ensuite été ciblés, sélectionnés et répertoriés. Des stratégies concrètes ont été choisies pour obtenir le changement de comportement souhaité en matière de soins personnels d'hygiène buccodentaire. Résultats: Deux principaux obstacles aux soins buccodentaires personnels auxquels sont confrontés les immigrants pendjabis ont été ciblés dans le GD initial : 1) des connaissances inadéquates et 2) des habitudes quotidiennes incohérentes. Le comportement de soins personnels d'hygiène buccodentaire a été défini comme un comportement cible, détaillant la fréquence, la durée et la technique. Cinq rôles d'intervention (éducation, formation, modelage, restructuration de l'environnement et habilitation) et 2 catégories de politiques (communication et prestation de services) ont été ciblés pour influencer la capacité, l'opportunité et la motivation liées au comportement de soins personnels d'hygiène buccodentaire. Neuf TCC ont été sélectionnés pour influencer le comportement souhaité en matière d'hygiène buccodentaire chez les adultes. Conclusion: Le processus de développement de cette intervention SYS peut être utilisé par les chercheurs pour concevoir une intervention de changement de comportement pour d'autres populations. Cependant, des stratégies supplémentaires adaptées à chaque contexte et population spécifiques doivent être incorporées.


Asunto(s)
Emigrantes e Inmigrantes , Autocuidado , Adulto , Humanos , Higiene Bucal , Etnicidad , Motivación
2.
J. Health Biol. Sci. (Online) ; 10(1): 1-4, 01/jan./2022. tab
Artículo en Inglés | LILACS | ID: biblio-1379702

RESUMEN

Objectives: to describe and examine oral hygiene habits and self-reported gingival bleeding in women with breast cancer undergoing chemotherapy. Methods: in an observational and prospective study, 140 women were evaluated during chemotherapy between 2017 and 2019. Results and Conclusion: more than 40% of participants reported gingival bleeding at some point during chemotherapy. Flossing was unsatisfactory at baseline and in the intermediate cycle as well as did not affect self-reported gingival bleeding. The amount of tooth brushing per day was a predictor of self-reported gingival bleeding at the end of chemotherapy.


Objetivos: descrever e examinar os hábitos de higiene bucal e o autorrelato de sangramento gengival em mulheres com câncer de mama em quimioterapia. Métodos: em um estudo observacional prospectivo, foram avaliadas 140 mulheres ao longo da quimioterapia, entre 2017 e 2019. Resultados e Conclusão: mais de 40% das participantes relataram sangramento gengival em algum momento da quimioterapia. O uso de fio dental foi insatisfatório no baseline e ciclo intermediário, bem como não afetou o autorrelato de sangramento gengival. A quantidade de escovação dentária por dia foi um preditor para o autorrelato de sangramento gengival ao fim da quimioterapia.


Asunto(s)
Neoplasias de la Mama , Quimioterapia , Higiene Bucal , Dispositivos para el Autocuidado Bucal , Autoinforme
3.
J. Health Biol. Sci. (Online) ; 10(1): 1-4, 01/jan./2022. ilus
Artículo en Inglés | LILACS | ID: biblio-1370925

RESUMEN

Introduction: orofacial clefts are common congenital malformations with an important social, psychological, and economic impact. The treatment of this condition may include different surgical procedures that previously require an adequate oral condition. Case report: we report a case of dental treatment before palatoplasty in a male patient of 17 years-old with bilateral cleft lip and palate and lesion in the jugal mucosa. Final considerations: the adequacy of the oral environment is a fundamental step in the treatment of patients with orofacial clefts and aims to restore oral health regardless of the degree of complexity of the dental treatment through the reduction of the pathogenic microbiota, elimination of retentive niches, instructions on diet and adequate oral hygiene and constant patient motivation.


Objetivos: as fissuras orofaciais são malformações congênitas comuns, com importante impacto social, psicológico e econômico. O tratamento dessa condição pode incluir vários procedimentos cirúrgicos que requerem previamente uma adequada condição bucal. Relato de caso: Relatamos o caso de tratamento odontológico prévio a palatoplastia em um paciente do gênero masculino de 17 anos de idade, com fissura transforame incisivo bilateral e lesão em mucosa jugal. Considerações finais: A adequação do meio bucal é uma etapa fundamental no tratamento de pacientes com fissuras orofaciais e visa restabelecer a saúde bucal independente do grau de complexidade do tratamento odontológico por meio da redução da microbiota patogênica, eliminação de nichos retentivos, orientações sobre dieta e higiene bucal adequada e motivação constante do paciente.


