Oral Hygiene Measures Research Articles

Prevalence and associated factors of last dental visit and teeth cleaning frequency in Bangladesh, Bhutan, and Nepal: Findings from nationally representative surveys.

This study evaluated the prevalence and frequency of teeth cleaning and last dental visits, along with associated socio-demographic factors, among residents of Bangladesh, Bhutan, and Nepal. The World Health Organization (WHO) STEPwise approach to surveillance (STEPS) survey data from Bangladesh (N = 8,164), Bhutan (N = 5,374) and Nepal (N = 5,371) were analyzed. After descriptive analysis, a multivariable multilevel logistic regression was conducted to identify the factors associated with oral hygiene. The following variables were considered as outcomes of interest: daily teeth cleaning frequency and visitation to the oral healthcare providers in the last six/twelve months at the time of data collection. Bangladesh had the highest proportion of respondents who cleaned their teeth at least once or twice a day, while Nepal had the lowest. Bhutan had the highest proportion of respondents who visited a dentist within the last six months (10.5%) or 12 months (16.0%). Almost 94.5% of Nepalese participants never visited a dentist. Participants of older age, who were females and had increased educational attainment, were more likely to follow oral hygiene measures. The populations of all the countries included in the study show poor adherence to oral hygiene practices. Health promotion programs should raise awareness regarding the advantages of regular teeth cleaning and dental check-ups.

Self Perceived Stress and Oral Health Related Quality of Life Among Tribal Gypsies in Chennai

Introduction: Certain ethnic groups continue to practice traditional values and beliefs while remaining geographically or socially isolated. These groups also tend to rely on traditional indigenous methods of treatment rather than accessing oral health treatments when necessary. Past studies of the tribal Narikuravar population's oral health state and understanding of oral hygiene measures revealed that both were in very poor condition, necessitating greater dental care. Poor oral health also implies that their general health will be compromised, affecting their ability to work as well. Aim: To assess the self-perceived stress and oral health-related quality of life among tribal gypsies in Chennai Materials and methods: The study was conducted among the Narikuravar tribal gypsies living in Thirumullaivoyal, Chennai, in April 2022. The present study included 320 study participants in total. Using the perceived stress scale (1983) and the OIDP scale, the tribal population's self-perceived stress and oral health quality of life were evaluated. To determine the statistical significance with , descriptive statistics and Pearson's correlation test were used. Results: Our study shows a high-stress level of 30.6%, a Moderate stress level of 56.3%, and a low-stress level of 13.1% among tribal gypsies in Chennai. The correlation between stress levels and sleeping and relaxation among tribal gypsies in Chennai shows a high association between high-stress levels and their impact on everyday life. A chi-square test was done, and the association was found to be statistically significant, P-value Conclusion: Many nomads had oral health perceptions significantly correlated with their traditional habits, and their oral health had worsened. To enhance their oral health status, steps must be taken to increase their access to care and reduce barriers.

Assessment of Nursing Staff's Knowledge, Attitude and Practice Regarding Oral Hygiene Care in Intensive Care Unit Patients: A Multicenter Cross-sectional Study.

Oral care is one of the fundamental nursing care procedures used to decrease oral colonization, dental plaque, respiratory infections, patient stay, and cost. The importance of good oral hygiene for patients in intensive care units (ICUs) is well recognized, however, the most effective way to achieve good oral care in the ICU is unclear. Therefore, the aim of this study was to assess the knowledge, attitude, and practice of nursing professionals regarding oral healthcare in ICUs among various medical institutes across India. A questionnaire-based multicentric cross-sectional survey was conducted among registered nursing professionals employed at ICUs of three government tertiary healthcare centers (THC) of India: THC-I, THC-II, and THC-III located in the eastern and northern parts of India between February 2022 and July 2022. A total of 150 nurses completed the questionnaire form (response rate: 62.5%) comprised of 49 (32.7%) males and 101 (67.3%) females with a mean age of 35.69 ± 7.7 years. Nursing officers' knowledge surpassed that of staff nurses regarding the duration of toothbrushing (p = 0.033). Among interinstitutional comparisons, THC-I nurses showed the greatest knowledge regarding the duration of toothbrushing and the mechanism of preventing saliva accumulation to reduce microbial growth (p = 0.013 and p = 0.003, respectively). Based on total work experience, participants were segregated into three groups: Group I (<7 years), group II (7.1-13.9 years), and group III (>14 years). Group II surpassed the knowledge of denture removal during sleep, cleaning after every meal, and storing in personalized air-tight containers (p = 0.001 and p = 0.036, respectively). The majority from group II recommended plain saline as the material for oral hygiene maintenance in ICU patients (p = 0.008). Group III predominantly practiced the ideal handwashing technique pre- and post-patient contact which was statistically significant (p = 0.001). This study observed that a knowledge gap exists among the nurses of the three institutes across India pertaining to the oral hygiene care of ICU patients. Nurse's education and implementation of the proper oral hygiene measures for intubated patients in ICU setup is an essential need. Kumar S, Singh B, Mahuli AV, Kumar S, Singh A, Jha AK. Assessment of Nursing Staff's Knowledge, Attitude and Practice Regarding Oral Hygiene Care in Intensive Care Unit Patients: A Multicenter Cross-sectional Study. Indian J Crit Care Med 2024;28(1):48-57.

