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Effect of a powered and a manual toothbrush in subjects susceptible to gingival recession: A 36-month randomized controlled clinical study. 电动牙刷和手动牙刷对牙龈退缩易感人群的影响:一项为期 36 个月的随机对照临床研究。
IF 2.4 4区 医学 Q1 Dentistry Pub Date : 2024-06-11 DOI: 10.1111/idh.12834
Simone Sutor, Christian Graetz, Antje Geiken, Martin Straßburger, Carolin Löwe, Bernhard Holtmann, Jonas Conrad, Sonja Sälzer, Christof E Dörfer

Objective: The objective of this long-term clinical study was to evaluate the influence of a newly developed powered toothbrush (PT) on the size and number of pre-existing gingival recessions (GR) in comparison to a manual toothbrush (MT).

Methods: This was a prospective, single-blind, parallel-group, randomized controlled clinical study. Participants without periodontitis, but with at least two teeth (index teeth) showing GR ≥2 mm were randomized to brush either twice daily with a MT or with a PT with a linear magnetic drive causing the round brush head to produce gentle micro vibrations along with oscillating-rotating movements. Primary outcome parameter was the mean change of GR at the index teeth over 36 months.

Results: Totally 87 out of 92 participants completed the study (MT/PT: n = 42/n = 45). At the 36-month evaluation the mean (standard deviation) change of GR at index teeth differed significantly between MT 0.17 (0.77) and PT -0.10 (0.63) (p = 0.013). Furthermore, the amount of GR sites which improved ≥1 mm or remained stable during the study period did not differ between MT and PT, but the number of sites worsened ≥1 mm was significantly in favour for PT (MT 23 (25.5%) versus PT 10 (10.6%); p = 0.009). A binary logistic regression identified tooth type (OR = 2.991 for pre-/molar (1.096 [95% CI 1.002-8.933]; p = 0.050)) and manual brushing (OR = 3.341 (1.206 [95% CI 1291-8648]; p = 0.013)) as risk factors for recession impairment at the index teeth. There were no differences between groups for adverse events.

Conclusion: In a population with pre-existing gingival recessions and consequently a high risk of developing further recession the PT seems to be favourable with regard to further development of GR.

研究目的这项长期临床研究的目的是评估与手动牙刷(MT)相比,新开发的电动牙刷(PT)对原有牙龈凹陷(GR)的大小和数量的影响:这是一项前瞻性、单盲、平行组、随机对照临床研究。参与者没有牙周炎,但至少有两颗牙齿(指数牙)的牙龈凹陷≥2 毫米,他们被随机分配到每天用 MT 或 PT 刷牙两次,MT 或 PT 采用线性磁驱动,使圆形刷头产生轻微的微振动和摆动旋转运动。主要结果参数为 36 个月内指标牙齿 GR 的平均变化:结果:92 位参与者中有 87 位完成了研究(MT/PT:n = 42/n = 45)。在为期 36 个月的评估中,MT 和 PT 患牙GR的平均变化(标准差)差异显著,前者为 0.17 (0.77),后者为 -0.10 (0.63) (p = 0.013)。此外,在研究期间,GR 改善≥1 毫米或保持稳定的部位数量在 MT 和 PT 之间没有差异,但恶化≥1 毫米的部位数量明显有利于 PT(MT 23(25.5%)对 PT 10(10.6%);p = 0.009)。二元逻辑回归发现,牙齿类型(前/磨牙 OR = 2.991 (1.096 [95% CI 1.002-8.933]; p = 0.050))和手动刷牙(OR = 3.341 (1.206 [95% CI 1291-8648]; p = 0.013))是指数牙衰退损伤的风险因素。各组在不良事件方面没有差异:结论:对于牙龈已经存在退缩,因此很有可能出现进一步退缩的人群,PT 似乎有利于 GR 的进一步发展。
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引用次数: 0
In vitro evaluation of surface roughness of titanium abutments after air polishing with different abrasive powders. 使用不同研磨粉进行空气抛光后钛基台表面粗糙度的体外评估。
IF 2.4 4区 医学 Q1 Dentistry Pub Date : 2024-06-09 DOI: 10.1111/idh.12838
Pedro Francisco Almeida Roberto, Henrique Soares Luís, Sofia Arantes Oliveira

Objectives: The purpose of this study was to evaluate the effects of air polishing with sodium bicarbonate and erythritol powders on surface roughness and morphological changes in titanium abutments.

