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A Study on the Number of Brushing Strokes in Toothbrushing Education

칫솔질 교육 시 칫솔질 행정횟수에 관한 연구

  • Choi, Yong-Keum (Department of Dental Hygiene, College of Health Science and Genome-based BioIT Convergence Institute, Sun Moon University) ;
  • Choi, Jin-Sun (Department of Preventive and Public Health Dentistry, College of Dentistry and Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Lim, Keun-Ok (Department of Dental Hygiene, College of Health Science and Genome-based BioIT Convergence Institute, Sun Moon University) ;
  • Park, Deok-Young (Department of Preventive and Public Health Dentistry, College of Dentistry and Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Kim, Yoonhee (Institute of Tropical Medicine, Nagasaki University)
  • 최용금 (선문대학교 건강보건대학 치위생학과 및 유전체 기반 바이오IT 융합 연구) ;
  • 최진선 (강릉원주대학교 치과대학 예방치학교실 및 구강과학연구소) ;
  • 임근옥 (선문대학교 건강보건대학 치위생학과 및 유전체 기반 바이오IT 융합 연구) ;
  • 박덕영 (강릉원주대학교 치과대학 예방치학교실 및 구강과학연구소) ;
  • 김윤희 (나가사키대학교 열대의학연구소)
  • Received : 2018.02.02
  • Accepted : 2018.03.30
  • Published : 2018.04.30

Abstract

The purpose of this study was to focus on the number of brushing strokes among the performance factors and identify if the 10 times stroke of the rolling method is rational. Moreover, we evaluated the changes in oral health knowledge, perception, and behavior after our rolling method instruction. The 10-stroke method of toothbrushing has been regarded as an effective method of removal of dental plaque, although there is little evidence to support this claim. We allocated 40 healthy subjects to two intervention groups. During five visits, we measured a score for dental plaque removal and instructed the subjects on a toothbrushing technique with 5 or 10 strokes per section. At the initial and final visits, subjects completed a questionnaire on one designed specifically for this study about oral health knowledge, perceptions, and behaviors. Repeated measures analysis of variance was used to compare the dental plaque removal score between the groups, and the changes in scores within each group over time. We also compared changes in mean scores in oral health knowledge, perceptions and behaviors before and after toothbrushing instruction. We found that the score for dental plaque removal increased with each additional toothbrushing instruction in both groups (p<0.001). However, we found no differences in the dental plaque removal scores between the 5-stroke and 10-stroke groups (p=0.399). The levels of oral health knowledge, perceptions and behaviors increased after the toothbrushing instructions in both groups. Our findings suggest that there is no advantage in emphasizing the 10-stroke method of toothbrushing in an oral health education program.

