A randomized, placebo-controlled, double-blinded, parallel-group study was conducted for six months among 12 to 15 year olds school children in Nellore, India. The inclusion criteria were : 1) children with permanent dentition; 2) baseline plaque index (PlI) and gingival index (GI) scores of 2-3; 3) good general health; and 4) an ability to use a mouth rinse
Ethical Aspects
The study was performed in accordance with the guidelines of Good Clinical Practice and the Declaration of Helsinki as revised in 2000. The institutional review board (IRB) and ethical committee of the Narayana Dental College and Hospital gave approval for the study (IEC/NDC/1091/NDC/04.01.2010). The investigator provided detailed information about the study
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Calibration
The investigator was self-trained and calibrated before the study and during the course of study. Data recording was done by a recorder who had been trained and calibrated prior to the main study. To evaluate the intra-examiner reliability, duplicate examinations were conducted at baseline, after three months and at the end of the study. The related kappa values were 0.84, 0.92 and 0.94, respectively.
Study outcomes
The oral examinations were performed at baseline, 3 months and 6 months. At the baseline examination, personal information of the subjects was recorded in a specially prepared pro-forma. The children were examined on a chair by the investigator under natural light using mouth mirror and explorer/probe. Reducion in PlI score was considered as the primary outcome and difference in GI scores between four groups was the secondary outcome. At each intraoral examination, presence of plaque and gingivitis was determined using the criteria suggested by Loe H.17 PlI and GI scores were recorded on all surfaces (mesial, distal, buccal, palatal/lingual) of all the teeth. The scores from the four areas of the tooth were added and divided by four to give the PlI/GI for the tooth. PlI and GI for the individual is obtained by adding the indices for the teeth and dividing by the number of teeth examined.
Procedure:
The investigator demonstrated to and trained the subjects regarding a proper method of
An orofacial examination was performed to assess the structural and functional integrity of the oral mechanism. The exam did not reveal anything of clinical significance.
“although it is not life-threatening, if left untreated can lead to significant acute and chronic conditions, bacteremia, early loss of tooth, malocclusion in the permanent dentition, high cost of treatment, low self-esteem and failure to thrive.”1 A study was done by the Department of Child Dental Health in Nigeria by observing children aged 6-71 months to determine the prevalence of early childhood caries and its association with infant feeding and oral health
Early childhood caries (ECC) was the most widespread chronic childhood disease, albeit largely preventable if parents and caregivers adhered to oral hygiene guidelines, followed proper diet and nutritional practices, and kept regular dental visits for their child (Badri, 2014). Professional and academic bodies have long held and researched the importance of establishing and maintaining oral health at an early age. Early childhood oral health has influenced the trajectory of oral health and overall health in adulthood. Possible complications from ECC caries have included not only dental difficulty but medical consequences, pain, decreased quality of life, lost time of children from school and caregivers from work, increased medical bill expenses,
As stated by Martino (2013), “Primary, secondary and tertiary prevention behavioral and social interventions are needed to target these issues, reduce the incidence of oral health problems, and improve the rates at which people recover from them” (Martino,
Globally, poor oral health among older people has particularly been seen in a high level of tooth loss, dental caries experience, and high prevalence rates of periodontal disease, xerostomia, and oral precancer/cancer. The increase of the elderly population
Dental caries refer to the indications and manifestations of local dissolution of enamel caused by metabolic processes in the biofilm, or plaque, covering the affected part of the tooth. From twelve to thirty months of age, children have a special pattern of caries formation. This pattern primarily begins by affecting primary maxillary incisors and then first molars. The primary mandibular incisors are not as susceptible to caries formation due to the close proximity to the tongue and saliva from the sublingual and submandibular glands (5). Early childhood caries (ECC) begins with white-spot lesions and can affect the whole
Gum disease is caused by the accumulation of plaque and bacteria underneath your gum line. When the plaque hardens it turns into tartar and this leads to an extreme form of gum disease like periodontal disease. While periodontal disease is an extreme form of gum disease, gingivitis is a milder form that can easily develop in children. An early sign of gingivitis is bleeding around the gum line when your child brushes their teeth. Reversing gingivitis can take some time, therefore, it is important to take the necessary steps to prevent it. Therefore, there are a few natural rinses that your child can incorporate in their dental care regimen in order to protect their teeth against gingivitis.