Evaluation of oral health status for a group of orthodontic patients

Background: Malocclusion and fixed orthodontic appliance convoluted the ordinary oral hygiene measures, which may lead to accumulation and prolonged retention of dental plaque on tooth surfaces particularly around the orthodontic brackets and auxiliaries of the fixed orthodontic appliance. Objective: To evaluate the oral health status among a group of orthodontic patients by evaluating the plaque, gingival, calculus, and Enamel Decalcification indices. Patients and Methods: This study was conducted among 128 persons (64 with fixed orthodontic appliance as a study group and 64 without fixed orthodontic appliance as a control group. An assessment of related clinical parameters as plaque, gingival, as well as enamel decalcification indices were done. Results: The present study revealed that the mean plaque, gingival, as well as enamel decalcification indices for the total sample were (1.182±0.356), (1.230±0.269), and (1.329±0.413) respectively. Additionally, all of these indices were higher among study group (fixed orthodontic patient) than among control group (persons without orthodontic appliance) with statistically significant difference among groups for each. Conclusion: Fixed orthodontic appliance is an effective plaque retentive factor that accumulate dental plaque which is the main causative factor for development of enamel white spot lesion and periodontal disease.

Evaluation of oral health status for a group of orthodontic patients

Background: Malocclusion and fixed orthodontic appliance convoluted the ordinary oral hygiene measures, which may lead to accumulation and prolonged retention of dental plaque on tooth surfaces particularly around the orthodontic brackets and auxiliaries of the fixed orthodontic appliance. Objective: To evaluate the oral health status among a group of orthodontic patients by evaluating the plaque, gingival, calculus, and Enamel Decalcification indices. Patients and Methods: This study was conducted among 128 persons (64 with fixed orthodontic appliance as a study group and 64 without fixed orthodontic appliance as a control group. An assessment of related clinical parameters as plaque, gingival, as well as enamel decalcification indices were done. Results: The present study revealed that the mean plaque, gingival, as well as enamel decalcification indices for the total sample were (1.182±0.356), (1.230±0.269), and (1.329±0.413) respectively. Additionally, all of these indices were higher among study group (fixed orthodontic patient) than among control group (persons without orthodontic appliance) with statistically significant difference among groups for each. Conclusion: Fixed orthodontic appliance is an effective plaque retentive factor that accumulate dental plaque which is the main causative factor for development of enamel white spot lesion and periodontal disease. Keywords: Oral health status, Fixed orthodontic appliance, white spot lesion, periodontal disease.

