Systematization of oral hygiene in a pediatric patient: Case report.

  • Milagros García-Moreno Universidad Privada San Juan Bautista, Escuela de posgrado, Segunda Especialidad de Estomatología. Lima, Perú
  • Gilmer Torres-Ramos Universidad Privada San Juan Bautista, Escuela de posgrado, Segunda Especialidad de Estomatología. Lima, Perú.; Facultad de Odontología de la Universidad Nacional Mayor de San Marcos, Lima, Perú. http://orcid.org/0000-0002-2590-6736
  • Marya Barzola-Loayza Universidad Privada San Juan Bautista, Escuela de posgrado, Segunda Especialidad de Estomatología. Lima, Perú http://orcid.org/0000-0002-6212-8208
  • Lesly Soto-Liendo Universidad Privada San Juan Bautista, Escuela de posgrado, Segunda Especialidad de Estomatología. Lima, Perú
  • Vanessa Aranda-Mendoza Universidad Privada San Juan Bautista, Escuela de posgrado, Segunda Especialidad de Estomatología. Lima, Perú
  • Josué Orihuela-Gutierrez Universidad Privada San Juan Bautista. Lima, Perú.Facultad de Odontología de la Universidad Nacional Mayor de San Marcos, Lima, Perú.

Abstract

Oral hygiene is an important step in the control of the biofilm, a factor related to diseases such as gingivitis and tooth decay. The systematization of oral hygiene in children is a set of measures that seeks to achieve sequential learning, thus guaranteeing a better elimination of the biofilm. Objetive: To show a sequence of systematized steps in oral hygiene in a pediatric patient with a definitely positive behavior. Case Report: Six year old female patient, without relevant medical history. On clinical intraoral examination presented biofilm accumulation and swollen gums. The presumptive diagnosis was marginal gingivitis associated with biofilm, the treatment included a preventive phase with motivation and education. The control of the disease evolution was carried out with a card of Systematization Technique of Oral Hygiene, the methodology included the recording of the educational sessions using videos and photographs. Results: the adequate use of the amount of toothpaste was achieved, the integrity was improved to 100%, the brushing time increased from 24 to 120 seconds and it was possible to add tongue brushing and not rinsing after brushing within the oral hygiene routine. Conclusion: The patient was able to clean all dental surfaces, using homogeneous times for each surface, following an orderly sequence in toothbrushing, as well as to acquire knowledge regarding the amount of toothpaste to use, tongue brushing and not rinsing after toothbrushing. The systematization of oral hygiene allowed us to achieve these achievements in six sessions.

Author Biography

Milagros García-Moreno, Universidad Privada San Juan Bautista, Escuela de posgrado, Segunda Especialidad de Estomatología. Lima, Perú

Interim Editor -in- Chief

References

[1]. Yaacob M, Worthington HV, Deacon SA, Deery C, Walmsley AD, Robinson PG, Glenny AM. Powered versus manual toothbrushing for oral health. Cochrane Database Syst Rev. 2014;2014(6):CD002281

[2]. Scottish Intercollegiate Guidelines Network (SIGN). Dental interventions to prevent caries in children. Edinburgh: SIGN; 2014. (SIGN publication no. 138).

[3]. Walsh T, Worthington HV, Glenny AM, Marinho VC, Jeroncic A. Fluoride toothpastes of different concentrations for preventing dental caries. Cochrane Database Syst Rev. 2019;3(3):CD007868.

[4]. de Almeida Baldini Cardoso C, Mangueira DF, Olympio KP, Magalhães AC, Rios D, Honório HM, Vilhena FV, Sampaio FC, Buzalaf MA. The effect of pH and fluoride concentration of liquid dentifrices on caries progression. Clin Oral Investig. 2014;18(3):761-7.

[5]. Cochran JA, Ketley CE, Duckworth RM, Van Loveren C, Holbrook WP, Seppä L, et al. Development of a standardized method for comparing fluoride ingested from toothpaste by 1.5-3.5-year-old children in seven European countries. Part 2: Ingestion results. Community Dent Oral Epidemiol. 2004;32(SUPPL. 1):47–53.

[6]. Denbesten P. Fluoride levels in whole saliva of preschool children after brushing with 0.25 g (pea-sized) as compared to 1.0 g (full-brush) of a fluoride dentifrice. Pediatr Dent. 1996;18(4):277–80.

