Oral Hygiene Index Research Articles

Characterization of Cocoa Bean Husk Extract Particles and its Comparison as a Mouthrinse with Different Vehicles in Children aged 7-12 Years.

Assessing the efficacy of cocoa bean husk extract (CBHE) particles with different vehicles as a mouthrinse in children aged 7-12 years in comparison to chlorhexidine (CHX) and sodium fluoride (NaF) mouthrinse. A total of 80 children aged 7-12 years residing at a residential school/orphanage in Bengaluru city were selected and randomly allocated into five groups-group I: 0.1% CBHE with distilled water (DW); group II: 0.1% CBHE with Ringer's lactate (RL); group III: 0.12% CHX; group IV: 0.1% CBHE with normal saline (NS); and group V: 0.05% NaF. A Simplified Oral Hygiene Index (OHI-S) was recorded, salivary pH was assessed, and unstimulated saliva samples were collected at baseline (BL) after 30 minutes of rinsing on day 7 and day 14. These saliva samples were subjected to microbiological analysis, and all the data from five groups at four different time intervals was tabulated and statistically evaluated. Nearly 0.1% CBHE with NS as vehicle showed maximum antibacterial properties among all the groups at all time intervals. The addition of RL to CBHE provided better anti-plaque efficacy than 0.1% CBHE with DW and 0.12% CHX mouthwash. All three combinations of 0.1% CBHE and 0.12% CHX mouthwash proved to be better anti-plaque agents than 0.05% NaF. Improving the preparation of CBHE mouthwash by using NS, RL, and with the addition of saccharin sodium also improved the patient's compliance. Thus, preparing chocolate/CBHE mouthwash with NS or RL instead of plain DW increased the salivary pH, anti-plaque efficacy, and antibacterial property by reducing Streptococcus mutans growth. Cocoa bean husk extract (CBHE) mouthwash is a better anticariogenic and nonalcoholic mouthwash compared to CHX and NaF, which can be safely used in children as a routine oral rinse and also for those with gingivitis and high-risk of caries. Kibriya S, Srinivasan I, Setty JV, et al. Characterization of Cocoa Bean Husk Extract Particles and its Comparison as a Mouthrinse with Different Vehicles in Children aged 7-12 Years. Int J Clin Pediatr Dent 2023;16(1):54-59.

Behavioural patterns of children as risk factors of oral hygiene and dental caries- A short study

Oral health is an important aspect affecting general health and quality of life. All children have different health considerations including oral health. Children have their own basic nature and this behaviour variability may influence their understanding and acceptability towards maintenance of oral hygiene. Some children may not follow the proper oral hygiene regimes due to variable behaviour which can drastically affect their oral status. Thus, the behaviour of child can act as an obstacle in maintaining oral hygiene. The present study was aimed at finding the association of child behaviour with dental caries and oral hygiene status.: A convenient sample of 100 children aged 6-11 years visiting the Department of Pediatric and Preventive Dentistry were taken for the study. A questionnaire was designed to assess the behaviour of children. Oral hygiene Index and Caries Index of the samples to be studied were recorded. The obtained data was tabulated and subjected to statistical analysis A statistically significant association was found between child behaviour and dental caries(deft). Also, different types of behaviour pattern showed difference in oral hygiene and caries index. a correlation between oral hygiene and child behaviour was also found.Oral health status has a multifactorial etiology with child behaviour as an influential factor. Especially in young children, it may directly or indirectly influence caries risk and oral hygiene status. If identified in initial phase, working upon it may help in promoting better oral health of children in the long run.

Influence of Joint Flexibility, Hand Grip Strength and Pain on Oral Hygiene in Musculoskeletal Disorders—A Non-Interventional Clinical Study