Methods: A total of 45 grade V titanium discs were divided in three groups: Group A (Control) air polished with air/water; Group B, air polished with sodium bicarbonate powder; and Group C, air polished with erythritol powder. After air polishing, the samples' roughness (Sa) in micrometres were analysed with an optical profilometer. The samples' surface morphology study was conducted via scanning electronic microscope (SEM). Data were described using mean and standard deviation of roughness values (Sa). Inferential analysis was performed using the ANOVA multiple comparison test followed by Tukey's post hoc test. Both tests used a 5% level of significance.

Results: After air polishing, average roughness of group A, B and C were 0.036, 0.046 and 0.037 μm, respectively, with statistically significant differences between groups A and B (p < 0.05). No statistically significant differences were found between group A and group C, as well as between group B and C (p > 0.05). As for the morphology analysis, damages to the titanium surface were only observed in group B.

Conclusions: The study indicates that air polishing with erythritol powder maintains titanium abutment integrity better than sodium bicarbonate, which increased surface roughness and caused damage. Erythritol is preferable for minimizing surface alterations and maintaining morphological stability.

研究目的本研究旨在评估使用碳酸氢钠和赤藓糖醇粉进行空气抛光对钛基台表面粗糙度和形态变化的影响:将 45 个 V 级钛盘分为三组:A组(对照组)使用空气/水进行空气抛光;B组使用碳酸氢钠粉末进行空气抛光;C组使用赤藓糖醇粉末进行空气抛光。空气抛光后,用光学轮廓仪分析样品的粗糙度(Sa)(以微米为单位)。样品的表面形态研究是通过扫描电子显微镜(SEM)进行的。数据用粗糙度值(Sa)的平均值和标准偏差来描述。推理分析采用方差分析多重比较试验,然后进行 Tukey 后检验。两个检验的显著性水平均为 5%:空气抛光后,A 组、B 组和 C 组的平均粗糙度分别为 0.036、0.046 和 0.037 μm,A 组和 B 组之间的差异有统计学意义(P 0.05)。在形态分析方面,只有 B 组观察到钛表面的损伤:研究表明,使用赤藓糖醇粉末进行空气抛光能更好地保持钛基台的完整性,而碳酸氢钠会增加表面粗糙度并造成损坏。赤藓糖醇能最大限度地减少表面改变并保持形态稳定。
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引用次数: 0
Impact of air-polishing with erythritol on exposed root dentin: A randomized clinical trial. 用赤藓糖醇进行空气抛光对暴露牙根的影响:随机临床试验
IF 2.4 4区 医学 Q1 Dentistry Pub Date : 2024-06-09 DOI: 10.1111/idh.12835
Anne Brigitte Kruse, Ann-Sophie Burkhardt, Kirstin Vach, Elmar Hellwig, Johan Peter Woelber, Nadine Schlueter, Petra Ratka-Krüger

Introduction: The effects of air-polishing on exposed root dentin surfaces are largely unknown, as there are only few studies which show heterogeneous results. Thus, this study was to investigate roughness changes of exposed dentin surfaces after air-polishing and the influence of subsequent polishing with cup and paste.

Methods: Totally 54 teeth with exposed root dentin surfaces were treated using a split-mouth design by either air-polishing with erythritol and a rubber cup with polishing paste on the test side, or rubber cup and paste alone. Teeth were finally cleaned using a sonic tooth brush. Impressions were taken at relevant time points and replicated using epoxy resin. The resulting casts were profilometrically analysed to obtain the average surface roughness (sRa) and maximum peak-to-valley height (sRz), which are given as the mean ± standard deviation in μm.

Results: After air-polishing, in comparison to the baseline, there was a slight but significant increase in sRa (0.168 ± 0.143, p < 0.001), but sRz did not change (-0.471 ± 4.857, p = 0.936). Subsequent polishing with cup and paste and cleaning with a sonic toothbrush did not reduce the surface roughness (sonic toothbrush-air-polishing, sRa -0.044 ± 0.081, p = 0.218; sRz -0.551 ± 3.563, p = 0.903).

Conclusion: The use of erythritol led to a slight increase in the roughness of the dentin surface, which was not reduced by polishing with a cup and paste. Polishing paste did not seem to conceal surface irregularities.

