Oral health behaviour of children and adolescents in Germany. Results of the cross-sectional KiGGS Wave 2 study and trends

Krause, Laura; Kuntz, Benjamin; Schenk, Liane; Knopf, Hildtraud

doi:10.17886/rki-gbe-2018-096

Cited by 4 publications

(3 citation statements)

References 17 publications

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“…The rehardening potential of the artificial saliva used in this study is comparable to human saliva 20 . Toothbrushing was performed twice daily for 15 s (20 strokes) to reflect daily toothbrushing frequency and duration of most children [25][26][27][28] , and the contact time between the toothbrush and a single tooth during toothbrushing 24 . Specimens were immersed in the respective toothpaste slurry for additional 105 s (total including brushing: 120 s), to reflect the contact time of the toothpaste slurry with all teeth during toothbrushing.…”

Section: Discussionmentioning

confidence: 99%

In vitro study on the preventive effect of children’s toothpastes on erosive tooth wear of primary bovine enamel and dentin

Chalkidis,

Barke,

Rohland

et al. 2023

Sci Rep

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This in vitro study aimed to analyse the effect of various children’s toothpastes on erosive tooth wear of primary bovine enamel and dentin. Enamel and dentin specimens (n = 12) were cyclically eroded (6 × 60 s/d, citric acid, pH 2.4) and brushed (2 × 15 s/d, 2 N) over 5 days. Nine fluoride toothpastes (500 to 1450 ppm) and eight toothpastes containing no fluoride or other active ingredients (hydroxyapatite and/or xylitol) were tested. Unbrushed specimens served as control. Tissue loss was quantified using widefield confocal microscopy and statistically analysed using two-way and one-way ANOVAs followed by Scheffe’s (enamel) or Tamhane’s (dentin) post-hoc tests (p < 0.05). Only one fluoride toothpaste (1400 ppm) was able to reduce erosive wear of enamel significantly by 15% compared to the control (padj. = 0.002). All fluoridated toothpastes reduced dentin surface loss significantly by 32 to 69% compared to the control (padj. ≤ 0.001), while fluoride-free toothpastes were unable to reduce dentin loss significantly (padj. ≥ 0.971). Most fluoridated toothpastes caused less erosive wear compared to fluoride-free toothpastes. Children toothpastes containing fluoride were more effective in reducing erosive wear compared to toothpastes containing no fluoride or other active ingredients.

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Section: Discussionmentioning

confidence: 99%

In vitro study on the preventive effect of children’s toothpastes on erosive tooth wear of primary bovine enamel and dentin

Chalkidis,

Barke,

Rohland

et al. 2023

Sci Rep

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“…Here, special attention should be paid to individuals from socially disadvantaged backgrounds because they are more likely to have an unhealthy lifestyle (e.g. daily smoking) [ 48 ] and they have a lower control-oriented dental utilization than those of middle and high SES [ 72 , 73 ]. Maintaining dental health in childhood is of great importance because damage to permanent teeth is irreversible and affects oral health in all following life stages [ 74 ].…”

Section: Discussionmentioning

confidence: 99%

Chewing ability and associated factors in older adults in Germany. Results from GEDA 2019/2020-EHIS