Asunto(s)
Fisura del Paladar , Higiene Bucal , Paladar (Hueso) , Labio Leporino , Cissus , Caries Dental , Ansia , Rehabilitación Bucal
4.
Cochrane Database Syst Rev ; 11: CD012416, 2022 11 16.
Artículo en Inglés | MEDLINE | ID: mdl-36383760

RESUMEN

BACKGROUND: Pneumonia in residents of nursing homes can be termed nursing home-acquired pneumonia (NHAP). NHAP is one of the most common infections identified in nursing home residents and has the highest mortality of any infection in this population. NHAP is associated with poor oral hygiene and may be caused by aspiration of oropharyngeal flora into the lung. Oral care measures to remove or disrupt oral plaque might reduce the risk of NHAP. This is the first update of a review published in 2018. OBJECTIVES: To assess effects of oral care measures for preventing nursing home-acquired pneumonia in residents of nursing homes and other long-term care facilities. SEARCH METHODS: An information specialist searched CENTRAL, MEDLINE, Embase, one other database and three trials registers up to 12 May 2022. We also used additional search methods to identify published, unpublished and ongoing studies. SELECTION CRITERIA: We included randomised controlled trials (RCTs) that evaluated the effects of oral care measures (brushing, swabbing, denture cleaning mouthrinse, or combination) in residents of any age in nursing homes and other long-term care facilities. DATA COLLECTION AND ANALYSIS: At least two review authors independently assessed search results, extracted data, and assessed risk of bias in the included studies. We contacted study authors for additional information. We pooled data from studies with similar interventions and outcomes. We reported risk ratios (RRs) for dichotomous outcomes, mean differences (MDs) for continuous outcomes, and hazard ratios (HRs) or incidence rate ratio (IRR) for time-to-event outcomes, using random-effects models. MAIN RESULTS: We included six RCTs (6244 participants), all of which were at high risk of bias. Three studies were carried out in Japan, two in the USA, and one in France. The studies evaluated one comparison: professional oral care versus usual oral care. We did not include the results from one study (834 participants) because it had been stopped at interim analysis.  Consistent results from five studies, with 5018 participants, provided insufficient evidence of a difference between professional oral care and usual (simple, self-administered) oral care in the incidence of pneumonia. Three studies reported HRs, one reported IRRs, and one reported RRs. Due to the variation in study design and follow-up duration, we decided not to pool the data. We downgraded the certainty of the evidence for this outcome by two levels to low: one level for study limitations (high risk of performance bias), and one level for imprecision. There was low-certainty evidence from meta-analysis of two individually randomised studies that professional oral care may reduce the risk of pneumonia-associated mortality compared with usual oral care at 24 months' follow-up (RR 0.43, 95% CI 0.25 to 0.76, 454 participants). Another study (2513 participants) reported insufficient evidence of a difference for this outcome at 18 months' follow-up. Three studies measured all-cause mortality and identified insufficient evidence of a difference between professional and usual oral care at 12 to 30 months' follow-up. Only one study (834 participants) measured the adverse effects of the interventions. The study identified no serious events and 64 non-serious events, the most common of which were oral cavity disturbances (not defined) and dental staining. No studies evaluated oral care versus no oral care. AUTHORS' CONCLUSIONS: Although low-certainty evidence suggests that professional oral care may reduce mortality compared to usual care when measured at 24 months, the effect of professional oral care on preventing NHAP remains largely unclear. Low-certainty evidence was inconclusive about the effects of this intervention on incidence and number of first episodes of NHAP. Due to differences in study design, effect measures, follow-up duration, and composition of the interventions, we cannot determine the optimal oral care protocol from current evidence.  Future trials will require larger samples, robust methods that ensure low risk of bias, and more practicable interventions for nursing home residents.


Asunto(s)
Higiene Bucal , Neumonía , Humanos , Antisépticos Bucales , Casas de Salud/estadística & datos numéricos , Cepillado Dental/estadística & datos numéricos , Higiene Bucal/estadística & datos numéricos , Factores de Riesgo
5.
BMC Oral Health ; 22(1): 471, 2022 11 05.
Artículo en Inglés | MEDLINE | ID: mdl-36335309

