International journal of dental hygiene最新文献_第6页

Oral health statuses of individuals diagnosed with gastroparesis: A Cross-Section study 被诊断为胃痉挛患者的口腔健康状况：横断面研究

IF 1.6 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of dental hygiene

Pub Date : 2024-04-30 DOI: 10.1111/idh.12810

Valerie Nieto, Stefanie VanDuine, Kristin Peltz, Danielle Rulli

Background

Gastroparesis (GP) is a debilitating gastric motility disorder associated with digestive dysfunction, reduced quality of life (QoL), and increased mortality rates. There is no known cure for GP and treatment options are limited. The oral cavity is responsible for initiating digestion, yet the impact of GP symptom frequency on oral health status and oral healthcare utilization is not well understood.

Methods

A 21-item electronic survey was developed and disseminated to a private GP social media forum. Survey questions explored GP symptom frequency, oral health status, dental care utilization, and oral health education post GP diagnosis. Descriptive and inferential statistics analysed data.

Key Results

There were 434 study participants. An overwhelming 83% reported GP negatively influenced their oral health and oral function. Significance was observed between GP symptom frequency and oral health status (p = <0.0001). The majority (81%) reported receiving dental care post GP diagnosis, yet (63%) reported current untreated dental concerns. Interestingly, (74%) of participants reported that they have never been educated about oral health risks associated with GP by any healthcare professionals.

Conclusions

GP negatively affects oral health. Study participants reported a need for extensive dental treatments and high levels of untreated dental concerns. Results strongly support that preventive oral healthcare and education must be provided for individuals with a GP diagnosis. As leading oral disease prevention specialists, dental hygienists must be aware of the effects of GP on the oral cavity to help provide person-centred evidence-based care, improve digestive processes, and increase QoL for GP sufferers.

背景胃轻瘫（GP）是一种使人衰弱的胃动力障碍，与消化功能障碍、生活质量（QoL）下降和死亡率升高有关。目前尚无治疗胃瘫的方法，治疗方案也很有限。口腔负责启动消化，但 GP 症状频率对口腔健康状况和口腔医疗利用率的影响尚未得到充分了解。调查问题涉及全科医生症状频率、口腔健康状况、牙科保健利用率以及全科医生诊断后的口腔健康教育。对数据进行了描述性和推论性统计分析。绝大多数 83% 的人表示 GP 对他们的口腔健康和口腔功能产生了负面影响。GP症状频率与口腔健康状况之间存在显著性差异（p = <0.0001）。大多数受试者（81%）表示在确诊 GP 后接受了牙科治疗，但也有 63% 的受试者表示目前的牙科问题尚未得到治疗。有趣的是，（74%）的参与者表示，他们从未接受过任何医疗保健专业人员关于与 GP 相关的口腔健康风险的教育。研究参与者报告称，他们需要进行大量的牙科治疗，并且存在大量未经治疗的牙科问题。研究结果有力地证明，必须为确诊为 GP 的患者提供口腔预防保健和教育。作为领先的口腔疾病预防专家，牙科保健师必须了解 GP 对口腔的影响，以帮助提供以人为本的循证护理，改善消化过程，提高 GP 患者的生活质量。

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引用次数: 0

Impact of the COVID-19 lockdown on the oral health behaviour of young children COVID-19 封锁对幼儿口腔健康行为的影响。

IF 1.6 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of dental hygiene

Pub Date : 2024-04-24 DOI: 10.1111/idh.12808

Annemarie A. Schuller, Deborah A. (Ashley) Verlinden, Sijmen A. Reijneveld, Jan H. (Erik) Vermaire

Aim

Children up to the age of 10 are dependant primarily on their caregivers for oral care; COVID-19 lockdowns may have disrupted this care. We therefore assessed whether the COVID-19 lockdown affected routine parental oral care for their children.

Methods

A short online survey regarding oral health behaviour and changes in the home setting during the COVID-19 lockdown was emailed to parents (n = 782, response 15%) participating in an existing study ‘Healthy Teeth All Aboard (HTAA)’.

