المؤلفون: Ciara Halton, Brett Duane, Amelia Conlon Batey, Jia Wong, Aisling Corley, Fraser Hart, Jay Koh, Bridget Johnston

المصدر: British Dental Journal. 233:327-332

مصطلحات موضوعية: Adult, Male, Toothbrushing, Surveys and Questionnaires, Humans, Female, Consumer Behavior, Choice Behavior, Delivery of Health Care, General Dentistry

الوصف: Introduction A recent resurgence of sustainability in healthcare has resulted in huge progress towards more 'eco-aware' products and their incorporation into everyday life, with home oral hygiene products being not far behind. However, it is unclear which components of sustainability consumers value or how much they are willing to pay for these.Aim To use a discrete choice experiment (DCE) to evaluate preferences for attributes such as recyclable handle materials and recyclable packaging of low-cost disposable manual toothbrushes, along with the willingness to pay (WTP) for said attributes.Methods Design and implementation of the DCE were informed by best practice guidelines. A multi-method approach was used for attribute identification and refinement. Participants were recruited through an online survey platform. Conditional logistic regression model was used to estimate participant preferences for the attributes. WTP for attributes was estimated using the ratio of the coefficient of a given attribute level to the product cost coefficient.Results A total of 326 participants took part in the survey, of which 169 were women (52%). The median age was 35 years of age. The three most influential attributes were: bamboo handles (= 0.486 and WTP = £4.85 [€5.79]), recyclable plastic handles (= 0.338, WTP = £3.37 [€4.02]) and recyclable packaging (= 0.191,WTP = £2.32 [€2.77]).Conclusion Sustainable attributes dominated consumer preference when considering the purchase of a manual disposable toothbrush. This could perhaps be due to new environmental initiatives from influential oral hygiene companies or activism.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f905094d114148aeb5bf255c36d14cb3Test
https://doi.org/10.1038/s41415-022-4914-2Test

المؤلفون: Pedro Augusto Thiene, Leme, Rafaela Rie, Nishiyama, Lais Cesário, Santos, Fábio Luiz, Mialhe

المصدر: Special Care in Dentistry. 42:616-622

مصطلحات موضوعية: Adult, Male, Toothbrushing, Caregivers, Adaptation, Psychological, Humans, Female, Oral Health, Middle Aged, Oral Hygiene, General Dentistry

الوصف: Basic and daily oral hygiene care is essential for maintaining oral health in adults with special needs. The caregivers act in this process and need to be understood about the difficulties and the resources they use to deal with this demand. The aim of this qualitative study was to understand the difficulties and strategies of caregivers regarding oral hygiene for adults with special health care needs (SHCN) METHODS: Twenty-one caregivers of adults with SHCN participated in an interview in which the following questions were asked: What are the greatest difficulties in performing oral hygiene for the adult with SHCN you take care? and "How do you overcome these difficulties?" The interviews were recorded and the qualitative data were analyzed using the Discourse of the Collective Subject technique RESULTS: All respondents were female with a mean age of 58.5 years (± 10.8) and the adults with SHCN presented mean age of 30 years (± 18). The greatest difficulty pointed out by caregivers regarding oral hygiene for adults with SHCN was their non-cooperation to do such activity. Regarding coping strategies, caregivers pointed out several strategies to perform oral hygiene in adults with SHCN, such as supervising their brushing, seek for a qualified dentist to assist with this task, performing oral hygiene during the bath, performing physical restraint, among others CONCLUSION: The caregivers' perspectives indicate feelings of failure, discomfort, but also the use of creative resources to deal with the task. The results bring up themes that refer to anxieties and are related to technical and dental issues, that could be explored and need to be recognized by the reference oral healthcare team, whose responsibility it is also to work for the empowerment of caregivers.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::54f87e2d561bed9226768e0719da14b9Test
https://doi.org/10.1111/scd.12721Test

المؤلفون: Patrick A. Fee, Heather Cassie, Jan E. Clarkson, Andrew F. Hall, David Ricketts, Tanya Walsh, Beatriz Goulão

المصدر: Caries Research. 56:429-446

مصطلحات موضوعية: Adult, Toothbrushing, Root Caries, Humans, Dental Caries, General Dentistry, Toothpastes

