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European Archives of Paediatric Dentistry

, Volume 19, Issue 3, pp 139–145 | Cite as

Dental plaque disclosure as an auxiliary method for infants’ oral hygiene

  • C. A. B. Cardoso
  • N. M. Santos
  • M. L. C. Fracasso
  • M. G. A. Provenzano
  • T. M. Oliveira
  • D. RiosEmail author
Original Scientific Article
  • 101 Downloads

Abstract

Aim

This was to evaluate the effectiveness of plaque disclosure as an auxiliary method for early childhoods’ oral hygiene.

Methods

The study was performed with 20 mothers and their children (aged 6–36 months), members of a preventive programme, which two groups used one of two approaches: conventional oral hygiene/group I (tooth brushing) and plaque disclosure with subsequent oral hygiene/group II (tooth brushing with prior plaque disclosure). Ten mothers started the study in group I and the other 10 in group II, after one month interval they changed to be in the alternate group. Each group consisted of baseline and three additional visits at weekly intervals. The effectiveness of oral hygiene was assessed in a blind fashion by plaque quantity estimation, using the Green Vermilion index for smooth surfaces and the plaque thickness index for occlusal surfaces. Statistical comparisons were performed using repeated measures ANOVA/Fisher’s post hoc test and paired t-test (p < 0.05).

Results

For smooth and occlusal surfaces at first and second visits, group II recorded significantly lower plaque indices when compared with group I. Additionally, when considering the mean dental plaque index of all visits, group II also presented lower plaque scores than group I.

Conclusion

Dental plaque disclosure before toothbrushing helps mothers to enhance the effectiveness of early childhood oral hygiene.

Registration number and name of trial registry

RBR-7fyc7g; Avaliação do Treinamento e de Métodos Auxiliares na Efetividade da Escovação Dentária Materna em Bebês. Where the full trial protocol can be accessed: http://www.ensaiosclinicos.gov.

Keywords

Oral hygiene Early childhood Dental plaque 

Notes

Acknowledgements

The authors acknowledge the valuable collaboration of all mothers and their infants involved in this study. The authors also acknowledge Bitufo for the donation of toothbrushes.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