Effect of prepared herbal mouthwash in maintaining the oral health of school children: A single-blind randomised control trial

Background and aimOral health is a vital indicator of overall well-being, quality of life, and general health, with historical roots in Unani medicine (i.e. preventive measures, oral hygiene, and treatment). This study aims to assess the efficacy and safety of prepared herbal mouthwash in maintaining oral health among school children. Experimental procedure110 schoolchildren were randomly assigned to the test group (treated with herbal mouthwash -Anacyclus pyrenthrum DC, Punica granutum (pericarp), Capparis spinosa (root bark), and Quercus infectoria Oliv (galls)) and the control group (treated with 0.2 % Chlorhexidine Mouthwash) for 30-days. The response was assessed by DMFT, Salivary pH, Oral hygiene index-simplified (OHI-S), Plaque index (Loe & Silness) (PI), Plaque index simplified (O'Leary et al., 1972) (PI-S), Gingival Index (Löe-Silness) (GI), and Bleeding on probing (BOP) on baseline and 30th day GI and PI were further assessed on 60th, 90th and 120th days to determine the sustainable effect of the intervention. ResultsAfter treatment, Mean OHI-S, PI, PI-S, GI and BOP significantly reduced on the 30th day from baseline (p ≤ 0.001) in both groups. After discontinuing intervention, both groups showed significantly lower PI and GI scores on the 120th day from baseline. (p < 0.001). ConclusionThis study revealed that prepared mouthwash is safe and significantly effective in maintaining oral health, and it could be used as an adjunct to mechanical oral hygiene measures.

The influence of therapeutic physical factors on the dynamics of the clinical condition and quality of life of patients with peri-implantitis

BACKGROUND: The use of dental implants, being the gold standard in the dental rehabilitation of edentulous patients, is often accompanied by the development of inflammatory complications leading to loss of the implant. Common methods in dental practice for the prevention and treatment of peri-implantitis based on local antiseptic and antibacterial drugs and periodic measures of professional oral hygiene are limited and do not contribute to solving the existing problem.&#x0D; AIM: Assessment of the clinical effectiveness and dynamics of the quality of life of patients with peri-implantitis during complex therapy using mesodiencephalic modulation, ozone therapy and their combination.&#x0D; MATERIALS AND METHODS: the study was carried out with the participation of 116 patients with peri-implantitis of classes I and II according to S.A. Jovanovic. All patients were divided into 4 groups using simple fixed randomization. The first group (control; n=28) received standard dental therapy, including professional oral hygiene and local use of antiseptics. In the second group (comparison group 1; n=29), in addition to standard therapy, a course of ozone therapy was performed, for which the peri-implant area was irrigated with ozonated saline solution with an ozone concentration of 2.5–5.5 μg/ml for 15 minutes. In the third group (comparison group 2; n=30), standard treatment was supplemented with a course of MDM therapy. Patients of the fourth group (main group; n=29), along with standard treatment, received complex treatment, including a course of ozone therapy and MDM therapy. The results were assessed after the end of therapy based on the dynamics of dental indices, the osseointegration parameter of the implant and the level of quality of life of the patients.&#x0D; RESULTS: A course of use of various treatment regimens was accompanied by a significant improvement in the clinical and dental status of patients, but the severity of the effect was different in the groups. To a lesser extent, positive changes were identified in the control group. Additional course use of therapeutic physical factors (ozone and MDM therapy) was accompanied by a significant increase in regression of complaints and improvement in objective indicators of dental status. Achieving the maximum positive result was clearly evident in the main group with the complex use of the studied physiotherapeutic factors. The use of the correlation adaptometry method to assess the clinical effectiveness of various treatment regimens for peri-implantitis made it possible to establish that under the influence of the integrated use of ozone and MDM therapy, the most pronounced decrease in mutual correlations between the studied parameters is observed. This indicates an increase in functional reserves and adaptive capabilities of patients in the main group.&#x0D; CONCLUSION: the results obtained convincingly prove the high effectiveness of the complex use of therapeutic physical factors in the implementation of a therapeutic strategy aimed at eliminating inflammatory manifestations in the area of dental implants and improving the quality of life of patients.

