{"title":"The role of instruction and a brushing device on the oral hygiene of blind children.","authors":"S Cohen, H Sarnat, G Shalgi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A brushing device using the tactile ability of blind children was compared to the use of a toothbrush. The experimental group consisted of 18 blind children, 7-14 years old; controls consisted of two groups of sighted classmates of the blind children. All children studied together in an integrated school and were match-paired. The brushing device was made from a valcran strip worn on a fingertip and used for cleaning the tooth surfaces. The experiment was conducted for 36 weeks with alternating periods of reinforcement and non-reinforcement. General oral hygiene improved after instruction and declined after non-reinforcement periods. The performance of the blind children improved with the cleaning device. The device was also helpful in developing a sense of \"tooth cleanliness\" and could be used as a pre-learning aid to prepare the blind children to efficiently use a toothbrush. Instruction followed by individual supervision and reinforcement will encourage all children to improve their oral hygiene level.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"13 4","pages":"8-12"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12993829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Awareness and attitudes toward hepatitis B among Malaysian dentists.","authors":"I A Razak, R J Latifah, J Nasruddin, R Esa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A questionnaire was mailed to 1217 dentists whose names appear in the Dentist Register of 1987 in order to assess their awareness and acceptance of hepatitis B vaccine and their pattern of glove usage. Almost all the respondents (99.6%) were aware of the availability of the hepatitis B vaccine yet only 44.8% have received the vaccine. This is in spite of the fact that the majority (61.2%) of the vaccine non-acceptors have no reservations concerning the vaccine. About 71% and 63% of the vaccine-acceptors and non-acceptors respectively believed that the risk of their contracting hepatitis B was high or very high. About 22% of the vaccine non-acceptors never used gloves when treating patients as compared to 9% among vaccine acceptors. Overall, about 78% of the respondents have experienced needleprick injuries in the 3 years preceding the survey.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"13 4","pages":"22-4"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13045465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of a phenolic and a 0.2% chlorhexidine mouthwash on the development of plaque and gingivitis.","authors":"J Moran, D Pal, R Newcombe, M Addy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Chlorhexidine and phenolic mouthrinses have attracted considerable interest as adjuncts to oral hygiene. The aim of this study was to compare two well known proprietary mouthrinse products for their effects on plaque regrowth, the development of gingivitis and the formation of toothstaining. The study was a single-blind, randomized, placebo-controlled, triple cross-over experimental, gingivitis design. A group of 15 volunteers with a very high standard of oral hygiene and gingival health used each rinse for 19 days in the absence of normal toothcleaning. Each period was separated by a 21 day washout. Plaque scores were significantly different between the rinses, being lowest with chlorhexidine and highest with saline. The plaque area increased 3-fold with the phenolic rinse and 6-fold with the saline rinse compared to the chlorhexidine rinse. Similarly, gingivitis increments were lowest with chlorhexidine and highest with saline but differences between rinses did not reach significance. Staining was significantly different between rinses, primarily due to minimal staining associated with the saline rinse. Staining occurred with both the chlorhexidine and phenolic mouthrinses. It is concluded that the 0.2% chlorhexidine rinse offers greater oral hygiene benefits than the phenolic rinse. The question of indications and durations of use of mouthwash products should be addressed.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"13 4","pages":"31-5"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13045466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Toothbrushes with graduated wear: correlation with in vitro cleansing performance.","authors":"D H Dean","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A display set of toothbrushes with graduated natural wear was shown to 268 adult respondents who were asked to indicate which brushes were \"worn out.\" The same brushes were then compared against each other for their ability to remove artificial plaque in models of interproximal and facial surface cleansing effectiveness. Despite pronounced differences in the degree of wear among the toothbrushes, no correlation was found between visual estimation of toothbrush effectiveness and its cleansing ability in the models tested. It is possible that other variables (toothbrushing technique, force applied, manual skills) exert a greater influence on plaque removal than brush wear and explain the results of this experiment.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"13 4","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13045464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Topical varnish containing strontium in a sustained-release device as treatment for dentin hypersensitivity.","authors":"Z Mazor, L Brayer, M Friedman, D Steinberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to assess the effect of topical application of a sustained-release device in form of a varnish containing strontium chloride on dentinal hypersensitivity. Sixty teeth were selected in ten patients. The teeth were divided in a) varnish application containing strontium chloride, b) varnish application with no active ingredient, c) untreated teeth. Varnish application was carried out by the patients once daily for 30 days. Results show a marked decrease in hypersensitivity to both mechanical (54%) and thermal stimuli (38%) as compared to the placebo and untreated group.