简介:空气抛光对暴露的牙根牙本质表面的影响在很大程度上是未知的,因为只有少数研究显示了不同的结果。因此,本研究旨在调查暴露牙本质表面在气抛后的粗糙度变化以及随后用杯形抛光剂和牙膏抛光的影响:方法:采用分口设计,对 54 颗暴露牙根牙本质表面的牙齿进行处理,处理方法是在测试侧使用赤藓糖醇和装有抛光膏的橡胶杯进行空气抛光,或仅使用橡胶杯和抛光膏。最后使用声波牙刷清洁牙齿。在相关时间点取模,并用环氧树脂复制。对所得铸模进行轮廓分析,以获得平均表面粗糙度(sRa)和最大峰谷高度(sRz),结果以平均值±标准偏差(单位:μm)表示:空气抛光后,与基线相比,sRa(0.168 ± 0.143,p z 不变(-0.471 ± 4.857,p = 0.936))有轻微但显著的增加。随后使用牙杯和牙膏抛光以及声波牙刷清洁并没有降低表面粗糙度(声波牙刷-空气抛光,sRa -0.044 ± 0.081,p = 0.218;sRz -0.551 ± 3.563,p = 0.903):使用赤藓糖醇会导致牙本质表面的粗糙度略有增加,而使用抛光杯和抛光膏进行抛光并不会降低这种粗糙度。抛光膏似乎不能掩盖表面的不规则。
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引用次数: 0
Brazilian undergraduates' and dentists' knowledge on preventing, diagnosing and managing dentin hypersensitivity: A cross-sectional questionnaire study. 巴西大学生和牙科医生对牙本质过敏症的预防、诊断和处理的认识:横断面问卷调查
IF 2.4 4区 医学 Q1 Dentistry Pub Date : 2024-06-04 DOI: 10.1111/idh.12833
Victor Mosquim, Giovanna Speranza Zabeu, Juliana Carvalho Jacomine, Daniella Cristo Santin, Heitor Marques Honório, Linda Wang

Objectives: To analyse the knowledge of dental undergraduates and dentists on the prevention, diagnosis and management of dentin hypersensitivity (DH); to compare their knowledge scores; and to understand the related variables using a regression model.

Methods: An original online questionnaire investigated the attitudes, self-reported knowledge ('how much they thought they knew') and real knowledge ('how much they really knew') of 132 students and 338 dentists. Data were analysed descriptively, both knowledge scores were compared using Mann-Whitney and Wilcoxon signed-rank tests and data were subjected to two multiple linear regression analyses considering real knowledge scores as the dependent variable (α < 0.05).

Results: The self-reported knowledge on DH was higher than the real knowledge for both students and dentists, but dentists presented the highest scores. Gingival recession and acidic diet were reported as the main predisposing factors for DH by undergraduates and dentists. Students normally managed DH with dietary and hygiene instructions followed by a desensitizing agent application, while dentists managed with occlusal adjustments. The mechanism of glutaraldehyde/HEMA and bioactive fillers on DH is widely unknown by students and dentists. The majority of the questioned individuals cannot differentiate DH from sensitivity of caries or molar-incisor hypomineralization.

Conclusion: Both students and dentists overestimate their knowledge of DH, revealing deficiencies in prevention, diagnosis and management. Students' knowledge improves towards the end of the Dentistry course, while younger dentists and PhD holders are more knowledgeable. Institutions should implement ongoing DH education for undergraduates and conduct interventions for experienced professionals, especially older ones.

目的分析牙科大学生和牙科医生对牙本质过敏症(DH)的预防、诊断和管理的知识;比较他们的知识得分;并使用回归模型了解相关变量:方法: 采用原始在线问卷调查了 132 名学生和 338 名牙医的态度、自我报告知识("他们认为自己知道多少")和实际知识("他们真正知道多少")。对数据进行了描述性分析,使用曼-惠特尼和威尔科克森符号秩检验对两种知识得分进行了比较,并将实际知识得分作为因变量(α),对数据进行了两次多元线性回归分析:学生和牙医自我报告的 DH 知识均高于实际知识,但牙医的得分最高。据报告,牙龈萎缩和酸性饮食是大学生和牙科医生导致 DH 的主要诱因。学生通常通过饮食和卫生指导,然后使用脱敏剂来治疗 DH,而牙医则通过调整咬合来治疗 DH。学生和牙医普遍不了解戊二醛/HEMA 和生物活性填充剂对 DH 的影响机制。大多数受访者无法将 DH 与龋齿敏感性或磨牙-尖牙矿化不足区分开来:结论:学生和牙医都高估了自己对 DH 的认识,暴露出在预防、诊断和管理方面的不足。学生的知识水平在口腔医学课程结束后会有所提高,而年轻的牙医和博士学位获得者的知识水平更高。教育机构应持续开展针对本科生的牙科保健教育,并对有经验的专业人员,尤其是年长者进行干预。
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引用次数: 0
Efficacy and safety of erythritol air-polishing in implant dentistry: A systematic review. 赤藓糖醇空气抛光在种植牙治疗中的有效性和安全性:系统综述。
IF 2.4 4区 医学 Q1 Dentistry Pub Date : 2024-06-02 DOI: 10.1111/idh.12836
F Delucchi, L Ingegnieros, P Pesce, D Baldi, L Canullo, F Bagnasco, P Zunino, M Menini

Objectives: Professional oral hygiene is essential to prevent peri-implant disease. Appropriate instruments should be employed for implant-supported restorations: they should effectively remove deposits without damaging dental implant surface. The aim of the present systematic review is to investigate the efficacy and safety of erythritol air-polishing in implant-supported rehabilitations, compared to alternative hygienic techniques.