Periodontitis: causes, conditions of occurrence and prevention

OBJECTIVE. Analyze the causes and conditions for chronic generalized periodontitis, study means of preventive health care through individual oral hygiene.&#x0D; MATERIALS AND METHODS. The study analyzed the scientific literature, devoted to casual factors and conditions of developing chronic generalized periodontitis, its influence on the health of the body and as well as the role of oral hygiene in preventing its onset and progression. Articles in leading domestic dental peer-reviewed publications along with data sources from Pubmed over the past 5 years were analyzed.&#x0D; RESULTS. The literature analysis found that majority of authors acknowledge microbial biofilm microbiota of the oral cavity as the leading etiological factor of periodontitis; such factors as poor oral hygiene, endogenous and exogenous erythrocyte sorption overload, the impact of physical environmental factors – external electromagnetic fields and vibrations affect the progression of the disease. Meanwhile, measures of professional oral hygiene и normalization of individual oral hygiene allows to significantly reduce the risk of emerging and progressing chronic generalized periodontitis.&#x0D; DISCUSSION. By category visits patients, suffering from CGP, were distributed as follows: 61,6 ± 0,7 % people – retirees of Russian Defense Ministry, 16,5 ± 0,5 % people – family members of military men and retired of RDM, 16,3 ± 0,5 % – military men, attached to the dentistry clinic of RDM military units and institutions, 5,7 ± 0,3 % – RMD cadets. Means of individual oral hygiene, relevant for the prevention of periodontitis, include about 15 items. Part of them are classified as traditional, and the proper application of some of them requires additional training, including in the framework of special medical training during hygiene education work and health promotion. The authors came to a conclusion about the expediency of increasing the number of dentists to intensify the prevention of dental caries and periodontal diseases among military men through professionally monitored oral hygiene.&#x0D; CONCLUSION. The high prevalence and intensity of dental system diseases among military men shows the relevance of regular sanitation of their oral cavity. Systematic implementation of individual oral hygiene measures decreases the number of bacteria in the mouth, prevents the development of severe overall body response to inflammation, contributes to a significant reduction in the number of exacerbation of concomitant somatic diseases that improves overall health and people’s quality of life. Professionally monitored oral hygiene, oral hygiene education and motivation for applying modern hygiene products are considered as the basis of oral disease prevention.

Effect of Oral Hygiene on Prevention Ventilator Associated Pneumonia (VAP) in The Intensive Room of The Hospital Granmed Lubuk Pakam in 2023

Mechanical ventilation is used to save the condition of critical patients in the intensive care unit, but prolonged use causes an increased risk of infection and various complications. The usual potential complication is infection. The most common infection resulting from mechanical ventilation is Ventilator-Associated Pneumonia (VAP). VAP is a major cause of mortality, morbidity, and extends the duration of use of mechanical ventilation and prolongs hospitalization, thereby increasing treatment costs. The aim of this research is to see the effect of oral hygiene measures on preventing ventilator associated pneumonia (VAP) in the intensive care unit at Grandmed Lubuk Pakam Hospital in 2023. This type of research is quantitative research using a quasi-experimental research design with pretest-posttest. The research sample was 35 respondents. The research results showed that there was an influence of oral hygiene on the prevention of ventilator associated pneumonia (VAP) in the intensive care unit at Grandmed Lubuk Pakam Hospital in 2023 with a P value of 0.00 where the value of ? = 0.05 from these results if compared to the value of P &lt; ? then Ha accepted. It is hoped that the hospital will be able to increase the comfort of patients with decreased consciousness who are on ventilators.

Association of oral health awareness and practice of proper oral hygiene measures among Saudi population: a systematic review

BackgroundSeveral studies have proven that increasing oral hygiene knowledge correlates with good oral health status compared to those who lack this knowledge. Therefore, the aims of the study to evaluate the overall oral health awareness among the Saudi population based on knowledge and practice of proper oral hygiene measures.MethodsA systematic review was performed according to the Preferred Reporting Items for Systematic Reviews guidelines. Cross-sectional, cohort, and case-control studies were included in the study and framed into a PICO question. Initially, a search was conducted on PubMed/Medline, Google Scholar, and Cochrane databases. Four independent reviewers screened the identified titles, abstracts, and full texts. Cohen’s Kappa score was used to evaluate the level of agreement between the reviewers.ResultsForty cross-sectional studies and one prospective cohort study were included. Several studies showed that most students across all departments of universities knew the protective effects of fluoride on teeth. Two studies assessing the attitude and practice of oral hygiene found that most students knew that poor oral health leads to gum disease, and 59.1% were aware of maintaining oral hygiene using a toothbrush and paste. Most participants knew the importance of oral and dental care before pregnancy and how to reduce dental problems during pregnancy. Pregnant women clean their teeth daily and consider brushing and using toothpaste essential for pregnant women. Studies on oral hygiene practices of patients with diabetes reported that flossing habits were rated less important and most of their respondents never flossed their teeth.ConclusionStrong correlation between oral health knowledge and practices was observed, with the higher the knowledge level, the better the practice. Therefore, new technologies and strategies must be tested for an effective oral health system.Trial RegistrationA protocol was specified and registered with the International Prospective Register of Systematic Reviews (PROSPERO) on August 2020 (registration number CRD 42,020,200,373).