Mrs. Whaka revealed that Rangi’s last dental visit was a year ago when several restorations were placed. Had those treatments been done in this clinic, I will retrieve these records myself, otherwise, I would ask Mrs. Whaka if she could call Rangi’s previous dentist to fax or email the records over that day or have Rangi’s records forwarded at a later date so I can see them. According to Skeie, Raadal, Strand, and Espelid (2006) and Powell (1998), the strongest predictor of caries in permanent dentition is previous caries experience in deciduous teeth. As such, his dental records could reveal if treatment has been done on the offending tooth and whether the lesions had progressed from the last dental visit. This will assist me in assessing whether management techniques previously implemented need to be modified, abandoned or
Providing initial therapy (ex. non-surgical periodontal therapy) is key in arresting the progression of the periodontal disease that is present. NSPT’s that were used in my client’s treatment include, oral biofilm removal and control, supragingival and sub gingival scaling with hand instrumentation and the ultrasonic, oral self care indices, oral hygiene education, tobacco cessation, oral cancer screenings, and finally evaluation throughout the duration of care. One intervention that was not planned but should have been added would have been 4-6 week re-evaluation to determine further evaluation of the interventions. Since a 4-6 week reevaluation was not conducted a reevaluation of a quadrant was completed a week after debridement. The connection between the expected outcomes and the assessment findings include the remineralization of enamel and the extreme risk for decay, the moderate deposits and the client becoming deposit free, low dental IQ and expecting the client’s ability to explain certain dental terms and how to conduct an oral cancer screening. The connection between the assessment findings and expected outcomes are crucial in order for the operator to identify the need for the type of treatment and reduce the disease found in the client’s oral
An examination file and a treatment file were created for each patient after inclusion. The examination file, which contained information about the clinical measurements, was accessible only to the examiner. The treatment file, which provided data about the randomization modalities was filled before each treatment. Patients were instructed in oral hygiene, and supragingival cleaning of the teeth was performed using hand instruments and a sonic device with tip no. 5/6/ with increasing amplitudes of 120 mm. The sonic device was used with a frequency of 6,000 Hz and constant water irrigation according to the instructions of the manufacturer Oral hygiene instructions were repeated at every appointment. Subsequently, two quadrants Group I were
In a stratified RCT, Tantipong, Morkchareonpong, Jaiyindee, & Thamlikitkul (2008) conducted a study to compare the use of CHG and normal saline for oral care. Patients in the CHG group received care using 15 ml of 2% CHG, the use of tooth brushing, and suctioning up to four times per day (Tantipong et al., 2008). The normal saline group used the same procedure as the CHG group, but with the difference of using normal saline instead of CHG. The results of this study were that 4.9% or 5 out of 102 patients in the CHG group developed VAP and 11.4% or 12 out of 105 patients in the normal saline group developed VAP (Tantipong et al., 2008). The study concluded that using 2% CHG solution for oral hygiene was proven to be effective in preventing
The tongue surface has also been misconstrued when cleaning the mouth. It is understood to use the toothbrush in cleaning the dorsal surface of the tongue. However, that technique only spreads the bacteria around the mouth. A tongue scraper can be purchased instead and will help with bacteria from spreading and malodor. Black 's Classification of dental caries can range from pits, fissures, mesial surfaces, distal surfaces, incisal angle, gingival third, and on cusp tips (Darby, Walsh, 2010, 265). The occlusal and pits on the posterior teeth are the common places to see dental caries. These caries are all seen in the dental facility and can be corrected by a filling if caught in time before traveling to the nerve of the tooth. A root canal would be performed in case the bacteria progresses to the root. In some cases, an abscess is possible if not caught in time. All ages can be at risk for dental caries and gum disease. Early childhood caries (ECC) is a major concern for children all over the world (See Appendix B for an image of early childhood caries). “This type of ECC appears rapidly, commonly affecting maxillary anterior teeth, particularly the facial surfaces not generally considered to be at high risk for decay” (Darby, Walsh, 2010, 262). Commonly this type of caries can be associated with baby bottle syndrome. Risk factors can include lack of fluoride in the water system, low-income family, sleeping with a bottle, not properly cleaning the teeth, and
Lecturer of Oral Medicine, Periodontology, Oral Diagnosis and Oral Radiology, Faculty of Dentistry, October 6 University
A protocol of thesis submitted to the Department of Oral Medicine, Periodontology, Oral Diagnosis and Radiology, Faculty of Dentistry, Ain Shams University, in partial fulfilment of the requirements of the Master’s Degree in Oral Medicine, Periodontology, and Oral Diagnosis.
Corresponding author: Ali Fahd - Faculty of oral and dental medicine, South Valley University, Qena, Egypt (83523) – Dr.ali.fahd.dentist@gmail.com - Fax number: 0020965227415