Clean Mouth Research Articles

Efficacy of an automatic electric toothbrush with nylon bristles in dental plaque removal: a cross-over randomized controlled trial

ObjectivesThe objective of this single-use, five-treatment, five-period, cross-over randomized controlled trial (RCT) was to compare the efficacy in dental plaque removal of a new Y-shaped automatic electric toothbrush (Y-brush) compared to a U-shaped automatic electric toothbrush (U-brush), a manual toothbrushing procedure (for 45 and 120 s), and no brushing (negative control).Materials and methodsEligible participants were volunteer students randomized to the treatments in the five periods of the study. The primary outcome measure was the reduction in full-mouth plaque score (FMPS) after brushing while the secondary outcome variable was a visual analogic scale (VAS) on subjective clean mouth sensation. Mixed models were performed for difference in FMPS and VAS.ResultsAfter brushing procedures, manual toothbrushing (120 s) showed a statistically significant reduction in FMPS than Y-brush (difference 36.9; 95%CI 29.6 to 44.1, p < 0.0001), U-brush (difference 42.3; 95%CI 35.1 to 49.6, p < 0.0001), manual brushing (45 s) (difference 13.8; 95%CI 6.5 to 21.1, p < 0.0001), and No brushing (difference 46.6; 95%CI 39.3 to 53.9, p < 0.0001). Y-brush was significantly more effective than No brushing (difference 9.8; 95%CI 2.5 to 17.0, p = 0.0030), while there was no significant difference compared to U- brush. Similar results were obtained for the differences in the Clean Mouth VAS.ConclusionsY-brush was significantly more effective than no brushing (negative control) in removing dental plaque. When compared to manual toothbrushing for both 45 and 120 s, however, Y-brush was less effective in dental plaque removal.Clinical relevanceModified design of automatic toothbrushing devices could improve plaque reduction, especially in patients with intellectual disabilities or motor difficulties.

Interdental brushing, for a clean mouth at every age

Interdental brushing, for a clean mouth at every age

Interdental brushing, for a clean mouth at every age

Interdental brushing, for a clean mouth at every age

Interdental brushing, for a clean mouth at every age

Interdental brushing, for a clean mouth at every age

Comparison of Salivary parameters in Orthodontic Patients with good oral hygiene and bad oral hygiene

Aim: The aim of the study is to compare the salivary Ph, Buffer capacity, calcium, phosphorus and urea levels in clean and unclean mouths of orthodontic patients. Materials and methods: This ex-vivo study was carried out in orthodontic patients. 40 (group 1: clean mouth; group 2: unclean mouth) patients were included in this study. Unstimulated saliva was collected from both groups using a draining method and was subjected to chemical analysis. Results: Intergroup comparison between clean and unclean mouth revealed that Ph, Buffer capacity, Calcium, phosphorus levels reduced significantly in the unclean mouth as compared to clean mouth patients . Urea levels significantly increased in the unclean mouth group. (p&lt;0.05). There was no statistically significant difference between males and females in both groups. Conclusion: Patients undergoing orthodontic treatment have altered chemical salivary parameters. Patients having OHI index levels more than 3, i.e. unclean mouth patients have reduced pH, buffer capacity, calcium and phosphorus levels and increased urea levels in saliva as compared to orthodontic patients having clean mouths.

Social validity of pediatric feeding treatment components across time

AbstractThere is limited research on the social validity of treatment for pediatric feeding disorders. When it is assessed, the evaluation of treatment acceptability may focus on a few specific procedures or the entire program post‐treatment. This report took place within a home‐based behavior‐analytic treatment model in Australia. Caregivers of eight children (aged 3–11) with pediatric feeding disorders provided treatment acceptability ratings for the full range of treatment procedures, at pre‐ and post‐treatment. Caregivers were also provided the opportunity to provide open‐ended responses. Results showed that caregivers unanimously gave strong ratings of the importance of goals, and preferred that treatment be effective and quick, over minimizing side effects. Procedures experienced by all caregivers (differential attention, tangible reinforcement, nonremoval of the spoon, and re‐presentation) were rated highly at admission and increased at discharge, with the exception of tangible electronics. Caregivers of children receiving additional procedures for acceptance or clean mouth also provided high acceptability ratings for these at both timepoints. This report is the first to examine pre‐ and post‐acceptability measures on the full range of treatment procedures with caregivers experiencing treatment. Results inform future research and will serve to improve efforts to disseminate behavior analysis as an acceptable and effective treatment for pediatric feeding disorders.

Social and behavioral determinants of early childhood caries: A cross-sectional study within region of Ambala, Haryana.

