Visual Inspection and Toothbrush Care: A Mother-Baby Paired Cross-Sectional Study

Authors

  • Yuri Jivago Silva Ribeiro
  • Iza Teixeira Alves Peixoto
  • Raquel Assed Bezerra Segato
  • Paulo Nelson-Filho
  • Alexandra Mussolino de Queiroz
  • Francisco Wanderley Garcia Paula-Silva

Keywords:

Dental Devices, Home Care, Toothbrushing, Mothers, Child, Dentists

Abstract

Objective: To evaluate the physical conditions and presence of residues of toothbrushes used by mothers and their babies and mothers' knowledge about toothbrush care. Material and Methods: This was a cross-sectional study comprising a convenience sample represented by 60 mother-baby pairs. The mothers answered a questionnaire to evaluate their knowledge of toothbrush care. A calibrated dentist performed a visual inspection of the toothbrushes. Statistical analysis was performed using the chi-square and Fisher’s exact tests, with a significance level of 5%. Results: It was found that 82% of the mothers had never received instructions regarding the care of toothbrushes after use (p=0.024). Most of them believed that their toothbrushes (70%) and their children’s toothbrushes (88%) were in good condition to use (p=0.043). However, most mother’s toothbrushes presented an unacceptable deformity of the bristles (65%) and the presence of residues (60%). In addition, babies’ toothbrushes also presented unacceptable deformities of the bristles (52%) and residues (55%). There was an association between the lack of instructions received by the mother and the presence of deformity and residues on the mother’s toothbrush bristles (p=0.037 and p=0.003, respectively). Conclusion: Most mothers had never received instructions regarding toothbrush care, which is reflected in the condition of their and their baby’s toothbrushes, which presented unacceptable physical conditions concerning deformation and presence of residues.

References

Jepsen S, Blanco J, Buchalla W, Carvalho JC, Dietrich T, Dörfer C, et al. Prevention and control of dental caries and periodontal diseases at individual and population level: consensus report of group 3 of joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases. J Clin Periodontol 2017; 44(Suppl 18):S85-S93. https://doi.org/10.1111/jcpe.12687

Frencken J. Caries epidemiology and its challenges. Monogr Oral Sci 2018; 27:11-23. https://doi.org/10.1159/000487827

Sekino S, Ramberg P, Uzel NG, Socransky S, Lindhe J. Effect of various chlorhexidine regimens on salivary bacteria and de novo plaque formation. J Clin Periodontol 2003; 30(10):919-25.

https://doi.org/10.1034/j.1600-051x.2003.00420.x

Patro-Gołąb B, Zalewski BM, Kołodziej M, Kouwenhoven S, Poston L, Godfrey KM, et al. Nutritional interventions or exposures in infants and children aged up to 3 years and their effects on subsequent risk of overweight, obesity and body fat: a systematic review of systematic reviews. Obes Rev 2016; 17(12):1245-57. https://doi.org/10.1111/obr.12745

Ribeiro CCC, Silva MCBD, Nunes AMM, Thomaz EBAF, Carmo CDS, Ribeiro MRC, et al. Overweight, obese, underweight, and frequency of sugar consumption as risk indicators for early childhood caries in Brazilian preschool children. Int J Paediatr Dent 2017; 27(6):532-539. https://doi.org/10.1111/ipd.12292

Van Leeuwen MPC, Van der Weijden FA, Slot DE, Rosema MAM. Toothbrush wear in relation to toothbrushing effectiveness. Int J Dent Hyg 2019; 17(1):77-84. https://doi.org/10.1111/idh.12370

Van der Weijden FA, Slot DE. Efficacy of homecare regimens for mechanical plaque removal in managing gingivitis a meta review. J Clin Periodontol 2015; 42(Suppl):77S-91S. https://doi.org/10.1111/jcpe.12359

Schmidt JC, Astasov-Frauenhoffer M, Waltimo T, Weiger R, Walter C. Influence of the oscillation frequency of different side-to-side toothbrushes on noncontact biofilm removal. Clin Oral Investig 2018; 22(6):2141-7. https://doi.org/10.1007/s00784-017-2305-x

ADA Science Institute. Toothbrushes. Available from: https://www.ada.org/en/about-the-ada/ada-positions-policies-and-statements/statement-on-toothbrush-care-cleaning-storage-and-. [Accessed on August 20, 2020].

Kreifeldt JG, Hill PH, Calisti LJ. A systematic study of the plaque removal efficiency of worn toothbrushes. J Dent Res 1980; 59(12):2047-55. https://doi.org/10.1177/00220345800590120401

Dean DH, Beeson LD, Cannon DF, Plunkett CB. Condition of tooth- brushes in use: correlation with behavioral and socio-economic factors. Clin Prev Den 1992; 14(1):14-8.

Daly CG, Marshall RI, Lazarus R. Australian dentists' views on toothbrush wear and renewal. Aust Dent J 2000; 45:254-6. https://doi.org/10.1111/j.1834-7819.2000.tb00260.x

Malekafzali B, Biria M, Tadayon N, Abbasi H. Comparison of plaque removal efficacy of new and 3-month-old toothbrushes in children. East Mediterr Health J 2011; 17(2):115-20. Erratum in: East Mediterr Health J 2011; 17(3):249.