Results

During the lockdown, 29% of parents reported that they skipped their children's toothbrushing more often than before the lockdown, and 49% of the children were allowed to consume sugary snacks or drinks more often. These behaviours were not significantly associated with socio-economic status, country of birth of the mother, work situation of the parents, school attendance patterns or HTAA participation status.

Conclusion

The COVID-19 lockdown affected the daily oral hygiene routines of children, potentially increasing caries risk.

Clinical Relevance

Dental professionals should be aware of the potential impacts on oral health in children in the circumstance of a new lockdown. Parents should be made aware of the oral health consequences of a lockdown.

目的 10 岁以下儿童的口腔护理主要依赖于他们的照顾者；COVID-19 封锁可能会扰乱这种护理。因此，我们评估了 COVID-19 封锁是否影响了父母对其子女的常规口腔护理。方法我们通过电子邮件向参与现有研究 "Healthy Teeth All Aboard (HTAA) "的父母（n = 782，回复率 15%）发送了一份简短的在线调查，内容涉及 COVID-19 封锁期间的口腔健康行为和家庭环境变化。结果在封锁期间，29% 的家长表示他们比封锁前更频繁地不给孩子刷牙，49% 的孩子被允许更频繁地食用含糖零食或饮料。这些行为与社会经济地位、母亲的出生国、父母的工作情况、学校出勤模式或 HTAA 参与情况没有明显关联。COVID-19 封锁影响了儿童的日常口腔卫生习惯，可能会增加龋齿风险。应让家长了解封锁对口腔健康的影响。

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引用次数: 0

Investigation of the constituents of commercially available toothpastes 市售牙膏成分调查。

IF 1.6 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of dental hygiene

Pub Date : 2024-04-24 DOI: 10.1111/idh.12805

Musa Kazim Ucuncu, Kerem Guven, Oktay Yazicioglu

Objectives

Toothpaste plays a pivotal role in oral and dental hygiene. This cross-sectional study not only investigates the constituents of toothpastes available in the market and their frequency across different brands but also delves into the potential side effects, irritations, or unfavourable outcomes of these constituents, emphasizing the broader health and environmental implications.

Methods

The largest of the five major chain markets in each district of Istanbul was visited, and adult toothpastes were included in this study. All the constituents that make up the toothpaste were individually recorded in an Excel database. Subsequently, literature regarding the purposes, toxic and potential side effects of each ingredient was gathered using databases such as Google Scholar, PubMed and ScienceDirect. The percentages of these ingredients' occurrence among all the toothpastes were calculated, and the ingredients were categorized into 15 distinct groups based on their usage purposes.

Results

There were 160 different varieties of toothpaste belonging to 19 different brands on the market shelves. Although a total of 244 different ingredients were identified, only 78 of them were included in the study. Among the analysed toothpaste types, 105 of them were found to contain 1450 ppm fluoride, whilst 26 toothpaste variants were discovered to have fluoride levels below this value. Among the various ingredients analysed, particular attention was drawn to commonly debated compounds in oral care products. Specifically, titanium dioxide was found in 68% (n = 111) of the varieties, sodium lauryl sulphate in 67% (n = 108) and paraben in 2% (n = 4), respectively.

Conclusion

Whilst certain ingredients may raise concerns for potential side effects and health considerations within the human body, the toothpaste has long been regarded as an indispensable tool for maintaining optimal oral and dental health. However, gaining a deeper understanding and conducting research on each constituent that comprises the toothpaste, as well as raising awareness in this regard, holds significant importance for human health.

