Assessment-of-efficacy-of-oral-health-game-applications-by-evaluating-plaque-index-score-of-58-years-old-children

Background: Caries is a multifactorial disease that is influenced by oral hygiene practices and nowadays with advancing technology, this can also be aided by the use of oral health game applications. To assess the efficacy ofAim: various oral health game applications by evaluating the plaque index score of 5-8 years old children at a time interval of th th 14 days. Plaque index was calculated for 20 children at baseline, 7 day and 14 day. They were randomlyDesign: allocated into 4 groups, one control group and 3 different toothbrushing game app groups. Plaque index scoresResults: reduced in all the 4 groups but were not statistically significant. Group C showed the highest reduction in the Plauqe index scores. Toothbrushing and Oral health game applications have proven to be an interesting andConclusion: educational method to instill good oral hygiene habits in children.

Importância da assistência odontológica dentro do ambiente hospitalar / Importance of dental care within the hospital enviroment

A assistência odontológica é imprescindível para a prevenção de doenças infecciosas e para a manutenção da integridade da cavidade oral de pacientes internatos em unidades de terapia intensiva. O objetivo deste estudo foi avaliar o conhecimento e as práticas de higiene oral dos acadêmicos do curso de Enfermagem de uma instituição de ensino superior, que realizam estágio em hospital, no controle de higiene bucal de pacientes internados em ambiente hospitalar. Participaram do estudo 40 alunos, que responderam 14 perguntas com o intuito de avaliar o conhecimento e as práticas no controle de higiene bucal, realizadas por eles, em pacientes internados em ambiente hospitalar. Os resultados demonstraram que os acadêmicos entrevistados tinham idade média de 25,8 anos, sendo 95% do sexo feminino e apenas 5% do sexo masculino. Destes, 42,5% afirmaram não haver presença de um Cirurgião-Dentista em ambiente hospitalar e 82,5% responderam que o responsável pela saúde bucal dos pacientes é do técnico de enfermagem. Quanto aos cuidados em pacientes internados em UTI, 52,5% dos entrevistados relataram que estes pacientes recebem higienização bucal, porém 30% alegaram que esta pratica não era realizada e 17,5% não sabiam responder. Além disso, 47,5% dos entrevistados afirmam ter insegurança ao realizar os procedimentos de higiene bucal dos pacientes. Pode-se concluir que os acadêmicos entrevistados possuem bom conhecimento acerca da importância dos cuidados com a saúde bucal dos pacientes internados em ambiente hospitalar. No entanto, ainda existem muitas dúvidas relacionadas ao manejo clínico de procedimentos de promoção de saúde bucal, que poderiam ser solucionados com a presença de um profissional de Odontologia inserido em uma equipe multidisciplinar(AU)

Oral care is essential for the prevention of infectious diseases and for maintaining the integrity of the oral cavity of patients hospitalized in intensive care units. The objective of this study is to evaluate the knowledge and oral hygiene practices of Nursing students at a higher education institution, who carry out internships in a hospital, in controlling the oral hygiene of patients admitted to a hospital environment. 40 students participated in the study, who answered 14 questions with the aim of evaluating the knowledge and practices in controlling oral hygiene, carried out by them, on patients hospitalized in a hospital environment. The results demonstrated that the academics interviewed had an average age of 25.8 years, with 95% being female and only 5% being male. Of these, 42.5% stated that there was no presence of a Dental Surgeon in a hospital environment and 82.5% responded that the nursing technician is responsible for the patients' oral health. Regarding care for patients admitted to the ICU, 52.5% of those interviewed reported that these patients receive oral hygiene, however 30% claimed that this practice was not performed and 17.5% did not know how to answer. Furthermore, 47.5% of those interviewed say they are insecure when carrying out oral hygiene procedures for patients. It can be concluded that the academics interviewed have good knowledge about the importance of oral health care for patients hospitalized in a hospital environment. However, there are still many doubts related to the clinical management of oral health promotion procedures, which could be resolved with the presence of a dentistry professional within a multidisciplinary team(AU)

Oral Hygiene Awareness and Practices among Patients Attending the General OPD of MKCG Medical College and Hospital, Berhampur, Odisha

Background: Oral diseases pose a significant global health challenge, affecting individuals' quality of life. Leading health organizations emphasize preventive strategies for oral care to reduce disease burden and enhance community well-being. Effective oral health education can prevent many of these diseases by fostering positive attitudes and practices. Methods: A cross-sectional, observational study was conducted among patients attending the General OPD of MKCG Medical College and Hospital, Berhampur, Odisha, from November to December 2022. Data collection involved a self-administered, semistructured questionnaire addressing sociodemographic characteristics, oral health knowledge, and practices. Results: The study included 448 participants aged 19-72 years. Poor oral hygiene habits were prevalent, contributing to tooth decay. Most participants (310) cleaned their teeth using toothpaste and a brush, while 100 used toothpaste or toothpowder manually. A significant number of participants (264) cleaned their teeth once daily, and 182 had visited a dentist in the last six months. Awareness of the effects of not cleaning teeth regularly and the negative impact of certain food items on dental health was generally good. Statistically significant associations were found between oral hygiene practices and factors such as gender, education, area of residence, and income. Conclusion: The study provides valuable insights into oral hygiene practices and knowledge among a diverse population. Addressing the identified gaps through targeted interventions, educational campaigns, and improved accessibility to dental care can significantly enhance oral health outcomes.

Analysis of the prevalence of dental diseases among students of Dagestan State Medical University.

