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Milleman KR, Deener G, Milleman JL, Mish B, Schuller R, Mynarcik D. A proof of principle investigation of a novel enzyme formulation on dental calculus deposition: a 4-week randomized human clinical trial. BMC Oral Health 2024; 24:720. [PMID: 38909189 PMCID: PMC11193251 DOI: 10.1186/s12903-024-04498-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2024] [Accepted: 06/17/2024] [Indexed: 06/24/2024] Open
Abstract
BACKGROUND The dissolution of dental calculus, safely and at home, is among the more challenging issues facing the over-the-counter healthcare industry. Pontis Biologics, Inc. has developed novel model of calculus development and structure and has formulated a dentifrice (Tartarase™) using digestive enzymes as active ingredients that is shown to dissolve dental calculus in this Proof of Principle clinical trial. METHODS This investigation was designed to evaluate the safety and efficacy of a novel enzyme formulation to remove existing calculus deposits in 4 weeks, measured using the Volpe-Manhold Index (V-MI) on lingual surfaces of 6 lower anterior teeth. The test formulation was compared to Crest Cavity Protection, as a control dentifrice. A total of 40 randomized test subjects began the study with 20 assigned to the control dentifrice and 20 assigned to the Tartarase groups (ten each, one brushing with Tartarase twice daily and one brushed with Tartarase and wore a dental tray filled with Tartarase for 30 min then brushed again with Tartarase, once daily). RESULTS The Crest group experienced a 12% increase in calculus, in contrast to the results of both Tartarase groups that experienced a 40% reduction in calculus in 4 weeks of unsupervised at home use of the Tartarase toothpaste formulation. CONCLUSIONS This proof of principle study demonstrates that a dentifrice, formulated along the lines of the Tartarase material, is capable of combating calculus accumulation using the same oral hygiene habits that are common worldwide. TRIAL REGISTRATION This trial was registered retrospectively at clinicaltrials.gov and has the Unique Identification Number: NCT06139835, 14/11/2023.
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Affiliation(s)
| | - Greg Deener
- Pontis Biologics, Inc., Long Island High Technology Incubator, 25 Health Sciences Dr., Stony Brook, NY, 11790, USA
| | - Jeffery L Milleman
- Salus Research, Inc., 1220-4 Medical Park Dr., Fort Wayne, IN, 46825, USA
| | - Barbara Mish
- Pontis Biologics, Inc., Long Island High Technology Incubator, 25 Health Sciences Dr., Stony Brook, NY, 11790, USA
| | - Reinhard Schuller
- Reinhard Schuller Consulting, 37 Poplar Heights Dr., Toronto, ON, Canada
| | - Dennis Mynarcik
- Pontis Biologics, Inc., Long Island High Technology Incubator, 25 Health Sciences Dr., Stony Brook, NY, 11790, USA.
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Son JY, Kim EJ. Interdental cleaning and periodontal status among older Koreans: Findings from KNHANES VII. Gerodontology 2024; 41:295-304. [PMID: 37927103 DOI: 10.1111/ger.12725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/24/2023] [Indexed: 11/07/2023]
Abstract
OBJECTIVE To assess the association between the usage of interdental cleaning and periodontal status among older people in Korea. BACKGROUND In order to maintain oral health in older people, it is very important to use interdental cleaning devices. However, there is a lack of research on periodontal status and interdental cleaning device use in older people. METHODS This study used data collected from the 7th National Health Nutrition Survey (KNHANES VII: 2016-2018). A total of 3426 older people adults aged 65 years or older were selected from 16 489 participants. Data on sociodemographic status (sex, age, level of education, income, residential area), personal health practice (subjective health status, smoking, physical activity, hypertension, and diabetes mellitus), oral health practice (subjective oral health status, tooth brushing frequency, dental visits, and chewing problem), the number of teeth and periodontitis were collected. Periodontitis was defined as having a World Health Organisation community periodontal index (CPI) code greater than or equal to three, and severe periodontitis was defined as a CPI code 4. Participants having a CPI code of 3 or 4 were considered to have periodontal disease in this study. Logistic regression analysis investigated the association between interdental cleaning devices usage and periodontitis controlling the confounding factors. RESULTS Those who do not use dental floss had a higher rate of periodontal disease (AOR = 1.47, 95% confidence interval [CI]: 1.05 to 2.1). However, there were no significant differences by interdental brush use. In those with 20 or more teeth, non-users of dental floss had a higher risk of periodontitis in all models. Conversely, in those with fewer than 20 teeth, no significant differences were observed. CONCLUSIONS Older people with mostly intact dentitions have better periodontal health if they clean between their teeth.
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Affiliation(s)
- Ji-Young Son
- Department of Preventive and Social Dentistry, Seoul National University School of Dentistry, Seoul, South Korea
- Department of Preventive Dentistry & Public Oral Health, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, South Korea
| | - Eun-Jeong Kim
- Department of Preventive and Social Dentistry, Seoul National University School of Dentistry, Seoul, South Korea
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Huang P, Nie Q, Tang Y, Chen S, He K, Cao M, Wang Z. A novel nerol-segmented waterborne polyurethane coating for the prevention of dental erosion. RSC Adv 2024; 14:16228-16239. [PMID: 38769955 PMCID: PMC11103564 DOI: 10.1039/d4ra01744g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2024] [Accepted: 05/10/2024] [Indexed: 05/22/2024] Open
Abstract
Dental erosion is a common problem in dentistry, and it refers to the chronic pathological loss of dental hard tissues due to nonbacterially produced acids, primarily caused by the exposure of teeth to exogenous acids. Dietary factors play a pivotal part in the pathogenesis of dental erosion, with a high intake of acidic beverages leading to an increased prevalence of dental erosion in adolescents. Fluoride is mainly used in clinical practice to prevent dental erosion. However, long-term fluoride intake may lead to chronic fluorosis symptoms caused by fluoride overdose. Nano-coatings on dental surfaces have become a popular area of research in dental materials in recent years. The objective of this study was to develop a novel nerol-segmented waterborne polyurethane nano-coating to protect teeth from direct contact with an acidic environment and to provide a safe, effective method for preventing dental acid erosion.