RESUMEN

BACKGROUND: Dental caries is one of the most prevalent chronic diseases worldwide among children. The rs35874116 single nucleotide polymorphism (SNP) in the sweet receptor gene TAS1R2 has been associated with dental caries at a high risk in permanent teeth among school children and adults. To date, little is known about the association of this SNP with sweet intake and caries risk in the primary school children. METHODS: Total of 236 children were included, namely 118 subjects in the non-caries (NC) group and severe early childhood caries (S-ECC) group, respectively. Oral mucosa cells were collected from all the selected children, and the full length of exon 3 in TAS1R2 was sequenced to analyse rs35874116 polymorphism. A questionnaire was used to collect information about socio-demographic information, frequency of sweet intake and oral hygiene habits. Multiple logistic regression models were applied to assess the relationship of rs35874116 polymorphism with frequency of sweet intake and S-ECC among the five-year-old children. RESULTS: Children with the TT genotype of rs35874116 had a higher frequency of sweet intake than CT/CC carriers (51.3% vs. 32.7%; x2 = 5.436, p = 0.020), and S-ECC individuals were more likely to be TT genotype carriers than NC individuals (53.5% vs. 46.5%; x2 = 4.353, p = 0.037). Multiple logistic regression analyses showed that the TT genotype of rs35874116 was not only significantly related to the frequency of sweet intake (OR = 2.25, 95% CI = 1.14-4.44) but also significantly associated with S-ECC (OR = 2.11, 95% CI = 1.01 ~ 4.42). CONCLUSIONS: The rs35874116 polymorphism might increase sweet intake and the risk of S-ECC among five-year-old children in Nanning, China.


Asunto(s)
Caries Dental , Niño , Preescolar , Humanos , Estudios de Casos y Controles , China , Caries Dental/genética , Higiene Bucal , Polimorfismo de Nucleótido Simple/genética
6.
JBI Evid Implement ; 20(4): 364-373, 2022 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-36375009

RESUMEN

OBJECTIVES: This study aims to assess compliance with evidence-based criteria regarding oral hygiene principle education provided for children and adolescents in the Tabriz Faculty of Dentistry. INTRODUCTION: Oral health problems might lead to lowering the quality of life amongst children and adolescents; so, providing education regarding oral health principles is of great importance. METHODS: Eight audit criteria were assessed using the JBI Practical Application of Clinical Evidence System (PACES) and Getting Research into Practice (GriP) audit and feedback tool. Barriers were identified and dental students and staff were instructed by the team members and asked to educate children and adolescents referred to orthodontic department about oral hygiene practices. Changes in audit criteria were collected by direct observation and interview and reported using descriptive statistics. RESULTS: In the follow-up phase, the percentage of patients who were advised to brush their teeth with fluoride toothpaste twice a day, floss daily, and seek regular dental check-ups increased, as compared with the baseline audit (37, 43 and 33%, respectively). Professional fluoride application, fissure sealant and individualized intervention and/or prevention treatment plans increased by 30, 35 and 15%, respectively in the follow-up phase; while advice on diet and risks of alcohol, tobacco and smoking increased by 93%. CONCLUSION: The use of standard clinical audit tools in dentistry wards causes improvement in the compliance with providing oral hygiene principle instructions among dental students and staff. Standard tools can increase the effectiveness of corrective interventions by identifying weaknesses in patient care process.


Asunto(s)
Fluoruros , Higiene Bucal , Niño , Adolescente , Humanos , Calidad de Vida , Estudiantes de Odontología , Cooperación del Paciente
7.
Artículo en Inglés | MEDLINE | ID: mdl-36429421

RESUMEN

Nowadays, smartphone applications are widely used in different areas of life, including medical science. The present study aimed to assess the effectiveness of a smartphone application of oral hygiene instructions (OHI) on periodontal health compared to the traditional chairside OHI. All the participants (n = 39) were divided into two groups: control group and test group. Participants of the control group were given verbal OHI and participants of the test group were asked to use a smartphone application to upkeep their oral habits. The gingival index (GI) and Quigley-Hein Turesky modification index (QHTMI) were used for scoring the plaque accumulation at baseline and after one month of the periodontal treatment. A paired t-test and an independent t-test were performed to compare the mean of GI and QHTMI between intra-group and inter-group, respectively. The paired t-test showed significant differences in GI and QHTMI improvement after one month in both groups. Moreover, the independent t-test showed no significant differences between the two groups. However, the test group showed a lower mean score in GI and QHTMI assessments compared to the control group. Smartphone applications in oral health applications did not exhibit any superiority in periodontal health over the traditional OHI method in the current study.