الوصف: Root caries prevalence is increasing as populations age and retain more of their natural dentition. However, there is generally no accepted practice to identify individuals at risk of disease. There is a need for the development of a root caries prediction model to support clinicians to guide targeted prevention strategies. The aim of this study was to develop a prediction model for root caries in a population of regular dental attenders. Clinical and patient-reported predictors were collected at baseline by routine clinical examination and patient questionnaires. Clinical examinations were conducted at the 4-year timepoint by trained outcome assessors blind to baseline data to record root caries data at two thresholds – root caries present on any teeth (RC > 0) and root caries present on three or more teeth (RC ≥ 3). Multiple logistic regression analyses were performed with the number of participants with root caries at each outcome threshold utilized as the outcome and baseline predictors as the candidate predictors. An automatic backwards elimination process was conducted to select predictors for the final model at each threshold. The sensitivity, specificity, and c-statistic of each model’s performance was assessed. A total of 1,432 patient participants were included within this prediction model, with 324 (22.6%) presenting with at least one root caries lesion, and 97 (6.8%) with lesions on three or more teeth. The final prediction model at the RC >0 threshold included increasing age, having ≥9 restored teeth at baseline, smoking, lack of knowledge of spitting toothpaste without rinsing following toothbrushing, decreasing dental anxiety, and worsening OHRQoL. The model sensitivity was 71.4%, specificity 69.5%, and c-statistic 0.79 (95% CI: 0.76, 0.81). The predictors included in the final prediction model at the RC ≥ 3 threshold included increasing age, smoking, and lack of knowledge of spitting toothpaste without rinsing following toothbrushing. The model sensitivity was 76.5%, specificity 73.6%, and c-statistic 0.81 (95% CI: 0.77, 0.86). To the authors’ knowledge, this is the largest published root caries prediction model, with statistics indicating good model fit and providing confidence in its robustness. The performance of the risk model indicates that adults at risk of developing root caries can be accurately identified, with superior performance in the identification of adults at risk of multiple lesions.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5f29322057fa29efb19f9d6a80eddde0Test
https://doi.org/10.1159/000526797Test

المؤلفون: Ryutaro, Jo, Takuma, Okuda, Yumiko, Kakinoki, Asuka, Nagamori, Kei, Kurita, Yoko, Kawaguchi, Eiji, Nishinaga

المصدر: Journal of Oral Science. 64:198-201

مصطلحات موضوعية: Adult, Toothbrushing, Dental Plaque Index, Dental Plaque, COVID-19, Humans, Saliva, General Dentistry

الوصف: To clarify the effect of mouth-closed tooth brushing on the suppression of droplet generation in comparison with ordinary (mouth-open) tooth brushing and to investigate the difference in plaque removal efficacy between mouth-open and mouth-closed tooth brushing.Fourteen adults participated in the study. The labial/buccal, lingual, and occlusal surfaces of each sextant were brushed with the mouth open and closed, and a high-sensitivity camera and a high-power light source were used to measure the number of generated droplets. The plaque removal efficacy of each type of tooth brushing was evaluated according to the O'Leary Plaque Control Record.Significantly more droplets were generated by mouth-open brushing than by mouth-closed brushing. The number of droplets was highest when the lingual surfaces of the upper anterior sextants were brushed with the mouth open. In mouth-closed brushing, almost no droplets were observed from any region. The plaque removal rate with each type of brushing did not differ significantly among any regions except the lingual surfaces of the upper left sextant.Mouth-closed tooth brushing almost completely suppressed droplet generation and did not reduce the plaque removal efficacy. Therefore, mouth-closed tooth brushing is beneficial as an oral hygiene method during coronavirus disease 2019 outbreaks.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c9c9d0e744bdc68fa45e9ae005dd88ffTest
https://doi.org/10.2334/josnusd.21-0539Test

المؤلفون: Douglas Romitti, Sabrina Carvalho Gomes, Maximiliano Schünke Gomes, Adriane V. Fagundes, Rui Vicente Oppermann, Patrícia Daniela Melchiors Angst

المصدر: Clinical Oral Investigations. 26:1657-1666

مصطلحات موضوعية: Adult, Toothbrushing, Molar, Cross-Over Studies, Adolescent, business.industry, Incidence, Incidence (epidemiology), Gingiva, Dentistry, Equipment Design, Bristle, Oral hygiene, Washout period, Young Adult, McNemar's test, Gingival Diseases, Humans, Medicine, Female, business, General Dentistry