Keywords

References

  1. Muller A, Hussein K: Meta-analysis of teeth from European populations before and after the 18th century reveals a shift towards increased prevalence of caries and tooth loss. Arch Oral Biol 73: 7-15, 2017. https://doi.org/10.1016/j.archoralbio.2016.08.018
  2. Kim S, Park S, Lin M: Permanent tooth loss and sugarsweetened beverage intake in U.S. young adults. J Public Health Dent 77: 148-154, 2017. https://doi.org/10.1111/jphd.12192
  3. Bowen DM: Toothbrushing. In: Darby ML, Walsh M, eds. Dental hygiene: theory and practice. 4th ed. Elsevier, St. Louis, pp.397-405, 2015.
  4. Bowen DM: Mechanical oral biofilm control: interdental and supplemental self-care devices. In: Darby ML, Walsh M, eds. Dental hygiene: theory and practice. 4th ed. Elsevier, St. Louis, pp.406-419, 2015.
  5. Ray TS: Oral infection control: toothbrushes and toothbrushing. In: Wilkins EM, ed. Clinical practice of the dental hygienist. 9th ed. Lippincott Williams & Wilkins, Baltimore, pp.402-420, 2005.
  6. Nathe CN: Toothbrushes and toothbrushing methods. In: Harris NO, García-Godoy F, Nathe CN, eds. Primary preventive dentistry. 8th ed. Pearson, Essex, pp.145-160, 2014.
  7. Naidu R, Nunn J, Irwin JD: The effect of motivational interviewing on oral healthcare knowledge, attitudes and behaviour of parents and caregivers of preschool children: an exploratory cluster randomised controlled study. BMC Oral Health 15: 101, 2015. https://doi.org/10.1186/s12903-015-0068-9
  8. Rossi GN, Sorazabal AL, Salgado PA, Squassi AF, Klemonskis GL: Toothbrushing procedure in schoolchildren with no previous formal instruction: variables associated to dental biofilm removal. Acta Odontol Latinoam 29: 82-89, 2016.
  9. Choi YK, Park DY: Comparison of rolling method with Bass method toothbrushing practices for efficacy in plaque removal and degree of easiness. J Korean Acad Oral Health 32: 329-338, 2008.
  10. Choi YK, Park DY, Jeong DB: Relationship among adequacy, awareness of the difficulty in toothbrushing and plaque score. J Korean Acad Oral Health 33: 192-200, 2009.
  11. Shin SJ, Jang JY, Kim CH: The oral health behaviors for children and teachers by teacher-supervised toothbrushing in community child center. J Dent Hyg Sci 12: 572-582, 2012.
  12. Yoon SG, Han SJ: Factors influencing the toothbrushing behavior of elementary school students adapted by the theory of planned behavior. J Dent Hyg Sci 14: 554-562, 2014. https://doi.org/10.17135/jdhs.2014.14.4.554
  13. Research Society on Preventative Dentistry: Preventive dentistry: brushing method. Koonja Publising, Seoul, pp.131-174, 2007.
  14. Choi JI: Oral health education. J Korean Dent Assoc 33: 559-569, 1995.
  15. American Dental Hygienists Association: Resources. Retrieved March 13, 2018, from https://www.adha.org/resources-docs/7221_Proper_Brushing.pdf.
  16. NHS Choices: Live well. Retrieved March 13, 2018, from https://www.nhs.uk/Livewell/dentalhealth/Pages/Teethcleaningguide.aspx.
  17. Poyato-Ferrera M, Segura-Egea JJ, Bullon-Fernandez P: Comparison of modified Bass technique with normal toothbrushing practices for efficacy in supragingival plaque removal. Int J Dent Hyg 1: 110-114, 2003. https://doi.org/10.1034/j.1601-5037.2003.00018.x
  18. Saghazadeh M, Ashayeri N: The comparison between the effectiveness of six different tooth brushing methods on removing dental bacterial plaque. J Dent Med 2: 26-38, 2004.
  19. Harnacke D, Mitter S, Lehner M, Munzert J, Deinzer R: Improving oral hygiene skills by computer-based training: a randomized controlled comparison of the modified Bass and the Fones techniques. PLoS One 7: e37072, 2012. https://doi.org/10.1371/journal.pone.0037072
  20. Ma DS, Park DY, Bae SM, et al.: Preventive technique for periodic professional oral health care. Booksaem Publishing, Seoul, pp.17-30, 2014.
  21. Kim CH, Kim GM, Lee JY, Kwon HK, Kim BI: A comparison of tooth brushing methods recommended in different countries. J Korean Acad Oral Health 39: 195-200, 2015. https://doi.org/10.11149/jkaoh.2015.39.3.195
  22. Chang KW, Kim JB: An experimental study on the effects of the toothbrushing instructional methods. J Korean Acad Oral Health 11: 85-98, 1987.
  23. Shin SJ, Ryu DY, Bae SM, Choi YK: Evaluation on the oral health promotion program effect from some part of community child center. J Dent Hyg Sci 11: 163-171, 2011.
  24. Jaime RA, Carvalho TS, Bonini GC, Imparato JCP, Mendes FM: Oral health education program on dental caries incidence for school children. J Clin Pediatr Dent 39: 277-283, 2015. https://doi.org/10.17796/1053-4628-39.3.277
  25. Ahn SY, Hwang YS, Han SJ: Effect of oral healthcare program of exemplary kindergartens for prevent the dental caries in Incheon City, Korea. J Dent Hyg Sci 13: 501-509, 2013.
  26. Colaizzi LR, Tomar SL, Urdegar SM, Kass SH: Does the structure of dental hygiene instruction impact plaque control in primary school students? J Dent Hyg 89: 180-189, 2015.
  27. Eom MR, Jeong DB, Park DY: Enhancement of plaque control score following individualized repeated instruction. J Korean Acad Oral Health 33: 10-18, 2009.
  28. Choi YK, Lee MS, Bae SM, Son JH, Ryu DY: Evaluation on the oral health promotion program effect from some part of community child center. J Korea Acad Indust Coop Soc 14: 3850-3857, 2013. https://doi.org/10.5762/KAIS.2013.14.8.3850
  29. Wainwrigh J, Sheiham A: An analysis of methods of toothbrushing recommended by dental associations, toothpaste and toothbrush companies and in dental texts. Br Dent J 217: E5, 2014. https://doi.org/10.1038/sj.bdj.2014.651
  30. dos Santos AP, Nadanovsky P, de Oliveira BH: Inconsistencies in recommendations on oral hygiene practices for children by professional dental and paediatric organisations in ten countries. Int J Paediatr Dent 21: 223-231, 2011. https://doi.org/10.1111/j.1365-263X.2011.01115.x

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