Introduction: Dental caries and periodontal diseases are significant public health concerns worldwide. While developed nations have seen a decline in these diseases due to effective prevention programs, in areas like Dagestan, Russia, high dental morbidity persists due to diverse climatogeographical conditions and socio-economic challenges. Aim: This study aims to explore the prevalence of dental diseases among students in Dagestan and to devise a comprehensive set of preventive measures against dental caries. Materials and Methods: The research involved examining 235 students aged 17 to 21 from Dagestan State Medical University. These students were categorized based on the World Health Organization's age group recommendations. Dental examinations were conducted at the university's clinics, focusing on carious, filled, and extracted teeth. The study also assessed oral hygiene using the Fedorov and Volodkina hygienic index and employed vital staining for diagnosing initial caries. Results: The prevalence of dental caries was found to be 76.35±3.16%, with an intensity of 3.6±0.005. Other notable findings included enamel hypoplasia, dentofacial anomalies, and various periodontal diseases. A significant correlation was observed between the prevalence and intensity of caries and the age of students, with differences noted in comparison to other regions like Irkutsk. The study highlighted a gap in oral hygiene practices and knowledge among students. Conclusion: The study concludes that significant improvements in dental health, particularly in reducing caries, can be achieved through regular sanitary education, professional and individual oral hygiene. The findings emphasize the need for comprehensive, multifaceted intervention strategies tailored to the unique environmental and socio-economic context of Dagestan.

Evaluation of Efficacy of Primary Prevention of Toothbrush Contamination Near Wash Areas Using Four Traditional Remedies – A Pilot Study

Introduction: Oral hygiene aids have been traditionally been stored inside or in the vicinity of wash areas. Most modern households have toilets, wash basins and storage areas all in close proximity with each other. The plume/aerosol from toilets can linger in the atmosphere and contaminate the objects that it comes in contact with. Decontaminating oral hygiene aids is of utmost importance be it with chemical plaque control agents or with easily available plant based alternatives. Materials and Methods : A set of 14 brand new toothbrushes were divided into 6+1 set of two brushes each and were immersed in neem, tulsi, bilwa and turmeric, chlorhexidine and plain water twice a day and stored inside wash areas. The last set of two toothbrushes was stored outside and immersed twice day in plain water. The study period was 7 days. At the end of this period the bristles were cut in sterile conditions and forwarded to the lab in reduced transport media and assessed for Enterococci and E.coli. Results: Water immersed samples showed the highest growth of the 7 sets at 1500CFUs, while the other household herbs showed varying growths. Chlorhexidine set and the brush set stored outside displayed zero growth. Conclusion: Decontaminating oral hygiene aids is crucial however the present study demonstrated that storage of the toothbrush far away from the source of contamination is the best way to successfully avoid contamination in the first place.

Analysis of patients hospitalized by Covid-19 regarding oral care during hospitalization

Oral health interferes with the general condition of the individual, because the oral cavity is a gateway and habitat for pathogens, especially in hospitalized people. There are several diseases that directly interfere in the oral cavity, such as Covid 19. Studies report oral changes in patients infected by SARS-CoV2 and point to the need for satisfactory oral hygiene during hospitalization in order to avoid the occurrence of oral lesions that increase the risk for the individual. The objective of this research is to emphasize the importance of the dentist in hospitals, pointing out the oral diseases that can be caused by poor oral hygiene during hospitalization. For the execution of the work, a questionnaire was carried out with patients who were hospitalized in Covid-19, clarifying if, during the hospitalization period, these patients received help in oral hygiene and if they noticed oral changes. The results achieved are in accordance with the literature, taking into consideration the age range of those affected by covid, over 50 years old, and the length of hospitalization, ran-ging from 10 days. Many hospitals still neglect the dental service and the patient himself performs the oral hygiene. The most common lesions reported by those infected by the virus were taste alteration, xerostomia and thrush, besides caries and dental calculus. We concluded the relevance of the odontologist far beyond the prevention of lesions, but in contributing to the recovery of the individual and the importance of adopting measures for the oral adequacy of hospitalized patients. (AU)

The Effect of an Educational/ Preventive Program on Adolescents Undergoing Fixed Orthodontic Treatment: A Clinical Study

Aim: To evaluate the effect of educational/preventive measures in adolescents who wore fixed orthodontic appliances. Study Design: Prospective, controlled, and randomized clinical study. Place and Duration of Study: The adolescents were evaluated in a private dental clinic in the city of Ibiporã - PR for 12 weeks in 2015. Methodology: A randomized design, with records of plaque, gingival and bleeding indices. In total 40 adolescent patients, with an average age of 14 years, of both genders were selected at a private orthodontic clinic. Mechanical biofilm control was performed and oral hygiene kits were distributed. Clinical evaluations were made at the beginning of the study (baseline) and at time intervals of 30, 60 and 90 days, in a total of 12 weeks. Means of indices were compared throughout the study period. Among the educational/preventive measures used were photograph albums, verbal oral hygiene guidance and disclosing of dental plaque. Records were made of the participants’ oral hygiene habits. Results: The girls presented a higher dental plaque reduction value of 30.8% whereas the boys presented 25.3%. The plaque index showed significant reduction in the initial evaluation (baseline) and in the following re-evaluations at 30, 60 and 90 days. Conclusion: The educational/preventive measures used were shown to be effective, in view of the significant reduction in gingival inflammation and dental plaque indices, with improvement in the oral health of adolescents who wore fixed orthodontic appliances.

