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Oral Hygiene Measures (oral + hygiene_measure)

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Medical Sciences	100%

Selected Abstracts

Oral Hygiene Measures and Promotion: Review and Considerations

AUSTRALIAN DENTAL JOURNAL, Issue 3 2001
Audrey Choo
Abstract Current mechanical and chemotherapeutic approaches to oral hygiene aim to modify the oral microflora to promote healthy periodontal and dental tissues. Current oral hygiene measures, appropriately used and in conjunction with regular professional care, are capable of virtually preventing caries and most periodontal disease and maintaining oral health. Toothbrushing and flossing are most commonly used, although interdental brushes and wooden sticks can offer advantages in periodontally involved dentitions. Chewing sugar-free gums as a salivary stimulant is a promising caries-preventive measure. Despite new products and design modifications, mechanical measures require manual dexterity and cognitive ability. Chemotherapeutic supplementation of mechanical measures using dentifrices, mouthrinses, gels and chewing gums as delivery vehicles can improve oral hygiene. The list includes anticalculus, antibacterial and cariostatic agents. For the population at large to make effective use of these oral hygiene measures, oral hygiene promotion needs to be implemented. Considerations include the role of parents, school and the media for children and the workplace, social environments, nursing homes and trained carers for adults and the elderly. Community oral hygiene promotion must attempt to maximise opportunities for oral health for all and reduce inequalities by removing financial and other barriers. Oral health approaches should be tailored to lifestyles and abilities of children, adults and the elderly in order to enable them to make decisions to improve personal oral hygiene and oral health. [source]

Effects of 11-month interventions on oral cleanliness among the long-term hospitalised elderly

GERODONTOLOGY, Issue 1 2007
Petteri Peltola
Objectives:, This trial studied the effects of interventions on the oral cleanliness of the long-term hospitalised elderly. Background:, Oral cleanliness is mostly poor in long-term facilities. While many agree on the importance of oral hygiene education for nursing personnel, little information and agreement exists on how to organise this education in geriatric institutions. Materials and methods:, This is a longitudinal study with interventions. After a baseline clinical examination, the patient wards were divided into three groups (A, B and C) and the type of intervention was randomly assigned. In group A, dental hygienists provided oral hygiene measures for the subjects once every 3 weeks. In group B, the nursing staff first received hands-on instructions after which they assumed responsibility for the subjects' daily oral hygiene. Group C served as a control. Denture hygiene and dental hygiene were recorded at baseline and in the end of the 11-month study period. In total, 130 subjects completed the interventions; their mean age was 82.9 years. Results:, The best outcome in both denture and dental hygiene occurred when nursing staff at the wards took care of hygiene (group B). The increase in the proportion of those with good denture hygiene was the most prominent in group B (from 11% to 56%). The proportion of subjects with poor overall dental hygiene decreased from 61% at baseline to 57% in the end, for group B from 80% to 48%. Conclusions:, Organised oral health education of the nursing staff should receive more attention. [source]

Dental hygiene education for nursing staff in a nursing home for older people

JOURNAL OF ADVANCED NURSING, Issue 6 2010
Erika Kullberg
kullberg e., sjögren p., forsell m., hoogstraate j., herbst b. & johansson o. (2010) Dental hygiene education for nursing staff in a nursing home for older people. Journal of Advanced Nursing,66(6), 1273,1279. Abstract Title.,Dental hygiene education for nursing staff in a nursing home for older people. Aim., This paper is a report of a study evaluating the effect of a repeated education programme for nursing staff in a home for older people. Background., A strong relationship exists between oral infections and general health complications (especially aspiration pneumonia) among nursing home residents and hospitalized older people. Thus, nursing staff need to be educated in oral hygiene measures. Methods., Forty-three nursing home resident older people (12 men, 31 women, age range 69,99 years) were included in a dental hygiene and gingivitis evaluation using gingival bleeding scores and modified plaque scores. Evaluation was conducted before and 3 weeks after a repeated dental hygiene education for nursing staff at a nursing home in Sweden in 2008. Dental hygiene education had been given 1·5 years previously. Findings., Forty-one residents (12 men and 29 women) were available for evaluation after the repeated dental hygiene education (one died, one had had teeth extracted). There was a reduction in gingival bleeding scores (P < 0·001), and in plaque scores (P < 0·001). Conclusion., Repeated dental hygiene education improves the dental hygiene among nursing home resident older people. In order to succeed it may be necessary to address attitudes and perceptions towards oral care in such a dental hygiene education programme for nursing staff. Improved oral hygiene contributes to reducing the incidence of healthcare-associated pneumonia among nursing home resident older people, and thus to reduced healthcare costs. [source]