Materials and methods: The guidelines reported in the indications of the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) were employed for this systematic review. The focused question was: 'what is the effect of erythritol air-polishing on dental implant surfaces regarding its cleansing efficacy and/or safety?' The final online search was conducted on 13 August 2023; MEDLINE-PubMed, Scopus and Cochrane Library were employed. Comparative in vitro or in vivo original studies were included.

Results: The initial database search yielded 128 entries; the final selection comprised 15 articles. The risk of bias was evaluated using the Newcastle Ottawa scale (NOS), the Cochrane Handbook for Systematic Reviews of Interventions, GRADE method. Ultrasonic scaling with PEEK tips, glycine air-polishing and cold atmospheric plasma were the devices most frequently compared to erythritol powder in the included studies. Erythritol air-polishing appeared to be significantly more effective in reducing biofilm compared to other treatments, without causing any significant damage to the implant surface and peri-implant tissues, promoting a good biological response.

Conclusion: Erythritol air-polishing showed promising results for professional oral hygiene in implant-supported restorations. According to this systematic review, it is effective and safe for removing biofilm from titanium dental implants.

目的:专业的口腔卫生对预防种植体周围疾病至关重要。对于种植体支持的修复体应使用适当的器械:它们应能有效去除沉积物而不损伤种植体表面。本系统综述旨在研究赤藓糖醇空气抛光与其他卫生技术相比,在种植体支持修复中的有效性和安全性:本系统综述采用了《系统综述和元分析首选报告项目》(PRISMA)中的指南。重点问题是:"赤藓糖醇空气抛光对牙科种植体表面的清洁效果和/或安全性有何影响?最终的在线检索于 2023 年 8 月 13 日进行;采用了 MEDLINE-PubMed、Scopus 和 Cochrane Library。结果:结果:最初的数据库搜索结果为 128 篇文章,最终筛选出 15 篇文章。采用纽卡斯尔-渥太华量表(NOS)、《科克伦干预措施系统综述手册》和 GRADE 方法对偏倚风险进行了评估。在纳入的研究中,使用 PEEK 尖端的超声波洁牙、甘氨酸空气抛光和冷大气等离子体是最常与赤藓糖醇粉末进行比较的设备。与其他治疗方法相比,赤藓糖醇气溶胶似乎在减少生物膜方面更有效,而且不会对种植体表面和种植体周围组织造成任何明显损伤,促进了良好的生物反应:赤藓糖醇空气抛光在种植体支持修复体的专业口腔卫生方面显示出良好的效果。根据本系统综述,赤藓糖醇空气抛光剂能有效、安全地去除钛种植体上的生物膜。
{"title":"Efficacy and safety of erythritol air-polishing in implant dentistry: A systematic review.","authors":"F Delucchi, L Ingegnieros, P Pesce, D Baldi, L Canullo, F Bagnasco, P Zunino, M Menini","doi":"10.1111/idh.12836","DOIUrl":"https://doi.org/10.1111/idh.12836","url":null,"abstract":"<p><strong>Objectives: </strong>Professional oral hygiene is essential to prevent peri-implant disease. Appropriate instruments should be employed for implant-supported restorations: they should effectively remove deposits without damaging dental implant surface. The aim of the present systematic review is to investigate the efficacy and safety of erythritol air-polishing in implant-supported rehabilitations, compared to alternative hygienic techniques.</p><p><strong>Materials and methods: </strong>The guidelines reported in the indications of the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) were employed for this systematic review. The focused question was: 'what is the effect of erythritol air-polishing on dental implant surfaces regarding its cleansing efficacy and/or safety?' The final online search was conducted on 13 August 2023; MEDLINE-PubMed, Scopus and Cochrane Library were employed. Comparative in vitro or in vivo original studies were included.</p><p><strong>Results: </strong>The initial database search yielded 128 entries; the final selection comprised 15 articles. The risk of bias was evaluated using the Newcastle Ottawa scale (NOS), the Cochrane Handbook for Systematic Reviews of Interventions, GRADE method. Ultrasonic scaling with PEEK tips, glycine air-polishing and cold atmospheric plasma were the devices most frequently compared to erythritol powder in the included studies. Erythritol air-polishing appeared to be significantly more effective in reducing biofilm compared to other treatments, without causing any significant damage to the implant surface and peri-implant tissues, promoting a good biological response.</p><p><strong>Conclusion: </strong>Erythritol air-polishing showed promising results for professional oral hygiene in implant-supported restorations. According to this systematic review, it is effective and safe for removing biofilm from titanium dental implants.</p>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy of a new protocol for the prevention of work-related musculoskeletal disorders in dental hygiene students: A pilot randomized controlled trial. 预防牙科保健专业学生工作相关肌肉骨骼疾病新方案的功效:随机对照试验。
IF 2.4 4区 医学 Q1 Dentistry Pub Date : 2024-06-02 DOI: 10.1111/idh.12837
Martina Ferrillo, Mario Migliario, Dario Calafiore, Nicola Marotta, Leonzio Fortunato, Antonio Ammendolia, Amerigo Giudice, Alessandro de Sire