Prevalence of Oral Manifestation of Thalassemic Patients in Sulaymaniyah Thalassemia Center

Thalassemia is a genetic blood disorder characterized by abnormal hemoglobin formation, leading to chronic anemia. The objective of this study was to evaluate orofacial complications in thalassemia patients and to detect the blood profile among these patients. Patients and method included a total of 100 th alassemic patients who were enrolled in this study. Oral examination and dental status of each patient was carried out using OHI-simplified. In addition, each patient took a blood investigation (Hb, RBC, MCV, RDW, and ferritin). Result of this study showed that the majority of the patients were female (68%) of which 50 of them had major Thalassemia, with the most frequent age range was between 21-39 years. Patients had statistically higher frequencies of all oral manifestations (p &lt; 0.001 for all). Of which pale mucosa accounted for most frequency, 79%, followed by halitosis 39%, ulceration, brown pigmentation 33%, atrophic glossitis and actinic cheilitis 11%, hypomineralisation 8%, candidiasis and burning sensation 7%, geographic tongue and fissured tongue 6%, angular cheilitis 5%. Besides poor oral hygiene measure was 42%. Also, there was a significant positive correlation between most oral manifestations and blood transfusion. As a conclusion, thalassemia disease is associated with orofacial manifestation, which can adversely affect the oral health status of the patient. Therefore, dentists should understand the complications and management of the disease.

Mouthwashes: Implications for Practice

This is the concluding article in the supplement on the role of mouthwashes in oral care, which summarises the current guidelines across the globe regarding their acceptable adjunctive use for managing caries, gingivitis, and periodontal disease. Based on moderate evidence for clinical effectiveness, most current guidelines suggest fluoride mouthwashes for the management of dental caries, and chlorhexidine for the management of periodontal diseases. However there still appears to be gaps in the literature underpinning these recommendations. Importantly, all evidence supports such mouthwash use "adjunctively," alongside mechanical oral hygiene measures. Other antimicrobial mouthwashes such as essential oils and cetylpyridinium chloride may also be clinically effective against plaque and gingivitis, but there is a current lack of robust evidence of natural mouthwashes to recommend their adjunctive use. The authors of the current review are of the view that mouthwashes may not be of much value in those with good periodontal health or low caries risk. The reasons for this are, the potential i) risks of allergic reactions, ii) dysbiosis of the oral microbiota, iii) emergence of antimicrobial resistance, and iv) deleterious effects on the environment. There is, however, much empirical research needed on mouthwashes, particularly in vivo research derived through clinical trials. Thus, dental practitioners need to keep abreast of the evidence base on the current, and the emerging, over-the-counter mouthwashes, and pay heed to the consensus views emanating from systematic reviews, as well as international guidelines on mouthwashes.

Attachment of Respiratory Pathogens and Candida to Denture Base Materials-A Pilot Study.

Denture prostheses are an ideal and extensive reservoir for microorganisms to attach to their surfaces. The aim of the study was to elucidate interactions between materials for the fabrication of denture bases and the attachment of microorganisms, focusing on respiratory pathogens and Candida species. Specimens (6 mm × 1 mm) with a standardized surface roughness (Sa = 0.1 µm) were prepared from heat-pressed polymethyl methacrylate (PMMA), CAD/CAM-processed PMMA, and CAD/CAM-processed polyether ether ketone (PEEK). The specimens were randomly placed in the vestibular areas of complete upper dentures in seven patients and were removed either after 24 h without any oral hygiene measures or after a period of four weeks. The microorganisms adherent to the surface of the specimens were cultivated and subsequently analyzed using mass spectrometry (MALDI-TOF). The means and standard deviations were calculated, and the data were analyzed using a two-way analysis of variance (ANOVA) and Tukey post-hoc test where appropriate (α = 0.05). There was a significant increase (p ≤ 0.004) in the total bacterial counts (CFU/mL) between the first (24 h) and the second (four weeks) measurements. Regarding quantitative microbiological analyses, no significant differences between the various materials were identified. Respiratory microorganisms were detected in all samples at both measurement time points, with a large variance between different patients. Only after four weeks, Candida species were identified on all materials but not in all participants. Candida species and respiratory microorganisms accumulate on various denture base resins. While no significant differences were identified between the materials, there was a tendency towards a more pronounced accumulation of microorganisms on conventionally processed PMMA.