الوصف: The objective of this study was to compare the incidence of gingival fissures (GF) associated with the use of soft and medium bristle toothbrushes over three months. A blind randomized crossover clinical trial was conducted with 20 high school students (14 females, 14–24 years old) using both toothbrushes type (soft and medium bristle) during 3 months each. Periodontal examinations and photographs of premolars and molars were recorded on days 0, 30, 60, and 90 of 1st phase. Following a 10-day washout period, the 2nd phase was carried out with the participants changing the assigned brush type. Toothbrushing perception was evaluated at the end of study through a questionnaire. A calibrated and blind examiner analyzed the photographs for GF presence. Differences in the GF incidence between toothbrushes type were analyzed by McNemar test, while factors associated with GF incidence were investigated by Poisson regression. Sixty-five percent (n = 13) of participants had at least one GF throughout the study, with 40% (n = 8) of them while using medium brushes only (p = 0.039). GF occurrence was significantly associated with medium brushes (IRR, 3.582; 95% CI 1.459–8.795; p = 0.005). 58.8% of participants reported gingival soreness or bleeding with medium brushes. Both toothbrushes led to the GF occurrence. Nonetheless, medium bristles toothbrushes determined a 3.58 times greater risk of developing these lesions. Clinical relevance The use of medium bristle brush is associated with greater incidence of gingival fissures. The presence of gingival fissures should be considered by the clinician when evaluating the toothbrushing habits of patients.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8f3bba1ecd80ccc5d0b589fdb3bd763cTest
https://doi.org/10.1007/s00784-021-04138-6Test

المؤلفون: Seon-Jip Kim, Jae-Young Lee, Se-Hee Kim, Hyun-Jae Cho

المصدر: Community Dentistry and Oral Epidemiology. 50:414-420

مصطلحات موضوعية: Adult, Toothbrushing, National Health and Nutrition Examination Survey, Snacking, Dental Caries Susceptibility, business.industry, Cross-sectional study, Public Health, Environmental and Occupational Health, Interdental consonant, Dentistry, Dental Caries, Nutrition Surveys, Oral hygiene, Dental Devices, Home Care, Dental floss, Cross-Sectional Studies, Humans, Medicine, Household income, business, General Dentistry, Socioeconomic status

الوصف: Objectives To estimate the association between the use of interdental cleaning devices and proximal caries experience. Methods This study used a cross-sectional data from the Sixth Korea National Health and Nutrition Examination Survey (2013-2015). A total of 13 525 adults aged 19-64 years who participated in both the nutrition survey and the health examination survey were included. Data on sociodemographic factors (age and sex), socioeconomic factors (level of education and household income) and personal health practices (frequency of toothbrushing, visits to dental clinic, frequency of snacking and self-rated oral health status), and number of proximal caries were collected. Prevalence ratios (PRs) and 95% confidence intervals (95% CI) were calculated using the multivariable Poisson generalized linear model according to use of dental floss or an interdental brush. The risk of proximal caries for dental floss following the stratification of participants into various subgroups related to oral health was assessed. Results While nonflossers had 1.46 times (PR 1.46, 95% CI: 1.16-1.84) higher risk for proximal caries than flossers, the use of an interdental brush was not associated with proximal caries. In the nonflossers, the association for proximal caries was the strongest in those in their 40s (PR 2.28, 95% CI: 1.29-4.03), followed by those in their 30s (PR 1.85, 95% CI: 1.18-2.90). Although nonflossers with middle-low household income had a 59% higher risk (PR 1.59, 95% CI: 1.24-2.03) for proximal caries than those with high household income, there were no significant differences in household income in flossers. Conclusions The findings of the study suggest that flossing at home along with toothbrushing is one of the easiest ways to prevent proximal caries. Therefore, dental floss should not be excluded from oral healthcare products.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f8193d9b0f865fe98277ef63affe3265Test
https://doi.org/10.1111/cdoe.12690Test

المؤلفون: Erfan Shamsoddin

المصدر: Evidence-based dentistry. 23(3)

مصطلحات موضوعية: Adult, Toothbrushing, Dental Plaque, Anti-Bacterial Agents, Dental Devices, Home Care, Fluorides, Pregnancy, Humans, Sodium Fluoride, Female, General Dentistry, Dentifrices, Adjuvants, Pharmaceutic, Randomized Controlled Trials as Topic