BACKGROUND:Early childhood caries is like an epidemic, especially in the developing world, hence exploring its appropriate factors in causing the disease the need of the hour. Hence, the aim of the present study was to evaluate social and behavioral determinants of early childhood caries within the region of Ambala, Haryana.MATERIALS AND METHODS:The present survey elaborated oral examination among 398 study participants within the age group of 4–5 years. Carious tooth was recorded using Gruebbel's deft DEFT index using clean mouth mirror and probe. A questionnaire comprising 21 questions in English as well as Hindi was prepared. There was an interviewer who took the interview of parents or caregivers. The questionnaire consisted of questions which were aimed at gaining information regarding infants feeding practice, social factors, and dental health behavior. The results of the study were tabulated, and inferential statistics were applied using ANOVA test along with regression (multiple logistic) procedure.RESULTS:The occurrence of caries was affected by the behavioral factors such as breastfeeding habits, bottle feeding habits, age of beginning of solid foods in children. There was no influence of age of beginning of taking fluid from cup. Besides social factors like annual family income, education of mothers, age of mother at the time of birth of children, age of children, order of children in the family had a significant effect over the occurrence and severity and extent of caries. Factors such as gender of children and profession of mother did not have had a significant role in early childhood caries. Dental health habits such as tooth brushing frequency, brushing under supervision, frequency of toothbrushing, quantity of toothpaste used had a significant effect over the frequency, and acerbity of caries in early infanthood.CONCLUSION:It can be concluded from this study that there is a significant correlation between several social and behavioral determinants and early childhood caries.

Use of a Move-on Component to Increase Consumption for a Clinical Paediatric Feeding Case In-Home

AbstractResearch from specialised hospital feeding programmes in the United States has shown effectiveness of a variety of treatments for packing (not swallowing food or liquid in the mouth) to increase swallowing and consumption. One potential component used in clinical practice has not been evaluated in the literature to our knowledge. This component is move-on and involves moving on to the next bite presentation rather than waiting for swallowing (i.e., clean mouth). A 5-year-old female with autism spectrum disorder and avoidant/restrictive food intake disorder participated in a home setting in Australia. We used a withdrawal/reversal single-case experimental design for a move-on component added to a treatment package. With move-on added, latency to clean mouth decreased and consumption increased to 100%. After the treatment evaluation, additional procedures (interspersal, redistribution) were needed in full plate and portion meals. Food variety was increased to 116 regular texture foods across all food groups. All (100%) of admission goals were met. Parents were trained to high procedural integrity, and the protocol was generalised to the community. Gains maintained to 1-month follow-up.

Efficacy of a U-Shaped Automatic Electric Toothbrush in Dental Plaque Removal: A Cross-Over Randomized Controlled Trial.

Background: The aim of this single-use, four-treatment, four-period (visit), cross-over, mono-centered, examiner-blind, cross-over randomized controlled trial (RCT) was to evaluate the efficacy in dental plaque removal of a U-shaped automatic electric toothbrush (U) compared to a conventional powered toothbrush (P), a habitual toothbrushing procedure (H), and no brushing (N). Methods: Eligible participants were volunteer students. Primary outcome measure was the reduction in full-mouth plaque score (FMPS) after brushing. The secondary outcome variable was a visual analogic scale (VAS) on subjective clean mouth sensation. Mixed models were performed for difference in FMPS and VAS. Results: Twenty-two participants were randomized to the treatments in the four periods of the study. The differences between treatments in FMPS reduction after brushing were statistically significant (p < 0.0001). The differences were statistically significant between the U and P groups (difference −48; 95% CI from −54 to −41) favoring the P group, and between the U and H groups (difference −45; 95% CI from −52 to −39) favoring the H group. On the contrary, the difference between the U and N groups was not significant (difference 5; 95% CI from −2 to 12) favoring the U group. The differences between treatments in clean mouth VAS was statistically significant (p < 0.0001) favoring the P and H groups. Conclusions: The U-shaped automatic electric toothbrush tested in this study proved to be not effective in removing dental plaque.

ORAL HEALTH LITERACY OF PARENTSAND ASSOCIATION WITH CHILDREN ORAL HEALTH STATUS – A REVIEW

Oral health literacy (OHL) is the capacity of the individual to gain, practise and to recognise the information on basic health and its services required for appropriate oral health (OH)conclusions. The OHL allows an individual to move relatively through the health care system rather allowing them to write , read and relate the literature on oral health. It is an important section of physical health and comfort, even more than a clean mouth, a great smile, and relief from pain and infection. It also relates significantly to self-esteem and personal achievement. There is enough evidence in the literature with several studies which reveals that the oral health literacy is significantly associated with adult’s oral health status, as well as children’s oral health

A postmodern perspective regarding older adults' oral health.