Awareness of Periodontal Treatment Modalities among Dentists of Bathinda District of Punjab: A Questionnaire Survey

Abstract Introduction: Periodontal disease is a chronic, inflammatory disease that can lead to various destructive changes in the periodontium as well as systemic health. Periodontology is a fast-growing dental specialty ranging from new advances in diagnosis and treatment. Despite these new advances, the knowledge of periodontal diagnosis and treatment in the minds of general dentists is still lagging. General dentists need to be aware of how to diagnose and treat periodontal disease in the early stage, so there is a need for periodontal health awareness programs to be held at regular intervals. This questionnaire study aims to identify the knowledge regarding periodontal diagnosis and treatment modalities available for patients among practicing dental professionals. Materials and Methods: Two hundred dental practitioners having their dental clinics in any area of Bathinda, Punjab, were interviewed through a questionnaire. Dental practitioners with minimum qualifications of BDS and experience of at least 1 year in the private clinical setup were included in the study. The questionnaire consisted of 15 questions ranging from the chief periodontal complaints of the patients, availability of the treatment, and different techniques used to the level of satisfaction of private dentists after the periodontal treatment. Results: There is enough awareness regarding periodontal problems and its management, as 157 dentists out of 200 refer their patients to periodontists. General dentists perform scaling and root planing, advice oral hygiene instructions, provide diet counseling, and refer to periodontists only for surgical procedure. Lack of maintenance and awareness toward oral hygiene measures was identified by the survey as the chief factor for recurrence of periodontal disease. Conclusion: Such studies performed at different time intervals can provide an idea about the changing trends and patterns of dental treatment performed by general dental practitioners.

Short-term anti-plaque effect of a cymenol mouthwash analysed using the DenTiUS Deep Plaque software: a randomised clinical trial

BackgroundThe effect of cymenol mouthwashes on levels of dental plaque has not been evaluated thus far.ObjectiveTo analyse the short-term, in situ, anti-plaque effect of a 0.1% cymenol mouthwash using the DenTiUS Deep Plaque software.MethodsFifty orally healthy participants were distributed randomly into two groups: 24 received a cymenol mouthwash for eight days (test group A) and 26 a placebo mouthwash for four days and a cymenol mouthwash for a further four days thereafter (test group B). They were instructed not to perform other oral hygiene measures. On days 0, 4, and 8 of the experiment, a rinsing protocol for staining the dental plaque with sodium fluorescein was performed. Three intraoral photographs were taken per subject under ultraviolet light. The 504 images were analysed using the DenTiUS Deep Plaque software, and visible and total plaque indices were calculated (ClinicalTrials ID NCT05521230).ResultsOn day 4, the percentage area of visible plaque was significantly lower in test group A than in test group B (absolute = 35.31 ± 14.93% vs. 46.57 ± 18.92%, p = 0.023; relative = 29.80 ± 13.97% vs. 40.53 ± 18.48%, p = 0.024). In comparison with the placebo, the cymenol mouthwash was found to have reduced the growth rate of the area of visible plaque in the first four days by 26% (absolute) to 28% (relative). On day 8, the percentage areas of both the visible and total plaque were significantly lower in test group A than in test group B (visible absolute = 44.79 ± 15.77% vs. 65.12 ± 16.37%, p < 0.001; visible relative = 39.27 ± 14.33% vs. 59.24 ± 16.90%, p < 0.001; total = 65.17 ± 9.73% vs. 74.52 ± 13.55%, p = 0.007). Accounting for the growth rate with the placebo mouthwash on day 4, the above results imply that the cymenol mouthwash in the last four days of the trial reduced the growth rate of the area of visible plaque (absolute and relative) by 53% (test group A) and 29% (test group B), and of the area of total plaque by 48% (test group A) and 41% (test group B).ConclusionsThe 0.1% cymenol mouthwash has a short-term anti-plaque effect in situ, strongly conditioning the rate of plaque growth, even in clinical situations with high levels of dental plaque accumulation.