الوصف: Design and aim This randomised controlled clinical trial assessed the efficacy of using dental floss in addition to toothbrushing in reducing gingival and plaque indices.Intervention The participants received oral hygiene instruction and supervised personal and professional plaque removal every week for two months. The research team instructed the participants to perform toothbrushing twice daily - groups 'toothbrushing and flossing' (TB + DF) and 'toothbrushing alone' - and use dental floss once daily - group TB + DF. Gingival index (GI) and plaque idex (PI) were evaluated at baseline and after one and two months.Case selection The authors invited the participants via the Federal University of Santa Maria screening service, social media and public posters. The participants were 18 years and older, without interproximal clinical attachment loss, with papillae completely filling the interproximal space and with at least 24 teeth remaining. The participants were included if they had a gingival index score of two at more than 15% of the interproximal sites. The authors excluded dental students, patients with xerostomia or diabetes, pregnant women, smokers, patients with orthodontic appliances and restraints, patients requiring antimicrobial prophylaxis, patients having used antibiotics/anti-inflammatory agents within the last three months and those with psychomotor disorders.Experimental groups and data analysis The authors used a block randomisation sequence with block sizes of ten. Randomisation confidentiality was maintained using serially sealed, numbered, opaque envelopes. At baseline, all the participants received oral prophylaxis and their GI, probing depth (PD), clinical attachment loss (CAL) and bleeding on probing (BOP) were assessed. A clinical staff member disclosed the experimental group assignments, distributed scheduled oral hygiene materials and conducted assigned study interventions. Each participant received a soft toothbrush (Colgate Twister Compact Head, New York, NY, USA) and fluoride dentifrice (Colgate Triple Action, 90 g, New York, NY, USA). Patients were instructed to brush their teeth twice daily. Subjects from the TB + DF group also received dental floss and were asked to use it once daily (Colgate, Tarpaulin, New York, NY, USA). The research team supervised the oral hygiene practices at day zero and recalled the patients to provide them with personalised oral hygiene instruction and dental plaque removal. Individual patients were considered as units of analysis. PI, GI, CAL, PD, gingival bleeding (GI = 2), BOP and percentage sites with different GI scores were presented as means, standard deviations and standard errors. The authors used multiple imputations to replace missing data and mixed linear models to analyse and compare the experimental groups.Results In total, 75 participants were randomised. Both groups showed a significant reduction in gingival inflammation (GI = 2) in the first month, albeit no change was seen in the second month. Adding flossing to toothbrushing significantly reduced the GI = 2 by the end of the first month (37.7 to 15.9%), maintaining optimised overall oral health through day 60 (15.1%) compared with toothbrushing alone. No significant differences were noted between the two groups from the first to the second month. Interproximal dental plaque was reduced for both groups from baseline to day 30 with no marked change from then to day 60. Plaque reduction was similar in both groups.Conclusions Toothbrushing reduces interdental plaque build-up and halts its progression while improving gingival health in adults with no interdental attachment loss. Dental flossing as an adjuvant to toothbrushing also enhances these benefits.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ba49016b5599e09d9e76af4cff8521a8Test
https://pubmed.ncbi.nlm.nih.gov/36151277Test

المؤلفون: Eero Raittio, Anna Liisa Suominen, Satu Helakorpi

المصدر: International Dental Journal, Vol 71, Iss 3, Pp 233-241 (2021)

مصطلحات موضوعية: Adult, Male, Toothbrushing, medicine.medical_specialty, Population level, Pooled Sample, Adolescent, Cross-sectional study, Epidemiology, Oral hygiene, Cohort Studies, 03 medical and health sciences, Habits, Young Adult, 0302 clinical medicine, Surveys and Questionnaires, medicine, Humans, 030212 general & internal medicine, General Dentistry, Finland, business.industry, Age period cohort, RK1-715, 030206 dentistry, Middle Aged, Cross-Sectional Studies, Cohort effect, Dentistry, Cohort, Female, Trends, business, Demography

الوصف: Objectives No previous study has analysed age-, period-, and cohort-related long-term trends in toothbrushing frequency among adults using a nationally representative data set. Our aim was to study age, period, and cohort effects on toothbrushing among 15- to 64-year-olds in Finland from 1978 to 2014. Methods Data were gathered by nationally representative random cross-sectional samples of 15- to 64-year-old Finns annually from 1978 to 2014, during which response rates decreased from 84% to 53%. The final pooled sample size was 119,665. An age-period-cohort model was used to separate the effects of age, period, and cohort on trends in men's and women's toothbrushing frequency. Results From 1978 to 2014, the proportion of respondents who brushed at least twice a day or once a day increased from 42% to 66% and from 83% to 95%, respectively. The proportion of respondents who brushed at least twice a day increased from 27% to 53% among men and from 60% to 75% among women. Increases in at least once-a-day toothbrushing were smaller in both sexes, and in women the increase was minimal over the study years. The increase in toothbrushing frequency occurred particularly among those older than 40 years of age. In men, toothbrushing frequency increased steadily cohort by cohort (cohort effect) and within a single cohort as men in the cohort got older (longitudinal age trend). Instead, in women the cohort effect and longitudinal age trend in toothbrushing were smaller at both frequency thresholds. Conclusions On the population level, favourable changes in toothbrushing habits occurred among adult Finns from 1978 to 2014, especially in men.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::05081065adf06b2cbfd0e371c11e72b3Test
http://www.sciencedirect.com/science/article/pii/S0020653920365333Test