The study included 200 subjects, half suffering from back, neck, shoulder, elbow, and wrist problems, belonging to different age groups and professions; 100 had joint pain, and 100 were without joint pain. The study assessed individuals exposed to oral health issues by measuring the strength of hand grip, flexibility, and pain score of the back, neck, shoulder, elbow, and wrist. The strength of the hand grip and the angle of the elbow and shoulder were measured in addition to a questionnaire to assess the relationship between back pain and oral health. To evaluate dental health status and oral hygiene, the total number of decayed, missing, and filled teeth (DMF/T) and Oral Hygiene Index-Simplified (OHI-S) indices were used. The difference between all demographic parameters was statistically significant (p < 0.05). It was observed that there was a significant difference in calculus, debris, and dental caries scores in both groups, with significantly lower scores and better oral hygiene in patients without joint pain. Concerning pain score and joint movements, the group without joint pain showed a significantly better range of movements and less pain than patients suffering from joint pain, and statistically a significant difference (p < 0.05) was observed between both groups. The present study revealed that musculoskeletal disorders, pain in the neck and hand, and restricted movements were common among professionals. We observed that pain in joints, neck, and hands, with restricted movements, caused a serious impact on the maintenance of oral hygiene practices among subjects of different professions.

Auxiliary delivered school based oral health promotion among 12-14-year-old children from a low resource setting-A cluster randomized trial.

This community intervention study compared the changes in oral health knowledge, attitude, practices (KAP), and oral health indicators among 12-14-year-old children who received a school based oral health promotion delivered by auxiliaries in a rural setting in India. The interventions in this school based cluster randomized trial were delivered using schoolteachers and school health nurses. Oral health education (once in 3months), weekly classroom based sodium fluoride mouth rinsing and biannual oral health screening/ referral were provided for 1 year. The control arm did not receive these interventions. Oral health indicators and self-administered KAP questionnaire were evaluated at baseline and 1-year follow-up. Oral health indicators included oral hygiene index simplified, DMFT/DMFS net caries increments, prevented fraction, number of sites with gingival bleeding, changes in care index, restorative index, treatment index, and dental attendance. The improvement in total KAP score, oral hygiene, and gingival bleeding from baseline to follow up was higher in the intervention arm (p < 0.05). The prevented fraction for net caries increment were 23.33% and 20.51% for DMFT and DMFS, respectively. Students in the intervention group had a higher dental attendance (OR 2.92, p < 0.001). The change in treatment index, restorative index, and care index were significantly higher in the intervention arm (p < 0.001). Inclusion of available primary care auxiliaries like school health nurses and teachers in oral health promotion is a novel, effective, and sustainable strategy to improve oral health indicators and utilization in rural areas in low resource settings.

Oral hygiene status in individuals with hearing difficulties: A systematic review and meta-analysis.

Most studies focusing on oral hygiene status in hearing impaired individuals are cross-sectional and focus on specific populations. A comprehensive literature search and evidence-based analysis was carried out to assess the oral hygiene status in this special group of population. Searches were conducted in four databases with no restriction on publication date. Cross-sectional and comparative cross-sectional studies assessing the oral hygiene status and periodontal status of hearing impaired individuals using standardized evaluation criteria were included. Study selection, data extraction, and assessment of bias were carried out by four reviewers and oral hygiene, plaque, and gingival status were assessed. The risk of bias assessment was carried out by New Castle Ottawa Quality Assessment Scale. 29 relevant publications that fulfilled the eligibility criteria were included in the systematic review whereas six studies each assessing oral hygiene and plaque status and five studies evaluating the gingival status were included in the Meta-analysis. Eight thousand eight hundred and ninety (8890) potentially relevant references were identified in the systematic literature search. The overall analysis of the included studies revealed a mean oral hygiene index score of 1.60 (95% CI 0.91-2.30), Gingival Index scores 1.27 (95% CI 1.02-1.51), and Plaque Index score 0.99 (95% CI 0.75-2.30) among the hearing impaired individuals. The present study reported fair oral hygiene, fair plaque status, and moderate gingivitis among the hearing impaired individuals.