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"13 3","pages":"21-5"},"PeriodicalIF":0.0,"publicationDate":"1991-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13020532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of an herbal toothpaste with a fluoride toothpaste on plaque and gingivitis.","authors":"J Moran, M Addy, R Newcombe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An herbal/bicarbonate toothpaste has received some attention from the public and profession following a number of studies which have reported beneficial effects of the paste on both plaque and gingivitis. The present study, one of several ongoing clinical trials, evaluated the toothpaste in mouthrinse form using a 19-day, no oral hygiene, triple-crossover design in which it was compared with a commercial fluoride toothpaste rinse and the antiplaque mouthrinse chlorhexidine. Over the three periods of the study an increase in plaque and gingivitis was seen for all three products. However, while significant reductions in both parameters were seen with chlorhexidine compared to the toothpastes, there were no significant differences between the herbal and fluoride toothpaste. From these findings it can be concluded that in the long term, the herbal/bicarbonate toothpaste may not exert significant therapeutic effects on plaque and gingivitis beyond that of a conventional commercial paste. Nevertheless, where there is a demand for a natural product, the herbal/bicarbonate paste may be a worthwhile alternative.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"13 3","pages":"12-5"},"PeriodicalIF":0.0,"publicationDate":"1991-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13020530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A comparison of 0.12% and 0.1% chlorhexidine mouthrinses on the development of plaque and gingivitis.","authors":"M Addy, J Moran, R Newcombe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A number of commercially prepared chlorhexidine mouthrinses which are now available are formulated at concentrations lower than the more usual 0.2%. This study compared 0.12% and 0.1% chlorhexidine mouthrinses for effects on plaque regrowth and gingivitis, using a two 19-day period single-operator blind-crossover study design on 14 healthy human volunteers. The 0.12% rinse was a commercial product previously shown as effective as a 0.2% rinse. The 0.1% rinse was a reformulated version of a 0.1% preparation commercially available at the time of this study. Plaque reformation was recorded on days 12 and 19 by score and area. Gingivitis was recorded at day 1, 12 and 19 by measuring gingival crevicular fluid, gingival index and bleeding on probing. The mouthrinses were used twice a day and as recommended by the manufacturer. Mean scores for plaque and gingivitis were mostly lower with the 0.12% rinse but only reached significance for plaque score on days 12 and 19 and for plaque area on day 19. Reformulation of the 0.1% would appear to have markedly improved the antiplaque properties to levels similar to a known effective commercially available 0.12% rinse.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"13 3","pages":"26-9"},"PeriodicalIF":0.0,"publicationDate":"1991-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13020535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Long-term dissolution of mercury from a non-mercury-releasing amalgam.","authors":"C L Chew, G Soh, A S Lee, T S Yeoh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The hazards of mercury from dental amalgams have long been recognized. This study examined the mercury release from a \"non-mercury-releasing\" dental amalgam, Composil, over a 104-week period. Four cylindrical specimens were incubated in 10 ml of purified water at 37 degrees C. The incubate was changed at the end of each 24-hour period and assayed for its mercury content at biweekly intervals. Mercury estimation was carried out using cold-vapor, atomic absorption spectrophotometry over a 104-week period. Results showed that the overall mean release of mercury was 43.5 +/- 3.2 micrograms/cm2/24 hr, and the amount of mercury released remained fairly constant during the duration of the experiment. This study showed that Composil releases mercury in quantities that far exceed those detected in other amalgam systems.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"13 3","pages":"5-7"},"PeriodicalIF":0.0,"publicationDate":"1991-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13021978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Practical strategies for a plaque-control program.","authors":"G Ong","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With many patients the control of dental plaque is accepted as an important factor in the prevention and treatment of periodontal diseases. However, for others, because this aspect of oral hygiene is not yet totally understood or accepted, plaque control programs often prove to be frustrating and too time-consuming for the general practitioner. This article provides some practical strategies to overcome common pitfalls in delivering a plaque-control program.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"13 3","pages":"8-11"},"PeriodicalIF":0.0,"publicationDate":"1991-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13021982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enamel fusion using a carbon dioxide laser: a technique for sealing pits and fissures.","authors":"L J Walsh, S J Perham","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The well-established enhanced resistance of lased enamel to demineralization is the basis for clinical application of the carbon dioxide laser to caries prevention. This in vitro study examined the effect of focused infrared laser radiation on sound enamel and early pit and fissure caries. Low power levels (2-5 W) induced localized melting and resolidification of enamel with little surface destruction. For sound fissures, fusion of enamel from the lateral walls of the fissure eliminated the fissure space, providing a sealant effect; while in carious fissures, carious enamel was vaporized and adjacent sound enamel fused to partially eliminate the defect. The technique for enamel fusion using CO2 lasers has potential application for sealing pits and fissures and producing physicochemical alterations in enamel which may have preventive benefits.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"13 3","pages":"16-20"},"PeriodicalIF":0.0,"publicationDate":"1991-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13020533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}