Dental health status and treatment needs among the adult population of western Indian city: a cross-sectional study

Background: Oral health is a key indicator for general health, overall well-being and quality of life. This study evaluated the oral hygiene knowledge, practice and its association with oral problems and create awareness about oral health, oral diseases and its treatment to the people in Ahmedabad. Methods: Sample size was estimated to be approximately 260 based on pilot study and by convenience sampling method. Chi-square test using SPSS statistical software. Results: It was observed that around 74.22% of participants felt tooth pain, of which female were more expressive of their pain as compared to their male counterpart. Of which a staggering 73.07% participants brushed their teeth only once in a day. It was observed that there was a failure among population to use interdental aids for cleaning and maintaining oral hygiene. Approximately 70% of population visited their dentist not even once in the year. Conclusions: It was observed and hence concluded on the basis of the derived results that there was a lack of appropriate oral health awareness among the local people in Ahmedabad even among the literate.

Frequency of toothbrushing in children under 12 years old in Peru, 2019-2021 / Frecuencia del cepillado dental en niños menores de 12 años de edad en Perú, 2019-2021

ABSTRACT Introduction: having adequate hygiene could help prevent oral diseases such as dental caries. The objective of this study was to determine the practice of toothbrushing in Peruvian children under 12 years of age between 2019 and 2021. Methods: a cross-sectional, analytical, and retrospective analysis was done by using the data from the 2019,2020 and 2021 Demographic and Family Health Survey databases. 38 203 records were obtained in 2019, 18 613 in 2020, and 35 759 in 2021. The variables were general, daily, and minimum two times a day toothbrushing, natural region, area and place of residence, altitude, wealth index, health insurance coverage, age, and sex. A descriptive, bivariate, and multivariate statistical evaluation was carried out. Results: general toothbrushing was 94.93% (n=83,032), daily toothbrushing was 86.32% (n=67,753), and at least twice a day was 82.93% (n=53,824). In the multivariate form, the year 2020 showed a negative association with daily toothbrushing (RPa: 0.97; 95% CI: 0.96-0.99; p<0.001) and at least twice a day (RPa: 0.96; 95% CI: 0.95-0.98; p<0.001). The year 2021 revealed a negative association with general toothbrushing (RPa:0.98; 95%CI: 0.97-0.98; p<0.001), daily (RPa:0.97; 95%CI: 0.95-0.98; p<0.001) and minimum twice a day (RPa: 0.94; 95%CI: 0.92-0.96; p<0.001), adjusted for the previously associated covariates. Conclusion: the studied years were negatively associated with general toothbrushing, daily toothbrushing, and toothbrushing minimum twice daily.

Resumen Introducción: mantener una higiene adecuada podría ayudar a prevenir enfermedades bucales como las caries dentales. El objetivo del estudio fue determinar la práctica del cepillado dental en niños peruanos menores de 12 años entre 2019 y 2021. Métodos: se ejecutó un análisis transversal, analítico y retrospectivo junto con datos de la Encuesta Demográfica y de Salud Familiar 2019-2021. Se obtuvieron 38 203 registros en 2019, 18 613 en 2020 y 35 759 en 2021. Las variables fueron cepillado dental general, diario y mínimo 2 veces al día, región natural, área y lugar de residencia, altitud, índice de riqueza, cobertura de seguro de salud, edad y sexo. Se realizó una evaluación estadística descriptiva, bivariante y multivariante. Resultados: el cepillado dental general fue del 94,93% (n=83.032), el cepillado dental diario fue del 86,32% (n=67.753) y al menos dos veces al día fue del 82,93% (n=53.824). En forma multivariada, el año 2020 presentó una asociación negativa con el cepillado dental diario (RPa: 0,97; IC 95%: 0,96-0,99; p<0,001) y al menos dos veces al día (RPa: 0,96; IC 95%: 0,95-0,98; p<0,001). El año 2021 presentó asociación negativa con el cepillado dental general (RPa:0,98; IC 95%: 0,97-0,98; p<0,001), diario (RPa:0,97; IC 95%: 0,95-0,98; p<0,001) y mínimo dos veces al día (RPa: 0,94; IC 95%: 0,92-0,96; p<0,001), ajustado por las covariables previamente asociadas. Conclusiones: los años estudiados se asociaron negativamente con el cepillado dental general, cepillado dental diario y cepillado dental mínimo dos veces al día.

Access to information on oral hygiene and fluoride concentration in toothpaste for Peruvian children, 2018-2022 / Acceso a información sobre higiene bucal y concentración de flúor en pastas dentales para niños peruanos, 2018-2022

ABSTRACT Introduction: this study aimed to analyze the relationship between access to information from parents and/or caregivers about oral hygiene and the fluoride concentration in toothpaste chosen for Peruvian children under 12 years old. Methods: this cross-sectional study used data from the "Demographic and Family Health Survey" in Peru to analyze 63,849 children under 12 years old from 2018 to 2022. Chi-square test and Poisson regression with robust variance were applied to assess the relationship between the main variables considering associated factors such as the information provider, year, age, region, and area of residence. Results: it was found that 57% of children with access to information used toothpaste with an adequate concentration of fluoride, while the public sector health services (36%), private sector health services (7.9%), and media (6.5%) were the most influential sources of information in the choice of toothpaste with adequate concentration. A statistically significant relationship was also found between the variables access to parental information and /or caregivers on oral hygiene and Fluoride concentration used in toothpaste for children (p < 0.001). Conclusion: there is a positive influence of parents' and/or caregivers' access to information about oral care on the use of toothpaste with adequate fluoride for their children under 12 years of age in Peru. Furthermore, information providers such as the private sector health services, public sector, and media have a significant impact on its use.