Effects of Dental Crowding on Oral Hygiene Index-Simplified(OHI-S) score in Adult Population of Lahore: An Analytical Study

Aim: To investigate the impact of dental crowding on oral hygiene in adult populations using the Simplified Oral Hygiene Index (OHI-S) as a reference indicator. Methods: The study is designed as an analytical cross-sectional study with a comparison group and was done in multiple dental settings in Lahore, including orthodontic department of a dental college. The sample includes 456 adult patients with or without dental crowding. The oral hygiene of the participants was assessed using the OHI-S, which measures plaque and calculus on six tooth surfaces. The study statistically determined if there is a difference in oral cleanliness between patients with crowding and the control group, and if there is a difference in oral cleanliness between genders among patients with crowding. Results: 55% of the patients were females and 45% of the patients were males. The patients without crowding, there was 11% higher risk observed of getting Moderate OHI-S score as compared to Good OHI-S. Similarly, 13% higher risk was observed to have Poor OHI-S among patients without dental crowding. This risk was markedly increased among patients with dental crowding. Patients with dental crowding were at 57% (P-value &lt;0.05) higher risk of getting Moderate OHI-S score and 89% (P-value &lt;0.05) higher risk of getting Poor OHI-S. Conclusion: Dental crowding is significantly connected to the accumulation of calculus and debris in the crowded areas of dental arches in young people. Crowding has been shown to make it more difficult to maintain appropriate oral hygiene routines. This raises the probability of young adults developing periodontal disease. Keywords: Dental Crowding, Malocclusion, Oral Hygiene.

Evaluation of Oral Hygiene and Periodontal Indices of 6–14-Year-Old Children with Insulin-Dependent Diabetes Mellitus

The purpose of the study was to evaluate oral hygiene and periodontal indices in children with type 1 diabetes mellitus. Materials and methods. 258 children aged 6-14 years were examined, including 129 children with type 1 diabetes mellitus and 129 children without concomitant somatic diseases. All patients were divided into four subgroups according to the presence of gingivitis. We determined the oral hygiene index-simplified (according to Green, Vermillion, 1964), the papillary-marginal-alveolar index in Parma modification (1960), the gingival index according to Loe, Sillness (1967). The t-test for paired samples was used to compare values. The difference was considered statistically significant at p&lt;0.05. Results and discussion. The worst level of oral hygiene was in group of children with type 1 diabetes mellitus and chronic catarrhal gingivitis because gum bleeding and pain in gums in these children did not allow them to make full efforts and carry out oral hygiene well. Our research showed a statistically significant difference between the patients with type 1 diabetes mellitus and control group in accordance with periodontal indices. Children with diabetes mellitus had the highest values of periodontal indices. The inflammatory processes in the tissues of periodontium in patients with type 1 diabetes mellitus are expanded, so it is very important to recognize them and diagnose them as early as possible. Periodontal indices in patients of the youngest age subgroup, namely, both the group of patients with diabetes mellitus and the group of children without somatic pathologies were the lowest. The totality of data on periodontal indices in children with chronic catarrhal gingivitis and type 1 diabetes mellitus indicated an average degree of severity of gingivitis, namely, the papillary-marginal-alveolar index was 42.77 ± 1.31%, the gingival index was 1.81 ± 0.05 points. Protective mechanisms in young patients with type 1 diabetes mellitus are changed. Children with this endocrine illness suffer from swelling of the gums and have extreme gum bleeding along with the development of the main endocrinological disease compared to healthy patients of the same age. According to the results we obtained, we believe that screenings of the oral cavity and preventive programs should emphasize the importance of early diagnosis of gingivitis and periodontitis even during the milk and mixed bite period, particularly in children with type 1 diabetes mellitus. Conclusion. Children with type 1 diabetes mellitus had a worse state of oral hygiene than healthy children. Children with diabetes mellitus had gum bleeding both during the period of temporary bite, and during the period of mixed bite

CONDITION OF HARD TISSUES OF TEETH IN CHILDREN WITH CEREBRAL PALSY

The data we obtained on the prevalence of dental caries in children with cerebral palsy indicate a mass incidence, according to the WHO, 95.83 ± 3.29% (in the control group – 41.67 ± 2.29%) with the intensity of the lesion 9, 96 ± 0.21 conventional units for dental caries and 10.32 ± 0.48 conventional units for carious cavities. Analyzing the structure of the DMF index, it should be noted that dental caries is 5.57 ± 0.22, filled teeth – 2.34 ± 0.28, extracted teeth – 1.89 ± 0.1. Acute initial caries of permanent teeth was found in 45.83% of cases with an average intensity of 4.05 ± 0.21 conditional units. The evaluation of the oral hygiene index according to the OHI-S index showed its low index and, accordingly, the "good" state of oral hygiene in only 12.5% of cases. The average value of the OHI-S index and, accordingly, a "satisfactory" state of hygiene was recorded at 25.0%, a high index of OHI-S ("unsatisfactory" hygiene) – at 29.17% and a very high index of OHI-S ("poor" hygiene) – in 33.33% of cases. The evaluation of the timing of teeth eruption revealed a delay in their eruption in 45.83% of patients. The analysis of the condition of the hard tissues of the teeth, in particular acute initial caries, shows that motility disorders in children with cerebral palsy require corrective exercises to form the manipulative function of the hand, improve skills and abilities related to the performance of individual oral hygiene.