References

  1. Adair PM, Burnside G, Pine CM. Analysis of health behaviour change interventions for preventing dental caries delivered in primary schools. Caries Res. 2013;47(Suppl 1):2–12.CrossRefPubMedGoogle Scholar
  2. Alaluusua S, Malmivirta R. Early plaque accumulation–a sign for caries risk in young children. Community Dent Oral Epidemiol. 1994;22:273–6.CrossRefPubMedGoogle Scholar
  3. Albino J, Tiwari T. Preventing childhood caries: a review of recent behavioral research. J Dent Res. 2016;95:35–42.CrossRefPubMedPubMedCentralGoogle Scholar
  4. Alm A, Wendt LK, Koch G, Birkhed D. Oral hygiene and parent-related factors during early childhood in relation to approximal caries at 15 years of age. Caries Res. 2008;42:28–36.CrossRefPubMedGoogle Scholar
  5. Alm A, Wendt LK, Koch G, Birkhed D, Nilsson M. Caries in adolescence—influence from early childhood. Community Dent Oral Epidemiol. 2012;40:125–33.CrossRefPubMedGoogle Scholar
  6. American Academy of Pediatric Dentistry A. Definition of early childhood caries. Pediatr Dent. 2006;28:13.Google Scholar
  7. Axelsson P, Lindhe J. The effect of a preventive programme on dental plaque, gingivitis and caries in schoolchildren. Results after one and two years. J Clin Periodontol. 1974;1:126–38.CrossRefPubMedGoogle Scholar
  8. Axelsson P, Nystrom B, Lindhe J. The long-term effect of a plaque control program on tooth mortality, caries and periodontal disease in adults. Results after 30 years of maintenance. J Clin Periodontol. 2004;31:749–57.CrossRefPubMedGoogle Scholar
  9. Bass CC. An effective method of personal oral hygiene. J La State Med Soc. 1954;106:57–73.PubMedGoogle Scholar
  10. Batliner T, Fehringer KA, Tiwari T, et al. Motivational interviewing with American Indian mothers to prevente early childhood caries: study design and methodology of a randomized control trial. Trials. 2014;15:125.CrossRefPubMedPubMedCentralGoogle Scholar
  11. Bellini HT, Arneberg P, von der Fehr FR. Oral hygiene and caries. A review. Acta Odontol Scand. 1981;39:257–65.CrossRefPubMedGoogle Scholar
  12. Bonecker M, Ardenghi TM, Oliveira LB, Sheiham A, Marcenes W. Trends in dental caries in 1- to 4-year-old children in a Brazilian city between 1997 and 2008. Int J Paediatr Dent. 2010;20:125–31.CrossRefPubMedGoogle Scholar
  13. Carvalho JC, Ekstrand KR, Thylstrup A. Dental plaque and caries on occlusal surfaces of first permanent molars in relation to stage of eruption. J Dent Res. 1989;68:773–9.CrossRefPubMedGoogle Scholar
  14. dos Santos AP, Nadanovsky P, de Oliveira BH. Inconsistencies in recommendations on oral hygiene practices for children by professional dental and paediatric organisations in ten countries. Int J Paediatr Dent. 2011;21:223–31.CrossRefPubMedGoogle Scholar
  15. Dye BA, Arevalo O, Vargas CM. Trends in paediatric dental caries by poverty status in the United States, 1988–1994 and 1999–2004. Int J Paediatr Dent. 2010;20:132–43.CrossRefPubMedGoogle Scholar
  16. Gao X, Lo EC, McGrath C, Ho SM. Innovative interventions to promote positive dental health behaviors and prevent dental caries in preschool children: study protocol for a randomized controlled trial. Trials. 2013;14:118.CrossRefPubMedPubMedCentralGoogle Scholar
  17. Greene JC, Vermillion JR. The simplified oral hygiene index. J Am Dent Assoc. 1964;68:7–13.CrossRefPubMedGoogle Scholar
  18. Isaksson H, Alm A, Koch G, Birkhed D, Wendt LK. Caries prevalence in Swedish 20- year-olds in relation to their previous caries experience. Caries Res. 2013;47:234–42.CrossRefPubMedGoogle Scholar
  19. Kay E, Locker D. A systematic review of the effectiveness of health promotion aimed at improving oral health. Community Dent Health. 1998;15:132–44.PubMedGoogle Scholar
  20. McClure DB. A comparison of toothbrushing techniques for the preschool child. J Dent Child. 1966;33:205–10.PubMedGoogle Scholar
  21. Ng MW, Chase I. Early childhood caries: risk-based disease prevention and management. Dent Clin North Am. 2013;57:1–16.CrossRefPubMedGoogle Scholar
  22. Parisotto TM, Stipp R, Rodrigues LK, et al. Can insoluble polysaccharide concentration in dental plaque, sugar exposure and cariogenic microorganisms predict early childhood caries? A follow-up study. Arch Oral Biol. 2015;60:1091–7.CrossRefPubMedGoogle Scholar
  23. Peretz B, Gluck G. Early childhood caries (ECC): a preventive-conservative treatment mode during a 12-month period. J Clin Pediatr Dent. 2006;30:191–4.CrossRefPubMedGoogle Scholar
  24. Ramos-Gomez FJ, Crystal YO, Ng MW, Crall JJ, Featherstone JD. Pediatric dental care: prevention and management protocols based on caries risk assessment. J Calif Dent Assoc. 2010;38:746–61.PubMedPubMedCentralGoogle Scholar
  25. Ramsay DS. Patient compliance with oral hygiene regimens: a behavioural self-regulation analysis with implications for technology. Int Dent J. 2000;Suppl Creating A Successful:304–11.CrossRefPubMedGoogle Scholar
  26. Rode Sde M, Gimenez X, Montoya VC, Gomez M, Blanc SL, Medina M, et al. Daily biofilm control and oral health: consensus on the epidemiological challenge—Latin American Advisory Panel. Braz Oral Res. 2012;26:133–43.CrossRefPubMedGoogle Scholar
  27. Sandstrom A, Cressey J, Stecksen-Blicks C. Tooth-brushing behaviour in 6–12 year olds. Int J Paediatr Dent. 2011;21:43–9.CrossRefPubMedGoogle Scholar
  28. Slot DE, Wiggelinkhuizen L, Rosema NA, Van der Weijden GA. The efficacy of manual toothbrushes following a brushing exercise: a systematic review. Int J Dent Hyg. 2012;10:187–97.CrossRefPubMedGoogle Scholar
  29. Smutkeeree A, Rojlakkanawong N, Yimcharoen V. A 6-month comparison of toothbrushing efficacy between the horizontal Scrub and modified Bass methods in visually impaired students. Int J Paediatr Dent. 2011;21:278–83.CrossRefPubMedGoogle Scholar
  30. Tinanoff N. Caries management in children: decision-making and therapies. Compend Contin Educ Dent. 2002;23:9–13.PubMedGoogle Scholar
  31. Wennhall I, Martensson EM, Sjunnesson I, et al. Caries-preventive effect of an oral health program for preschool children in a low socio-economic, multicultural area in Sweden: results after one year. Acta Odontol Scand. 2005;63:163–7.CrossRefPubMedGoogle Scholar

Copyright information

© European Academy of Paediatric Dentistry 2018

Authors and Affiliations

  1. 1.Graduate Program in DentistryCruzeiro do Sul UniversitySão PauloBrazil
  2. 2.Department of Pediatric Dentistry, Orthodontics and Community HealthBauru School of Dentistry,BauruBrazil
  3. 3.Department of Pediatric Dentistry and Orthodontics, Dental SchoolMaringa State UniversityMaringáBrazil

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