[7]. Sharma S, Yeluri R, Jain AA, Munshi AK. Effect of toothbrush grip on plaque removal during manual toothbrushing in children. J Oral Sci. 2012;54(2):183–90.

[8]. Pujar P, Subbareddy V V. Evaluation of the tooth brushing skills in children aged 6-12 years. Eur Arch Paediatr Dent. 2013;14(4):213–9.

[9]. van der Sluijs E, Slot DE, Hennequin-Hoenderdos NL, van der Weijden GA. Dry brushing: Does it improve plaque removal? A secondary analysis. Int J Dent Hyg. 2018;16(4):519–26.

[10]. Van der Sluijs E, Slot DE, Hennequin-Hoenderdos NL, Van der Weijden GA. A specific brushing sequence and plaque removal efficacy: a randomized split-mouth design. Int J Dent Hyg. 2018;16(1):85–91.

[11]. Slot DE, Wiggelinkhuizen L, Rosema NA, Van der Weijden GA. The efficacy of manual toothbrushes following a brushing exercise: a systematic review. Int J Dent Hyg. 2012;10(3):187–97.

[12]. Schlueter N, Winterfeld K, Quera V, Winterfeld T, Ganss C. Toothbrushing Systematics Index (TSI) – A new tool for quantifying systematics in toothbrushing behaviour. PLoS One. 2018;13(4):1–14.

[13]. Creeth JE, Gallagher A, Sowinski J, Bowman J, Barrett K, Lowe S, Patel K, Bosma ML. The effect of brushing time and dentifrice on dental plaque removal in vivo. J Dent Hyg. 2009 ;83(3):111-6.

[14]. Newby EE, Martinez-Mier EA, Zero DT, Kelly SA, Fleming N, North M, et al. A randomised clinical study to evaluate the effect of brushing duration on fluoride levels in dental biofilm fluid and saliva in children aged 4-5 years. Int Dent J. 2013;63 Suppl 2:39–47.

[15]. Rupesh S, Winnier JJ, Nayak UA, Rao AP, Reddy V, Peter J. The comparative evaluation of the effects of tongue cleaning on salivary levels of mutans streptococci in children. Int J Dent Hyg. 2012;10(2):107–12.

[16]. AlGhamdi AS, Almarghlani AA, Alyafi RA, Kayal RA, Al- Zahrani MS. Gingival health and oral hygiene practices among high school children in Saudi Arabia. Ann Saudi Med. 2020;40(2):126–35.

[17]. Ileri Keceli T, Gulmez D, Dolgun A, Tekcicek M. The relationship between tongue brushing and halitosis in children: A randomized controlled trial. Oral Dis. 2015;21(1):66–73.

[18]. Winnier JJ, Rupesh S, Anand Nayak U, Reddy V, Prasad Rao A. The Comparative Evaluation of the Effects of Tongue Cleaning on Existing Plaque Levels in Children. Int J Clin Pediatr Dent. 2013;188–92.

[19]. Pitts N, Duckworth RM, Marsh P, Mutti B, Parnell C, Zero D. Post-brushing rinsing for the control of dental caries: Exploration of the available evidence to establish what advice we should give our patients. Br Dent J. 2012;212(7):315–20.

[20]. Salud M de. Guia de practica clinica para la prevencion, diagnostico y tratamiento de la caries dental en niños y niñas. Guía Técnica. 2017;41.

[21]. Nazzal H, Duggal MS, Kowash MB, Kang J, Toumba KJ. Comparison of residual salivary fluoride retention using amine fluoride toothpastes in caries-free and caries-prone children. Eur Arch Paediatr Dent. 2016;17(3):165–9.

[22]. Richards A, Machiulskiene V, Nyvad B, Baelum V. Saliva fluoride before and during 3 years of supervised use of fluoride toothpaste. Clin Oral Investig. 2013;17(9):2057–63.

[23]. Sandström A, Cressey J, Stecksén-Blicks C. Tooth-brushing behaviour in 6-12 year olds. Int J Paediatr Dent. 2011;21(1):43–9.
Published
2021-02-28
How to Cite
GARCÍA-MORENO, Milagros et al. Systematization of oral hygiene in a pediatric patient: Case report.. Journal of Oral Research, [S.l.], v. 10, n. 1, p. 1-7, feb. 2021. ISSN 0719-2479. Available at: <https://www.joralres.com/index.php/JOralRes/article/view/joralres.2021.006>. Date accessed: 29 mar. 2024. doi: https://doi.org/10.17126/joralres.2021.006.
Section
Cases