The Role of Socioeconomic Class on Oral Healthcare Practices and Oral Health Status of Secondary School Students in Lagos, Nigeria

Background: Secondary school students are at a crucial stage in their life where decisions on oral health transit from the role of parents/guardians to their sole responsibility. Understanding factors that influence their oral healthcare practices is of paramount importance. Socioeconomic class (SEC) has been suggested to have a varied effect on oral health.Objective: To determine the effect of SEC on the oral healthcare practices and oral health status of secondary school students&#x0D; Methods: The research was a descriptive cross-sectional study. Information collected via a self-administered questionnaire included socio-demographic characteristics, SEC, oral hygiene practices, dietary habits, oral healthcare utilization and oral health perception.&#x0D; Results: A total of 370 students with mean age 15.0+1.44 participated in the study. SEC distribution was low class 32%, middle class 55%; high class 13%. There were significant associations between high SEC and twice-daily tooth brushing (p&lt;0.05), frequent change of toothbrush (p&lt;0.05), use of dental floss (p&lt;0.05), consumption of carbonated drinks (p&lt;0.05), low oral hygiene index score (p&lt;0.05), high caries experience (p&lt;0.005) and high oral healthcare utilization (p&lt;0.05).&#x0D; Conclusion: Higher SEC is associated with better oral hygiene and oral hygiene practices, poorer dietary habits and higher caries experience.

Comparative Evaluation of the Oral Hygiene Status and Prevalence of Dental Caries in Hemophiliac and non-Hemophiliac Patients

Aim &amp; Objective: The aim of this study is to compare the oral hygiene status, caries experience, and prevalence of hemophiliac patients and non-Hemophilic controls. Material &amp; Methods: The present study was carried out on 600 participants. The study population was divided into two groups of 300 each i.e., the case Group (Hemophilics) and the Control Group (non-Hemophilic). Hemophilic patients were taken from Hemophilia Day Care Centre, Lol Nayak Hospital, Delhi, and PGIMS Hospital Rohtak. Controls were recruited from among the relatives who came along with the hemophilic patients. Data collection was done using a structured questionnaire consisting of demographic details, knowledge, attitude, and practice regarding oral health maintenance. Patients were clinically examined for DMFT index and Oral Hygiene Index- Simplified to assess caries experience and oral hygiene status. The data were analyzed statistically. Results: Mean age for the Case Group and Control Group was 18.47±6.22 and 19.19±6.09 respectively. Amongst the study population, 89.7% were having hemophilia A while 10.3% had hemophilia B. 72.3% suffered from severe hemophilia while 0.7% had the mild form. The caries prevalence was higher among hemophiliacs (74%) than among non-hemophiliacs 67%. DMFT score was significantly higher among hemophiliacs [permanent dentition (2.47±2.69), Primary dentition (0.33±1.26). The mean debris, calculus and overall OHI score were significantly higher among hemophiliacs (1.69±0.60, 0.93±0.66 &amp; 2.63±1.07). Conclusion: Hemophiliacs have more Caries experience and poor oral hygiene status as compared to non-hemophiliacs Hemophiliacs patients are high-risk group, so they should be given more education and motivation about the importance of oral health care and preventive dental care such as fluoride varnish and fissure sealants should be delivered by professional at early stages.

Assessment of Oral Hygiene, Gingival, and Periodontal Health, and Teeth Eruption among Type 1 Diabetic Saudi Children.