This article aims to comprehend meaning assigned to oral health, by means of older adults discourses, supported by a Social Constructionist perspective. This is a qualitative study with a descriptive and comprehensive design based on the Social Constructionism theoretical support conducted by means of interviews with 19 older adults. Data were analysed by means of a Discourse Analysis with identification of Interpretative Repertoires, which structured the meanings proposed to oral health. It were created repertories to disclosure possible meanings assigned to the oral health by older people as: having a clean mouth; having good comprehensive/general health; having a beautiful smile and oral health well-being condition; and suffering in the past and accepting pain. The meaning assigned to oral health by older people, in a social constructionist perspective, allow us to comprehend the subjectivity behind oral health of older people, which can guide health professionals' approaches to deal with it.

Prospective randomised blinded clinical trial assessing effectiveness of three dental plaque control methods in dogs.

To assess the effectiveness of three commonly used methods of controlling dental plaque accumulation within a general practice setting. A blinded study, block randomising dogs at recruitment to receive one of three treatments to start after a routine scale and polish procedure: once daily tooth brushing using a toothbrush and veterinary toothpaste, once daily administration of a single dental hygiene chew or a prescription dental diet. Blinded scoring of plaque accumulation, both coverage and thickness, was performed at the end of the 6-week study. A total of 22 dogs completed the study, which simultaneously assessed the effectiveness of the three means of plaque control. Daily tooth brushing was shown to be more than three times as effective at controlling plaque accumulation compared to using a daily dental chew or dental diet. The dental plaque scores for the diet and dental chews were not significantly different from one another and there was much greater variability in the mouth scores for these two groups of dogs compared to the tooth brushing group. The study design has been shown to be an effective means of assessing plaque accumulation over a 6-week period using a clean mouth model. Secondly, this study adds to the evidence which shows that daily tooth brushing is the most effective single method of reducing plaque accumulation and optimising dogs' oral health.

Structural modifications of the salivary conditioning film upon exposure to sodium bicarbonate: implications for oral lubrication and mouthfeel.

The salivary conditioning film (SCF) that forms on all surfaces in the mouth plays a key role in lubricating the oral cavity. As this film acts as an interface between tongue, enamel and oral mucosa, it is likely that any perturbations to its structure could potentially lead to a change in mouthfeel perception. This is often experienced after exposure to oral hygiene products. For example, consumers that use dentifrice that contain a high concentration of sodium bicarbonate (SB) often report a clean mouth feel after use; an attribute that is clearly desirable for oral hygiene products. However, the mechanisms by which SB interacts with the SCF to alter lubrication in the mouth is unknown. Therefore, saliva and the SCF was exposed to high ionic strength and alkaline solutions to elucidate whether the interactions observed were a direct result of SB, its high alkalinity or its ionic strength. Characteristics including bulk viscosity of saliva and the viscoelasticity of the interfacial salivary films that form at both the air/saliva and hydroxyapatite/saliva interfaces were tested. It was hypothesised that SB interacts with the SCF in two ways. Firstly, the ionic strength of SB shields electrostatic charges of salivary proteins, thus preventing protein crosslinking within the film and secondly; the alkaline pH (≈8.3) of SB reduces the gel-like structure of mucins present in the pellicle by disrupting disulphide bridging of the mucins via the ionization of their cysteine's thiol group, which has an isoelectric point of ≈8.3.

Six New Universal Public Health Measures -- Worth Knowing and Doing --To Live Longer...To Prevent/Reduce “Inflammation” Everywhere and Anywhere...

Almost all contagious diseases from Strep Throat to viruses infect through the mouth--especially the gums (In fact, most likely all diseases have something to do with what we inhale or ingest). Basically, a clean mouth means strong gums which means better health. Teeth should be brushed twice a day--morning and bedtime with flossing before each time. Flossing firmly strengthens the gums. Teeth, gums and tongue need brushing, especially the gums which need massaging to stay firm and strong.

Oral Health Benefits of a Daily Dental Chew in Dogs

An independent study was conducted to determine and quantify the oral care benefits of a daily edible dental chew in dogs as measured by plaque and calculus control, gingival indices, and oral malodor. A "clean mouth" test model was used comparing a commercial dry diet and a commercial dry diet plus one dental chew per day. The dental chew tested was representative of a retail canine dental chew. The test dental chew was a green-colored dental dog chew with a flexible texture that can be readily chewed by dogs. They are made with a knuckle bone shape on one end and a toothbrush shape on the other end. Sixty adult dogs were allocated in either control or test groups based on plaque stratification and studied for 28-days. The test group (30 dogs) received a dry diet and 1 dental chew each day. The control group (30 dogs) received the same dry diet only. At the end of the study, measurements of plaque and calculus accumulation and evaluations of oral malodor and gingival heath were performed. Adding a dental chew to the diet resulted in statistically significant reductions in plaque and calculus accumulation, and oral malodor while improving gingival indices.