The Effect of Usage of Antiasthmatic Inhalers on Color Stability and Surface Roughness of Dental Restorative Materials: An In Vitro Study.

Increased demand for esthetics by parents and children has resulted in the use of tooth-colored restorative materials. Children with chronic respiratory conditions like asthma use inhalers which have shown to affect the surface of restorative materials. Hence, the aim of the present study was to evaluate the effect of antiasthmatic inhalers on color stability and surface roughness of three restorative materials. Forty samples each of three dental restorative materials: group A: glass ionomer cement (GIC), group B: alkasite restorative material, and group C: composite resins were prepared. Each group was further divided into two subgroups of 20 samples each according to the inhaler used. All the specimens were polished using polishing discs and stored in artificial saliva in order to simulate the oral environment. The baseline color value and surface roughness of all the samples were measured using a spectrophotometer and a profilometer, respectively. Group 1 and group 2 were exposed to 0.31 mg of salbutamol sulfate and 20 mg formoterol fumarate in combination with budesonide, respectively, for every 12 hours, for a period of 15 days following which the samples were evaluated for color changes and surface roughness. The data obtained was subjected to statistical analysis and level of significance was set at p < 0.05. Exposure to both the inhalers caused a change in color and surface roughness in all three restorative materials. There was a significant change in the color of GIC and composite resin (ΔE > 3.3), following exposure to both the inhalers (p < 0.05). The change in color of alkasite restorative material was not significant. A significant increase in the surface roughness of composite resin from 0.56 ± 0.14 to 0.67 ± 0.19 was seen following 15 days' exposure to formoterol in combination with budesonide inhaler (p < 0.05). Following exposure, both the inhalers had an equal effect on color and surface roughness of all three restorative materials. Alkasite restorative material showed greater resistance to change in color and surface roughness when exposed to antiasthmatic inhalers, compared to GIC and composite resin. Thus, children who use inhalers and nebulizers should be advised to implement more precautionary oral hygiene measures and periodic dental visits.

Gingival status and prophylactic oral hygiene measures modulate salivary amino acids’ profile in children with plaque-induced gingivitis

Abstract Objectives Plaque-induced gingivitis is one of the most widely distributed periodontal disorder during childhood. The control of the pathogenic potential of the plaque is associated with oral hygiene status at individual, group, and population levels. We hypothesize that regular application of complex oral hygiene-prophylaxis could beneficially modulate salivary amino acids profile in children with different stage of plaque-induced gingivitis. Therefore, we aimed to study the salivary amino acids’ profile in relation to certain clinical indicators and environmental variables for plaque-induced gingivitis in children. Methods Fifty children (29 girls, 21 boys; mean age 8.18 ± 2.32 years) without anamnestic data for common diseases, no medication, and no data for allergy were selected. Plaque and gingival indexes were determined for assessment oral hygiene and plaque accumulation. Unstimulated whole saliva was collected, centrifuged and supernatants stored at −80 °C. Amino acid analysis was performed by liquid chromatography using analytical grade AccQ·Tag-Ultra-derivatization kit. Results Gingivitis was indicated in most of the examined children over 6 years. More than half (63.6 %) of them revealed moderate stage of the disease and a tendency to satisfactory good oral hygiene and degree of gingival inflammation. Salivary glycine, proline, arginine, serine, lysine, aspartate, glutamate, threonine, methionine, and isoleucine were higher in gingivitis children, while cysteine, tyrosine and phenylalanine decrease. In gingivitis children without regular oral hygiene-prophylaxis, some structural amino acids like glycine and proline were increased, while amino acids with protective antioxidant potential like cysteine were diminished. Conclusions Plaque-induced gingivitis is associated with increased salivary levels of certain amino acids. These may serve as distinguishing markers among children with gingivitis.