To determine the differences between type 1 diabetic children and healthy children regarding oral hygiene, gingival and periodontal health, and permanent teeth eruption.Materials and methods: A case-control study was conducted on 80 children (40 type 1 diabetic children and 40 healthy children) aged 6-12-year-old. The groups were further divided into subgroups (early and late mixed dentition). All study aspects were examined clinically using the simplified oral hygiene index, Löe and Silness gingival index, clinical attachment loss (CAL), and Logan and Kronfeld stages for tooth eruption. The data were analyzed using Fisher's exact test, chi-squared test, and logistic regression models. A p-value of ≤0.05 was the threshold for statistical significance. No significant difference was found between diabetic and healthy children regarding oral hygiene and gingival health. Most children had poor oral hygiene (52.5% in the case group and 60% in the control group), with fair gingival health (70% in the case group and 55% in the control group). Diabetic children had significantly (p = 0.05) more periodontitis than healthy children. Teeth in the advanced stage of the eruption were significantly higher in diabetic than control subjects (p = 0.048 in stage V and p = 0.003 in stage VI). Older diabetic children in late mixed dentition exhibited accelerated eruption. Periodontitis was significantly more common in diabetic than in healthy children. The advanced stage of the eruption was significantly higher in diabetic than in control subjects. Type 1 diabetic children had more periodontal disease and advanced stage of permanent teeth eruption compared to healthy children. Therefore, periodic dental evaluation and a strong preventive plan for diabetic children is crucial. Mandura RA, El Meligy OA, Attar MH, et al. Assessment of Oral Hygiene, Gingival, and Periodontal Health, and Teeth Eruption among Type 1 Diabetic Saudi Children. Int J Clin Pediatr Dent 2022;15(6):711-716.

Calibration and reliability testing of a novel asynchronous photographic plaque scoring system in young children.

The Simplified Oral Hygiene Index for Maxillary Incisors (OHI-MIS) is a novel plaque scoring system adapted for young children. This study describes calibration training and testing used to establish the inter- and intra-rater reliability for OHI-MIS measured from clinical photographs. Two raters from the Coordinated Oral Health Promotion Chicago (CO-OP) and one from the Behavioral EConomics for Oral health iNnovation (BEECON) randomized controlled trials (RCTs) underwent calibration with gold standard raters, followed by annual re-calibration. Raters from CO-OP also completed inter-rater reliability testing; all three raters completed intra-rater reliability testing rounds. Photographs were obtained from children aged 9-39 months. All three raters achieved greater than 0.77 Lin's Concordance Correlation (LCC) versus gold standard consensus during calibration. All three raters had LCC ≥0.83 at recalibration 1 year later. CO-OP trial raters scored 604 photos (151 sets of 4 photographs); mostly both raters were somewhat/very confident in their scoring (≥89%), describing the most photos as "clear" (90% and 81%). The CO-OP inter-rater LCC for total OHI-MIS score was 0.86, changing little when low quality or confidence photos were removed. All three raters demonstrated high intra-rater reliability (≥0.83). The OHI-MIS plaque scoring system on photos had good reliability within and between trials following protocol training and calibration. OHI-MIS provides a novel asynchronous plaque scoring system for use in young children. Non-clinicians in field or clinical settings can obtain photographs, offering new opportunities for research and clinical care.

Evaluation of a "Picture Assisted Illustration Reinforcement" (PAIR) System for Oral Hygiene in Children with Autism: A Double-Blind Randomized Controlled Trial.

This study evaluated the potential of a novel pre-validated "Picture Assisted Illustration Reinforcement" (PAIR) communication system and conventional verbal techniques for Oral Health Education (OHE) in terms of dentition status, gingival health, oral hygiene status, and practices in 7- to 18-year-old children with Autism Spectrum Disorder (ASD). A double-blind randomized controlled trial was undertaken in a school for children with autism from July to September 2022. A total of 60 children were randomly assigned into two groups: a PAIR group (n = 30) and a Conventional group (n = 30). Cognition and pre-evaluation of all the children were assessed by standardized scaling measures. A pre-validated closed-ended questionnaire was administered to caregivers of both groups. At a 12-week post-intervention, a clinical examination was performed using the World Health Organization (WHO) Oral Health Assessment form 2013, gingival and Oral Hygiene Index Simplified (OHI-S). The gingival scores in the PAIR group (0.35 ± 0.12) exhibited a statistically significant decline in scores as compared to Conventional group (0.83 ± 0.37), p = 0.043. Meanwhile, the oral hygiene scores in the PAIR group and Conventional group were 1.22 ± 0.14 and 1.94 ± 0.15, respectively (p < 0.05). A significant improvement in oral hygiene practices was observed in the PAIR group. Incorporating the PAIR technique resulted in significant progress in child cognitive ability and adaptive behavior, which reduced gingival scores and improved oral hygiene scores, consequently improving oral hygiene practices among children with ASD.

