• Journal of dental hygiene science
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• v.15 no.6
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• pp.696-702
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• 2015

The purpose of this study was to evaluate the effect of oral health education with Q-scan for preschool children. The 59 children were divided into two groups, one with Q-scan and the other with dentiform, and they were evaluated by interview questionnaire and measurement of dental plaque index using Quigley-Hein index. Using SPSS ver. 18.0 for statistical analysis, paired t-test and Independent t-test were carried out for dental plaque index change and chi-square independence test for change between before and after oral health education. The result of this study revealed that the dental plaque index of the children showed significant decrease of 12% more in the experimental group (p<0.001). Both groups showed significant difference in knowledge about fluorine (p<0.05) and the percentage of correct answers showed significant increase in questions about bad food for teeth (p<0.05). In attitude toward oral health, the experimental group showed significant difference in every variable (p<0.05), and the control group showed significant difference in regular oral examination and frequency of toothbrushing (p<0.05). The experimental group showed significant result (p<0.05) with increase in the percentage of correct answers for the question about how to hold a toothbrush and decrease in the percentage of correct answers for the question about how to apply toothpaste, while the control group did not show significant difference in any variable. Therefore, Q-scan as an appropriate tool for motivation, provides effective educational methods in oral health education.

• Imaging Science in Dentistry
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• v.53 no.3
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• pp.209-216
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• 2023

Purpose: This study was conducted to compare dental plaque scores obtained through clinical examinations and various imaging techniques, as well as to assess the effectiveness of herbal and conventional toothpastes for plaque removal. Materials and Methods: Thirty volunteers were divided into 3 groups. Each group was given a different toothpaste (from 2 herbal toothpastes and a conventional toothpaste) with which to brush their teeth for 21 days. Both initially and after brushing, dental plaque samples were collected, and plaque on the buccal surfaces of anterior teeth was scored using several imaging systems after staining with a disclosing agent. Specifically, digital dental photography, intraoral digital scanning, and FluoreCam imaging were employed to capture intraoral images. The Turesky Modified Quigley-Hein Plaque Index was used for clinical examination and image analysis. Quantitative polymerase chain reaction analyses and correlational assessments between clinical examination and imaging scores were conducted before and after toothpaste use. The Shapiro-Wilk test and Pearson correlations were utilized. Results: The lowest mean value was observed in the clinical examination without staining, while the highest was obtained using the FluoreCam method. No significant change was found in the level of any microorganism assessed following toothpaste use (P<0.05), with the exception of a decrease in S. mutans levels after using conventional toothpaste (P<0.05). Conclusion: Herbal toothpaste demonstrated plaque-removal effectiveness comparable to that of conventional toothpaste. The use of imaging methods for measuring plaque index has been suggested as a means to educate patients about plaque control and promote ongoing oral care.

• Journal of Korean society of Dental Hygiene
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• v.10 no.1
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• pp.215-229
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• 2010

Objectives : This study was to assess the children's mean number of decayed or filled primary teeth in relation to their mother's oral health behavior and then to increase children's oral health. Methods : The 346 children and their mothers were selected for this study. The children were 4 or 7 years old in the 4 dental clinics in Busan and Kyungnam, Korea. Data were collected by examination on children and self-administrated questionnaire on their mothers. The questionnaire was surveyed mother's oral health behaviour and children experienced dental caries or not and the number of decayed or filled they had were used as outcome variables. Results : 1. The mother's education level affected children's dft index significantly(p<0.05), In the case of tooth brushing method of children, the group with circle teeth wipes shows the low dft index(p<0.01). 2. On the other hand the group with snack as food eaten between meals has high dft index(p<0.001). 3. The group with mother's visiting to dentist within recent 1 year, experience in removing plaque or willing to attend the oral health education show low dft index(p<0.05). The important variables affecting to dft index are experience with oral health education, tooth brushing guidance, replacement of toothbrushes, the kind of food eaten between meals, recent experience of plaque removal and willing to participating in the oral health class. Conclusions : This study showed that the mother's oral health behavior and concern play an important role for the prevention of preschooler's dental caries. Dental health education would be focused on the mothers, expecially for the practice of preventive behavior by preschools themselves.

