Compliance & dexterity, factors to consider in home care and maintenance procedures

Abstract

Abstract:Mechanical plaque control appears to be the primary means of controlling supragingival dental plaque build-up. Although daily oral hygiene practices and periodic professional care are considered the basis for any program aimed at the prevention and treatment of oral diseases, these procedures are technically demanding, time consuming and can be affected by the compliance and manual dexterity of the patient. Individual skills and acquired behavior patterns determine effectiveness of a preventive program and oral hygiene practice. Successful preventive programs and home care procedures clearly depend on the interaction and commitment between the dental professional and the patient. Identifying the capacity of the individual to comply with the professional recommendations and evaluating the dexterity of the patient to remove supragingival dental plaque will permit the implementation of an adequate preventive program and can help on the selection of adjunctive antimicrobial agents and devices needed to reach an effective oral care routine. Descriptors: Oral hygiene; Patient compliance; Behavior; Motor skills; Preventive health services.Resumen: El control de la placa dental parece ser el mecanismo primario para controlar el crecimiento de la placa dental supragingival. Aunque la práctica diaria de la higiene bucal y el cuidado profesional periódico, son considerados la base para cualquier programa dirigido a la prevención y tratamiento de las enfermedades de la cavidad bucal, estos procedimientos son técnicamente exigentes, consumen tiempo y pueden ser afectados por la aceptación y la destreza manual del paciente. Las destrezas individuales y los patrones de comportamiento adquiridos, determinan la efectividad de un programa preventivo y la práctica de la higiene bucal. El éxito de los programas preventivos y los procedimientos del cuidado bucal en el hogar dependen claramente de la interacción y compromiso entre el odontólogo y el paciente. La importancia de identificar la capacidad del individuo para cumplir con las recomendaciones y la evaluación de la destreza del paciente para remover la placa dental supragingival, permitirán la implementación de un adecuado programa de prevención que podría ayudar a la selección de un agente antibacteriano coadyuvante y los dispositivos necesarios para alcanzar una rutina de cuidado bucal efectivo. Descriptores: Higiene bucal; Cooperación del paciente; Conducta; Destreza motora; Servicios preventivos de salud.

Evaluating Soft Tissue Healing after Implant Placement Using Two Different Mouthwashes (Myrrh and Chlorhexidine Gluconate): A Randomized Control Trial

“…Despite educating and motivating patients to use toothbrushes and floss properly, compliance is reduced over time. Special motivational skills are needed to educate people on the optimal use of toothbrushes and floss [ 8 ]. Inadequate practices of dental hygiene result in the accumulation of plaque, mostly on the interproximal surfaces of teeth.…”

Daily biofilm control and oral health: consensus on the epidemiological challenge - Latin American Advisory Panel

“…The recommended mouthwashes are those with proven scientific evidence of efficacy, safety, and significant effect in both the short and the long term against biofilm, gingivitis and, ideally, against caries, and should also demonstrate efficacy against a wide variety of Gram+ and Gram-bacterial species. [23][24][25][26][27][28][29][30][31][32][33][34][35][36] Several studies have demonstrated that most patients do not clean biofilm effectively in interdental areas, or even maintain optimal long-term oral hygiene levels, and have observed a gingivitis prevalence ranging from 85% to 90% in the Latin American population, in disabled individuals or even those having no special impairment. 26 This situation is aggravated in elderly adults, where dental biofilm retention is a problem because of the existence of defective restorations, exposed root surfaces, or others reasons.…”

“…26,34 The limitations of the elderly, and their acceptance of and adherence to different techniques and oral care procedures, suggest that certain auxiliary means should be implemented, such as mouthwashes, which help improve the mechanical control measures of oral biofilm. 35 Mentally ill patients and patients with Down syndrome represent a population group with risk factors that predispose them to oral disease and that could be mitigated with the implementation of preventive measures. Some authors suggest that mouthwashes may be an effective response to the oral hygiene problem in disabled individuals.…”