目的牙膏在口腔和牙齿卫生中起着举足轻重的作用。本横断面研究不仅调查了市场上牙膏的成分及其在不同品牌中的使用频率，还深入研究了这些成分的潜在副作用、刺激性或不良后果，强调了其对健康和环境的广泛影响。构成牙膏的所有成分都被逐一记录在 Excel 数据库中。随后，利用 Google Scholar、PubMed 和 ScienceDirect 等数据库收集了有关每种成分的用途、毒性和潜在副作用的文献。结果市场上有 19 个不同品牌的 160 种牙膏。虽然总共确定了 244 种不同的成分，但只有 78 种被纳入研究范围。在分析的牙膏种类中，发现 105 种牙膏的氟含量为 1450 ppm，而 26 种牙膏的氟含量低于这一数值。在分析的各种成分中，人们特别关注口腔护理产品中常被争论的化合物。具体来说，68%（n = 111）的牙膏中含有二氧化钛，67%（n = 108）的牙膏中含有十二烷基硫酸钠，2%（n = 4）的牙膏中含有对羟基苯甲酸酯。然而，深入了解和研究牙膏的每种成分并提高这方面的意识，对人类健康具有重要意义。

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引用次数: 0

Dental hygienists' knowledge, performance confidence and awareness of importance of assessing oral cancer risk factors 牙科保健员对评估口腔癌风险因素重要性的了解、表现信心和认识。

IF 1.6 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of dental hygiene

Pub Date : 2024-04-24 DOI: 10.1111/idh.12815

Boguen Lee, Sojung Mun

Objectives

To assess the knowledge, confidence and awareness of the importance of assessing oral cancer risk among dental hygienists working in Korea and to provide data for the development of theoretical and technical curricula related to oral cancer prevention tasks.

Methods

Questionnaires were distributed to 195 dental hygienists, recruited from an online posting. Survey questions were related to the study objectives and demographic characteristics of the participants. An independent t-test and one-way Analysis of Variance were performed to determine the relationships between study variables and participant demographic characteristics.

Results

Seventy-five percent of the participants agreed that it is necessary to conduct oral cancer risk factor assessment for patients, while 46% agreed it was the duty of dental hygienists. The percentage of participants responding correctly to oral cancer risk factors and to oral cancer characteristics ranged from 98% to 31%. Participants with a master's degree or higher and those with oral cancer education experience were significantly (p < 0.003, p < 0.007, respectively) more aware of the importance of assessing oral cancer risk factors. Participants, who performed non-treatment-related work, had significantly (p < 0.046) greater performance confidence than that of clinicians. In addition, 52.5% of the participants had no prior education in oral cancer and 80.8% agreed that additional education and training were required.

Conclusions

To improve dental hygienists' knowledge of oral cancer risk factors, it is important to provide specific knowledge, and an educational curriculum is necessary that allows incorporating medical interviews, visual inspections and palpation for comprehensive assessments.

目的评估在韩国工作的牙科保健师对评估口腔癌风险重要性的知识、信心和认识，并为开发与口腔癌预防任务相关的理论和技术课程提供数据。调查问题与研究目标和参与者的人口统计学特征有关。结果75%的参与者认为有必要对患者进行口腔癌风险因素评估，46%的参与者认为这是牙科保健师的职责。正确回答口腔癌风险因素和口腔癌特征的参与者比例从 98% 到 31% 不等。拥有硕士或以上学位的参与者和有口腔癌教育经验的参与者对评估口腔癌风险因素重要性的认识明显更高（分别为 p < 0.003 和 p < 0.007）。从事与治疗无关工作的参与者对工作表现的信心明显高于临床医生（p < 0.046）。此外，52.5% 的参与者之前没有接受过口腔癌方面的教育，80.8% 的参与者认为需要接受额外的教育和培训。结论要提高牙科保健师对口腔癌风险因素的认识，提供具体的知识非常重要，而且有必要制定教育课程，将医学访谈、目视检查和触诊纳入综合评估。

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引用次数: 0

The effects of an integrated supportive programme on oral health in patients with head and neck cancer undergoing radiotherapy: A randomized controlled trial 综合支持计划对接受放射治疗的头颈部癌症患者口腔健康的影响：随机对照试验。

IF 1.6 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of dental hygiene

Pub Date : 2024-04-24 DOI: 10.1111/idh.12801

Nan Jiang, Yue Zhao, Jan Mårtensson, Malin Stensson

Objectives

This study determines the effect of an integrated 12-month follow-up support programme on the oral health of patients with head and neck cancer (HNC) who received radiotherapy (RT).