“Dental Health” preventive program as a stage of rehabilitating children with cognitive developmental disabilities

Relevance. One of the paramount directions of preventive dentistry is the development of the author's methods of organization and implementation of dental diseases prevention programs in children with cognitive developmental disabilities, allowing for prevention customization, taking into account the features of child development with disabilities, as well as the combination of many objective factors. The study aimed to increase the efficiency of mentally-retarded children's rehabilitation by improving the dental disease prevention program.Materials and methods. The study involved 140 children diagnosed with moderate mental retardation and comparatively analyzed two methods over three years. Group 1 included 71 subjects aged 8-11 years trained according to "Dental Health", the author's dental and hygiene education program, developed and adjusted to the psychophysical needs of the child development. Group 2 consisted of 69 subjects, trained according to the dental and hygiene education program provided only by the teachers during classes on household chores. We evaluated the effectiveness of the "Dental Health" prevention program introduced into the specialized educational process by the following indices DMFT, simplified oral hygiene index (OHI-S); PMA index modified by Parma assessed the condition of the gums. Statistical data were processed using the IBM SPSS Statistics 18.0 application sof tware package.Results. The effectiveness analysis of the author's program for children with moderate mental retardation revealed that the level of oral hygiene in the children increased from "poor" to "good" (2.1 ± 0.3 points to good 0.2 ± 0.1 points); gingival inflammation decreased from 24.6 ± 0.5% to 14.4 ± 0.2%. Classes on dental education and hygiene training helped children with cognitive developmental disabilities to orient better in self, time and place; helped to improve memory, increase vocabulary, form new knowledge and skills, and gradually form effective communication based on the child's intellectual deficiency severity.Conclusions. The developed educational program "Dental Health" for dental diseases primary prevention in children with cognitive developmental disabilities allowed the formation of stable oral care skills, proved by a good score of oral hygiene indices.

Periodontitis Burden in Diffuse Versus Limited Systemic Sclerosis Subtypes: A Pilot Study.

This study aimed to evaluate the periodontal status of a group of Romanian systemic sclerosis (SSc) patients and to investigate the relationships between periodontitis and SSc subtypes. This observational study included patients diagnosed with limited SSc (lcSSc) and diffuse SSc (dcSSc). Demographic data were collected from medical records. Each participant underwent a full-mouth periodontal examination including Bleeding on Probing (BoP) index, Oral Hygiene (OH) index, Probing Depth (PD), Gingival Recession (GR), and Clinical Attachment Loss (CAL). The periodontal status was defined according to presently recognised case definition system. The study included 30 patients with lcSSc and 30 patients with dcSSc with a mean age of 52.45±11.75 years. The overall periodontitis frequence in our SSc group was 95%. The frequency of stage III/IV periodontitis was higher in the dcSSc group (90%) than in the lcSSc group (60%). Within the group of SSc patients, significant positive correlations were observed between age, BoP index, OH index, the number of missing teeth, mean PD, mean CAL on one side and periodontitis diagnosis on the other side (r=0.588, p=0.001; r=0.399, p=0.002; r=0.388, p=0.002; r=0.574, p=0.001; r=0.444, p=0.001; r=0.571, p=0.001). A significant positive correlation existed between the diagnostic of periodontitis and SSc subtypes (r=0.327, p <0.001). Periodontitis was highly prevalent in both lcSSc and dcSSc groups. More stage III/IV periodontitis cases were detected dcSSc group of patients.

Sleep disorders and work-related stress with oral hygiene among Indian shift workers.