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Affiliation(s)
- Peipei Huang
- College of Stomatology, Hangzhou Normal University Hangzhou 310000 China
- Department of Medicine, Lishui University Lishui 323000 China
| | - Qiongfang Nie
- Department of Chemistry, Lishui University Lishui 323000 China
| | - Yu Tang
- Department of Chemistry, Lishui University Lishui 323000 China
| | - Shunshun Chen
- Department of Chemistry, Lishui University Lishui 323000 China
| | - Kaiyuan He
- Department of Chemistry, Lishui University Lishui 323000 China
| | - Mingguo Cao
- College of Stomatology, Hangzhou Normal University Hangzhou 310000 China
- Department of Medicine, Lishui University Lishui 323000 China
| | - Zefeng Wang
- Department of Chemistry, Lishui University Lishui 323000 China
- R&D Center of Green Manufacturing New Materials and Technology of Synthetic Leather, Sichuan University, Lishui University Lishui 323000 China
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Kaneyasu Y, Shigeishi H, Sugiyama M, Ohta K. Development and evaluation of the "Toothbrushing Timer with Information on Toothbrushes" application: A prospective cohort pilot study. Clin Exp Dent Res 2023; 9:1206-1213. [PMID: 37872887 PMCID: PMC10728532 DOI: 10.1002/cre2.797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Revised: 08/29/2023] [Accepted: 09/22/2023] [Indexed: 10/25/2023] Open
Abstract
OBJECTIVES For people, it is challenging to be conscious of the appropriate toothbrushing time to maintain good oral health in daily life. The aim of this study was to preliminarily examine the utility of an application (app) that combines a toothbrushing timer and information on toothbrushes. MATERIALS AND METHODS We developed the "Toothbrushing Timer with Information on Toothbrushes" app to help users ensure appropriate toothbrushing time and learn about the beneficial characteristics of toothbrushes. A total of 18 participants were registered for the study. At baseline (T0) and after 1 month (T1) of app usage, study participants answered a digital questionnaire that comprised three questions on oral health practice, self-efficacy in oral hygiene, and quality of life related to oral health (Oral Health Impact Profile-14 [OHIP-14]). RESULTS Five participants were excluded from the analysis as they did not answer the digital questionnaire. Finally, 13 participants completed the survey with a follow-up of 1 month. The 13 participants were grouped into health professionals (n = 8) and non-health professionals (n = 5). The total scores for oral health practice and self-efficacy related to oral hygiene increased after a month of app usage in health professional and non-health professional groups. However, there were no significant differences between T0 and T1 in either group. The total score of OHIP-14 was lower at T1 than at T0 in both groups. Therefore, participants showed better oral health practice, self-efficacy in oral hygiene, and quality of life related to oral health at T1 compared with that at T0. CONCLUSIONS Our app showed positive results for the users and is useful in maintaining and promoting oral health awareness and practice. However, our pilot study lacks sufficient power and did not yield significant differences. Therefore, high-quality clinical trials with larger sample sizes are warranted for further improvement and evaluation.
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Affiliation(s)
- Yoshino Kaneyasu
- Department of Public Oral Health, Program of Oral Health Sciences, Graduate School of Biomedical and Health SciencesHiroshima UniversityHiroshimaJapan
| | - Hideo Shigeishi
- Department of Public Oral Health, Program of Oral Health Sciences, Graduate School of Biomedical and Health SciencesHiroshima UniversityHiroshimaJapan
| | - Masaru Sugiyama
- Department of Oral Health Sciences, Faculty of Health Care SciencesTakarazuka University of Medical and Health CareTakarazuka CityHyogoJapan
| | - Kouji Ohta
- Department of Public Oral Health, Program of Oral Health Sciences, Graduate School of Biomedical and Health SciencesHiroshima UniversityHiroshimaJapan
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Tadakamadla SK, Rathore V, Mitchell AE, Johnson N, Morawska A. Protocol of a cluster randomised controlled trial evaluating the effectiveness of an online parenting intervention for promoting oral health of 2-6 years old Australian children. BMJ Open 2022; 12:e056269. [PMID: 36229155 PMCID: PMC9562284 DOI: 10.1136/bmjopen-2021-056269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
INTRODUCTION Dental decay is a major problem among Australian children. It can be prevented through good self-care and limiting sugar intake, but many parents/caregivers lack the skills and confidence to help their children adopt these practices. This trial will evaluate the efficacy of Healthy Habits Triple P - Oral health, a web-based online programme, in improving children's oral health-related behaviours (toothbrushing, snacking practices and dental visits) and related parenting practices, thereby preventing dental caries. METHODS AND ANALYSIS This is a cluster, parallel-group, single-blinded, randomised controlled trial of an online intervention for parents/caregivers of children aged 2-6 years. From the City of Gold Coast (Australia), 18 childcare centres will be randomly selected, with equal numbers randomised into intervention and control arms. Intervention arm parents/caregivers will receive access to a web-based parenting intervention while those in the control arm will be directed to oral health-related information published by Australian oral health agencies. After the completion of the study, the Healthy Habits Triple P - Oral health intervention will be offered to parents/caregivers in the control arm. The primary outcome of this trial is toothbrushing frequency, which will be assessed via Bluetooth supported smart toothbrushes and parent/caregiver report. Data on other outcomes: parenting practices and child behaviour during toothbrushing, consumption of sugar rich foods and parents' confidence in dealing with children's demands for sugar rich food, and dental visiting practices, will be collected through a self-administered questionnaire at baseline (before randomisation), and 6 weeks (primary endpoint), 6 months and 12 months after randomisation. Data on dental caries will be collected at baseline, 12 and 18 months post-randomisation. ETHICS AND DISSEMINATION Ethical approval has been obtained from Human Research Ethics Committees of Griffith University (2020/700) and the University of Queensland (2020002839). Findings will be submitted for publication in leading international peer-reviewed journals. TRIAL REGISTRATION NUMBER ACTRN12621000566831.