Asunto(s)
Atención Odontológica , Higiene Bucal , Humanos , Estudios Prospectivos , Índice Periodontal , Salud Bucal
8.
Artículo en Inglés | MEDLINE | ID: mdl-36429767

RESUMEN

This study aimed to evaluate the effect of three oral hygiene tools, a regular toothbrush, an electronic toothbrush, and mouthwash, on the color stability of three different computer-aided design (CAD) and computer-aided manufactured (CAM) ceramic blocks. Feldspathic ceramic (Vita Triluxe Forte), hybrid resin ceramic (Vita Enamic), and lithium disilicate glass-ceramic (IPS e.max CAD) were used in this study. A CAD/CAM system and 81 (27 of each material) samples of ceramic blocks were used. All samples were immersed in black coffee for 15 days, and the coffee was changed twice per day. Using a spectrophotometer probe, samples on a grey background were scanned, and physical properties like surface hardness and depth were measured using interferometry and a 3D non-contact surface metrology. After 30 days of application of oral hygiene tools, instruments were used to measure various physical, mechanical, and optical properties. Vita Triluxe had the highest average color variation values (ΔE00) after 15 and 30 days of immersion in coffee in both regular and electronic toothbrushes. Moreover, IPS e.max CAD had the least ΔE00 values with no significant differences among the groups. The surface roughness (Ra) of the Vita Enamic ceramic increased when using a regular toothbrush, and the surface height (Rz) for the Vita Enamic ceramic increased when an electronic toothbrush was used. IPS e.max CAD had the greatest modules of elasticity forces, and Vita Triluxe Forte had the lowest when used with a regular toothbrush. The ΔE00 values of the tested materials were minimally increased or decreased after 30 days of cleaning, and all were clinically acceptable. Ra and Rz were the highest for Vita Enamic in comparison to the other groups. The highest percentage in IPS e.max CAD was associated with a type 1 fracture, whereas type 3 was predominantly observed with Vita Enamic, and type 2 in the Vita Triluxe group without significant differences.


Asunto(s)
Café , Inmersión , Ensayo de Materiales , Higiene Bucal , Cerámica
9.
BMC Oral Health ; 22(1): 502, 2022 11 16.
Artículo en Inglés | MEDLINE | ID: mdl-36384715

RESUMEN

BACKGROUND: Type 1 diabetes mellitus is the most common chronic disease and can be reflected in the oral cavity. The aim of this study was to analyze the impact of metabolic control on saliva, dental caries, dental plaque, gingival inflammation, and cariogenic bacteria in saliva. METHODS: A case-control epidemiologic study was performed on children with type 1 diabetes (ages 10-15 years) separated into two groups: 34 children with good metabolic control of glycated hemoglobin (HbA1c < 7.5%) and 46 children with poor metabolic control of glycated hemoglobin (HbA1c > 7.5%). Oral status was assessed using the Decay, Missing, and Filled Teeth index for permanent teeth (DMFT), plaque index and gingival index. The stimulated salivary flow rate was measured, and the colonies of Streptococcus mutans and Lactobacillus in saliva were determined. The observed children answered questions related to their frequency of brushing habits, dental visits and parents' education. Mann-Whitney U Test, Chi-Square test and Fisher's exact test were used in the statistical analyses. The significance level was set at p < 0.05. RESULTS: The children with diabetes with poor metabolic control had significantly higher values of the DMFT index, plaque index, and gingival index, more colonies, and a higher risk of Streptococcus mutans and Lactobacillus than the children with diabetes with good metabolic control (p < 0.001). The level of metabolic control of diabetes had no influence on salivary flow rates (p > 0.05). The majority of both groups with good and poor metabolic control brushed their teeth once per day, and they visited the dentist only when necessary (61.3%). However, the parents of children in both groups had medium to low levels of education, without any significant difference between groups (p > 0.05). CONCLUSION: The results indicate that children with diabetes have a lower level of oral hygiene and are potentially to dental caries and periodontal diseases, mainly when their metabolic disorder is uncontrolled.


Asunto(s)
Caries Dental , Diabetes Mellitus Tipo 1 , Niño , Humanos , Adolescente , Salud Bucal , Diabetes Mellitus Tipo 1/complicaciones , Hemoglobina A Glucada/análisis , Caries Dental/epidemiología , Caries Dental/complicaciones , Higiene Bucal , Streptococcus mutans
10.
Minerva Dent Oral Sci ; 71(5): 262-269, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36321620

RESUMEN

BACKGROUND: Dental erosion is an irreversible condition of loss of teeth hard tissues caused by intrinsic or extrinsic acids attack, without bacterial involvement. Common soft drinks have an acid pH and they release hydrogen ions and act as chelating agents, dissolving teeth mineral component. The aim of the study was to investigate the correlation between the consumption of soft drinks in children and the degree of dental erosion. METHODS: A questionnaire of 15 multiple choice questions was addressed to the parents of the 231 children needing different dental treatments. Responses were compared with the level of dental erosion of their child, that was clinically investigated using the Basic Erosive Wear Examination (BEWE) index. RESULTS: About 26.8% of subjects fall into a high-risk category of dental erosion while 24.2% in a low risk level. Socioeconomic status and oral hygiene habits are able to affect the degree of dental erosion. Toothpastes containing fluoride have not proved effective in preventing this phenomenon and no significant correlations were found between the type of toothbrush used and its frequency of use. CONCLUSIONS: It is necessary to apply preventive measures such as information on the processes and causes of erosion, instruction about right home oral hygiene maneuvers and the possible use of specific products, to avoid the development of problems related to severe dental wear.