Objective: The purpose of this pilot randomized controlled trial (RCT) was to assess the efficacy of a new muscle stretching and strengthening protocol for the prevention of work-related musculoskeletal disorders (WMSD) in dental hygiene students.

Methods: Students attending the 2nd and 3rd year of a Dental Hygiene Degree Course of a University Hospital were randomly allocated into treatment group (muscle stretching and strengthening sessions) and control group (no treatment). Nordic Musculoskeletal Questionnaire (NMQ), quality of life, the intensity of the pain and the Global Perceived Effect (GPE) Scale were assessed at the baseline (T0), after 4 weeks (T1) and after 16 weeks (T2).

Results: Of 37 subjects screened for eligibility, 28 patients (aged 28.25 ± 8.89 years) were enrolled and divided into treatment and control groups. The NWQ showed significant between-group differences in the following regions from T0 to T2: neck (p = 0.0003), shoulders (p = 0.0057) and lower back (p = 0.0136). In terms of pain, a significant between-group difference was reported from T2 (p < 0.001). The GPE demonstrated that the average satisfaction related to the performed treatment was 1.4 ± 0.63.

Conclusion: The present pilot RCT demonstrated the efficacy of stretching associated with muscle strengthening in decreasing the risk of WMSD, especially for the neck, shoulders and lower back. The potential strength of this model is related to the possibility to perform stretching exercises chairside at work during scheduled breaks, in addition to complementary muscle strengthening sessions at home. Future RCTs are necessary to better investigate the role of this protocol for WMSD prevention.

研究目的本随机对照试验(RCT)旨在评估一种新的肌肉拉伸和强化方案对预防牙科卫生专业学生工作相关肌肉骨骼疾病(WMSD)的疗效:方法:将一所大学医院牙科卫生学位课程二年级和三年级的学生随机分配到治疗组(肌肉拉伸和强化训练)和对照组(无治疗)。分别在基线(T0)、4周后(T1)和16周后(T2)对北欧肌肉骨骼问卷(NMQ)、生活质量、疼痛强度和全球感知效果量表(GPE)进行评估:在通过资格筛选的 37 名受试者中,28 名患者(年龄为 28.25 ± 8.89 岁)被纳入治疗组和对照组。从 T0 到 T2,NWQ 在以下部位显示出明显的组间差异:颈部(p = 0.0003)、肩部(p = 0.0057)和下背部(p = 0.0136)。就疼痛而言,从 T2 开始,组间差异显著(p 结论:从 T2 开始,组间差异显著:本试验性研究表明,拉伸与肌肉强化相结合可有效降低 WMSD 风险,尤其是对颈部、肩部和下背部的风险。这种模式的潜在优势在于,除了在家中进行辅助性肌肉强化训练外,还可以在工作间隙坐在椅子上进行拉伸练习。未来有必要进行研究性试验,以更好地研究该方案在预防 WMSD 方面的作用。
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引用次数: 0
Factors associated with malnutrition among older people in Swedish short-term care: Poor oral health, dysphagia and mortality. 瑞典短期护理机构中老年人营养不良的相关因素:口腔健康状况不佳、吞咽困难和死亡率。
IF 2.4 4区 医学 Q1 Dentistry Pub Date : 2024-06-02 DOI: 10.1111/idh.12832
Susanne Lindqvist, Lena Olai, Patricia Hägglund

Objectives: To investigate the relationship between malnutrition and potential contributing factors such as poor oral health, dysphagia and mortality among older people in short-term care.

Methods: This cross-sectional study is a part of the multidisciplinary multicentre project SOFIA (Swallowing function, Oral health and Food Intake in old Age), which includes older people (≥65 years) in 36 short-term care units in five regions of Sweden. Nutritional status was measured with version II of the Minimal Eating Observation and Nutrition Form (MEONF-II), oral health with the Revised Oral Assessment Guide (ROAG), dysphagia with a water swallow test, and the mortality rate was followed for 1 year. Data were analysed using descriptive analysis and logistic regression models to calculate odds ratios for the association between malnutrition and these factors.