• The korean journal of orthodontics
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• v.40 no.2
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• pp.95-105
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• 2010

Objective: To identify clinical, salivary, and bacterial changes during orthodontic treatment with follow-up to 24 months. Methods: In 30 patients, clinical (decayed, missing, and filled surfaces [DMFS], O'Leary's plaque index, and plaque pH), salivary (unstimulated and stimulated saliva, buffer capacity, pH, and occult blood), and bacterial (Streptococcus mutans and Lactobacillus) markers were evaluated. A questionnaire was employed to evaluate their hygienic-dietary habits. Data were analyzed by ANOVA, logistic regression and Spearman's correlation. Results: DMFS increased significantly, whereas the plaque index diminished, plaque pH was more acidic (p = 0.23), and unstimulated salivary flow showed significant differences during the treatment (p = 0.013). Stimulated saliva flow increased in females after the placement of appliances; buffer capacity was diminished in males during the therapy; salivary pH remained at basal values. Bacterial levels and occult blood increased to high-risk levels and were not statistically significant different between genders (p > 0.05). Two major relationships were confirmed: initial plaque with use of dental aids (r = 0.429; p = 0.018) and final DMFS with unstimulated salivary flow (r = -0.372; p = 0.043). Conclusions: The increase in retentive surfaces increased the bacterial levels, plaque pH became acidified, and gingival damage was greater. Buffer capacity was altered but maintained a healthy salivary pH during the treatment.

• The korean journal of orthodontics
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• v.24 no.1 s.44
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• pp.221-231
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• 1994

The short-term effects of plaque control instruction were studied in 42 adolescent orthodontic patients under active fixed treatment. At first visit, all the patients were received plaque control instruction using materials such as oral hygiene education slides, dentiform, disclosing agents, tooth brush and interdental brush. After that, Pateints were asked to perform the tooth brushing according to instructions. Such a procedure was repeated every week lot 3 weeks. Plaque index and bleeding index were scored once a week for 4 weeks and were compared according to ages, sex and duration with fixed appliance. The results were as follows: 1. Plaque control instruction was effective in reducing plaque accumulation and gingival inflammation of the orthodontic patients. 2. The effect of plaque control instruction was continued during 3 weeks among all groups of subjects, and it was prominent at the first week. 3. There was no statistically significant difference in the effects of the plaque control of instruction according to sex, ages, or duration with fixed appliances.

• The Korean Journal of Health Service Management
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• v.4 no.2
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• pp.63-72
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• 2010

The present study purposed to prevent oral diseases and to improve oral health in children. For this purpose, we selected 70 cases who are 5~7 years old preschoolers at the kindergarten affiliated to G College in Gyeongsangbukdo, and analyzed the general patterns of oral care and the relation of the patterns with dental plaque and deciduous dental caries in the children. Specifically, we conducted oral examination and applied pit and fissure sealant according to the eruption of deciduous molar and first molar. In addition, we executed the 1st and 2nd tooth brushing instruction (TBI), and surveyed S-OHI and PHP twice. Excluding 14 preschoolers who did not appear in the 2nd survey, we performed the study with 56 preschoolers and drew conclusions as follows. 1. The number of decayed or missed or filled teeth among deciduous teeth was 3 or more in 42.9% of female children, and 46.4% of male children, so male children showed a slightly higher rate. 2. The degree of dental plaque formation was $1.64{\pm}1.22$ among the surveyed children. 3. The oral health index was lower after TBI than before in all the children (P<.001). 4. Change in the oral health index was particularly larger in 7 year old female children (p<.005). 5. The patient hygiene performance index was lower after TBI than before in both the buccal surface and lingual surface of the children (p<.005). 6. The patient hygiene performance index was lower after TBI than before in all of male children's teeth except the right maxillary first deciduous molar (p<.001).

• The Journal of the Korean dental association
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• v.18 no.5 s.134
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• pp.355-359
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• 1980

64 dental students who had brushed their teeth with scrubbing method, using 'W' dentifirice for a long lime, were made to practise either scrubbing or Bass method. using one of the 'W','X','Y','Z' toothpaste instead of only 'W' paste for recent 3 weeks. Dental plaque on the teeth of every students were carefully examined compared the results. The simplified oral hygiene index was applied for this purpose and following conclusions were achieved. 1) The Scrubbing method of tooth-paste 'X', Bass method of tooth-paste 'X', and the Bass method of tooth-paste 'Z' had an obvious effect to inhibition of accumulation of plaque. 2) In the tooth brushing method, the scrubbing and Bass are both effective in reducing the plaque accumulation 3) The tooth paste 'X' has the most effectiveness in reducing the plaque accumulation among four tooth pastes 4) The difference in the value of plaque index between the tooth pastes, 'W' and 'X' was only significant statisticallay

• Journal of Periodontal and Implant Science
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• v.29 no.3
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• pp.715-724
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• 1999