Methods

Participants were randomly assigned to an intervention group (n = 47) or a control group (n = 45). The intervention group received usual care and an integrated supportive programme, which included face-to-face education and telephone coaching. The control group received usual care. After a clinical dental examination, the prevalence of caries, gingival inflammation and plaque were registered. Oral health impact profile (OHIP)-14 and the WHO Oral Health Questionnaire for Adults were used to evaluate oral health in both groups.

Results

A total of 79 participants completed a 12-month follow-up. The intervention group had lower caries increment between baseline and the 12-month follow-up compared with controls, although this was not statistically significant. After 12 months, the intervention group had statistically significant better outcomes in the plaque index (p = 0.038) and the OHIP-14 (p = 0.002) than the control group. No statistically significant differences were found between the two groups concerning gingival index. However, the intervention group reported an overall better state of teeth (p = 0.034) and gums after 12 months (p = 0.042).

Conclusions

The integrated supportive programme showed positive effects on improving oral health in patients with HNC regarding plaque control, the state of teeth and gums and oral health-related quality of life during the 12-month follow-up.

方法将参与者随机分配到干预组（47 人）或对照组（45 人）。干预组接受常规护理和综合支持计划，其中包括面对面教育和电话辅导。对照组接受常规护理。临床牙科检查后，登记龋齿、牙龈炎症和牙菌斑的发病率。结果共有 79 名参与者完成了为期 12 个月的随访。与对照组相比，干预组在基线和 12 个月随访期间的龋齿增量较低，但没有统计学意义。12 个月后，干预组的牙菌斑指数（p = 0.038）和 OHIP-14 指数（p = 0.002）在统计学上明显优于对照组。在牙龈指数方面，两组之间没有发现明显的统计学差异。结论在 12 个月的随访中，综合支持计划在牙菌斑控制、牙齿和牙龈状况以及口腔健康相关生活质量方面对改善 HNC 患者的口腔健康产生了积极影响。

{"title":"The effects of an integrated supportive programme on oral health in patients with head and neck cancer undergoing radiotherapy: A randomized controlled trial","authors":"Nan Jiang, Yue Zhao, Jan Mårtensson, Malin Stensson","doi":"10.1111/idh.12801","DOIUrl":"10.1111/idh.12801","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study determines the effect of an integrated 12-month follow-up support programme on the oral health of patients with head and neck cancer (HNC) who received radiotherapy (RT).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants were randomly assigned to an intervention group (<i>n</i> = 47) or a control group (<i>n</i> = 45). The intervention group received usual care and an integrated supportive programme, which included face-to-face education and telephone coaching. The control group received usual care. After a clinical dental examination, the prevalence of caries, gingival inflammation and plaque were registered. Oral health impact profile (OHIP)-14 and the WHO Oral Health Questionnaire for Adults were used to evaluate oral health in both groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 79 participants completed a 12-month follow-up. The intervention group had lower caries increment between baseline and the 12-month follow-up compared with controls, although this was not statistically significant. After 12 months, the intervention group had statistically significant better outcomes in the plaque index (<i>p</i> = 0.038) and the OHIP-14 (<i>p</i> = 0.002) than the control group. No statistically significant differences were found between the two groups concerning gingival index. However, the intervention group reported an overall better state of teeth (<i>p</i> = 0.034) and gums after 12 months (<i>p</i> = 0.042).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The integrated supportive programme showed positive effects on improving oral health in patients with HNC regarding plaque control, the state of teeth and gums and oral health-related quality of life during the 12-month follow-up.</p>\u0000 </section>\u0000 </div>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/idh.12801","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140662361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of oral health status, oral hygiene management behaviours and satisfaction of patients with fixed orthodontic appliance and clear aligner: A quasi-experimental design 比较固定矫治器和透明矫治器患者的口腔健康状况、口腔卫生管理行为和满意度：准实验设计

IF 1.6 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of dental hygiene

Pub Date : 2024-04-24 DOI: 10.1111/idh.12813

Jeong-Eun Kim, Soojeong Kim, Da-Hye Kim

Objectives

This study aimed to determine the overall oral health statuses of patients with fixed orthodontic appliance and clear aligner, as well as their oral hygiene management behaviours and satisfaction.