Results: Among the 391 participants, the median age was 84 years and 53.3% were women. Mortality rate was 25.1% within 1 year in the total group, and was higher among malnourished participants than among their well-nourished counterparts. Severe dysphagia (OR: 6.51, 95% CI: 2.40-17.68), poor oral health (OR: 5.73, 95% CI: 2.33-14.09) and female gender (OR: 2.2, 95% CI: 1.24-3.93) were independently associated with malnutrition.

Conclusion: Mortality rate was higher among malnourished people than those who were well nourished. Severe dysphagia, poor oral health and female gender was predictors of malnutrition among older people in short-term care. These health risks should be given more attention in short-term care with early identification.

目的调查营养不良与潜在诱因(如口腔健康状况差、吞咽困难)之间的关系,以及接受短期护理的老年人的死亡率:这项横断面研究是多学科多中心项目 SOFIA(老年吞咽功能、口腔健康和食物摄入)的一部分,研究对象包括瑞典五个地区 36 家短期护理机构中的老年人(≥65 岁)。营养状况通过第二版《最低进食观察和营养表》(MEONF-II)进行测量,口腔健康通过《修订口腔评估指南》(ROAG)进行测量,吞咽困难通过吞水测试进行测量,并对死亡率进行为期一年的跟踪调查。采用描述性分析和逻辑回归模型对数据进行分析,以计算营养不良与这些因素之间关系的几率比:在 391 名参与者中,年龄中位数为 84 岁,53.3% 为女性。所有参与者在 1 年内的死亡率为 25.1%,营养不良者的死亡率高于营养良好者。严重吞咽困难(OR:6.51,95% CI:2.40-17.68)、口腔卫生差(OR:5.73,95% CI:2.33-14.09)和女性(OR:2.2,95% CI:1.24-3.93)与营养不良有独立关联:结论:营养不良者的死亡率高于营养良好者。严重吞咽困难、口腔健康状况差和女性性别是短期护理老年人营养不良的预测因素。这些健康风险应在短期护理中得到更多关注,并及早发现。
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引用次数: 0
Evaluation of the extent of plaque removal and users' experience of alternative toothbrushes: A randomized single-blind crossover study. 评估替代牙刷清除牙菌斑的程度和用户体验:随机单盲交叉研究。
IF 2.4 4区 医学 Q1 Dentistry Pub Date : 2024-05-26 DOI: 10.1111/idh.12825
Johanna De Almeida Mello, Louise Reynaert, Hicham Frites, Patricia Vandenbulcke, Katleen Vandamme, Joke Duyck

Introduction: In residential care, tooth brushing with a manual toothbrush can be challenging because of technical difficulties, time consumption and poor patient cooperation, resulting in a sub-optimal cleaning. The study aimed at comparing the efficiency in plaque removal, brushing time and users' experience between three toothbrushes: a single-headed conventional manual toothbrush, a triple-headed manual toothbrush and a U-shaped electric toothbrush.

Methods: This was a single-blind crossover study with three pre-post-test conditions. Participants were 26 dental students divided into fixed pairs to play the role of caregivers and care receivers. Pre/post plaque scores were determined by two independent investigators according to the Quigley-Hein Plaque Index (QHI). Questionnaires evaluated participants' experiences. Statistical tests of significances of differences and ANOVA were performed.

Results: Results showed that plaque removal was more effective for the manual toothbrush and the triple-headed toothbrush compared to the U-shaped electric toothbrush (p < 0.001). Brushing time was the longest for the single manual toothbrush (149 s). The U-shaped electric toothbrush showed significantly better results for aspects related to comfort and salivation. The manual and triple-headed toothbrush showed better results for aspects related to cleanliness and motivation to use.

Conclusion: Notwithstanding its favourable comfort, tooth plaque removal is not enhanced by a U-shaped electric toothbrush. The triple-headed and single-headed toothbrushes reduced plaque more substantially than the U-shaped toothbrush. In addition, the triple-headed manual toothbrush was not only effective in plaque removal, but also had a shorter brushing time and was easy to use, being an adequate alternative for care-dependent patient groups.