المؤلفون: Junji Tagami, Michael F. Burrow, Yuichi Kitasako, Masaomi Ikeda, Tomohiro Takagaki

المصدر: Clinical Oral Investigations. 25:6939-6947

مصطلحات موضوعية: Adult, Toothbrushing, Gastric reflux, Dentistry, CITRUS JUICE, Logistic regression, Tooth brushing, 03 medical and health sciences, 0302 clinical medicine, Risk Factors, Prevalence, Humans, Medicine, Tooth Erosion, Tokyo, General Dentistry, Aged, business.industry, Incidence, Incidence (epidemiology), Health condition, Feeding Behavior, 030206 dentistry, stomatognathic diseases, Tooth wear, 030220 oncology & carcinogenesis, Etiology, business

الوصف: To evaluate the prevalence of non-carious cervical lesions (NCCLs) on teeth with or without erosive etiological factors across a broad range of ages of Japanese adults. The study sample consisted of a total of 1108 subjects aged 15 to 89 years in Tokyo, Japan. Two examiners evaluated NCCLs and dental erosion (DE) during a full-mouth examination. Subjects were asked to complete a self-administered daily diet, habits, and health condition questionnaire. Subjects who had frequent acid consumption or gastric reflux and at least one tooth with initial enamel wear were placed in the erosion present (EP) group, and the remainder of subjects were placed in the erosion not present (EN) group. Logistic regression analyses were carried out to identify etiological factors of NCCLs associated with DE. Overall prevalence of NCCLs was 60.2%; the prevalence increased with age. There were no statistical differences in the prevalence of NCCLs between the EP and EN groups, except for the 60–69 years group. Multiple logistic regression analysis showed the frequency of consumption of carbonated soft drinks, citrus juice, and acidic fruits such as oranges; tooth brushing pressure; and bruxism were associated with the presence of NCCLs. There were no statistical differences in the prevalence of NCCLs with or without erosive etiological factors except for the 60–69 years group. NCCL distribution increased with age, and erosive risk factors caused by change in dietary habits might affect the incidence of NCCLs for elders. UMIN000041982

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3bcf9b5bab84dd3fd9d2951e77b897eaTest
https://doi.org/10.1007/s00784-021-03984-8Test

المؤلفون: Akshatha Gadiyar, Vinayak Kamath, Amita Kenkre Kamat, Aradhana Nagarsekar, Ridhima Gaunkar, Vinita Sanjeevan

المصدر: Special Care in Dentistry. 41:588-598

مصطلحات موضوعية: Adult, Toothbrushing, medicine.medical_specialty, media_common.quotation_subject, education, Special education, Special care dentistry, law.invention, 03 medical and health sciences, 0302 clinical medicine, Behavior Therapy, law, Intellectual Disability, Intervention (counseling), Intellectual disability, Humans, Medicine, 030212 general & internal medicine, Praise, Child, General Dentistry, media_common, business.industry, 030206 dentistry, medicine.disease, Caregivers, Physical therapy, Task analysis, Toothbrush, business, Autonomy

الوصف: Aims Individuals with intellectual disability (ID) have special health care needs. Teaching self-care behaviors like toothbrushing helps reduce their dependence on adult caregivers. We present a bio-behavioral intervention combining task analysis with skill-based teaching of toothbrushing behavior aimed to promote autonomy in children with various types of ID. Methods One hundred twenty children with ID enrolled at a special school in the State were included in the study. After baseline measurements using task analysis, four methods were used to train the children - instruction, three-phase modeling, physical guidance, and descriptive praise. The caregiver was trained and given instructional videos for reinforcement. After 4 weeks, the children were asked to brush their teeth and performance was evaluated. Results There was increased independence in the performance of toothbrushing behavior, the mild and moderate ID groups showing the most improvement. Steps like oral manipulation of the toothbrush showed the greatest improvement in these groups. The severe ID group showed improvement in certain skills, while requiring assistance for others that demanded dexterity. Conclusion This intervention can be implemented by special schools and special care dentistry centers to foster autonomy in oral self-care skills in the mild and moderate ID children, and complemented with other methods for severe ID children.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c987b7489856648f3353a8c6cb6eca21Test
https://doi.org/10.1111/scd.12603Test