Methods

We selected 40 participants (20 each with fixed orthodontic devices and clear aligners) who visited a dental clinic. We conducted a survey to determine the oral hygiene management behaviours of the subjects and their satisfaction with their orthodontic treatment. Three measurements were also conducted at 4-week intervals to determine the oral health statuses of the subjects.

Results

The Löe and Silness gingival index of patients with fixed orthodontic appliances indicated moderate gingivitis (1.1 ± 0.3), and those with clear aligners had mild gingivitis (0.6 ± 0.4) (p < 0.001). The modified O'Leary index also indicated that the degree of dental plaque deposition in the oral cavity was lower in patients treated with a clear aligner (43.0 ± 18.2 points) than in those treated with a fixed orthodontic (28.1 ± 10.9 points) (p = 0.004). Regarding oral hygiene management, the fixed orthodontic group received scaling more frequently (p = 0.006), received more oral health education (p < 0.001) and had a longer brushing time (p = 0.008) than the clear aligner group. No significant difference was observed in satisfaction between the fixed orthodontic appliance and the clear aligner.

Conclusions

Regarding the oral health status by orthodontic appliance type, the clear aligner group had the advantages of reduction in dental plaque attachment and gingival health. The fixed orthodontic group exhibited better oral hygiene management behaviours. Satisfaction with orthodontic treatment was found to be similar for the two device types.

目的：本研究旨在确定固定正畸装置和透明矫治器患者的总体口腔健康状况，以及他们的口腔卫生管理行为和满意度。方法：我们选取了在一家牙科诊所就诊的 40 名受试者（固定正畸装置和透明矫治器各 20 名）。我们对受试者的口腔卫生管理行为及其对正畸治疗的满意度进行了调查。结果使用固定矫治器的患者的 Löe 和 Silness 牙龈指数显示有中度牙龈炎（1.1 ± 0.3），而使用透明矫治器的患者有轻度牙龈炎（0.6 ± 0.4）（p < 0.001）。修正的奥利里指数也表明，使用透明矫治器治疗的患者口腔内牙菌斑沉积程度（43.0 ± 18.2 分）低于使用固定矫治器治疗的患者（28.1 ± 10.9 分）（p = 0.004）。在口腔卫生管理方面，与透明矫治器组相比，固定矫治器组接受洗牙的频率更高（p = 0.006），接受口腔健康教育的次数更多（p < 0.001），刷牙时间更长（p = 0.008）。结论就正畸矫治器类型的口腔健康状况而言，透明矫治器组在减少牙菌斑附着和牙龈健康方面具有优势。固定矫正器组的口腔卫生管理行为更好。两种矫治器类型的患者对矫治治疗的满意度相似。

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引用次数: 0

Diode laser as an adjunctive treatment for periodontitis: Arandomized controlled trial 二极管激光作为牙周炎的辅助治疗方法：随机对照试验。

IF 1.6 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of dental hygiene

Pub Date : 2024-04-24 DOI: 10.1111/idh.12809

Meera Alghafri, Israa Fadhul, Maanas Shah, Abeer Hakam, Andrew Tawse-Smith, Nabeel H. M. Alsabeeha, Momen A. Atieh

Objective

The aim of this randomized controlled trial was to assess clinical and patient reported outcomes of subgingival instrumentation (SI) with adjunctive use of diode laser (DL) versus SI alone in the treatment of periodontitis.

