Factors associated with toothbrushing performance among children: An observational cohort study.

IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE International journal of paediatric dentistry Pub Date : 2024-07-23 DOI:10.1111/ipd.13251
Vered Matalon, Liran Levin, Michael Yagudaev, Malka Ashkenazi
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Abstract

Background: Effective removal of dental plaque is essential factor for prevention of caries, gingival, and periodontal diseases in children and adults.

Aim: To evaluate factors associated with improving toothbrushing performance (TB-P) among children.

Design: An observational cohort study analyzed all paediatric patients receiving regular examinations in a single dental clinic between 2009 and 2017 and regularly brushing their teeth with a triple-headed toothbrush (TH-TB). At every periodic follow-up, the TB-P of the child/parent was evaluated using the TB-P Skill Index (TB-PS-I); that is, did the child reach all five teeth segments within each arch and did he/she perform 10 back-and-forth stocks in each segment. When not optimal, they received instructions for improving TB-P and subsequently were asked to re-demonstrate. TB-PS-I was calculated and analyzed for correlation with other explanatory variables.

Results: A total of 1737 children with 7399 follow-up appointments were analyzed. Older age, female gender, higher number of follow-up appointments, and compliance with twice-daily toothbrushing significantly improved TB-P. The most typical mistakes in their performance were not reaching the canine segments and not performing enough strokes in each segment. Instructions given after imperfect TB-P significantly improved the TB-P. The magnitude of improvement, however, did not correlate with the performers' age, gender, or the number of follow-up visits.

Conclusions: A significant percentage of children >8 years did not perform optimal toothbrushing even when using TH-TB.

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与儿童刷牙表现相关的因素:观察性队列研究
背景:有效清除牙菌斑是预防儿童和成人龋齿、牙龈和牙周疾病的重要因素。目的:评估提高儿童刷牙效果(TB-P)的相关因素:一项观察性队列研究分析了 2009 年至 2017 年期间在一家牙科诊所接受定期检查并定期使用三头牙刷(TH-TB)刷牙的所有儿童患者。在每次定期随访时,都会使用三头牙刷刷牙技能指数(TB-PS-I)对儿童/家长的三头牙刷刷牙情况进行评估;即儿童是否刷到了每个牙弓内的所有五个牙段,是否在每个牙段来回刷了 10 次。如果未达到最佳状态,他们将接受改进 TB-P 的指导,随后被要求重新演示。计算并分析 TB-PS-I 与其他解释变量的相关性:共对 1737 名儿童的 7399 次随访进行了分析。年龄越大、性别为女性、复诊次数越多以及每天坚持刷牙两次都能明显改善 TB-P。他们在操作过程中最典型的错误是没有到达犬齿区段,以及在每个区段的动作不够多。在不完善的 TB-P 操作后进行指导能明显改善 TB-P。然而,改善的程度与表演者的年龄、性别或随访次数无关:结论:相当一部分 8 岁以上的儿童即使在使用 TH-TB 刷牙时也没有达到最佳刷牙效果。
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来源期刊
CiteScore
5.50
自引率
2.60%
发文量
82
审稿时长
6-12 weeks
期刊介绍: The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.
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