Krause,

Seeling,

Schienkiewitz

et al. 2023

BMC Oral Health

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Background Oral well-being is an important component of general well-being and quality of life, as it is greatly influenced by the ability to chew and speak, and thus by central factors of social interaction. Because quality of life and participation are important factors for health in older age, the aim of this article was to examine the chewing ability, including associated factors, for the older population in Germany on the basis of a nationally representative sample. Methods Database is the German Health Update (GEDA 2019/2020-EHIS), a population based cross-sectional survey of the Robert Koch Institute. In the telephone interview, participants aged 55 years and older were asked: “Do you have difficulty biting and chewing on hard foods such as a firm apple? Would you say ‘no difficulty’, ‘some difficulty’, ‘a lot of difficulty’ or ‘cannot do at all/ unable to do’?” Prevalences and multivariate prevalence ratios (PR) were calculated with 95% confidence intervals (95% CI) from log-Poisson regressions. Sociodemographic, health-, behavioral- and care-related characteristics were investigated as associated factors. Results The analyses were based on data from 12,944 participants (7,079 women, 5,865 men). The proportion of people with reduced chewing ability was 20.0%; 14.5% had minor difficulty, 5.5% had major difficulty. There were no differences between women and men. The most important associated factors for reduced chewing ability were old age (PR 1.8, 95% CI 1.5–2.1), low socioeconomic status (PR 2.0, 95% CI 1.7–2.5), limitations to usual activities due to health problems (PR 1.9, 1.6–2.2), depressive symptoms (PR 1.7, 1.5–2.1), daily smoking (PR 1.6, 95% CI 1.3–1.8), low dental utilization (PR 1.6, 95% CI 1.4–1.9), and perceived unmet needs for dental care (PR 1.7, 95% CI 1.5–2.1). Conclusions One fifth of adults from 55 years of age reported reduced chewing ability. Thus, this is a very common functional limitation in older age. Reduced chewing ability was associated with almost all investigated characteristics. Therefore, its prevention requires a holistic view in the living environment and health care context of older people. Given that chewing ability influences quality of life and social participation, maintaining or improving chewing ability is important for healthy aging.

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“…manual, sonic, and rotating-oscillating) to reflect common toothbrushes for children with different motion action. Specimens were brushed twice daily for 15 s to reflect the frequency and duration of daily toothbrushing by children [17,[24][25][26], and to reflect the contact time between the toothbrush and one tooth during toothbrushing [19]. As powered toothbrushes are usually applied with less movement compared to manual toothbrushes, the individual brushing frequency (back and forth movement) was adjusted to 20 strokes/ min or 80 strokes/min, respectively [21,22].…”

Section: Plos Onementioning

confidence: 99%

Effect of different brushing parameters on erosive tooth wear in primary bovine enamel and dentin

Kanzow,

Witt,

Lechte

et al. 2024

PLoS ONE

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This in-vitro study aimed to analyse the effect of brushing and different brushing parameters (kind of toothpaste, kind of toothbrush, brushing force) on erosive tooth wear of primary bovine enamel and dentin. Specimens were prepared from primary bovine enamel or dentin (each group n = 12) and cyclically eroded (6 × 60 s/d, citric acid, pH 2.4) and brushed with children’s toothbrushes (2 × 15 s/d) over 5 days. The brushing parameters under investigation were: toothpaste (fluoridated, fluoride-free), toothbrush (manual; rotating-oscillating and sonic, each at two different activation modes) and brushing force (1 N, 2 N). Specimens that were only eroded and not brushed served as controls. Enamel and dentin wear was quantified using widefield confocal microscopy. Statistical analysis was performed using three- and one-way ANOVAs followed by Scheffe’s (enamel) or Tamhane’s (dentin) post-hoc tests (p < 0.05). Brushing with the fluoridated toothpaste was able to significantly reduce erosive wear in enamel (by 15 to 37%, 6 of 10 groups) and in dentin (by 58 to 72%, all groups), while brushing with the fluoride-free toothpaste was not different from the controls. Considering the kind of toothpaste and brushing force, slight differences between the toothbrushes were observed in enamel, but not in dentin. Within the same toothbrush and activation mode, almost no differences between 1 and 2 N brushing force were detected. In conclusion, erosive tooth wear on primary bovine dental hard tissue mainly depends on the kind of toothpaste, rather than on the kind of toothbrush and the brushing force.

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Oral health behaviour of children and adolescents in Germany. Results of the cross-sectional KiGGS Wave 2 study and trends

Cited by 4 publications

References 17 publications

In vitro study on the preventive effect of children’s toothpastes on erosive tooth wear of primary bovine enamel and dentin

In vitro study on the preventive effect of children’s toothpastes on erosive tooth wear of primary bovine enamel and dentin

Chewing ability and associated factors in older adults in Germany. Results from GEDA 2019/2020-EHIS

Effect of different brushing parameters on erosive tooth wear in primary bovine enamel and dentin

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