Resumen Introducción: este estudio buscó analizar la relación entre el acceso a la información de los padres y/o cuidadores sobre higiene bucal y la concentración de flúor en pastas dentales elegida para niños peruanos menores de 12 años. Metodología: estudio transversal con datos de la "Encuesta Demográfica y de Salud Familiar" en Perú, analizando 63.849 niños menores de 12 años durante el periodo 2018-2022. Se aplicó la prueba chi cuadrado y regresión de Poisson con varianza robusta para evaluar la relación de las variables principales considerando factores asociados como el proveedor de información, el año, la edad, la región y el área de residencia. Resultados: el 57% de los niños cuyos padres con acceso a la información utilizaron pastas dentales con concentración adecuada de flúor, los servicios de salud del sector público (36%), los servicios de salud del sector privado (7,9%) y los medios de comunicación (6,5%) fueron los proveedores de información más influyentes en la elección de pastas dentales con una concentración adecuada, así como también se encontró una relación estadísticamente significativa entre las variables acceso a la información de padres y/o cuidadores sobre higiene bucal y concentración de flúor en pastas dentales para niños (p < 0,001). Conclusión: existe una influencia positiva del acceso a información de padres y/o cuidadores sobre higiene bucal en la elección de pastas dentales con flúor adecuado para sus niños menores de 12 años en el Perú. Además, los proveedores de información como los servicios de salud del sector privado, sector público y los medios de comunicación, ejercen un impacto significativo en su uso.

The Effect of Motivational Interviewing on Oral Hygiene Behavior in Patients With Fixed Orthodontic Appliances: a Randomised Clinical Trial / Efecto de la Entrevista Motivacional sobre el Comportamiento de Higiene Oral en Pacientes con Aparatología Ortodóncica Fija: un Ensayo Clínico Aleatorizado

The aim of this study was to evaluate the effectiveness of motivational interviewing on improving oral hygiene behavior in patients with fixed orthodontics appliances. A parallel-group randomized clinical trial was conducted with 45 patients of the Orthodontic Clinic of Unibe's Postgraduate Unit. A computer-generated list of numbers created with SPSS V21.0 was used to randomly allocate participants into the experimental or the control group. Monthly oral hygiene instructions and an oral hygiene kit from GUM® with special orthodontic hygiene tools were given to the participants. Furthermore, the experimental group underwent motivational interviewing sessions facilitated by a periodontist who received training from two expert psychologists. These psychologists also provided supervision to the interviewer, ensuring the accurate implementation of the intervention. Simplified Oral Hygiene Index (SOHI), Gingival Index (GI), Periodontal Probing Depth (PPD) and Bleeding on Probing (BoP) were recorded at baseline, three and six months after the beginning of the study. The participant and the evaluator (another periodontist who recorded the data) were masked. Repeated-measures mixed- model analysis of variance and chi-squared test were conducted. Mean SOHI, GI, PPD and BoP scores did not differ significantly across the three time points (baseline, three and six months). Nevertheless, a significant interaction on SOHI scores (F (2, 58) = 3.463, p = .038, h2 = .052) was found between the sessions and the treatment conditions (experimental vs control group) at the third and sixth month. Motivational interviewing plus oral hygiene instructions appears to maintain a better control of dental biofilm and calculus in comparison with conventional oral hygiene instructions alone.

El objetivo de este trabajo fue evaluar la efectividad de las entrevistas motivacionales para mejorar el comportamiento de higiene oral en pacientes con aparatos ortodóncicos fijos. Se llevó a cabo un ensayo clínico aleatorizado de grupos paralelos con 45 pacientes de la Clínica de Ortodoncia de la Unidad de Posgrado de Unibe. Se utilizó una lista de números generada por computadora con SPSS V21.0 para asignar aleatoriamente a los participantes al grupo experimental o de control. Se les proporcionó a los participantes instrucciones mensuales de higiene oral y un kit de higiene oral de GUM® con utensilios de higiene especiales para ortodoncia. Además, el grupo experimental recibió sesiones de entrevista motivacional facilitadas por un periodoncista capacitado por dos psicólogas expertas. Estas psicólogas también supervisaron al entrevistador, asegurando la implementación precisa de la intervención. Se registró el Índice Simplificado de Higiene Oral (IHO-S), el Índice Gingival (IG), la Profundidad de Sondaje Periodontal (PS) y el Sangrado al Sondaje (SS) al inicio, a los tres y seis meses después del inicio del estudio. Tanto el participante como el evaluador (otro periodoncista que registró los datos) estaban enmascarados. Se realizaron análisis de varianza de medidas repetidas con modelo mixto y pruebas de chi-cuadrado. Las puntuaciones medias del IHO-S, IG, PS y SS no difirieron significativamente en los tres momentos (inicio, tres y seis meses). Sin embargo, se encontró una interacción significativa en las puntuaciones del IHO-S (F (2, 58) = 3.463, p = .038, h2 = .052) entre las sesiones y las condiciones de tratamiento (grupo experimental vs grupo de control) en el tercer y sexto mes. Las entrevistas motivacionales junto con las instrucciones de higiene oral parecen mantener un mejor control de la biopelícula dental y el cálculo en comparación con las instrucciones convencionales de higiene oral por sí solas.