The purpose of this study was to approve the possibility of clinical application of selftesting technique to confirm the cleanness status of the tooth surface after mechanical toothbrushing. Thirty-two periodontal patients who did not compromise any other systemic diseases were divided into two groups. Control group was instructed only the Bass method for toothbrushing, and then experimental group was demonstrated the Bass method and self-testing technique respectively for plaque control during this experiment. Selftesting technique is composed the comparison of roughness of the labial surface of maxillary central incisor and other toothsurface with touch sense using the tip of tongue. Plaque score and Gingival index were measured as clinical parameters at baseline and 1, 2 and 4 weeks after scaling and root planing. The results were as follows ; 1. Plaque scores and gingival index of 1, 2, and 4 weeks of two groups were statistically significant differences when compared with baseline value (p<0.05). 2. Plaque scores and gingival index of baseline and 1 week between two groups were not significant differences (p<0.05). 3. Plaque scores and gingival index of 2 and 4 weeks of test group were statistically significant difference when compared with control group (p<0.05). From the above results, self-testing technique which decides necessity of additional toothbrushing when tongue tip of subjects touch the maxillary molar buccal surfaces and mandibular molar lingual surfaces nd compares with maxillary anterior labial surfaces after toothbrushing appeared to effect the motivation of subjects. This study suggests that self-testing technique for cleanness after toothbrushing should be effect on the maintenance of oral hygiene when it is applied to clinical practice.

• Journal of Periodontal and Implant Science
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• v.25 no.1
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• pp.35-44
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• 1995

The purpose of present study was to evaluate the relationship between the early change of gingival condition and methyl mercaptan concentration during experimental gingivitis. Ten men(23-25 years old) whose gingiva were clinically healthy were selected. The participants have ceased to perform all forms of oral hygiene during 14 days and then did thorough plaque control for 7 days. For each subject, the methyl mercaptan concentration was measured by $B.B.Checker^{(R)}$ (Bad Breath Checker with printer, Tokuyama Soda Co.,LTD., Japan)before experiment and 1,4,7,14,21 days during experiment. Plaque index(Silness & $L\ddot{o}e$), gingival sulcus depth and sulcus bleeding index($M\ddot{u}hlemann$ & Son)score were recorded. The results were as follows. 1. Methyl mercaptan concentration increased continuously from the first day to the 14th day, decreased on the 21th day but it was still higher(P<0.001). 2. Plaque index score and sulcus bleeding index score tended to increase on the 4th day, markedly increased on the 14th day and returned to baseline level on the 21th day. 3. There was parallel relationhsip among methyl mercaptan concentration, plaque index score and sulcus bleeding index score. This result suggests that methyl mercaptan concentration increased with deterioration in gingival health, but decreased during recovery of normal health condition.

• The korean journal of orthodontics
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• v.34 no.4 s.105
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• pp.363-370
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• 2004

Patients with fixed orthodontic appliances frequently have increased levels of plaque accumulation leading to the possibility of gingivitis or enamel decalcification. Although many methods may be helpful in reducing dental plaque formation, the optimal mechanical removal of plaque is the most important factor during orthodontic treatment. The purpose of this study was to evaluate the efficacy of an electric toothbrush (with a specially designed orthodontic brush head) compared to a manual toothbrush in controlling plaque and gingivitis for patients with fixed orthodontic appliances. Oral hygiene status was measured in thirty-four patients using a plaque index, a gingival index and a bleeding index, before and four weeks after the attachment of fixed orthodontic appliances. Patients were randomly divided into two groups: electric and manual toothbrush groups. Oral hygiene instruction was given according to the type of toothbrush used. The Braun Oral-B D9511 with Braun Oral-B Ortho OD 15-1 brush head was used as the electric toothbrush while the Butler G.U.M. 124 was given as the manual toothbrush. After four md eight weeks, oral hygiene status was measured again. Through a comparison between the electric and the manual toothbrush groups, the following results were obtained. 1. All oral hygiene indices showed an increasing tendency after four weeks of fixed orthodontic appliance. 2. All indices presented a decreasing tendency four and eight weeks after oral hygiene instruction. 3. In case of the gingival index and bleeding index, the decreasing tendency did not show a statistically significant difference between the electric and the manual toothbrush groups. 4. The decreasing tendency of plaque index presented a statistically significant difference between the two groups, showing that the electric toothbrush was more effective in terms of oral hygiene. These findings suggest that an electric toothbrush is useful to orthodontic patients with fixed appliances.