Adeniyi AA, Oyapero A, Ajieroh V, Sofola O, Asiyanbi O. Effect of health education intervention conducted by Primary Health Care workers on oral health knowledge and practices of nursing mothers in Lagos State. J Public Health Afr 2018; 9(2):833. https://doi.org/10.4081/jphia.2018.833

Rosema NA, Hennequin-Hoenderdos NL, Versteeg PA, van Palenstein Helderman WH, van der Velden U, van der Weijden GA. Plaque-removing efficacy of new and used manual toothbrushes - a professional brushing study. Int J Dent Hyg 2013; 11(4):237-43. https://doi.org/10.1111/idh.12021

Nelson-Filho P, Faria G, da Silva RA, Rossi MA, Ito IY. Evaluation of the contamination and disinfection methods of toothbrushes used by 24- to 48-month- old children. J Dent Child 2006; 73(3):152-8.

Nelson-Filho P, Pereira MS, De Rossi A, da Silva RA, de Mesquita KS, de Queiroz AM, et al. Children's toothbrush contamination in day-care centers: how to solve this problem? Clin Oral Investig 2014; 18(8):1969-74. https://doi.org/10.1007/s00784-013-1169-y

Massoni ACLT, Silva MCA, Perazzo MF, Pereira RVS, Pessoa CP, Granville-Garcia AF. Physical conditions and conditioning of toothbrushes for preschool children. Rev Odontol 2015; 51(2):96-103.

Coutinho PG, Bittar P, Ditterich RG, Santos FA, Wambier DS. Evaluation of the wear index of toothbrushes used by preschool children. Rev Odontol UNESP 2007; 36(1):97-101.

Passos IA, Massoni ACLT, Ferreira JMS, Forte FDS, Sampaio FC. Physical conditions and conditioning of toothbrushes for preschool children. Arq Odontol 2015; 51(2):96-103.

Retnakumari N, Ciriac G. Childhood caries as influenced by maternal and child characteristics in pre-school children of Kerala-an epidemiological study. Contemp Clin Dent 2012; 3(1):2-8. https://doi.org/10.4103/0976-237X.94538

Castilho ARF, Mialhe FL, Barbosa TS, Puppin-Rontani. Influence of family environment on children’s oral health: a systematic review. J Pediat 2013; 89(2):116-23. https://doi.org/10.1016/j.jped.2013.03.014

Okada M, Kawamura M, Kaihara Y, Matsuzaki Y, Kuwahara S, Ishidori H, et al. Influence of parents' oral health behaviour on oral health status of their school children: an exploratory study employing a causal modelling technique. Int J Paediatr Dent 2002; 12(2):101-8. https://doi.org/10.1046/j.1365-263x.2002.00338.x

Almeida-Junior LA, Mellara TS, Inácio GC, Silva RAB, Nelson-Filho P, Queiroz AM, et al. Maintenance and physical conditions of toothbrushes used by children with or without special needs: a cross-sectional study. Rev Odontol Bras Central 2021; 30(89):128-40. https://doi.org/10.36065/robrac.v30i89.1418

Rawls HR, Mkwayi-Tulloch NJ, Casella R, Cosgrove R. The measurement of toothbrush wear. J Dent Res 1989; 68(12):1781-5. https://doi.org/10.1177/00220345890680121201

Beljan M, Puharić Z, Žulec M, Borić D, Neumuller KR. Parent’s and children’s behavior and knowledge about oral health. Acta Med Croatica 2016; 70(3):165-71.

Schmickler J, Wurbs S, Wurbs S, Kramer K, Rinke S, Hornecker E, et al. The influence of the utilization time of brush heads from diferente types of power toothbrushes on oral hygiene assessed over a 6-month observation period: A randomized clinical trial. Am J Dent 2016; 29(6):307-14.

Peker I, Akarslan Z, Basman A, Haciosmanoglu N. Knowledge and behavior of dentists in a dental school regarding toothbrush disinfection. Braz Oral Res 2015; 29:48. https://doi.org/10.1590/1807-3107BOR-2015.vol29.0048

Ankola AV, Hebbal M, Eshwar S. How clean is the toothbrush that cleans your tooth?. Int J Dent Hyg 2009; 7(4):237-40. https://doi.org/10.1111/j.1601-5037.2009.00384.x

Moreira ACS, Cavalcante GM. Influence of hygienization on the contamination of toothbrushes: prevention and care. Arq Ciênc Saúde UNIPAR 2008; 12(1):99-103.

ADA Division of Communications. For the dental patient. Toothbrush care, cleaning and replacement. J Am Dent Assoc 2006; 137(3):415. https://doi.org/10.14219/jada.archive.2006.0193

Sociedade de Cardiologia do Estado de São Paulo. Redobre a atenção com a higiene bucal e com a escova de dentes, na pandemia. 2020. Available from: https://Socesp.org.br/noticias/sem-categoria/redobre-a atencao-com-a-higiene-bucal-e-com-a-escova-de-dentes-napandemia. [Acessed on September 2020]. [In Portuguese].

Downloads

Published

2022-01-26

How to Cite

Ribeiro, Y. J. S. ., Peixoto, I. T. A. ., Segato, R. A. B. ., Nelson-Filho, P. ., Queiroz, A. M. de ., & Paula-Silva, F. W. G. . (2022). Visual Inspection and Toothbrush Care: A Mother-Baby Paired Cross-Sectional Study. Pesquisa Brasileira Em Odontopediatria E Clínica Integrada, 22, e210106. Retrieved from https://revista.uepb.edu.br/PBOCI/article/view/949

Issue

Section

Original Articles