Analysis of primary caregivers' knowledge concerning the cariogenic risk associated with the use of pediatric liquid medications / Análisis del conocimiento de los cuidadores principales sobre el riesgo cariogénico implicado en la ingesta de medicamentos líquidos pediátricos

Introduction: Pediatric liquid medications (PLM) are frequently administered to children, yet their usage may contribute to the onset of dental caries. Despite its prevalence, there is a notable scarcity of scientific research regarding caregivers' knowledge of this potential cariogenic risk. Objective: This study aims to assess the knowledge of the main caregivers of children aged 5 to 12 years concerning the cariogenic potential associated with the use of PLM. Materials and Methods: A cross-sectional analytical obser-vational study involving 152 primary caregivers of children aged 5 to 12 was conducted. Data were collected on caregivers' perceptions of the cariogenic risk associated with PLMs and their consumption habits. The study also assessed oral hygiene routines and evaluated the level of information provided by healthcare professionals. Results: Research findings indicated a significant lack of awa-reness among primary caregivers regarding the cariogenic risks of PLMs, with 78.95% being unaware of these risks and 47.37% unaware of the sugars present in such medications. Additionally, a high rate of PLM consumption was observed, with 63% of caregivers using them in the last year. The study underscored a notable absence of guidance from healthcare professionals, as 91.45% of the caregivers stated that they had not received instructions on tooth brushing after the administration of the PLM. Conclusions: The study highlights a significant lack of awa-reness among primary caregivers regarding the cariogenic risks associated with the ingestion of pediatric liquid medications. This deficit in information and preventive measures presents a substantial obstacle to children's oral health. To address this issue, it is crucial for healthcare professionals to offer comprehensive guidance and promote preventive measures.

Introducción: La administración de medicamentos líquidos pediátricos (MLP) es una práctica común en la población infantil y puede estar vinculada al desarrollo de lesiones de caries dental. Sin embargo, la evidencia científica que aborda el conocimiento de los cuidadores acerca de este riesgo cariogénico es escasa. Objetivo: Este estudio busca determinar el conocimiento de los cuidadores principales de niños de 5 a 12 años sobre el potencial cariogénico asociado al consumo de MLP. Materiales y Métodos: Se llevó a cabo un estudio observacional analítico transversal que incluyó a 152 cuidadores principales de niños en el rango de edad de 5 a 12 años. Se recopiló información sobre la percepción de los cuidadores acerca del riesgo cariogénico de los MLP, así como sobre sus patrones de consumo. Además, se registraron las prácticas de higiene oral y se evaluó el nivel de información proporcionado por los profesionales de la salud. Resultado: Los hallazgos de la investigación revelaron que un 78,95% de los cuidadores principales desconocen el riesgo cariogénico asociado al consumo de medicamentos líquidos pediátricos (MLP), y un 47,37% de ellos no eran conscientes de la presencia de azúcares en dichos medicamentos. Además, se observó un elevado índice de consumo de MLP, con un 63% de los cuidadores que los utilizaron en el último año. Se destacó la falta de orientaciones por parte de los profesionales de la salud, ya que, un 91,45% de los tutores afirmaron no haber recibido instrucciones sobre el cepillado dental posterior a la administración de los MLP. Conclusión: Este estudio evidencia un relevante porcentaje de desconocimiento entre los cuidadores principales acerca del riesgo cariogénico asociado a la ingesta de medicamentos líquidos pediátricos. La falta de información y medidas preventivas constituye un desafío significativo para la salud oral de los niños. Es imperativo que los profesionales de la salud proporcionen información detallada y fomenten prácticas de prevención.

Factors associated with stunting incidence in toddlers in Cibungbulang sub-district, Bogor

Background: Stunting is a developmental disorder characterized by L/A or H/A index z-score ?2 SD and contribute to various negative impacts until adulthood. The prevalence of stunting among toddlers in Bogor Regency reached 24.9 percent according to SSGI. This study aimed to determine relationships between family income, being breastfed and drinking other milks, eating habits, handwashing and oral hygiene habits with stunting incidence among toddlers in Cibungbulang sub-district. Methods: The study used cross-sectional design with 307 samples selected through systematic randomization. Almost all data, except stunting, were collected through interview with respondents, while stunting was identified through height measurement. Results: Most toddlers had family income under the minimum wage (81.4%), did not drink breast milk anymore (52,4%), consumed other milks (60.6%), ate independently (69.4%), washed their hands after using toilets (91.2%), and cleaned their mouths at least once a day (85%). A total of 35% toddlers were stunted. There were significant relationships between family income (p=0.001), drinking breast milk (p=0.000) and other milks (p=0.001), eating habits (p=0.001), handwashing (p=0.035) and oral hygiene habits (p=0.039) with stunting incidence in toddlers (p<0.05). Conclusions: Family income, consumption of breast milk and other milks, eating habits, and handwashing and oral hygiene habits were associated with stunting in toddlers.

Orientações de manutenção e higienização de prótese fixa total implantossuportada: revisão de literatura / Guidelines for maintenance and cleaning of implantssupported total fixed prosthesis: literature review

A evolução dos tratamentos em implantodontia possibilitou uma mudança nos tratamentos reabilitadores para pacientes edêntulos, tornando possível a colocação de próteses fixas, que proporcionam maior qualidade de vida para estes pacientes. Para que estas próteses tenham bom desempenho e longevidade satisfatórios é essencial que se mantenha um padrão adequado de higienização bucal e manutenção profissional. Assim, o objetivo deste trabalho foi realizar uma revisão de literatura a respeito dos principais recursos disponíveis para higienização e manutenção das próteses totais fixas sobre implante (protocolo de Branemark), tanto nos cuidados domiciliares dos pacientes quanto no atendimento profissional do cirurgião dentista. Foi realizada uma busca eletrônica, não sistemática, nas bases de dados Lilacs, Pubmed/Medline, Scielo e ScienceDirect, cruzando-se os seguintes descritores: "Higiene Oral"; "Implantes Dentários"; "Implantação Dentária"; "Manutenção"; "Prótese Dentária Fixada por Implante" e "Prótese Dentária". Foram consultados artigos de revisão de literatura, revisão sistemática, meta-análise, estudos clínicos randomizados, além de livros pertinentes ao assunto, publicados no período de 1995 a 2022.Verificou-se na literatura disponível que os principais instrumentos indicados para uso domiciliar são escova dental, fio dental, escova interdental, irrigador oral, dentifrício e enxaguatório. No atendimento profissional em consultório odontológico deve ser dispendida atenção especial às instruções passadas ao paciente e também fazer o possível para motivar e encorajar o seu engajamento na rotina de higienização, além do acompanhamento periodontal, possíveis substituições de parafusos e instalação de placa oclusal estabilizadora, quando necessário. Manter uma higiene oral adequada é essencial para o sucesso das próteses fixas sobre implantes e o cirurgião dentista desempenha um papel crucial não apenas ao realizar o acompanhamento periódico do paciente, mas também ao sugerir os instrumentos mais apropriados, instruir sobre a higiene oral adequada e motivar o paciente a manter a saúde bucal satisfatória(AU)