Methods

Participants requiring non-surgical periodontal treatment were randomly allocated into two treatment groups: SI with DL or SI alone. Clinical parameters [full mouth bleeding and plaque scores (FMBS and FMPS), probing pocket depth and clinical attachment level] were recorded at baseline, three and 6 months post-treatment. Visual analogue scale was used to evaluate postoperative participants' perception of pain, swelling, bleeding, bruising and root sensitivity. The impact of periodontal treatment on quality of life was assessed using the General Oral Health Assessment Index (GOHAI) at 6 months.

Results

A total of 22 participants with stage III/IV periodontitis completed the 6-month follow-up. SI with or without DL resulted in statistically significant reduction in FMBS, FMPS, PPDs, and percentage of PPDs of ≥5 mm at 3- and 6-month follow-up visits (p = 0.001 to <0.001). The participants in SI/DL group had a greater reduction in the percentage of deep PPDs (≥5 mm) compared to those receiving SI alone, but statistically significant differences between the two groups were not observed (16.40 ± 9.57 vs. 32.50 ± 38.76 at 3 months and 7.20 ± 6.86 vs. 19.50 ± 35.06 at 6 months). The difference in the mean total GOHAI scores was not statistically significant at 6 months with total GOHAI scores of 7.25 ± 2.45 and 5.40 ± 3.06 for SI and SI/DL groups, respectively.

Conclusion

Within the limitations of this study, the use of DL as an adjunct to SI in the treatment of stage III/IV periodontitis did not produce significant additional improvement in clinical parameters or patient reported outcomes in the 6-month observation period.

目的这项随机对照试验的目的是评估龈下器械治疗（SI）与辅助使用二极管激光（DL）治疗牙周炎的临床和患者报告结果。方法将需要进行非手术牙周治疗的参与者随机分配到两个治疗组：SI联合DL或SI单独治疗组。在基线、治疗后 3 个月和 6 个月记录临床参数[全口出血和牙菌斑评分（FMBS 和 FMPS）、探诊袋深度和临床附着水平]。采用视觉模拟量表评估术后参与者对疼痛、肿胀、出血、瘀伤和牙根敏感性的感受。结果共有 22 名 III/IV 期牙周炎患者完成了为期 6 个月的随访。在 3 个月和 6 个月的随访中，SI 加或不加 DL 均可使 FMBS、FMPS、PPDs 和 PPDs ≥5 mm 的百分比有统计学意义的显著降低（p = 0.001 至 <0.001）。与只接受 SI 治疗的患者相比，SI/DL 组患者的深部 PPD（≥5 毫米）百分比下降幅度更大，但两组之间未观察到显著的统计学差异（3 个月时为 16.40 ± 9.57 vs. 32.50 ± 38.76，6 个月时为 7.20 ± 6.86 vs. 19.50 ± 35.06）。在6个月时，SI组和SI/DL组的GOHAI平均总分分别为7.25±2.45和5.40±3.06，差异无统计学意义。结论在本研究的局限性范围内，使用DL作为SI的辅助治疗方法治疗III/IV期牙周炎，在6个月的观察期内并没有对临床参数或患者报告结果产生显著的额外改善。

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引用次数: 0

Erythritol powder airflow for the treatment of peri-implant mucositis: A randomized controlled clinical trial 赤藓糖醇粉气流治疗种植体周围粘膜炎：随机对照临床试验。

IF 1.6 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of dental hygiene

Pub Date : 2024-04-24 DOI: 10.1111/idh.12814

Stefano Corbella, Katherine Radaelli, Alice Alberti, Luca Francetti, Silvio Taschieri

Objectives

Peri-implant mucositis is a biofilm-related, reversible inflammatory disease that can evolve into peri-implantitis if not adequately treated. The aim of the present randomized controlled clinical trial was to evaluate the efficacy of air-abrasive powder as compared to chlorhexidine (CHX) for the treatment of peri-implant mucositis, in terms of clinical and patient-reported outcomes (PROMs) and occurrence of peri-implantitis 12 months after treatment.