Asunto(s)
Erosión de los Dientes , Niño , Humanos , Erosión de los Dientes/etiología , Conducta Alimentaria , Prevalencia , Bebidas Gaseosas , Higiene Bucal/efectos adversos
11.
Stomatologija ; 24(1): 21-25, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36321706

RESUMEN

BACKGROUND: Good oral hygiene is very important to ensure successful orthodontic treatment. Orthodontic treatments may cause plaque accumulation and in this way the development of caries and periodontal diseases which are basically caused by dental plaque. The aim of this study was to compare the features of oral hygiene among different age groups and genders in patients with fixed orthodontic appliances. MATERIAL AND METHODS: The study involves 118 patients aged 12 to 18 (64 males (54.2%) and 54 females (45.8%)) with fixed orthodontic appliances from the Department of Orthodontics at Danylo Halytskiy Lviv National Medical University. The patients completed the questionnaires which included 19 questions about their oral hygiene. RESULTS: It was revealed that 59 females (92.19±3.35%) believe that oral hygiene is important, but among the males number of such persons have been significantly lower - 41 (75.93±5.82%), p<0.05. Statistically significant result was obtained showing that females (46 patients (71.88±5.62%) use interdental brushes more regular (every day) than males (26 (48.15±6.80%), p<0.05. Comparing the differences between the regularity of teeth brushing in different age groups showed that 53 patients (82.81±4.72%) aged 12 to 15 and 46 (85.19±4.83%) aged 16 to 18 claimed that they brush their teeth regularly, twice a day, 8 (12.50±4.13%) and 6 (11.11±4.28%), respectively - once a day. CONCLUSION: In patients with fixed orthodontic appliances oral hygiene of 16-18-year-old respondents is better than the oral hygiene of 12-15-year-old ones.


Asunto(s)
Caries Dental , Higiene Bucal , Niño , Humanos , Adolescente , Femenino , Masculino , Aparatos Ortodóncicos/efectos adversos , Cepillado Dental , Aparatos Ortodóncicos Fijos , Caries Dental/etiología , Índice de Placa Dental
12.
BMC Oral Health ; 22(1): 476, 2022 11 08.
Artículo en Inglés | MEDLINE | ID: mdl-36348335

RESUMEN

OBJECTIVES: This questionnaire-based cross-sectional study aimed in the evaluation of oral hygiene and oral health behavior, periodontal complaints and oral health-related quality of life (OHRQoL) in pregnant women in southwest-Saxony, Germany. MATERIALS AND METHODS: Consecutive patients attending the clinics for Obstetrics and Gynecology, Heinrich-Braun-Klinikum Zwickau, Germany, were recruited in the years 2020 and 2021. The evaluation consisted of three parts: (I) dental and oral hygiene behavior, (II) periodontal complaints and (III) German short form of oral health impact profile (OHIP G14) to assess OHRQoL. RESULTS: 853 out of 1056 participants were included in the study. The pregnant women reported that they have received information on oral health during pregnancy more often from gynecologists than from dentists. Slightly more than half of the participants (51.5%) rated to regularly undergo a professional tooth cleaning. Similarly, nearly half of the women stated to perform interdental cleaning (55.8%). The most common periodontal complaint was bleeding of the gums (45.4%). The OHIP G14 findings of all questions as well as sum scores showed a median of 0. Regression analysis revealed that regular professional tooth cleaning was a predictor of better OHRQoL (ß - 0.698, CI95 0.049-1.299; p < 0.04). CONCLUSION: Oral hygiene and oral health behavior of pregnant women in southwest-Saxony requires improvement. While the overall OHRQoL of the cohort was not reduced, professional tooth cleaning and thus professional preventive measures can support OHRQoL during pregnancy. Improved interdisciplinary oral health care concepts for pregnant women should be fostered. These concepts can also positively influence OHRQoL issues.