The evolution of treatments in implantology has enable a change in rehabilitation treatments for edentulous patients, making it possible to place fixed prostheses that provide a better quality of life for these patients. In order to ensure good performance and satisfactory longevity, it is essential to maintain an appropriate standard of oral hygiene and professional maintenance. Thus, the objective of this work was to conduct a literature review on the main resources available for cleaning and maintenance of complete fixed prostheses on implants (Branemark protocol), both in the patients' home care and in the professional care provided by the dentist. A nonsystematic electronic search was carried out in the Lilacs, Pubmed/Medline, Scielo, and ScienceDirect databases, crossing the following descriptors: "Oral Hygiene"; "Dental Implants"; "Dental Implantation"; "Maintenance"; "Dental Prosthesis, ImplantSupported"; and "Prosthodontics". Literature review articles, systematic reviews, meta-analyses, randomized clinical studies, and relevant books on the subject published from 1995 to 2022 were consulted. The literature available indicates that the main instruments recommended for home care are toothbrush, dental floss, interdental brush, oral irrigator, toothpaste, and mouthwash. In the professional dental office, special attention should be given to the instructions given to the patient, as well as to motivate and encourage their engagement in the hygiene routine, in addition to periodontal monitoring, possible screw replacements, and installation of an occlusal splint when necessary. Maintaining adequate oral hygiene is essential for the success of fixed prostheses on implants, and the dentist plays a crucial role, not only in providing periodic patient follow-up, but also in suggesting the most appropriate instruments, instructing on adequate oral hygiene, and motivating the patient to maintain satisfactory oral health(AU)

Comparative evaluation of novel tooth brushing with reminder therapy with conventional brushing techniques in children

Background: Dental caries and periodontal diseases are the most prevalent oral diseases in the children. Dental plaque is the main contributing agent for these oral diseases. Tooth brushing is considered to be one of the most efficient ways of maintaining the oral hygiene. Often, it is noted that certain areas of oral cavity and surfaces of the teeth are brushed more, while the other areas are neglected. With this background, we have designed a novel technique of tooth brushing with reminder therapy.Methods: Oral examination of 180 children aged between 6-12 years was done and Oral Hygiene Index Simplified, Turesky-Gilmore-Glickman modification of Quigley-Hein Plaque Index, Modified Gingival Index were recorded. The children were randomly divided into three groups; Control group; Tooth brushing using Fones technique; Tooth brushing along with a reminder therapy (dantharaag: the tooth tune). Each group was taught their respective techniques and follow up was done at 15 and 45 days interval and all the indices were recorded. The data, thus collected was tabulated and subjected to analysis.Results: The results showed a reduction in the scores of OHI-S, TMQH and MGI in all the three groups during follow up visits. However, this difference was statistically significantly between the groups where, Group 2 was better than Group 1 and Group 3 was better than Group 1 and 2 by 45 days.Conclusions: In conclusion, Dantharaag: the tooth tune was readily accepted by children and showed better results in plaque reduction and oral hygiene improvement.

Control de la biopelícula con materiales bioactivos en pacientes adolescentes: reporte de caso / Biofilm control with bioactive materials in adolescents' patients: case report

El objetivo del artículo es reportar el desempeño clínico en el control y disminución de la placa bacteriana en pacientes adolescentes mediante un gel y barniz con partículas S-PRG. Se realizaron tratamientos con materiales bioactivos con tecnología GIOMER en 2 pacientes. En el primer caso se realizó una profilaxis con Pro Care Gel (S-PRG) en un paciente de 15 años con problemas neuromotores para eliminar la placa y posteriormente, se aplicó un barniz con partículas de S-PRG para prevenir la formación de biofilm. En el segundo caso, un adolescente de 15 años normoreactivo con inflamación gingival recibió el tratamiento profilaxis con PRG Pro Care Gel.Se observó una disminución de placa bacteriana tras la profilaxis con el gel Pro Care y la aplicación del barniz en el primer caso. Además, existió una baja incidencia de biofilm incluso después de 11 meses de la aplicación del barniz. En el segundo caso, a las 2 horas de aplicación, se observó una disminución total de la placa. Clínicamente se observó el bueno desempeño clínico de los materiales con partículas de S-PRG, como lo demuestra la literatura científica en cuanto a la reducción de la formación de placa bacteriana en las estructuras dentarias, la desinflamación gingival, proporciona bienestar a los pacientes y restaura la salud bucal de forma menos invasiva.