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Affiliation(s)
- Santosh Kumar Tadakamadla
- Dentistry and Oral Health, Department of Rural Clinical Sciences, La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia
- Violet Vines Marshman Centre for Rural Health Research, La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia
| | - Vatsna Rathore
- Dentistry and Oral Health, Department of Rural Clinical Sciences, La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia
| | - Amy E Mitchell
- School of Nursing and Midwifery & Menzies Health Institute Queensland, Griffith University, Nathan, Queensland, Australia
- Parenting and Family Support Centre, School of Psychology, University of Queensland, Brisbane, Queensland, Australia
| | - Newell Johnson
- School of Medicine and Dentistry & Menzies Health Institute Queensland, Griffith University - Gold Coast Campus, Gold Coast, Queensland, Australia
- Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, London, UK
| | - Alina Morawska
- Parenting and Family Support Centre, School of Psychology, University of Queensland, Brisbane, Queensland, Australia
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Colvenkar S, Kunusoth R, Prakash R, Alwala AM, Ashok Kumar S. Individually Modeled 3D Printed Toothbrush and Interproximal Brush Handle With Name for Patients With Limited Manual Dexterity. Cureus 2022; 14:e27097. [PMID: 36000116 PMCID: PMC9391617 DOI: 10.7759/cureus.27097] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/21/2022] [Indexed: 11/25/2022] Open
Abstract
Maintenance of proper oral hygiene is a cumbersome task when hand and finger movement is restricted. The customized handle allows better grip on the toothbrush, making it easier to brush teeth or dentures. This increases self-esteem by reducing their dependency on others. This article describes a method of fabricating a 3D printed two-in-one customized handle for a patient with limited manual dexterity. The 3D printed handle is simple and requires less fabrication time than other methods. The customized handle is strong, durable, and resistant to water absorption. It also allows reuse with a new brush design, thus saving additional time and cost. In addition, using a customized toothbrush handle is more effective in oral plaque control than a standard toothbrush.
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Regional Disparities in Caries Experience and Associating Factors of Ghanaian Children Aged 3 to 13 Years in Urban Accra and Rural Kpando. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095771. [PMID: 35565164 PMCID: PMC9101907 DOI: 10.3390/ijerph19095771] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Revised: 04/30/2022] [Accepted: 05/04/2022] [Indexed: 11/16/2022]
Abstract
(1) The objective of this socio-epidemiologic cross-sectional study was to investigate caries burdens in Ghanaian children aged 3 to 13 years. The main focus was the analysis of urban-rural disparities and associating socio-demographic and behavioural factors. (2) Standardized caries examination with documentation of decayed, missing, filled deciduous (dmft) and permanent teeth (DMFT) was conducted in 11 school facilities according to WHO guidelines. A parental questionnaire gathered data considering associating factors. Descriptive statistics were used to evaluate their influence on caries prevalence and experience using mean dmft+DMFT, Significant Caries Index (SiC), and Specific Affected Caries Index (SaC). (3) In total, 313 study participants were included (mean age 7.7 ± 3.8 years; 156 urban, 157 rural). The urban region showed slightly higher caries prevalence (40.4% vs. 38.9%). The rural region had higher caries experience in mean dmft+DMFT (1.22 ± 2.26 vs. 0.96 ± 1.58), SiC (3.52 ± 2.73 vs. 2.65 ± 1.71), and SaC (3.15 ± 2.68 vs. 2.37 ± 1.68). Lower education and occupation level of parents and rural residence were associated to higher caries values. Sugary diet showed an inverse relation with caries prevalence and oral hygiene practices supported the generally known etiologic correlation. (4) This study highlights the importance of targeting children vulnerable to caries due to social inequality with adequate preventive means. The implementation of regular dental screening and education, e.g. in schools, may be helpful.