介绍:在住院护理中,使用手动牙刷刷牙可能具有挑战性,因为技术难度大、耗时长、患者配合度差,导致清洁效果不理想。本研究旨在比较三种牙刷(单头传统手动牙刷、三头手动牙刷和 U 型电动牙刷)清除牙菌斑的效率、刷牙时间和使用者的体验:这是一项单盲交叉研究,采用三种前测-后测条件。参加者为 26 名牙科学生,他们被分成固定的两对,分别扮演护理者和接受护理者。前/后牙菌斑评分由两名独立调查人员根据 Quigley-Hein 牙菌斑指数(QHI)确定。调查问卷对参与者的经历进行评估。进行了差异显著性统计检验和方差分析:结果表明,与 U 型电动牙刷相比,手动牙刷和三头牙刷清除牙菌斑的效果更好(p 结论:手动牙刷和三头牙刷的牙菌斑清除效果更好:尽管 U 型电动牙刷具有良好的舒适性,但其去除牙菌斑的效果并不明显。三头牙刷和单头牙刷比 U 形牙刷更能减少牙菌斑。此外,三头手动牙刷不仅能有效清除牙菌斑,而且刷牙时间更短,使用方便,是依赖护理的患者群体的适当替代选择。
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引用次数: 0
The effect of oral massage intervention on oral hygiene at home care. 口腔按摩干预对家庭护理中口腔卫生的影响。
IF 2.4 4区 医学 Q1 Dentistry Pub Date : 2024-05-21 DOI: 10.1111/idh.12824
I-Chen Chen, Chi-Te Lin, Po-Ya Hsu, Lee-Wen Pai, Chuan-Hang Yu, Hsin-Li Liu

Introduction: Oral hygiene for individuals with disabilities living at home heavily relies on caregiver assistance. This study investigates differences in mouth opening, dental plaque index and halitosis grade among home-dwelling individuals with and without oral massage intervention. It is important to consider that extended bedridden periods, the presence of nasogastric tubes and difficulties in mouth opening can affect caregivers' oral cleaning effectiveness.

Method: This single-blind controlled experiment spanned 12 weeks. Primary caregivers underwent a 15- to 20-min demonstration. The experimental group received guidance on the Bass brushing method, instructions for using oral cleaning tools and training in oral massage. The control group received guidance on the Bass brushing method and instructions for oral cleaning tools. Measurement tools included basic participant information, oral examination records, mouth opening assessments, dental plaque index evaluations and halitosis ratings.

Results: The study included 38 subjects, all over 80 years old with disabilities. Dental plaque index significantly improved after massage (p = 0.001). Compared to their pre-massage conditions, the experimental group showed significant improvements in maximum mouth opening (11.65-20.71 mm, p = 0.001), dental plaque index (98.04%-59.74%, p < 0.0001) and halitosis rating (4.12-3.76, p = 0.034).

Conclusions: Oral massage effectively improved mouth opening, reduced the dental plaque index and lowered halitosis ratings in the experimental group, underscoring its positive impact on oral hygiene. The study's insights can significantly benefit oral care for individuals with disabilities living at home.

介绍:居家残疾人的口腔卫生在很大程度上依赖于护理人员的帮助。本研究调查了接受和未接受口腔按摩干预的居家残疾人在张口、牙菌斑指数和口臭等级方面的差异。重要的是要考虑到长期卧床、鼻胃管的存在和张口困难会影响护理人员的口腔清洁效果:该单盲对照实验为期 12 周。主要护理人员接受了 15 至 20 分钟的示范。实验组接受巴斯刷牙法指导、口腔清洁工具使用说明和口腔按摩培训。对照组接受巴斯刷牙法的指导和口腔清洁工具的使用说明。测量工具包括受试者基本信息、口腔检查记录、张口度评估、牙菌斑指数评估和口臭评级:研究共包括 38 名受试者,均为 80 岁以上的残疾人。按摩后牙菌斑指数明显改善(p = 0.001)。与按摩前相比,实验组的最大张口度(11.65-20.71 毫米,p = 0.001)和牙菌斑指数(98.04%-59.74%,p 结论:口腔按摩能有效改善张口度,减轻口臭:口腔按摩有效改善了实验组的张口度,降低了牙菌斑指数,减少了口臭评分,凸显了口腔按摩对口腔卫生的积极影响。这项研究的启示对居家残疾人士的口腔护理大有裨益。
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引用次数: 0
Should we be concerned about the use of non-fluoride toothpaste? A survey study in two European countries. 我们是否应该关注无氟牙膏的使用?在两个欧洲国家进行的一项调查研究。
IF 2.4 4区 医学 Q1 Dentistry Pub Date : 2024-05-21 DOI: 10.1111/idh.12827
Ilze Maldupa, Julija Narbutaite, Egle Stanceviciene, Ilona Viduskalne, Julija Kalnina, Liga Kronina, Anda Brinkmane, Egita Senakola, Sergio E Uribe

Background: Toothpastes available in Europe contain a range of fluoride concentrations, with some meeting the recommended level for caries prevention (>1000 ppm fluoride (ppm)) and others containing low or no fluoride. This study evaluated toothpaste fluoride concentrations in Latvia and Lithuania to inform targeted public health strategies in regions with a high prevalence of dental caries.