Construction workers are mostly migrants from isolated villages and are not vigilant about health care measures besides poor language skills. Majority of the population works in shifts across the globe. As a result of poor sleep architecture, excessive sleepiness or insomnia, the construction labourers working in shifts have approximately twice the risk of OSA when compared with those working in the daytime. Likewise, the performance and the productivity of employees in construction sites are impeded by added stress. Therefore, it is of interest to investigate the sleep disorders, work-related stress and its impact on oral hygiene among the construction workers in Chennai. A cross sectional study was conducted among 518 workers in various construction sites at Chennai, South India. The study incorporated BerlinQuestionnaire to evaluate disordered breathing during sleep, the Work Ability Index that contains questions concerning work, working ability and health and the Oral Hygiene Index Simplified (Greene and Vermillion, 1964) that was used for recording the oral hygiene status. Pearson correlation between education and OHI-S was statistically significant (r=-0.108). Multiple linear regression analysis revealed that mean WAI score had a positive significant association with work experience (B=0.059, SE=0.030, p=0.05), habits (B=0.032, SE=0.017, p=0.05) and marital status (B=0.135, SE=0.54, p=0.01). In contrast, education (B=-0.0.052, SE=0.023, p=0.02) and work schedule (B=0.022, SE=0.037, p=0.54) were inversely associated with the mean score. Based on the current findings, it is imperative to restore work ability for those with poor work ability thereby enhancing productivity in the migrant workers. As shift work may be extremely detrimental to poor sleep quality, the employers should arrange shift schedules in accordance with sleep physiology. Additionally, dental awareness and interventions are required to improve oral hygiene among migrant workers.

Effect of CRP, IL-6, Leukocytes, NLR on Chronic Periodontitis in Acute Coronary Syndrome

Chronic periodontitis is associated with coronary heart disease (CHD), including Acute Coronary Syndrome (ACS), which causes inflammation. CRP, IL-6, leukocytes, neutrophils, and lymphocytes are inflammatory mediators. This study aimed to evaluate CRP, IL6, leukocytes, and NLR effect on chronic periodontitis in ACS patients. A total of 60 ACS patients who underwent coronary angiography were used in this study. Coronary artery assessment was measured based on QCA coronary angiography. Periodontal status measured were Oral Hygiene Index (OHI-S), Bleeding on Probing (BOP), and Periodontal Index (PI). The normal-mild limit values of chronic periodontitis were periodontal depth (PD) &lt;4mm, while the moderate-severe of chronic periodontitis was PD ≥ 4 mm. Correlation of CRP, IL-6, leukocytes, and NLR to chronic periodontitis was determined by the Spearman correlation test, followed by path analysis using smartPLS software version 3.0. Additionally, the Goodness of Fit analysis and logistic regression was also conducted. Moderate-severe and normal-mild of chronic periodontitis were found in 45 patients (75%) and 15 patients (25%), respectively. OHI-S, BOP, and PI in moderate-severe chronic periodontitis were significantly higher than in the normal-mild chronic periodontitis group (p&lt;0.05). A comparison of CRP, IL-6, leukocytes and NLR showed no significant value (p&gt;0.05) in both groups. There was no significant positive relationship between CRP, IL-6, leukocytes, and NLR with chronic periodontitis. No direct effect of CRP, IL-6, leukocytes and NLR on chronic periodontitis was found, but female sex and smoking directly affected chronic periodontitis (p&lt;0.05). Female and smoking patients had a higher risk of developing more severe chronic periodontitis with a female OR value of 6.916 (95% CI: 0.470 – 101.798), while the OR smoking was 10.759(95% CI: 1.064 – 108.762). ACS patients were dominated by moderate to severe chronic periodontitis and had worse OHI-S, BOP, and PI. There were no significant effects of CRP, IL-6, leukocytes, and NLR on chronic periodontitis. Our findings revealed a significant direct effect and a high risk of female sex and smoking against chronic periodontitis on ACS patients.