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Customized toothbrush handle for patients with limited manual dexterity. J Oral Biol Craniofac Res 2022; 12:385-387. [DOI: 10.1016/j.jobcr.2022.04.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2021] [Revised: 02/27/2022] [Accepted: 04/27/2022] [Indexed: 11/18/2022] Open
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PinKwan P, Woranun P, Praphasri R. A tactile graphic book with Braille and audio use improved plaque score and toothbrushing performance in visually impaired individuals. SPECIAL CARE IN DENTISTRY 2022; 42:456-463. [DOI: 10.1111/scd.12696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Revised: 12/16/2021] [Accepted: 12/26/2021] [Indexed: 11/29/2022]
Affiliation(s)
- Padthaisong PinKwan
- Department of Pediatric Dentistry, Faculty of Dentistry Mahidol University Bangkok Thailand
| | - Prapansilp Woranun
- Department of Pediatric Dentistry, Faculty of Dentistry Mahidol University Bangkok Thailand
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Shaheen RS, Alsaffan AD, Al-Dusari RS, Helmi RN, Baseer MA. Self-Perceived Oral Hygiene And Periodontal Health Among Dental and Medical Students, Dentists and Physicians in KSA. ANNALS OF DENTAL SPECIALTY 2022. [DOI: 10.51847/nvczej0ybv] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Dental Problems and Prophylactic Care in Cats-Knowledge and Perceptions among Swedish Cat Owners and Communication by Veterinary Care Staff. Animals (Basel) 2021; 11:ani11092571. [PMID: 34573537 PMCID: PMC8469879 DOI: 10.3390/ani11092571] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Revised: 07/31/2021] [Accepted: 08/26/2021] [Indexed: 11/16/2022] Open
Abstract
Simple Summary Dental disease has a negative impact on the quality of life and welfare of various species. The most important preventive measures in cats are performed by the cat owners. However, cat owners’ knowledge of dental disease and prevention is unclear. Veterinary care staff are important sources of information to the cat owners, but the type and frequency of information on dental disease prevention given to the owners have not been described. We conducted web-based surveys to investigate owners’ knowledge of and veterinary care staff’s communication of dental problems in cats. Overall, 2/3 of the cat owners knew about dental disease and listed modified eating behaviour, gingivitis, halitosis, pain and dental calculus as the most common signs. Commonly, the source of information was the internet followed by veterinary care staff, and the most known preventive measure was tooth brushing, although a small proportion performed it daily or every second day. Veterinary care staff responded that they always or sometimes informed cat owners about prophylactic dental care, most frequently by oral communication, and tooth brushing was the most common preventive measure recommended. This study indicates that cat owners have the relevant knowledge to support the oral health of cats, but the application of preventive measures needs to increase to promote welfare in cats. In particular, the motivation and practical options for owners of cats who may not tolerate tooth brushing should be considered, and alternative strategies discussed. Veterinary care staff present relevant communication but there is room to develop strategies such as improvement in education and communication. Abstract Dental problems are increasingly recognised in cats although many problems are preventable by tooth brushing. However, the knowledge level and preventive measures performed by owners are unclear. Additionally, there is a shortage of information on the communication by veterinary care staff to owners on dental health and prophylaxis in cats. The aim was to describe the knowledge and perceptions among Swedish cat owners and the communication by veterinary care staff on dental problems and prevention in cats. We distributed two electronic surveys; to cat owners and care staff, respectively. Of the cat owners, n = 407, 2/3 stated that they have knowledge about dental disease, listing modified eating behaviour as the most common sign followed by gingivitis, halitosis, pain and dental calculus. The main source of information was the internet followed by veterinary care staff, and 47% of the owners reported that they perform preventive oral health measures. The single most frequently stated preventive measure was tooth brushing, which was applied by 28% of the cat owners but with low frequency (daily n = 15, every second day n = 14). Veterinary care staff, n = 179, reported that they inform (47%) or sometimes inform (42%) cat owners on prophylactic dental care, daily or 3–7 times a week (combined 39%) most frequently by oral communication, with tooth brushing as the most common measure recommended. This study suggests that cat owners have relevant knowledge on dental health in cats, but the performed preventive measures are too infrequent to support good oral health in cats. There is room to develop strategies such as improvement in education and communication to increase welfare in cats. This includes consideration of the motivation and practical options for owners of cats who may not tolerate tooth brushing.
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Droubi L, Laflouf M, Alkurdi S, Sauro S, Mancino D, Haikel Y, Kharouf N. Does Customized Handle Toothbrush Influence Dental Plaque Removal in Children with Down Syndrome? A Randomized Controlled Trial. Healthcare (Basel) 2021; 9:healthcare9091130. [PMID: 34574905 PMCID: PMC8465411 DOI: 10.3390/healthcare9091130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Revised: 08/26/2021] [Accepted: 08/29/2021] [Indexed: 11/16/2022] Open
Abstract
The present study aimed to evaluate the effectiveness of customized handle toothbrush in dental plaque removal in children with Down syndrome in comparison to children with no special needs. A randomized clinical trial was performed on 48 children aged 6–9 years old. Participants were divided into two groups (n = 24, children with no special needs or with Down syndrome). Each group was divided into two subgroups (customized and conventional toothbrush). Plaque accumulation was evaluated using Turesky modification of the Quigley–Hein plaque index (TMQHPI) at four times (pre-brushing (T0), post-brushing at baseline (T1), 1 week (T2) and 3 weeks (T3)), and the modified gingival index (MGI) was used to evaluate the gingivitis at three times (T0, T2 and T3). Data were statistically analyzed. Plaque accumulation and gingivitis decreased significantly for all groups between T0 and T3 (p < 0.05). Both customized groups demonstrated significant lower plaque accumulation compared to conventional groups (p < 0.05) at T1, T2 and T3 and significant lower gingivitis at T3. Customizing the toothbrush handle improved child’s ability for plaque control, especially in children with Down syndrome.
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Affiliation(s)
- Line Droubi
- Department of Pediatric Dentistry, Faculty of Dental Medicine, Damascus University, Damascus 0100, Syria; (L.D.); (M.L.); (S.A.)
| | - Mohannad Laflouf
- Department of Pediatric Dentistry, Faculty of Dental Medicine, Damascus University, Damascus 0100, Syria; (L.D.); (M.L.); (S.A.)
| | - Saleh Alkurdi
- Department of Pediatric Dentistry, Faculty of Dental Medicine, Damascus University, Damascus 0100, Syria; (L.D.); (M.L.); (S.A.)
| | - Salvatore Sauro
- Department of Therapeutic Dentistry, I. M. Sechenov First Moscow State Medical University, 119146 Moscow, Russia;
- Dental Biomaterials and Minimally Invasive Dentistry, Department of Dentistry, CEU University, 46115 Valencia, Spain
| | - Davide Mancino
- Department of Endodontics, Faculty of Dental Medicine, University Hospital of Strasbourg, 67000 Strasbourg, France; (D.M.); (Y.H.)