Methods

In the control group, full-mouth calculus and plaque removal was performed with ultrasound and manual devices, and a 1.0% CHX gel was applied; in the test group, supra- and subgingival biofilm removal was performed using erythritol powder with a dedicated nozzle and calculus removal was performed with ultrasonic instruments if needed. Bleeding and plaque indexes, peri-implant probing depth and tissue level were measured at 1 week, and 1, 3, 6 and 12 months after treatment, while PROMs were evaluated up to 7 days after treatment.

Results

Among 80 included implants, 70 were analysed at 12 months follow-up (30 in the test group, 40 in the control group, and 20 subjects). Success rates (implant-level) in terms of bleeding index were significantly different between the test (96.7%) and control group (92.5%); as for PROMs, only taste sensation was significantly better in the test group. The test group was significantly correlated to the smallest changes in peri-implant probing depth between baseline and 3 months.

Conclusions

The study showed that both treatment strategies are effective. This suggests that the use of air-abrasive powders could be used as an alternative biofilm removal method instead of adjunctive treatments with antiseptics.

目的：种植体周围粘膜炎是一种与生物膜相关的可逆性炎症疾病，如果治疗不当，可演变为种植体周围炎。本随机对照临床试验旨在从临床和患者报告结果（PROMs）以及治疗 12 个月后种植体周围炎的发生率等方面，评估空气研磨粉与洗必泰（CHX）治疗种植体周围粘膜炎的疗效比较。方法在对照组中，使用超声波和手动设备清除全口牙结石和牙菌斑，并涂抹 1.0% CHX 凝胶；在试验组中，使用专用喷嘴的赤藓糖醇粉清除龈上牙龈和龈下生物膜，必要时使用超声波器械清除牙结石。在治疗后 1 周、1、3、6 和 12 个月测量出血和牙菌斑指数、种植体周围探诊深度和组织水平，并在治疗后 7 天评估 PROM。就出血指数而言，试验组（96.7%）和对照组（92.5%）的成功率（种植体水平）有显著差异；就PROM而言，试验组只有味觉明显更好。结论研究表明，两种治疗策略都有效。研究结果表明，两种治疗策略都很有效，这表明使用空气研磨粉可以作为清除生物膜的替代方法，而不是使用抗菌剂进行辅助治疗。

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引用次数: 0

Changing from disease-centred to person-centred – Swedish dental hygienists' views on a theory-based behavioural intervention for improved oral hygiene among adolescents 从 "以疾病为中心 "到 "以人为本"--瑞典牙科保健师对改善青少年口腔卫生的理论行为干预的看法。

IF 1.6 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of dental hygiene

Pub Date : 2024-04-24 DOI: 10.1111/idh.12811

Sandra L. Dimenäs, Birgitta Jönsson, Mona Lundin, Jesper Lundgren, Kajsa H. Abrahamsson

Objectives

To explore dental hygienists' (DHs') views on (i) a person-centred, theory-based, behavioural intervention for improving oral hygiene among adolescents and (ii) professional and organizational factors to consider in the implementation of such an intervention in daily dental practice.

Methods

Semi-structured interviews were conducted with 13 DHs who had applied the person-centred, theory-based, behavioural intervention directed at adolescents with poor oral hygiene in a field study within the Public Dental Service, Region Västra Götaland, Sweden. The interviews were audio-taped, transcribed verbatim and analysed using qualitative content analysis.

Results

The main theme ‘From individual experts to partners – DHs changing direction from a disease-centred towards a person-centred approach’ illustrated a changed professional approach among DHs, from exerting their roles as experts to encouraging partnership in treatment by supporting the adolescents in taking health behavioural decisions and responsibility for their oral health. The DHs considered the changed approach as challenging, but also more enjoyable, compared to conventional information/instruction. Adequate knowledge and skills, personal interest and willingness for a change as well as support from colleagues and clinic management were identified as prerequisites for implementing the person-centred, theory-based, behavioural intervention in daily practice, while the expenditure of time needed in relation to economic demands in care were seen as barriers.