The objective of the article is to report the clinical performance in the control and reduction of bacterial plaque in adolescent patients using a gel and varnish with S-PRG particles. Treatments with bioactive materials with GIOMER technology were performed in two patients. In the first case, prophylaxis was performed with Pro Care Gel (S-PRG) in a 15-year-old patient with neuromotor problems to eliminate plaque and subsequently, a varnish with S-PRG particles was applied to prevent biofilm formation. In the second case, a normal 15-year-old adolescent with gingival inflammation received prophylaxis treatment with PRG Pro Care Gel. A decrease in bacterial plaque was observed after prophylaxis with the Pro Care gel and the application of the varnish in the first case. Furthermore, there was a low incidence of biofilm even after 11 months of varnish application. In the second case, after 2 hours of application, a total decrease in plaque was observed. The good clinical performance of materials with S-PRG particles was clinically perceived, as demonstrated by the scientific literature in terms of reducing the formation of bacterial plaque in dental structures, gingival disinflammation, providing well-being to patients and restoring oral health in a less invasive way.

The Role of the Dental Surgeon in the Pediatric Intensive Care Unit / O Papel do Cirurgião-Dentista na Unidade de Terapia Intensiva Pediátrica

Dentistry plays a significant role in the supportive care of hospitalized children in Pediatric Intensive Care Units (PICUs) as these patients arrive in this environment with altered immune systems and compromised oral health. This paper aims to present an integrative literature review on the role of dentists in the hospital setting, particularly in the PICU, and discuss the challenges encountered in this environment. A free search was conducted on the electronic platforms PubMed, Scientific Electronic Library Online (SciELO), Latin American and Caribbean Literature in Sciences (Lilacs), and Virtual Health Library (BVS) from January to February 2023, with no defined publication period and including all types of studies. Health Science descriptors (DeCS/MeSH) were used in English and Portuguese, applying Boolean operators. According to the data collected, among the conditions requiring admission to the PICU, respiratory disorders, heart and kidney failure, neurological disorders, severe metabolic diseases, infections, injuries, traumas, near-drowning incidents, and post-operative care after complex surgeries stand out. Dental care in this environment reduce hospitalization time, costs, and improve the quality of life of pediatric patients. However, the integration of these professionals into the PICU is still limited. Dentists in the hospital setting optimize multidisciplinary work through protocol-based measures derived from studies conducted in adult patients in intensive care units. Due to the lack of robust evidence related to oral care practices in pediatric intensive care settings, further research is mandatory. (AU)

A Odontologia tem um papel importante na assistência de crianças hospitalizadas nas Unidades de Terapia Intensiva Pediátricas (UTIP), pois esses pacientes chegam neste ambiente com o sistema imunológico alterado e a saúde bucal comprometida. Apresentar uma revisão integrativa da literatura sobre o papel do cirurgião-dentista no hospital, em especial, na UTIP, além de discutir os desafios encontrados nesse ambiente. Uma busca foi conduzida nas plataformas eletrônicas PubMed, Scientific Eletronic Library Online (SciElo), Latin American and Caribbean Literature in Sciences (Lilacs) e Biblioteca Virtual da Saúde (BVS), entre janeiro a fevereiro/2023, sem período definido de publicação e sob a inclusão de todos os tipos de estudos. Os descritores em Ciências da saúde (DeCS/MeSH) foram utilizados em inglês e português, sob aplicação dos operadoress booleanos. Segundo dados coletados, dentre as condições que necessitam de internação na UTIP, destaca-se as alterações respiratórias, insuficiência cardíaca e renal, alterações do sistema nervoso, doenças metabólicas graves, infecções, ferimentos, traumatismos, quase afogamentos e pós-operatório de cirurgias complexas. O cirurgião-dentista neste ambiente reduz o tempo de internação, os custos e aumenta a qualidade de vida dos pacientes pediátricos. Todavia, ainda é escassa a inserção deste profissional em UTIP. O cirurgião-dentista em ambiente hospitalar otimiza o trabalho multidisciplinar através de medidas baseadas em protocolos obtidos a partir de estudos em pacientes adultos em unidades de terapia intensivas. Devido a falta de evidências robustas relacionadas à prática de cuidados bucais no ambiente de cuidados intensivos pediátricos, a realização de pesquisas futuras torna-se mandatória. (AU)

A Study On Dental Caries Proportion In Children Aged 3-12 Years Visiting The Opd Of A Rural Medical College

Background Dental caries is one of the most common non-communicable diseases in children around the world. It greatly in?uences the health and well-being of the child. It can affect their jaw structure, speech and can even impact their personality and sleep. The aim of this study was to determine the prevalence and related risk factors of dental caries in children in aObjectives rural area. A descriptive cross-sectional study was conducted in children aged 3-12 years visiting the OPD of a rural medicalMethodology college in Thiruvananthapuram, Kerala from July to September 2023. Dental caries was examined by oral examination using a disposable tongue spatula under torch light and denoted by the decayed, missing, ?lled teeth score. Data acquired by printed questionnaire was then subjected to SPSS and analyzed with chi-square test. There were 180 boys and 169 girls among the 349 participants. The study showed that 127Results participants (36.4%) had caries. 34 children (25%) under 6 years of age, i.e having primary dentition, had caries with dmft index of 2.41+/-1.45 and 93 children (43%) above 6 years of age, i.e having permanent dentition, had caries with a DMFT index of 2.63+/-1.78. The relationship between the frequency of consumption of sweets and early childhood caries was found to be statistically signi?cant(p<0.042). The relationship between current caries and prior positive history of caries in primary dentition was found to be statistically signi?cant(p<0.001).