- Department of Biomaterials and Bioengineering, INSERM UMR_S 1121, Strasbourg University, 67000 Strasbourg, France
| | - Youssef Haikel
- Department of Endodontics, Faculty of Dental Medicine, University Hospital of Strasbourg, 67000 Strasbourg, France; (D.M.); (Y.H.)
- Department of Biomaterials and Bioengineering, INSERM UMR_S 1121, Strasbourg University, 67000 Strasbourg, France
| | - Naji Kharouf
- Department of Biomaterials and Bioengineering, INSERM UMR_S 1121, Strasbourg University, 67000 Strasbourg, France
- Correspondence: ; Tel.: +33-66752-2841
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Lee SR, Han MA, Park J, Ryu SY, Kim SY. Oral health status and behavior in elderly Koreans with periodontal disease. J Public Health Dent 2021; 82:378-384. [PMID: 34240411 DOI: 10.1111/jphd.12469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Revised: 06/09/2021] [Accepted: 06/30/2021] [Indexed: 11/28/2022]
Abstract
OBJECTIVE The purpose of this study was to investigate oral health status and oral health behaviors in elderly Koreans with periodontal disease. METHODS The data of the Seventh Korea National Health and Nutrition Examination Survey (2016-2018) were used. This cross-sectional study included 2981 individuals who were at least 65 years of age. Periodontal disease was assessed in oral health exams. Subjective oral health status (e.g., toothache) and oral health behaviors (e.g., tooth brushing and oral health examination) were assessed in health interviews. Data were analyzed using descriptive statistics, chi-square tests, and logistic regression. RESULTS The overall prevalence of periodontal disease in the study population was 47.5%. Individuals with periodontal disease were more likely to have a toothache than those without periodontal disease (adjusted odds ratio [aOR] = 1.46, 95% confidence interval [CI] = 1.20-1.77). Individuals with periodontal disease were also more likely to have chewing discomfort (aOR = 1.21, 95% CI = 1.01-1.44) and less likely to use oral hygiene products (aOR = 0.74, 95% CI = 0.60-0.91) than those without periodontal disease. CONCLUSIONS About half of elderly had the periodontal disease. Elderly Koreans with periodontal disease were more likely to have poor oral health and behavior than those without periodontal disease. The results of this study provide an insight into social and behavioral factors associated with periodontal diseases in older Koreans. It is necessary to confirm these results through prospective studies.
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Affiliation(s)
- Sae-Rom Lee
- Department of Public Health, Graduate School of Health Science, Chosun University, Gwangju, South Korea.,Department of Nursing, Chosun University Hospital, Gwangju, South Korea
| | - Mi Ah Han
- Department of Preventive Medicine, College of Medicine, Chosun University, Gwangju, South Korea
| | - Jong Park
- Department of Preventive Medicine, College of Medicine, Chosun University, Gwangju, South Korea
| | - So Yeon Ryu
- Department of Preventive Medicine, College of Medicine, Chosun University, Gwangju, South Korea
| | - So Yeong Kim
- Department of Preventive Medicine, College of Medicine, Chosun University, Gwangju, South Korea
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Sharma N, Saxena V, Naithani M. Prevalence of gingivitis and associated factors in 619-year-old children in Rudraprayag District, Uttarakhand. JOURNAL OF INDIAN ASSOCIATION OF PUBLIC HEALTH DENTISTRY 2021. [DOI: 10.4103/jiaphd.jiaphd_80_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Hand and Oral Hygiene Practices among Adolescents in Dominican Republic, Suriname and Trinidad and Tobago: Prevalence, Health, Risk Behavior, Mental Health and Protective Factors. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17217860. [PMID: 33120963 PMCID: PMC7663212 DOI: 10.3390/ijerph17217860] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Revised: 10/20/2020] [Accepted: 10/24/2020] [Indexed: 10/26/2022]
Abstract
OBJECTIVE The study aimed to estimate the prevalence and correlates of oral hygiene (OH) and hand hygiene (HH) behavior among school adolescents in three Caribbean countries. METHOD In all, 7476 school adolescents (median age 14 years) from the Dominican Republic, Suriname, and Trinidad and Tobago responded to the cross-sectional Global School-Based Student Health Survey (GSHS) in 2016-2017. RESULTS The prevalence of poor OH (tooth brushing < 2 times/day) was 16.9%, poor HH (not always before meals) was 68.2%, poor HH (not always after toilet) was 28.4%, and poor HH (not always with soap) was 52.7%. In the adjusted logistic regression analysis, current cannabis use, inadequate fruit and vegetable intake, poor mental health, and low parental support increased the odds for poor OH. Rarely or sometimes experiencing hunger, trouble from alcohol use, inadequate fruit and vegetable intake, poor mental health, and low parental support were associated with poor HH (before meals and/or after the toilet, and/or with soap). CONCLUSION The survey showed poor OH and HH behavior practices. Several sociodemographic factors, health risk behaviors, poor mental health, and low parental support were associated with poor OH and/or HH behavior that can assist with tailoring OH and HH health promotion.