Effect of an enamel matrix protein derivative (Emdogain®) on ex vivo dental plaque vitality

JOURNAL OF CLINICAL PERIODONTOLOGY, Issue 11 2001
Anton Sculean
Abstract Background: A common clinical observation following surgical periodontal therapy with an enamel matrix derivative (Emdogain®) is the improved healing of the soft tissues and the limited inflammation of the operated areas. These clinical observations are empirical and difficult to explain. One of the factors influencing the early wound healing might be a potential antimicrobial effect of Emdogain®. Aim: To investigate the effect of Emdogain® on the vitality of ex vivo supragingival dental plaque and to compare this effect to that of a standard 0.2% chlorhexidine solution. Materials and Methods: 24 patients suffering from adult periodontitis were included in the study. At the beginning of the experiment, all participants were given a professional tooth cleaning. For the following 4 days, they had to refrain from any kind of oral hygiene measures. At day 5, from each of the volunteers, a voluminous plaque biofilm sample was taken with a sterile curette from the vestibular surfaces of the 1st lower molars and divided into 5 equal parts. Each part was mounted with 5 ,l of the following solutions: (1) NaCl, (2) enamel matrix derivative dissolved in water (EMD), (3) enamel matrix derivative dissolved in the vehicle (Emdogain®), (4) vehicle (propylene glycol alginate, PGA), (5) 0.2% chlorhexidine digluconate (CHX). After a reaction time of 2 min the test solutions were sucked off, and subsequently the biofilm was stained with a fluorescence dye. The vitality of the plaque flora after the treatments was evaluated under the fluorescence microscope (VF%). Results: Plaque samples treated with NaCl showed a mean vitality of 76.8±8%. The EMD, Emdogain®, PGA and CHX showed VF values of 54.4±9.2, 21.4±10.6%, 19.6±11.6% and 32.3±11.8%, respectively. Emdogain®, PGA and CHX showed statistically highly significant reductions (p<0.0001) in terms of bacteria vitality when compared to water (negative control) and EMD. Both Emdogain® and PGA were found to be statistically significantly different compared to CHX (p<0.001) (positive control). Conclusion: The results of this study indicate that Emdogain® might have an antibacterial effect on the vitality of the ex vivo supragingival dental plaque flora. Zusammenfassung Hintergrund: Eine allgemeine klinische Beobachtung nach parodontalchirurgischer Therapie mit einem Schmelzmatrixderivat (Emdogain®) ist die verbesserte Heilung des Weichgewebes und die begrenzte Entzündung des operierten Gebietes: Diese klinischen Beobachtungen sind empirisch und schwierig zu erklären. Ein Faktor, der die frühe Wundheilung beeinflusst, könnte ein potentieller antimikrobieller Effekt von Emdogain® sein. Ziel: Untersuchung des Effektes von Emdogain® auf die Vitalität von ex vivo supragingivaler dentaler Plaque und Vergleich dieses Effektes zu demjenigen einer Standard 0.2%igen Chlorhexidinlösung. Material und Methoden: 24 Patienten, die an einer Erwachsenen-Parodontitis litten, wurden in diese Studie aufgenommen. Zu Beginn der Studie wurde bei allen Teilnehmern eine professionelle Zahnreinigung durchgeführt. An den folgenden 4 Tagen wurden keine oralen Hygienemaßnahmen erlaubt. Am Tag 5 wurde von jedem Teilnehmer eine voluminöse Plaquebiofilmprobe mit einer sterilen Kürette von der vestibulären Oberfläche des ersten unteren Molaren genommen und in 5 gleiche Teile aufgeteilt. Jeder