Bioadhesive properties of β-limit dextrin

β-Limit dextrin has been studied for many years as a means to investigate the internal structures of amylose and amylopectin. However its role as an excipient in the pharmaceutical industry has never been reported. This paper is the first one in a series to explore its potential use as an excipient to aid drug delivery. The bioadhesive properties of β-limit dextrin were studied using a texture analyser and compared with two well-known bioadhesive polymers - carbopol and chitosan (as controls). The β-limit dextrin has significant mucoadhesive properties; similar to carbopol but superior to chitosan. The nature of β-limit dextrin (a starch derivative) makes it safe to consume and provides a natural alternative when compared with synthetic polymers. In addition, the polysaccharide can be digested by salivary amylase and thus provide a clean mouth feel.

Efficacy of oral chlorhexidine in critical care

In their review of airway hygiene, Jelic and colleagues highlighted that colonization or infection of the upper airway precedes the development of ventilator-associated pneumonia [1]. Although the effects of chlorhexidine on reducing pneumonia were discussed, there was no mention of the possible contribution of physical plaque removal, in particular tooth brushing, which is often performed either infrequently or inadequately in mechanically ventilated patients [1]. Such removal is important because in critically ill patients the normal microflora of dental plaque becomes rapidly colonized by potential pathogens, and this biofilm serves as a reservoir for the subsequent development of ventilator-associated pneumonia [2,3]. Physical removal of dental plaque is essential for the optimal benefit of chlorhexidine since its primary action is inhibition of plaque formation. Whilst chlorhexidine kills both Gram-negative bacteria and Gram-positive bacteria by damaging their cell wall, its antiplaque activity is superior to other antiseptics with greater antibacterial activity. This superior activity occurs because chlorhexidine is absorbed onto oral surfaces and is released over a long period of time. This property, known as substantivity, explains why chlorhexidine is excellent at inhibiting plaque formation in a clean mouth but is otherwise of limited efficacy [4]. It is also not generally appreciated that if toothpaste is used prior to chlorhexidine then it must be thoroughly removed to prevent formation of inactive low-solubility salts [5]. Oral chlorhexidine is widely used in critical care practice and has been the subject of many investigations in mechanically ventilated patients. These studies unfortunately do not address the essential need for mechanical cleaning prior to chlorhexidine use and therefore potentially underestimate the benefit of this agent in reducing ventilator-associated pneumonia.

Surgical Therapy for Osteonecotic Lesions of the Jaws in Patients in Therapy With Bisphosphonates

Surgical therapy to improve the symptoms and the lesions in osteonecrosis (ON) of the jaws in patients in therapy with bisphosphonates. to evaluate the patient's therapeutic protocols, performance status, and factors promoting ON to prevent surgical failure. 18 patients affected by osteonecrotic lesions of the jaws associated to BF, were treated by surgery. The results were recorded after 6 months. All the patients showed improvement of symptoms, in particular the pain. In addition, all the patients referred to a sensation of fresh and clean mouth, the disappearance of fetor ex ore, and a healthy mouth. The management and the resolution of BF osteonecrotic lesions is arguable and complex because in most cases, the patients are affected by oncologic disease when the better approach is prevention, but when the ON lesion is clear, surgery can improve the symptoms and in some cases, it can be resolute. To prevent surgical failure, it can be useful to evaluate the patient's therapeutic protocols, performance status, and factors promoting ON.

USING FOOD REDISTRIBUTION TO REDUCE PACKING IN CHILDREN WITH SEVERE FOOD REFUSAL

Positive- and negative-reinforcement-based procedures typically have targeted acceptance for children with severe food refusal; however, these procedures do not always result in successful swallowing. Once acceptance is achieved, some children expel the food repeatedly or pack (hold or pocket) it in their mouths for extended periods of time. This study evaluated the effects of using food redistribution with a bristled massaging toothbrush to reduce packing and increase consumption in 4 children with severe feeding disorders. Packing was reduced for all children. In addition, latency to clean mouth (the duration of time from acceptance to food no longer being present in the child's mouth in the absence of expulsion) for 2 children decreased when the food-redistribution procedure was used. Results are discussed in terms of the potential operant functions of the food-redistribution procedure.

Nursing Medical Patients: Problems with Neurological Patients

Difficulties in giving nursing care ...... To keep patient dry and clean (prevent decubitus) To keep bed and patient looking tidy . To keep patient in bed To move patient To understand patient To enforce quietness To obtain diet (orthodox Jewish) . . . To clean mouth of unconscious patient To give mouth gag in convulsions .... To teach the use of a straw........ To keep patient comfortable during a chill To carry out precaution care....... To get patient to eat To prevent spitting out of food..... To urge water To give bedpan To keep bedpan away from bedside . . 32