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Tiisanoja A, Syrjälä AM, Anttonen V, Ylöstalo P. Anticholinergic burden, oral hygiene practices, and oral hygiene status-cross-sectional findings from the Northern Finland Birth Cohort 1966. Clin Oral Investig 2020; 25:1829-1837. [PMID: 32748073 PMCID: PMC7966223 DOI: 10.1007/s00784-020-03485-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2019] [Accepted: 07/29/2020] [Indexed: 11/24/2022]
Abstract
Objectives To study the association between anticholinergic burden and oral hygiene practices and oral hygiene status among 46-year-old people. Materials and methods The study included 1945 participants from the Northern Finland Birth Cohort 1966 (NFBC1966), who had a complete dental status. The participants underwent clinical medical and dental examinations, and their medication data were gathered by combining self-reported drug use with information from the National Prescription Register. Anticholinergic burden was measured using nine previously published anticholinergic scales. Oral hygiene practices were assessed with toothbrushing frequency and oral hygiene status with the presence of visible dental plaque. Poisson regression with robust variance estimation and negative binomial regression models were used to estimate relative risks (RR). Results Thirty percent of the participants reported brushing their teeth twice a day and about 25% of their teeth had dental plaque on them. Fifteen percent of the participants used at least one anticholinergic drug or had an anticholinergic burden according to the nine anticholinergic scales. After adjustments for confounding factors, the RRs of anticholinergic burden varied between 0.95 and 1.11 for toothbrushing frequency. Anticholinergic burden (according to Anticholinergic Activity Scale, Anticholinergic Cognitive Burden, Chew’s scale) was associated statistically significantly with the number of teeth with dental plaque. For the three scales, RRs varied from 1.24 to 1.50. Conclusions Anticholinergic burden associated with poor oral hygiene. Clinical relevance The findings stress the importance of providing oral hygiene instructions and prophylactic measures to patients taking anticholinergic drugs. Electronic supplementary material The online version of this article (10.1007/s00784-020-03485-0) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Antti Tiisanoja
- Periodontology and Geriatric Dentistry, Research Unit of Oral Health Sciences, University of Oulu, P.O BOX 5000, FI-90014, Oulu, Finland. .,Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
| | - Anna-Maija Syrjälä
- Periodontology and Geriatric Dentistry, Research Unit of Oral Health Sciences, University of Oulu, P.O BOX 5000, FI-90014, Oulu, Finland.,Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
| | - Vuokko Anttonen
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.,Cariology, Endodontology and Paediatric Dentistry, Research Unit of Oral Health Sciences, University of Oulu, P.O BOX 5000, FI-90014, Oulu, Finland
| | - Pekka Ylöstalo
- Periodontology and Geriatric Dentistry, Research Unit of Oral Health Sciences, University of Oulu, P.O BOX 5000, FI-90014, Oulu, Finland.,Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
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Pengpid S, Peltzer K. Prevalence and associated factors of oral and hand hygiene behaviour among adolescents in six Southeast Asian countries. Int J Adolesc Med Health 2020; 33:421-427. [PMID: 32549158 DOI: 10.1515/ijamh-2019-0177] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2019] [Accepted: 09/22/2019] [Indexed: 11/15/2022]
Abstract
Objectives Regular tooth brushing, at least twice a day, is effective for the control and prevention of dental caries and periodontal disease, and regular hand washing with soap can effective prevent infections. The study aimed to assess the prevalence, associated factors of oral, hand hygiene behaviour, and associated factors among adolescents in six Southeast Asian countries. Methods The sample consisted of 36,173 adolescent school children (median age 14 years), from Bangladesh, Indonesia, Laos, Philippines, Thailand, and Timor-Leste that participated in the cross-sectional "Global School-based Student Health Survey" (GSHS) in 2014-2015. Results Results indicated that 17.1% of students reported <twice a day tooth brushing and sub-optimal (not always) hand washing behaviour (44.8% before meals, 31.9% after toilet use, and 55.8% with soap). In adjusted logistic regression analysis, male sex, health risk behaviour (<daily fruit and <daily vegetable consumption, sedentary behaviour), psychological distress, and lack of peer and parental or guardian support were associated with sub-optimal oral hygiene, and male sex, health risk behaviour (tobacco use, < daily fruit, <daily vegetable consumption, sedentary behaviour, physical inactivity), psychological distress and lack of peer and parental support were associated with sub-optimal hand washing hygiene behaviour. Conclusions Poor oral and hand hygiene behaviour was identified. Several factors associated with poor hygiene behaviour were identified that can help in designing programmes for promotion of adequate oral and hand hygiene practices.
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Affiliation(s)
- Supa Pengpid
- ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom, Thailand
- Department of Research Administration and Development, University of Limpopo, Polokwane, South Africa
| | - Karl Peltzer
- Department for Management of Science and Technology Development, Ton Duc Thang University, Ho Chi Minh City, Vietnam
- Faculty of Pharmacy, Ton Duc Thang University, Ho Chi Minh City, Vietnam
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Bridge G, Lomazzi M, Bedi R. Revenue allocation from SSB taxes: making the case for oral health promotion. Int Dent J 2020; 70:74-78. [DOI: 10.1111/idj.12543] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
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Kaneyasu Y, Shigeishi H, Maehara T, Fukada-Sambuichi E, Amano H, Sugiyama M. Measurement of bristle splaying of toothbrushes using digital imaging and evaluation of plaque removal efficacy over 3 months: A randomized controlled trial (RCT). Int J Dent Hyg 2019; 18:173-181. [PMID: 31868311 DOI: 10.1111/idh.12427] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2019] [Revised: 12/08/2019] [Accepted: 12/18/2019] [Indexed: 11/27/2022]
Abstract
OBJECTIVE The aim of this study was to develop an objective method to assess the degree of bristle splaying of used manual toothbrushes and to investigate their plaque removal efficacy. METHODS A randomized controlled trial targeting Hiroshima University students was performed to assess the plaque removal efficacy of polybutylene terephthalate (PBT) manual toothbrushes. Participants were randomly assigned to the soft toothbrush group (n = 40) or the medium toothbrush group (n = 40). A small number of participants discontinued the intervention for personal reasons in both the medium (n = 6) and soft (n = 2) toothbrush groups. Toothbrushes were collected immediately after first use (T0: baseline), after 1 month of use (T1: month 1), after 2 months of use (T2: month 3) and after 3 months of use (T3: month 6), following the allocation of a new toothbrush. The bristle surface area was measured using digital software. RESULTS The surface area of the bristles was significantly greater at T1, T2 and T3 than at T0 in the medium toothbrush group (n = 34) and soft toothbrush group (n = 38) (P < .001). Importantly, plaque removal efficacy, calculated from a modified plaque control record score and modified patient hygiene performance score, was significantly lower at T2 than at T0 in both groups. CONCLUSIONS Our method for evaluation of bristle splaying is considered to be reliable and reproducible. PBT toothbrushes may become less effective after two months of use.