Long-term maintenance and complications of fixed dental prostheses

Fixed dental prostheses (FDPs), commonly known as dental bridges, play a pivotal role in restorative dentistry, offering patients a means to regain oral function and aesthetics in cases of tooth loss. These prosthetic devices, anchored to natural teeth or dental implants, bridge the gap created by missing teeth, improving chewing, speech, and smile aesthetics. However, the successful deployment of FDPs requires not only their initial placement but also long-term maintenance and an understanding of potential complications. Effective oral hygiene, regular dental surveillance, and professional dental cleanings are essential for preserving FDP longevity. Vigilance is crucial as FDPs, while resistant to cavities themselves, can pose challenges in cleaning around abutment teeth. Complications, including dental caries, periodontal issues, crown or bridge fractures, abutment tooth deterioration, aesthetic alterations, sensory sensitivity, and even prosthetic failure, are potential concerns. Timely intervention and preventive measures are key to addressing these issues. When complications arise, dental practitioners can often repair superficial problems like crown fractures. Profound or recurrent complications may require more extensive interventions, such as fabricating a new bridge or considering alternative restorative options like dental implants or removable partial dentures. By embracing these principles of maintenance and management, patients can optimize the durability and functionality of their FDPs while minimizing associated risks, ensuring a healthy and confident smile for years to come.

Desenvolvimento de aplicativo móvel para cuidadores sobre higiene bucal em demência e disfagia / Desarrollo de aplicación móvil para cuidadores sobre higiene bucal en demencia y disfagia / Development of a mobile application for caregivers on oral hygiene in dementia and dysphagia

Os autores relatam a experiência do processo de desenvolvimento do protótipo de um aplicativo sobre higiene bucal de idosos com demência, com atenção especial aos que apresentam disfagia, voltado à orientação dos seus cuidadores. Objetivou, também, descrever o papel desta experiência como estratégia de ensino interprofissional e de inovação social a estudantes de Odontologia e Fonoaudiologia. Realizou-se estudo qualitativo do tiporelato de experiência, com informações originadas de narrativas verbais e registro escrito e iconográfico dos autores dessa pesquisa, bem como de relatos escritos de duas revisoras do protótipo do aplicativo ­ambas especialistas em Gerontologia. Para o protótipo, utilizou-se o site SeuApp.com, sem necessidade de programação, gerando formato de aplicativo e site para desktop e celular. O produto foi desenvolvido em três fases, concluído com êxito, e avaliado positivamente pelas pareceristas. Seu conteúdo incluiu informações escritas e iconográficas, estáticas e dinâmicas, referentes à importância e "passo a passo" da higiene bucal, suas relações com saúde e disfagia, e cuidados específicos diante dessa, além de um "Guia do Aplicativo" e "Feedback". A experiência relatada demonstrou que a construção do aplicativo se deu com êxito e avaliação positiva por pareceristas, com contribuição social almejada. Os discentes e docentes de Odontologia e de Fonoaudiologia envolvidos ampliaram suas habilidades na inovação e nas competências interprofissionais. Mais estudos sobre a inovação na graduação em saúde são requeridos, por se tratar de uma área em expansão no mercado, tendo grande contribuição para atualização dos profissionais da saúde (AU).

Los autores relatan la experiencia del proceso de desarrollo del prototipo de una aplicación sobre higiene bucal para personas mayores con demencia, con especial atención a aquellas con disfagia, con el objetivo de orientar a sus cuidadores. También tuvo como objetivo describir el papel de esta experiencia como estrategia de enseñanza interprofesional e innovación social para estudiantes de Odontología y Logopedia. Se realizó un estudio cualitativo del tipo relato de experiencia, con informaciones provenientes de relatos verbales y registros escritos e iconográficos de los autores de esta investigación, así como relatos escritos de dos revisores del prototipo de la aplicación, ambos especialistas en Gerontología. Para el prototipo se utilizó el sitioweb SeuApp.com, sin necesidad de programación, generando un formato de aplicación y sitio web para escritorio y celular. El producto fue desarrollado en tres fases, completado con éxito y evaluado positivamente por los revisores. Su contenido incluía información escrita e iconográfica, estática y dinámica, referente a la importancia y el "paso a paso" de la higiene bucal, sus relaciones con la salud y la disfagia, y los cuidados específicos ante esta, además de una "Guía de Aplicación" y "Comentarios". La experiencia relatada demostró que la construcción de la aplicación fue exitosa y fue evaluada positivamente por los revisores, con la contribución social deseada. Los estudiantes y profesores de Odontología y Logopedia involucrados ampliaron sus habilidades en innovación y competencias interprofesionales. Se requiere más estudios en innovación en la graduación en salud, ya que es un área en expansión en el mercado, con un gran aporte para la actualización de los profesionales de la salud (AU).

The authors report the experience of developing the prototype of an application on oral hygiene for elderly individuals with dementia, with special attention to those with dysphagia, aimed at guiding their caregivers. The purpose was also to describe the role of this experience as a strategy for interprofessional education and social innovation for dentistry and speech-language pathology students. A qualitative study of the experience was conducted, gathering information from verbal narratives and written and iconographic records of the researchers, as well as written reports from two reviewers of the application prototype­both experts in Gerontology. The website SeuApp.com website was used for the prototype, which required no programming, generating an application format and a website for desktop and mobile. The product was developed in three phases, successfully completed, and positively evaluated by the reviewers. Its content included written and iconographic information, static and dynamic, regarding the importance and step-by-step process of oral hygiene, its relationships with health and dysphagia, and specific care in the face of the latter, along with an "App Guide" and "Feedback." The reported experience demonstrated that the application's construction was successful and positively evaluated by reviewers, thus achieving the intended social contribution. Dentistry and speech-language pathology students and faculty involved expanded their skills in innovation and interprofessional competencies. Given itsexpanding presence in the market and significant contribution to the ongoing education of healthcare professionals, further studies on innovation in health education are required (AU).