Teil wurde mit 5 ,l der folgenden Lösungen gemischt: (1) NaCl, (2) Schmelzmatrixderivat in Wasser gelöst (EMD), (3) Schmelzmatrixderivat in einem Vehikel gelöst (Emdogain®), (4) Vehikel (Propylenglycolalginat, PGA), (5) 0.2%iges Chlorhexidindiglukonat (CHX). Nach einer Reaktionszeit von 2 Minuten wurden die Testlösungen aufgesaugt und folgend der Biofilm mit Fluoreszenzfarbstoff gefärbt. Die Vitalität der Plaqueflora nach den Behandlungen wurde unter dem Vitalfluoreszenzmikroskop (VF%) evaluiert. Ergebnisse: Die Plaqueproben, die mit NaCl behandelt wurden, zeigten eine mittlere Vitalität von 76.8±8%. Das EMD, Emdogain®, PGA und CHX zeigten VF Werte von 54.4±9.2%, 21.4±10.6%, 19.6±11.6% und 32.3±11.8%. Emdogain®, PGA und CHX zeigten statistisch signifikant höhere Reduktionen (p<0.0001) in Beziehung zur bakteriellen Vitalität, wenn zu Wasser (negative Kontrolle) und EMD verglichen wurde. Sowohl Emdogain® und PGA waren statistisch signifikant unterschiedlich zu CHX (p<0.0001) (positive Kontrolle). Schlussfolgerung: Die Ergebnisse dieser Studie zeigten, dass Emdogain® einen antibakteriellen Effekt auf die Vitalität von supragingivaler dentaler ex vivo Plaqueflora haben könnte. Résumé Origine: Une observation clinique courante durant un traitement parodontal chirurgical à l'aide de protéines de la matrice améllaire (Emdogain®) est une meilleure guérison des tissus mous et une inflammation moindre. Ces observations cliniques sont empiriques et difficiles à expliquer. Un des facteurs influençant la guérison précoce peut être un effet antimicrobien de l'EMD. But: Le but de cette étude a été d'évaluer l'effet de l'Emdogain® sur la vitalité de la plaque dentaire sus-gingivale ex vivo et de comparer cet effet avec une solution de chlorhexidine 2%. Matériaux et Méthodes: 24 patients souffrant de parodontite de l'adulte ont été inclus dans cette étude. Au début de l'expérience, tous les participants ont recu un nettoyage dentaire professionnel. Pendant les 4 journées suivantes, ils ont dû arrêté toute hygiène buccale. Au jour 5, une quantité de plaque dentaire volumineuse a étééchantillonné des surfaces vestibulaires des premières molaires inférieures de chaque volontaire à l'aide d'une curette stérile et divisée en 5 parts égales. Chaque partie a été montée avec 5 ,l des solutions suivantes: (1) NaCl, (2) EMD: dérivé de la matrice améllaire dissout dans l'eau (3) Emdogain®: dérivé de la matrice améllaire dissout dans son véhicule, (4) PGA: le véhicule propylène glycol alginate, (5) CHX: chlorhexidine 0.2%. Après un temps de réaction de 2 min, les solutions tests ont été aspirées et le biofilm dentaire a été imprégné d'un colorant de fluorescence. La vitalité de la flore de la plaque dentaire après ces traitements a étéévaluée sous microscopie à fluorescence (VF%). Résultats: Les échantillons de plaque traités avec NaCl possèdaient une vitalité moyenne de 76.8±8%. L'EMD, Emdogain®, PGA, et CHX avaient des valeurs VF respectives de 54.4±9.2%, 21.4±10.6%, 19.6±11.6% et 32.3±11.8%. Emdogain®, PGA, et CHX réduisaient la vitalité bactérienne de manière très hautement significative (p<0.0001) lorsque ces solutions étaient comparées aux contrôle négatif NaCl et à EMD. Tant Emdogain® que PGa étaient différents comparés au contrôle positif CHX (p<0.001). Conclusions: Les résultats de cette étude indiquent que Emdogain® pourrait avoir un effet antibactérien sur la vitalité de la flore se trouvant dant la plaque dentaire sus-gingivale ex vivo. [source]