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Affiliation(s)
- Yoshino Kaneyasu
- Department of Public Oral Health, Program of Oral Health Sciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Hideo Shigeishi
- Department of Public Oral Health, Program of Oral Health Sciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Tomoko Maehara
- Department of Public Oral Health, Program of Oral Health Sciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Eri Fukada-Sambuichi
- Department of Oral Health Sciences, School of Health Sciences, Meikai University, Sakado, Japan
| | - Hideaki Amano
- Department of Public Oral Health, Program of Oral Health Sciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Masaru Sugiyama
- Department of Public Oral Health, Program of Oral Health Sciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
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Peycheva S, Apostolova E, Gardjeva P, Peychev Z, Kokova V, Angelov A, Slavov A, Murdjeva M. Effect of Bulgarian propolis on the oral microflora in adolescents with plaque-induced gingivitis. REVISTA BRASILEIRA DE FARMACOGNOSIA-BRAZILIAN JOURNAL OF PHARMACOGNOSY 2019. [DOI: 10.1016/j.bjp.2018.11.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
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Mitha S, ElNaem MH, Chandran J, Rajah NP, Fam TY, Babar MG, Siddiqui MJ, Jamshed S. Use of Oral Cleaning Devices and Their Perceived Benefits among Malaysians in Kuala Lumpur and Johor Bahru: An Exploratory Structured Approach. J Pharm Bioallied Sci 2018; 10:216-225. [PMID: 30568379 PMCID: PMC6266646 DOI: 10.4103/jpbs.jpbs_296_16] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Background and Objectives Various devices have been used to maintain oral hygiene. These include toothbrush and toothpaste, mouthwash, dental floss, miswak, and toothpick. This study attempts to investigate the use of various oral cleaning devices and their perceived benefits among Malaysians. Methods A quantitative cross-sectional study conducted in two different cities of Malaysia. A convenience sampling approach was adopted. A total of 787 participants agreed to participate in the current research. A validated questionnaire translated into national language was used for data collection. Statistical Analysis Used Data analysis was performed using Statistical Package for Social Sciences version 20. Results About 302 respondents were in the age range of 18 - 25 years old (38.4%). There were marginally more females (55.7%) than males (44.3%). Although 99.9% of the participants used a toothbrush, a significant majority (n = 590, 75%) used more than a single device to maintain their oral hygiene. Only 311 respondents knew that toothpicks were inappropriate to use to remove food between teeth and gums, while a majority (n = 592, 75.2%) did not realize that some mouthwashes can stain the teeth. Less than half (42.1%) knew that improper use of miswak might harm the teeth. Conclusions Although their oral hygiene behaviors are relatively at a higher level, their perceived oral health benefits did not compare well.
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Affiliation(s)
- Shahid Mitha
- Pengiran Anak Puteri Rashidah Sa'adatul Bolkiah (PAPRSB) Institute of Health Sciences, Universiti Brunei Darussalam, Bandar Seri Bagawan, Brunei
| | - Mohamed Hassan ElNaem
- Department of Pharmacy Practice, Kulliyyah of Pharmacy, International Islamic University Malaysia, Kuantan, Pahang, Malaysia
| | - Jaganmohan Chandran
- Clinical Pharmacy and Pharmacy Practice Unit, AIMST University, eadong, Kedah, Malaysia
| | - Nishakaran Pushpa Rajah
- Department of Pharmacy Practice, School of Pharmacy, International Medical University, Kuala Lumpur, Malaysia
| | - Tay Yi Fam
- Department of Pharmacy Practice, School of Pharmacy, International Medical University, Kuala Lumpur, Malaysia
| | - Muneer Gohar Babar
- Division of Children and Community Oral Health, School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
| | - Mohammad Jamshed Siddiqui
- Department of Pharmaceutical Chemistry, Faculty of Pharmacy, International Islamic University Malaysia, Kuantan, Pahang, Malaysia
| | - Shazia Jamshed
- Department of Pharmacy Practice, Kulliyyah of Pharmacy, International Islamic University Malaysia, Kuantan, Pahang, Malaysia
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New Instrument for Oral Hygiene of Children with Cleft Lip and Palate. APPLIED SCIENCES-BASEL 2018. [DOI: 10.3390/app8040576] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Coker E, Ploeg J, Kaasalainen S, Carter N. Nurses' oral hygiene care practices with hospitalised older adults in postacute settings. Int J Older People Nurs 2016; 12. [PMID: 27353475 DOI: 10.1111/opn.12124] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2016] [Accepted: 05/08/2016] [Indexed: 11/29/2022]
Abstract
AIM AND OBJECTIVE The purpose of this study was to explore how nurses provide bedtime oral hygiene care, how they decide on interventions provided, and what factors influence their ability to provide oral care. BACKGROUND Current evidence links poor oral hygiene to systemic and infectious diseases such as pneumonia. Hospitalised patients, who now retain their teeth into older adulthood, often rely on nurses to provide oral hygiene care. Nurses have the potential to impact oral health outcomes and quality of life by controlling plaque. However, oral hygiene care practices of nurses in postacute hospital settings are relatively unknown. DESIGN A qualitative, exploratory multiple-case study was conducted with 25 nurses working on five inpatient units at different hospitals. METHODS Nurses were accompanied on their evening rounds to observe oral care practices, the physical environment and workflow. Thematic analysis was used to analyse the case study data including transcripts of guided conversations, field notes and documents. Within-case analysis was followed by cross-case analysis. RESULTS Findings indicate that (i) nurses often convey oral hygiene care to their patients as being optional; (ii) nurses are inclined to preserve patient autonomy in oral hygiene care; (iii) oral hygiene care is often spontaneous and variable, and may not be informed by evidence; and (iv) oral hygiene care is not embedded into bedtime care routines. CONCLUSIONS Oral hygiene care is discretionary and often missed care. IMPLICATIONS FOR PRACTICE Nurses need knowledge of the health benefits of oral care, and skills related to assessment and approaches to oral care. Availability of effective products and supplies facilitates provision of oral care. The evidence for oral hygiene care practices, outcomes of nurse-administered oral care and nursing's role in influencing the oral health literacy of patients require further study.
