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Effect of prophylactic actions on the state of oral health and hygienic habits in a selected age group

Marcin Rudzki 2  ,  
Chair and Department of Conservative Dentistry with Endodontics, Medical University, Lublin, Poland
Chair and Department of Jaw Orthopaedics, Medical University, Lublin, Poland
Chair and Department of Oral Surgery, Medical University, Lublin, Poland
Introduction and objective:
The aim of the study was investigation of the effect of simple prophylactic methods on the motivation for concern about oral hygiene among 13–15-year-olds.

Material and methods:
The study covered 98 children from 4 groups attending junior high school. Adolescents from 3 groups were randomly qualified for conducting prophylactic procedures, while the fourth group constituted the control group. Three examinations were performed: preliminary and check-up examinations after 4 and 12 months. The state of the teeth and periodontium and the frequency of brushing of teeth were evaluated.

After 4 months, an increase in the number of decayed teeth was observed in all groups; in the control group it was significantly higher compared to the groups subjected to prophylactic actions. After 4 months in the groups covered by prophylactic actions, a significant decrease was obtained in the number of adolescents with CPITN > 0. In the examinations performed after 12 months, no significant differences were found in the value of the DMF and the CPITN index in the examined groups. In both examinations, after 4 and 12 months, the declared frequency of brushing teeth increased, especially in the group which had been provided individual instructions concerning oral hygiene.

1) Implementation of prophylactic methods resulted in an improvement in the state of oral health among junior high school adolescents. 2) Prophylactic actions should be regularly repeated. 3) The provision of individual instruction with supervised individual teaching of brushing teeth resulted in an improvement in the motivation for concern about oral hygiene.

Marcin Rudzki   
Chair and Department of Jaw Orthopaedics, Medical University, Lublin, Poland, 7 Karmelicka, 20-081 Lublin, Poland
1. Składnik-Jankowska J, Kaczmarek U. Dental Status and Treatment Needs in Children and Young Adults from Lower Silesia Region. Dent Med Probl. 2012; 49: 173–183.
2. Ito A, Hayashi M, Hamasaki T, Ebisu E. Risk assessment of dental caries by using Classification and Regression Trees. J Dent. 2011; 39: 457–463.
3. Marinho V, Chong LY, Worthington H, Walsh T. Fluoride mouthrinses for preventing dental caries in children and adolescent. Cochrane Database Syst Rev. 2016 doi: 10.1002/14651858.CD002284.
4. Małkiewicz K, Kępa J. Caries Prevalence and Malocclusion of 15- Year-Old Schoolchildren of Mazowieckie Province. Dent Med Probl. 2012; 49: 189–194.
5. Söderström U, Johansson I, Sunnegårdh-Grönberg K. A retrospective analysis of caries treatment and development in relation to assased caries risk an adult population in Sweden. BMC Oral Health 2014; 14:126 doi: 10.1186/1472–6831–14–126.
6. Llena C, Leyda A, Forner L, Garcet S. Association between the number of early carious lesions and diet in children with a high prevalence of caries. Eur J Pediatr Dent. 2015; 16: 7–12.
7. Ito A, Hayashi M, Hamasaki T, Ebisu E. How regular visit and preventive programs affect onset of adult caries. J Dent Res. 2012; 91: 52S-58S.
8. Pawka B, Dreher P, Herda J, Szwiec I, Krasicka M. Dental caries in children as a social problem. Probl Hig Epidemiol. 2010; 91: 5–7.
9. Jodkowska M, Oblacińska A, Tabaka I. How well do Polish teenagers meet health behavior guidelines? Przegl Epidemiol. 2014; 68: 147–151.
10. Strużycka I, Wierzbicka M, Jodkowska E, Rusyan E. Results of nationwide epidemiological surveys of oral health in young adults in Poland in 2012. Nowa Stomatol. 2013; 4: 195–199.
11. Miernik M, Paszkiewicz A. Questionnaire Study on Basic Dental Knowledge Among Teenagers. Dent Med Prob. 2009; 46: 83–87.
12. König KG. Diet and oral health. Int Dent J. 2000; 50:162–74.
13. Bachanek T, Hopkała M, Chałas R, Klijer M, Pawłowicz A. Questionnaire survery. Dental awareness in 15-year olds regarding dental hygiene. Mag Stomatol. 2003; 13: 66–68.
14. Perkowska M, Wochna-Sobańska M. Caries intensity in 12-year-old children as related to hygienic and dietary habits. J Stomatol. 2013; 4: 454–463.
15. Marcinkowski JT, Świderska J. Compliance with oral hygiene and its impact on sustaining oral cavity health. Hygeia Public Health 2011; 46: 83–88.
16. Wdowiak L, Szymańska J, Mielnik-Błaszczak M. Selected dentistry problems: the public health aspect. Zdr Publ. 2003; 113: 308–311.
17. Szczurek D. Evaluating efficacy of selected programs for prophylaxis of caries and periodontal diseases in school children with special reference to guidelines for oral cavity hygiene. Ann Acad Med Stetin. 1996; 42: 223–235.
18. Axellson P. The effect of a plaque control programme on gingivitis, periodontis and dental caries. Akademish avhandling Gotenberg 1978: 15.
19. Urbaniak B. Health behaviour and the state of the periodontium among adolescents from high schools in Łódź. Stomat Współ. 2000; 2: 35–39.
20. Einwag J, Henkel R, Dohler B. Wpływ środków zapobiegawczych na zdrowie jamy ustnej młodzieży w wieku 14–16 lat. Mag Stomatol. 2007; 17: 102–104.
21. Chachra S, Dhawan P, Kaur T, Sharma AK. The most effective and essential way of improving the oral health status education. J Indian Soc Pedo Prev Dent. 2011; 3: 26–221.
22. Fratila A, Pitica AE, Fleancu A. Dentist software application in children caries prophylaxis. Rev Sercet Interv S. 2013; 41: 118–128.