Preliminary Report on the Efficacy of Music Therapy to Optimize the Compliance of Rett Syndrome Patients Attending Oral Hygiene Procedures

Background: Individuals with intellectual developmental disability (IDD) often face barriers in accessing dental care. The main aim of the present study was to test the feasibility and the outcome of oral hygiene (OH) procedures in Rett syndrome (RS) patients, and a secondary aim was to test the utility of music therapy during dental hygiene procedures. Methods: A case group (Group 1) of female patients with RS (stage 3 of disease, age &gt; 5 years and &lt;18 years) and a control group of age-matched healthy females (Group 0) were formed, and subgroups received the intervention of oral hygiene combined with a music therapy (Subgroup 1M and Subgroup 0M) or standard oral hygiene (subgroup 1W and subgroup 0W). The Simplified Oral Hygiene Index (OHI-S) was used to assess the effectiveness of oral hygiene measures. Results: The OHI-S at T0 was 1.41 in Group 1 and 2.58 in Group 0 (p value &lt; 0.001). The mean duration of the oral hygiene treatment was 7018″ (SD 3272″) in Group 1 and 873″ (SD 161″) in Group 0 (p value &lt; 0.001). The mean duration of OH was significantly higher in Subgroup 1M and Subgroup 0M. Discussion: Based on the results of our case-control study, OH procedures can be successfully performed in RS patients with good compliance and efficacy. In addition, our study provides preliminary evidence to suggest that music therapy may be a useful adjunct, as it appears to improve patient cooperation.

Description Of Implementation Of Ventilator Bundle (VB) at ICU Of Mangusada District Hospital

The ventilator is a breathing apparatus that maintains oxygen delivery for a long time. One of the impacts caused by using a ventilator for a long time is a nosocomial infection called Ventilator Associated Pneumonia (VAP). &#x0D; Research is a quantitative descriptive study using a cross-sectional research design. The population in this study amounted to 30 with a non-probability type sample, and researchers will use a total sampling technique. &#x0D; There were 17 women (56.7%) who had washed their hands, in the ICU training characteristics, there were 14 people (46.7%) who did not have ICU training who had done hand washing, and there were 15 people (50%) nurses with D3 nursing education who had done washing hands. There were 18 people (60%) of the female sex had taken oral hygiene measures. In the ICU training characteristics, there were 15 people (50%) who did not have ICU training who had carried out oral hygiene. In the characteristics of the education level, 17 people (56.7%) with an education level of D3 nursing have already performed oral hygiene. VAP Bundles are a set of evidence-based practices (EBP) that result in VAP improvements when carried out collectively and consistently by health workers, namely nurses and doctors responsible for patients on mechanical ventilators.

A Comparative Evaluation of Physical Parameters of Saliva and Correlation with Periodontal Condition in Down Syndrome Children and Healthy Controls.

The aim of this study was to assess the significance and role of physical parameters of saliva on periodontal health in children with Down syndrome (DS). A comparative evaluation of physical parameters of saliva such as flow rate, viscosity, pH, quantity and buffering capacity, and buffer capacity was carried out using GC Saliva-Check Buffer kit and correlated with periodontal condition examined using community periodontal index of treatment needs (CPITN) in 40 DS subjects (group I) and 40 healthy controls (group II) aged 8-15 years. Down syndrome subjects had a low resting salivary flow rate, moderately acidic saliva, very low quantity of stimulated saliva, and low buffering capacity. On correlating salivary parameters with the periodontal condition, DS subjects with CPITN code 1 had low resting salivary flow rate, normal viscosity, moderately acidic pH, very low quantity of stimulated saliva, and low buffering capacity. Down syndrome subjects with CPITN code 2 had low resting flow rate, increased viscosity, very low quantity of stimulated saliva, low buffering capacity, and moderately acidic pH. Healthy controls with CPITN code 0 had normal resting flow rate, viscosity of saliva, quantity of stimulated saliva, buffering capacity, and moderately acidic pH. Compared to healthy controls, DS subjects showed decreased values for resting flow rate, pH, quantity of stimulated saliva, and buffering capacity. A statistically significant correlation was observed between the physical parameters of saliva and periodontal condition in DS subjects (p < 0.05). Periodontal diseases start at a very early age and periodontal health deteriorates at a faster rate in DS children for which saliva also plays its part. Prime importance should be given to frequent oral hygiene and preventive measures in DS children thus preventing accumulation of debris and plaque.