Testing the efficacy of plaque removal of a prototype brush head for a powered toothbrush

JOURNAL OF CLINICAL PERIODONTOLOGY, Issue 8 2000
G. I. McCracken
Abstract Background/aims: The principal aim of the study was to compare the efficacy of a powered toothbrush (PTB) prototype (B) brush head in removing dental plaque to the relative efficacy of a marketed model (A). Method: A 12-week, 2-group, 2-treatment, double-blind trial of 2, two-brush heads (with the same power unit) recruited 62 volunteers (18,25 years) who were non-clinical university students. After a screening visit, 31 subjects were allocated to each of groups A and B at baseline with stratification according to gender and plaque index. After 48 h of plaque growth, subjects underwent a timed and supervised brushing episode with the allocated PTB (visit 1). Subjects then used the PTBs at home for 12 days before being recalled (visit 2) and asked again to abstain from all oral hygiene measures for 48 h. Supervised brushing was repeated (visit 3) before the subjects were dismissed for a further 10-week, unsupervised period of home use of the PTBs. The sequence of visits (2 and 3) was then repeated at visits 4 and 5. Results: The sole outcome variable was plaque which was scored at all visits using the modified Quigley & Hein Index (PI) at full mouth (FM), interproximal (IP) and smooth surfaces (S). At visits 1, 3 and 5, the PI was recorded both before and after supervised brushing. There were no significant differences in PI between the brushing groups at baseline, visit 1, visit 2 or visit 5 (2 sided t -test). At visit 3, the prototype achieved significantly lower PIs than the marketed PTB brush head for IP (and FM) surfaces, this difference was most apparent on posterior tooth surfaces. For within -group changes, PIs at visit 2 were significantly lower than those at baseline (paired t -test), an observation which may be attributable to the improved cleaning and ,novelty effect' of a PTB. The PIs at visit 5 were significantly higher than the baseline values (paired t test) and this may be accountable to an element of Hawthorne effect and/or, a fall off in compliance over the entire 12 weeks. Conclusion: We conclude that this in vivo model is appropriate for testing the efficacy of PTB prototypes but only over a 2-week period, as the inter-group differences were not maintained over the full 12 weeks of the trial. [source]

Post-harvest fungal quality of selected chewing sticks

ORAL DISEASES, Issue 2 2003
E Etebu
OBJECTIVE:, To study post-harvest fungal overgrowth on chewing sticks used for oral hygiene measures and role of disinfection. METHODS: ,The post-harvest fungal spoilage of chewing sticks ( Garcinia kola , Glyphea brevis and Azadirachta indica ) was investigated by subjecting the chewing sticks to different preparatory methods (some disinfected in 0.7% sodium hypochlorite before storage), storage conditions (unsealed or sealed in clear polythene) and different storage periods (2, 3 and 4 weeks). RESULTS: ,Significant differences ( P = 0.05) in mean percentage fungal colonization were dependent on plant type and storage period, but not on preparative methods and storage conditions. There were, however, significant interactions between chewing sticks and preparative methods, storage conditions and storage periods, respectively. Azadirachta indica was observed to be more susceptible to post-harvest spoilage organisms than other test plants. Generally, percentage fungal colonization increased with increase in storage period. Four genera, Penicillium spp., Aspergillus spp., Mucor spp. and Botryodiplodia spp., were implicated with post-harvest colonization of chewing sticks after 4 weeks of storage. CONCLUSION: ,The use of harvested chewing sticks after prolonged storage period is therefore not advisable for oral hygiene measures. [source]