Asunto(s)
Higiene Bucal , Calidad de Vida , Humanos , Femenino , Embarazo , Mujeres Embarazadas , Estudios Transversales , Salud Bucal , Encuestas y Cuestionarios , Conductas Relacionadas con la Salud
13.
Artículo en Inglés | MEDLINE | ID: mdl-36231862

RESUMEN

In sub-Saharan Africa, oral health is a real epidemiological challenge. Mobile applications represent a hope for the learning of oral hygiene in children and the fight against oral diseases. This study overviews and assesses the quality of mobile applications linked to oral hygiene for children currently featured on the iOS and Android stores in sub-Saharan Africa. Ten oral health professionals (OHP) used the French Mobile App Rating Scale (MARS-F) to rate 15 selected applications. The highest MARS-F scores for overall quality were reported for Bonne nuit Caillou (3.89 ± 0.74), Mon Raccoon (3.63 ± 0.95), and Chomper Chums (3.54 ± 0.54) while the lowest MARS-F scores for overall quality were achieved by Brushing time (2.31 ± 0.61), De belles dents (2.55 ± 0.55) and Brushing Hero (2.77 ± 0.53). The subjective quality scores ranged from 1.50 ± 0.68 for Brushing time to 3.25 ± 0.97 for Bonne nuit Caillou. Specificity scores ranged from 1.95 ± 0.88 (Brushing time) to 3.75 ± 0.84 (Bonne nuit Caillou). Thus, OHP rated positively the quality of the majority of mobile applications linked to oral hygiene for children, their effect on users' knowledge, attitudes, and intentions to change, and the probability of effective oral hygiene behavior modification. They stated that they would recommend their use to their patients who need them. However, studies analyzing the change in oral hygiene behavior of children using these apps need to be conducted.


Asunto(s)
Aplicaciones Móviles , África del Sur del Sahara , Terapia Conductista , Higiene Bucal
14.
West Afr J Med ; 39(10): 1040-1044, 2022 Oct 20.
Artículo en Inglés | MEDLINE | ID: mdl-36260498

RESUMEN

BACKGROUND: Street-children (Almajirai) constitute a significant proportion of the adolescent population in northern Nigeria. They face health challenges, especially oral health, from being inadequately protected, supervised or directed by responsible adults. OBJECTIVES: The objective of the study was to determine the prevalence of dental caries, dental trauma, gingivitis and oral hygiene scores in street-children. METHODOLOGY: Three hundred and sixty-six school-aged children were selected through a multi-stage sampling of 10 to 12-year-old children from four modern and traditional qur'anic schools, and examined for oral conditions using the WHO protocol. The DMFT index, the modified Ellis criteria, the Gingival Bleeding Index and the Oral Hygiene Index-Simplified (OHI-S) were used to assess dental caries, traumatic dental injuries, gingivitis and oral hygiene scores respectively. Chi-squared tests and Odds Ratio were used to compare the difference and test the association between Almajirai groups. Data analysis was carried out using the Statistical Package for the Social Sciences (SPSS version 20). Statistical significance was considered when p < 0.05. RESULTS: One hundred and sixty eight (45.9%) traditional Almajirai and 198 (59.4%) modern-type Almajirai, participated in the study. Their mean age was 10.8(±0.8) years. The prevalence of dental caries was 25.4% with mean DMFT and SiC scores of 0.6 (±1.3) and 1.7 respectively. DMFT scores ranged from 0 to 12. The prevalence of traumatic dental injuries and gingivitis were 8.7% and 82.2% respectively, while the OHI-S score was 3.0. The odds for traumatic dental injuries were 41% less in the modern-type Almajirai (p=0.02); the modern-type Almajirai were twice as likely to develop gingivitis (aOR 95%CI =2.0, p=0.01). OHI-S scores showed poorer oral hygiene levels in the modern Almajirai (p=0.02). CONCLUSION: Dental caries, traumatic dental injuries, gingivitis and poor oral hygiene were prevalent among street-children in Kano. There is a high level of untreated dental disease in the study population.


