Oral health promotion efficiency in the control of oral biofilm
DOI:
https://doi.org/10.5020/2433Keywords:
Biofilms, Toothbrushing, Motivation, Education.Abstract
Objective: To assess the efficacy of oral health instructions, particularly in the control of dental plaque, as well as assess the effectiveness of the reinforcement of the same instructions. Methods: A quasi-experimental study was conducted at the University Clinic of the Portuguese Catholic University (UCP) in Viseu-Portugal from January to June 2012. Three different assessments were performed with 30 participants using the O’Leary Plaque Index and a questionnaire on oral health behavior, with a one-month interval between each assessment. In the first assessment, all participants received the same instructions of oral hygiene and the O’Leary Plaque Index registration and the application of the questionnaire were performed; in the second assessment, a new registration of the O’Leary Index was made, but only the experimental group (n=16) received the reinforcement of oral health instructions, and in the third assessment, a new registration of the O’Leary Plaque Index was made for all the individuals (n=30). Results: Both control and experimental groups showed a decrease in the O’Leary Plaque Index, but the latter showed a more significant decrease in the last assessment: 38.19% (n=16) vs. 69.57% (n=14), p <0.05. Regarding the frequency of toothbrushing, in the experimental group, 68.8% (n=11) brushed the teeth at least twice a day, while in the control group only 57.1% (n=8) performed the same frequency of toothbrushing. In this case, statistically significant differences were found between the two groups (p<0.05). Conclusion: Oral health promotion through oral hygiene instruction was effective in improving oral health behaviors, and, consequentely, the control of dental biofilm. doi:10.5020/18061230.2014.p117Downloads
References
Listgarten M, Korostoff J. Cultural Health Influences.In: Harris NO, García-Godoy F. Primary Preventive Dentistry. 8th ed. New Jersey: Pearson Prentice Hall;2013. p. 23-44.
Maltz M, Jardim J, Alves L. Health promotion and dental caries. Braz Oral Res. 2010;24(Supl 1):18-25.
Ramage G, Culshaw S, Jones B, Williams C. Are we any closer to beating the biofilm: novel methods of biofilm control. Curr Opin Infect Dis. 2010;23(6):560-6.
Newman M, Takei H, Klokkevold P, Carranza F.Carranza’s Clinical Periodontology. 11th ed. St Louis: Elvisier Saunders; 2012.
Darby M. Mosby’s comprehensive review of dental hygiene. 7th ed. St Louis: Elsevier Mosby; 2012.
Dutra CMR, Ferreira EF. A motivação de pacientes portadores de doença periodontal crônica sob manutenção periodontal: um estudo qualitativo. Rev Odontol UNESP. 2005;34(1):5-10.
World Health Organization - WHO, Kaban Moslehzadeh. Oral hygiene indices [acesso em 2010 Fev 20]. Disponível em: http://www.whocollab. od.mah.se/expl/ohiintrod.html
Nightingale K, Chinta S, Agarwal P, Nemelivsky M, Frisina A, Cao Z, et al. Toothbrush efficacy for plaque removal. Int J Dent Hyg. 2014;14:1-7.
Casanova-Rosado JF, Vallejos-Sánchez AA, Minaya-Sánchez M, Medina-Solís CE, De La Rosa-Santillana R, Márquez-Corona ML, et al. Frequency of tooth brushing and associated factors in Mexican schoolchildren six to nine years of age. West Indian Med J. 2013;62(1):68-72.
Navarro RS, Esteves GV, Youssef MN. Estudo clínico do comportamento de escolares mediante escovação supervisionada e motivação no controle de placa bacteriana. Rev Odontol Univ São Paulo. 1996;10(2):153-7.
Cury JA, Tenuta LM. Evidence-based recommendation on toothpaste use. Braz Oral Res. 2014;28(Spe 1):1-7.
Bardal P, Olympio K, Bastos J, Henriques J, Buzalaf M. Education and motivation in oral health - preventing disease and promoting health in patients undergoing orthodontic treatment. Dental Press J Orthod. 2011;16(3):95-102.
Gordis L. Epidemiology. 5th ed. Philadelphia: Elvesier Saunders; 2014.
Hurling R, Claessen JP, Nicholson J, Schäfer F, Tomlin CC, Lowe CF. Automated coaching to help parents increase their children’s brushing frequency: an exploratory trial. Community Dent Health. 2013;30(2):88-93.
Pereira C, Veiga N, Amaral O, Pereira J. Comportamentos de saúde oral em adolescentes portugueses. Rev Port Saúde Pública. 2013;31(2):158-65.
Barata C, Veiga N, Mendes C, Araujo F, Ribeiro O,Coelho I. Determinação do CPOD e comportamentosde saúde oral numa amostra de adolescentes do concelho de Mangualde. Rev Port Estomatol Med Dent Cir Maxilo Fac. 2013;54(1):27-32.
Toassi RFC, Petry PC. Motivação no controle do biofilme dental e sangramento gengival em escolares.Rev Saúde Pública. 2002;36(5):634-7.
Bastos RS, Carvalho ES, Xavier A, Caldana ML, Bastos J, Lauris J. Dental caries related to quality if life in two Brazilian adolescente groups: a cross-sectional randomised study. Int Dent J. 2012;62(3):137-43.
Poutanen R, Lahti S, Seppa L, Tolvanen M, Hausen H. Oral health-related knowledge, attitudes, behavior, and family characteristics among Finnish schoolchildren with and without active initial caries lesion. Acta Odontol Scand. 2007;65(2):87-96.
Marini I, Bortolotti F, Parenti SI, Gatto MR, Bonetti GA. Combined effects of repeated oral hygiene motivation and type of toothbrush on orthodontic
patients: A blind randomized clinical trial. Angle Orthod. 2014;84(5):896-901.
Haleem A, Siddiqui M, Khan A. School-based strategies for oral health education of adolescents - a cluster randomized controlled trial. BMC Oral Health. 2012;12(542):1-12.
Pompeu JGF. Avaliação da eficácia de programa odontológico de motivação continuada para estabelecimento e manutenção da higiene bucal.Camaragibe; 1997.
Kumar S, Konde S, Raj S, Agarwal M. Effect of oral health education and fluoridated dentifrices on the oral health status of visually impaired children.Contemp Clin Dent. 2012;3(4):398-401.