Comparison of Self-Tapping Screws Versus Erich’s Arch Bar Wiring for Occlusion Maintenance in the Surgical Management of Mandibular Fracture: A Randomized Control Trial

Background: Conventional methods like Erich’s arch bars and eyelet wires are currently most common methods for achieving temporary inter-maxillary fixation (IMF).&#x0D; Objectives: The purpose of the present study was to compare the efficacy of Self-tapping screws over Erich’s arch bar wiring for inter maxillary fixation in the treatment of mandibular fractures.&#x0D; Methodology: This was a randomized control trial study. Study duration was one year from October 2014 to September 2015. This study involved patients with mandibular fractures aged 22 to 65 years who visited Department of Oral &amp; Maxillofacial Surgery at Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. After random sampling according to inclusion and exclusion criteria surgical treatment was done by miniplate osteosynthesis. Study population were divided into two groups. In group A, temporary MMF was done with Erich’s arch bar and in group B treatment was given with self-tapping screws. The study outcomes were total time required for achieving temporary MMF, number of wire stick injury, stability of occlusion and oral hygiene index. All the parameters were measured preoperatively and postoperatively for 14 days up to removal of screws or arch bars.&#x0D; Results: The mean time taken for temporary MMF was 11.31±2.46 min with screws as compared to 84.72±14.30 min with Erich’s arch bar. Mean number of perforations were significantly more in group A. Occlusion stability was 69.2% in group A and 84.6% in group B. The mean value of plaque index in group A was 2.85±0.25 and in group B was 1.15± 0.16.&#x0D; Conclusion: In conclusion, plaque deposition was more in group A.&#x0D; Journal of National Institute of Neurosciences Bangladesh, July 2022;8(2):175-180

Effectiveness of an Oral Health Intervention Program for Group of Egyptian Children with Congenital Heart Defects

Purpose: This study evaluated an oral health program on group of Egyptian children with congenital heart defects and healthy children. Materials and Methods: This study was conducted on a sample group of 110 Egyptian children with age (3 to 6) years old with congenital heart defect and healthy children. In each groups number of girls nearly equal number of boys. The oral health status was evaluated regarding to Intra oral examination of oral tissue and teeth, (dmf) index used to assess dental caries in primary teeth in primary dentition stage, gingival index, and oral Hygiene index (OHI-S) was also measured. Results: Regarding gender, there was no statistically significant difference. There was no statistically significant difference between median dmf scores in the two groups (P-value = 0.760, Effect size = 0056). normal group showed statistically significantly lower median GI scores than CHD group (P-value <0.001, Effect size = 1.985), (P-value <0.001, Effect size = 1.59), (P-value <0.001, Effect size = 0.736) and (P-value = 0.004, Effect size = 0.432), respectively. Conclusions: Oral health program on Egyptian children with congenital heart improves teeth caries and significantly improves gingival index and oral Hygiene index (OHI-S).

Development and Validation of an Instrument to Assess Oral Health Literacy among Adults-seeking Dental Care in Pune, India

Context: Oral health literacy (OHL) has emerged as an important dimension of oral health care with the potential to have multiple applications in a health-care setting. Most of the tools that measure were developed out of India. Aim: Since OHL is a contextually sensitive construct, this study developed and validated a tool to measure OHL among adults in India. Material and Methods: A questionnaire covering all three domains of OHL was framed in two languages using the “dual development approach.” After content validation, the 20-item questionnaire was subjected to test-retest, pretest, and pilot test. It was then administered to 200 adults in a dental college and five private clinics. Socio-demographics, Decayed, Missing, Filled Permanent Teeth (DMFT) and Oral Hygiene Index– Simplified (OHI-S) were recorded to establish the construct and predictor validity of the tool. Results: The results showed that the overall reliability of the questionnaire was high, with Cronbach’s alpha of 0.81. The mean OHL score was 15.4, with a minimum score of 2 and a maximum of 20. A statistically significant correlation was found between socioeconomic status and OHL as an indicator of convergent validity (r = 0.62). The discriminant validity of the questionnaire was assessed by comparing OHL levels with education levels using the Kruskal–Wallis test, and statistically significant results were derived. Significant associations (P &lt; 0.001) between DMFT and OHL; and OHI-S and OHL were found with an adjusted odds ratio of 3.01 and 4.78, respectively, establishing its predictive validity. Conclusions: Hence the validity and reliability of this tool were established through this research, opening avenues for further research.