CONTEXTE: Les enfants des rues constituent une proportion importante de la population adolescente du nord du Nigeria. Ils sont confrontés à des problèmes de santé, notamment de santé bucco-dentaire, du fait qu'ils ne sont pas suffisamment protégés, supervisés ou dirigés par des adultes responsables. OBJECTIFS: L'objectif de cette étude était de déterminer la prévalence des caries dentaires, des traumatismes dentaires, de la gingivite et des scores d'hygiène buccale chez les enfants des rues. MÉTHODOLOGIE: Trois cent soixante-six enfants d'âge scolaire ont été sélectionnés par un échantillonnage à plusieurs degrés d'enfants de 10 à 12 ans dans quatre écoles qur'aniques modernes et traditionnelles, et ont été examinés pour les conditions bucco-dentaires en utilisant le protocole de l'OMS. L'indice CAOD, les critères d'Ellis modifiés, l'indice de saignement gingival et l'indice d'hygiène buccale simplifié (IOB-S) ont été utilisés pour évaluer les caries dentaires, les lésions dentaires traumatiques, la gingivite et les scores d'hygiène buccale, respectivement. Les tests du chi carré et l'Odds Ratio ont été utilisés pour comparer les différences et tester l'association entre les groupes Almajirai. L'analyse des données a été réalisée à l'aide du progiciel statistique pour les sciences sociales (SPSS version 20). La signification statistique a été considérée lorsque p < 0,05. RÉSULTATS: Cent soixante-huit (45,9%) Almajirai traditionnels et 198 (59,4%) Almajirai de type moderne ont participé à l'étude. Leur âge moyen était de 10,8 (±0,8) ans. La prévalence de la carie dentaire était de 25,4 % avec des scores moyens de CAOD et de SiC de 0,6 (±1,3) et 1,7 respectivement. Les scores CAOD variaient de 0 à 12. La prévalence des lésions dentaires traumatiques et de la gingivite était de 8,7 % et 82,2 % respectivement, tandis que le score OHI-S était de 3,0. Les risques de lésions dentaires traumatiques étaient 41 % moins élevés chez les Almajirai de type moderne (p=0,02) ; les Almajirai de type moderne étaient deux fois plus susceptibles de développer une gingivite (aOR 95%CI =2,0, p=0,01). Les scores OHI-S ont montré des niveaux d'hygiène buccale plus faibles chez les Almajirai de type moderne (p=0,02). CONCLUSION: Les caries dentaires, les lésions dentaires traumatiques, les gingivites et une mauvaise hygiène bucco-dentaire étaient prévalentes chez les enfants des rues de Kano. Il existe un niveau élevé de maladies dentaires non traitées dans la population étudiée. Mots clés: Caries, enfants des rues, Almajirai, Adolescents, Hygiène buccale, Gingivite.


Asunto(s)
Caries Dental , Gingivitis , Traumatismos de los Dientes , Adolescente , Humanos , Niño , Higiene Bucal , Nigeria/epidemiología , Caries Dental/epidemiología , Caries Dental/etiología , Estudios Transversales , Gingivitis/epidemiología , Gingivitis/etiología , Prevalencia , Traumatismos de los Dientes/epidemiología , Traumatismos de los Dientes/etiología
15.
J Dent Hyg ; 96(5): 42-51, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36224087

RESUMEN

Purpose: Autism spectrum disorder (ASD) is a developmental disorder affecting an individual's ability to communicate, interact, behave, and learn. The purpose of this study was to determine knowledge, attitudes, and confidence of dental hygiene students in providing care to children with ASD as a mechanism for evaluating dental hygiene curricula for patients with special needs.Methods: A simulated-virtual training (SVT) intervention was developed as an interactive approach for educating dental hygiene students on providing care to a child patient with ASD. The SVT intervention consisted of a scenario in which the clinician "interacted" with a child with ASD who was having difficulty in the dental environment. Pre- and post-test surveys measured students' knowledge, attitudes, and perceived confidence related to providing dental hygiene services to children with ASD prior to and following the intervention. The Wilcoxon Signed Rank was used to determine statistical significance at the p=.05 level.Results: Thirty-three second year dental hygiene students completed the pre- and post-test surveys for a response rate of 97%. Statistically significant differences were observed for self-reported confidence to provide care to patients with ASD upon graduation, assessment of the unique needs of children with ASD, and an understanding of the dental needs for children with ASD (p<0.05). Participants' confidence with performing dental hygiene services on children with ASD greatly increased, with statistically significant difference found for almost all services (i.e., oral exam, oral hygiene instruction, oral photos, radiographs, scaling, fluoride treatment; p<0.05) except selective polishing. Most (90%) agreed that there is a need for additional/elective resources to help increase comfort in providing care to children with ASD.Conclusion: Results indicate the SVT intervention increased students' knowledge, attitudes, self-perceived confidence, and comfort. Dental and dental hygiene curricula could include technologies and intervention methods to advance access to dental care by children with ASD.