Methods: This cross-sectional study was conducted from May 2019 to May 2020, using a validated questionnaire in Latvia and Lithuania. Nationally representative samples (1309 families and 5436 members) provided data through a mixed-mode survey (paper and online) on sociodemographic information, toothpaste type, brand, and type. Descriptive statistics and chi-square tests (p < 0.05) were used for analysis.

Results: Fifteen percent of families used non-fluoridated toothpaste and 12% used <1000 part per million (ppm) fluoride. In Latvia, 56.8% of preschoolers and 28.7% of schoolchildren used <1000 ppm or non-fluoride toothpaste, whereas in Lithuania, 47.2% of preschoolers and 29.1% of schoolchildren used <1000 ppm or non-fluoride toothpaste; 63% of adolescents and 73% of adults used toothpaste with optimal fluoride content (≥1000 ppm). Of the 228 registered toothpaste types, 62% contained more than 1000 ppm, which is optimal for caries prevention; 29% of Latvian and 24% of Lithuanian families used at least one non-fluoridated toothpaste.

Conclusion: This study revealed significant gaps in the use of fluoride toothpaste among families in Latvia and Lithuania, especially among children. To effectively prevent dental caries, targeted interventions, and education must promote optimal fluoride toothpaste use, particularly among vulnerable populations.

背景:欧洲市面上的牙膏含氟浓度不一,有些符合预防龋齿的建议水平(>1000 ppm 氟化物 (ppm)),有些则含氟量低或不含氟。这项研究对拉脱维亚和立陶宛的牙膏含氟浓度进行了评估,以便为龋齿高发地区制定有针对性的公共卫生策略提供信息:这项横断面研究于 2019 年 5 月至 2020 年 5 月在拉脱维亚和立陶宛进行,采用的是经过验证的调查问卷。具有全国代表性的样本(1309 个家庭和 5436 名成员)通过混合模式调查(纸质和在线)提供了有关社会人口信息、牙膏类型、品牌和种类的数据。描述性统计和卡方检验(p 结果:15%的家庭使用非牙膏:15%的家庭使用无氟牙膏,12%的家庭使用结论牙膏:这项研究揭示了拉脱维亚和立陶宛家庭在使用含氟牙膏方面存在的巨大差距,尤其是儿童。为了有效预防龋齿,有针对性的干预措施和教育必须促进含氟牙膏的最佳使用,尤其是在弱势群体中。
{"title":"Should we be concerned about the use of non-fluoride toothpaste? A survey study in two European countries.","authors":"Ilze Maldupa, Julija Narbutaite, Egle Stanceviciene, Ilona Viduskalne, Julija Kalnina, Liga Kronina, Anda Brinkmane, Egita Senakola, Sergio E Uribe","doi":"10.1111/idh.12827","DOIUrl":"https://doi.org/10.1111/idh.12827","url":null,"abstract":"<p><strong>Background: </strong>Toothpastes available in Europe contain a range of fluoride concentrations, with some meeting the recommended level for caries prevention (>1000 ppm fluoride (ppm)) and others containing low or no fluoride. This study evaluated toothpaste fluoride concentrations in Latvia and Lithuania to inform targeted public health strategies in regions with a high prevalence of dental caries.</p><p><strong>Methods: </strong>This cross-sectional study was conducted from May 2019 to May 2020, using a validated questionnaire in Latvia and Lithuania. Nationally representative samples (1309 families and 5436 members) provided data through a mixed-mode survey (paper and online) on sociodemographic information, toothpaste type, brand, and type. Descriptive statistics and chi-square tests (p < 0.05) were used for analysis.</p><p><strong>Results: </strong>Fifteen percent of families used non-fluoridated toothpaste and 12% used <1000 part per million (ppm) fluoride. In Latvia, 56.8% of preschoolers and 28.7% of schoolchildren used <1000 ppm or non-fluoride toothpaste, whereas in Lithuania, 47.2% of preschoolers and 29.1% of schoolchildren used <1000 ppm or non-fluoride toothpaste; 63% of adolescents and 73% of adults used toothpaste with optimal fluoride content (≥1000 ppm). Of the 228 registered toothpaste types, 62% contained more than 1000 ppm, which is optimal for caries prevention; 29% of Latvian and 24% of Lithuanian families used at least one non-fluoridated toothpaste.</p><p><strong>Conclusion: </strong>This study revealed significant gaps in the use of fluoride toothpaste among families in Latvia and Lithuania, especially among children. To effectively prevent dental caries, targeted interventions, and education must promote optimal fluoride toothpaste use, particularly among vulnerable populations.</p>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141074464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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International journal of dental hygiene
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