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Affiliation(s)
| | - Jenny Ploeg
- School of Nursing, McMaster University, Hamilton, ON, Canada
| | | | - Nancy Carter
- School of Nursing, McMaster University, Hamilton, ON, Canada
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Bizhang M, Riemer K, Arnold WH, Domin J, Zimmer S. Influence of Bristle Stiffness of Manual Toothbrushes on Eroded and Sound Human Dentin--An In Vitro Study. PLoS One 2016; 11:e0153250. [PMID: 27070901 PMCID: PMC4829200 DOI: 10.1371/journal.pone.0153250] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2015] [Accepted: 03/26/2016] [Indexed: 12/02/2022] Open
Abstract
Aim The aim of this study was to determine the influence of manual toothbrushes with different bristle stiffness on the abrasivity on eroded and sound human dentin. Materials and Methods Dentin specimens were made from impacted third molars and attributed to three groups: erosion-abrasion (EA), abrasion (A) and erosion (E). The specimens from EA and E were treated with 1% citric acid (pH 2.3) for 1 min rinsed, and neutralized with artificial saliva for 15 min. This cycle was repeated five times. Thereafter, specimens from EA and A were treated with three toothbrushes types with different bristle stiffness (soft, medium, and hard) in a custom-made toothbrushing machine. The brushing was performed at a load of 3 N with a toothpaste slurry for 630 s. This procedure was repeated five times, in group EA after each erosion cycle. EA and A groups passed through five cycles with a total of 6300 strokes. The abrasivity was analyzed by contact-free profilometry. Kruskal-Wallis and Mann-Whitney U tests were performed for statistical analysis. Results With respect to bristle stiffness there was no statistically significant difference in dentin loss within the EA group. In group A, a statistically significantly higher dentin loss was found for the soft in comparison to the hard bristles. No statistically significant differences were measured between soft/medium and medium/hard toothbrushes. The amount of dentin loss from specimens in the EA group was significantly higher than in the A group. Conclusions Within the limitations of this study, the dentin loss in the Abrasion group was higher with soft bristles than with hard ones. This result might have an influence on the toothbrush recommendations for patients with non-carious cervical lesions.
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Affiliation(s)
- Mozhgan Bizhang
- Department of Operative and Preventive Dentistry, Witten/Herdecke University, Witten, Germany
- * E-mail:
| | - Katharina Riemer
- Department of Operative and Preventive Dentistry, Witten/Herdecke University, Witten, Germany
| | - Wolfgang H. Arnold
- Department of Biological and Material Sciences in Dentistry, Witten/Herdecke University, Witten, Germany
| | - Julia Domin
- Department of Operative and Preventive Dentistry, Witten/Herdecke University, Witten, Germany
| | - Stefan Zimmer
- Department of Operative and Preventive Dentistry, Witten/Herdecke University, Witten, Germany
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Van der Sluijs E, Slot DE, Hennequin-Hoenderdos NL, Van Leeuwen MPC, Van der Weijden GA. Prebrushing rinse with water on plaque removal: a split-mouth design. Int J Dent Hyg 2016; 15:345-351. [PMID: 27082845 DOI: 10.1111/idh.12216] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/17/2016] [Indexed: 11/29/2022]
Affiliation(s)
- E Van der Sluijs
- Department of Periodontology; Academic Center for Dentistry Amsterdam (ACTA); University of Amsterdam and Vrije Universiteit Amsterdam; Amsterdam the Netherlands
| | - DE Slot
- Department of Periodontology; Academic Center for Dentistry Amsterdam (ACTA); University of Amsterdam and Vrije Universiteit Amsterdam; Amsterdam the Netherlands
| | - NL Hennequin-Hoenderdos
- Department of Periodontology; Academic Center for Dentistry Amsterdam (ACTA); University of Amsterdam and Vrije Universiteit Amsterdam; Amsterdam the Netherlands
| | - MPC Van Leeuwen
- Department of Periodontology; Academic Center for Dentistry Amsterdam (ACTA); University of Amsterdam and Vrije Universiteit Amsterdam; Amsterdam the Netherlands
| | - GA Van der Weijden
- Department of Periodontology; Academic Center for Dentistry Amsterdam (ACTA); University of Amsterdam and Vrije Universiteit Amsterdam; Amsterdam the Netherlands
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