Conclusions

The findings elucidate that DHs considered the application of a person-centred, theory-based, behavioural intervention to be challenging but also enjoyable. For such an intervention to be implemented in daily practice, prerequisites and barriers need to be considered on both personal/professional and organizational levels.

目的探讨牙科保健师（DHs）对（i）以人为中心、以理论为基础、旨在改善青少年口腔卫生的行为干预的看法，以及（ii）在日常牙科实践中实施此类干预时需要考虑的专业和组织因素。方法对13名牙科保健师进行了半结构式访谈，他们在瑞典Västra Götaland地区公共牙科服务的一项实地研究中，针对口腔卫生较差的青少年实施了以人为中心、以理论为基础的行为干预。结果 "从个人专家到合作伙伴--牙科医生从以疾病为中心的方法向以人为本的方法转变 "这一主题说明了牙科医生的专业方法发生了变化，他们从发挥专家的作用转变为通过支持青少年做出健康行为决定并对其口腔健康负责来鼓励他们在治疗中建立合作伙伴关系。衞生署署長認為，相對於傳統的資訊／教學方式，這種改變了的方式既富挑戰性，亦更令人感到愉快。充足的知识和技能、个人兴趣和改变的意愿以及同事和诊所管理层的支持被认为是在日常实践中实施以人为本、以理论为基础的行为干预的先决条件，而与护理中的经济需求相关的所需时间支出则被认为是障碍。要在日常实践中实施这种干预，需要从个人/专业和组织两个层面考虑先决条件和障碍。

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引用次数: 0

Association of sense of coherence and periodontal disease severity, in two cross-sectional studies 在两项横断面研究中，连贯感与牙周病严重程度的关系

IF 1.6 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of dental hygiene

Pub Date : 2024-04-12 DOI: 10.1111/idh.12806

Åsa Wahlin, Ulrika Lindmark, Ola Norderyd

Objectives

To investigate the association between the individuals' level of sense of coherence (SOC) and periodontal disease severity.

Methods

The study populations originated from two stratified cross-sectional random samples of residents in a medium-sized Swedish city in 2003 and 2013, respectively. The final samples constituted 491 individuals in 2003 and 538 individuals in 2013. The samples were classified into three groups according to the severity of periodontitis (no/minor, moderate and severe). The 13-item Swedish version of Antonovsky's “Orientation to life” questionnaire, measuring the individual's SOC, was filled out. Descriptive statistics were performed as well as multinomial logistic regression analysis. Dependent variable was the severity of periodontal disease and independent variables, age in years, presently smoking and education at university level.

Results

In the multinomial regression analysis, smoking, age, and total SOC score were significantly associated with severe periodontitis at both examinations. The strongest predictor of severe periodontal disease was smoking. The total SOC score did not differ between the examinations, but there was a statistically significant difference in two of the SOC dimensions, manageability (lower), and comprehensibility (higher), over time.

Conclusions

Individuals with severe periodontitis had significantly lower SOC compared to subjects periodontally having no/minor periodontal disease. Smoking was the strongest overall predictor of having severe periodontitis.

研究对象分别来自 2003 年和 2013 年瑞典一个中等城市的两个分层横断面随机居民样本。2003 年和 2013 年的最终样本分别为 491 人和 538 人。样本根据牙周炎的严重程度分为三组（无/轻度、中度和重度）。填写了瑞典版安东诺夫斯基 "生活取向 "问卷的 13 个项目，以测量个人的 SOC。研究人员进行了描述性统计和多项式逻辑回归分析。结果在多项式回归分析中，吸烟、年龄和 SOC 总分与两次检查中的严重牙周炎有显著相关性。吸烟是严重牙周病的最强预测因子。两次检查的 SOC 总分没有差异，但随着时间的推移，SOC 的两个维度--可管理性（较低）和可理解性（较高）--存在显著的统计学差异。吸烟是导致严重牙周炎的最主要因素。

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引用次数: 0