Asunto(s)
Trastorno del Espectro Autista , Higiene Bucal , Actitud del Personal de Salud , Trastorno del Espectro Autista/terapia , Niño , Fluoruros , Conocimientos, Actitudes y Práctica en Salud , Humanos , Higiene Bucal/educación , Proyectos Piloto , Autoinforme , Estudiantes
16.
J Dent Hyg ; 96(5): 13-22, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36224090

RESUMEN

Purpose: Patient education and oral hygiene instruction (OHI) communication play a key role in the dental hygiene process of care. The purpose of this study was to determine whether brief motivational interviewing (BMI) was superior to traditional OHI in improving periodontal health. Chairside time needed to deliver traditional OHI as compared to BMI was also compared.Methods: A convenience sample of 60 participants were randomized into two groups. The control group received traditional OHI and the test group received BMI. Periodontal indicators of disease were collected by a blinded examiner. Interventions for both groups and data collection occurred at four time points over a 12-month period. Periodontal outcome measures were plaque score, bleeding on probing (BOP), and gingival index (GI).Results: Both groups showed significant reductions in plaque score, BOP, and GI over time. The control group had an improvement in plaque score compared to the test group at visit three (p=0.05) and at visit four (p=0.03). The test group had an improvement in GI score compared to the control group at visit four (p=0.03). Chairside time was shorter in the control (OHI) group at each time point (p<0.01).Conclusion: Both traditional OHI and BMI patient education communication methods improved periodontal outcomes measured by plaque score, BOP, and GI. The inclusion of BMI in patient education sessions was demonstrated to be feasible within the time constraints of the dental hygiene recare appointment.


Asunto(s)
Entrevista Motivacional , Atención Odontológica , Humanos , Higiene Bucal/educación , Índice Periodontal
18.
Artículo en Inglés | MEDLINE | ID: mdl-36232043

RESUMEN

Coronavirus disease (COVID-19) is an infectious disease caused by the SARS-CoV-2. The pandemic over the past two years has completely changed people's daily habits with an impact on oral hygiene, eating habits, and oral health. MATERIALS AND METHODS: The available literature was reviewed on the PubMed platform and from other sources MEDLINE and Cochrane Reviews. The analysis included comparative and clinical trials as well as pragmatic clinical/randomized controlled trials, and observational studies which focused on the effects of COVID-19 on the dietary habits of the population, oral hygiene, and caries incidence. RESULTS: The analysis shows that the COVID-19 pandemic had a significant negative impact on dietary habits and an ambiguous impact on oral health habits of the population. The researchers showed that patients' visits were limited only to those necessary, because of fear of infecting with the SARS-CoV-2. CONCLUSIONS: The literature review shows that the COVID-19 pandemic, by affecting many aspects of everyday life, including eating habits, caring for oral hygiene, and avoiding regular visits to the dentist, may generate an increase in oral diseases. Due to the differences in knowledge results, further research observations in this field are necessary.


Asunto(s)
COVID-19 , Caries Dental , Adulto , COVID-19/epidemiología , Caries Dental/epidemiología , Susceptibilidad a Caries Dentarias , Conducta Alimentaria , Hábitos , Humanos , Higiene Bucal , Pandemias , SARS-CoV-2
19.
Int Marit Health ; 73(3): 125-132, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36217972

RESUMEN

BACKGROUND: Occupation plays a major role in the well-being of an individual and has an influence on oral health. Fishing is one such occupation that entails a lot of physical labour and encourages habits that lead to poor oral health. Therefore, it is critical to shed light on the oral health of this isolated population to improve their quality of life by various means. The aim of the study was to assess and compare the prevalence of dental caries, oral hygiene status and treatment needs of fisherman and non-fisherman population in South Goa, India. MATERIALS AND METHODS: Study design was cross-sectional in nature. After a pilot study, multi-stage random sampling technique was employed and 400 study participants were recruited. World Health Organization Oral Health Assessment Form (1997) and Oral Hygiene Index-Simplified (OHI-S) were used to record the study variables. Inter-examiner reliability assessed using Kappa statistics were found to be 90% and 88%, respectively. The data was analysed using descriptive analysis, Chi-square test, Mann-Whitney U test, Kruskal-Wallis test, and linear and logistic regression analysis. RESULTS: Fishermen had significantly higher caries prevalence (82%) and poor oral hygiene (46%) than non- -fishermen. Extraction (42.2%) and pulp care (23.6%) were the highest treatment need among fishermen. They were 2.08 times more prone to dental caries than non-fishermen. Fishermen who used a toothbrush were 4.5 times less susceptible to caries. The dependence of caries prevalence and OHI-S score on occupation, oral hygiene aid and age were 14% and 25.8%, respectively. CONCLUSIONS: Fishermen in South Goa had high caries prevalence, poor oral hygiene status and they required extensive dental treatment when compared to non-fishermen.


Asunto(s)
Caries Dental , Higiene Bucal , Estudios Transversales , Índice CPO , Caries Dental/epidemiología , Humanos , India/epidemiología , Salud Bucal , Proyectos Piloto , Prevalencia , Calidad de Vida , Reproducibilidad de los Resultados
20.
J Indian Soc Pedod Prev Dent ; 40(3): 217-218, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36260460
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