Study of the Effect of Different Prophylaxis Frequencies on the Periodontium of Young Adult Males

Suomi, John D.; Smith, Lowell W.; Chang, Jacqueline J.; Barbano, Joseph P.

doi:10.1902/jop.1973.44.7.406

Cited by 31 publications

(17 citation statements)

References 3 publications

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“…[7][8][9][10] However, more recent studies do not support the effi cacy of the sole provision of the dental prophylaxis procedure for the prevention of gingivitis. [11][12][13][14] In partial support, in an earlier Cochrane review, 15 insuffi cient evidence of either benefi cial or adverse effects of routine scaling and polishing was found. This was a review of different time intervals and was for periodontal health.…”

Section: Introductionmentioning

confidence: 93%

Efficacy of dental prophylaxis (rubber cup) for the prevention of caries and gingivitis: a systematic review of literature

Azarpazhooh¹,

Main

2009

Br Dent J

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acted as a barrier, inhibiting fl uoride uptake and consequently reducing the clinical efficacy of the topical fl uoride application. 2,3 Many clinicians believe that the removal of the acquired pellicle, plaque and other substances adhering to the enamel by professionally applied prophylaxis results in a greater amount of fl uoride contacting the enamel surface, thus enhancing the efficacy of a PATF, 2,4 and an expected increase in the reduction in the incidence of caries. The removal of plaque can be effectively accomplished with a toothbrush. However, the belief is that the acquired pellicle, a thin organic layer adherent to the surface enamel, can only be removed by pumice or other abrasive prophylaxis. 2 The role of bacterial dental plaque in the aetiology of gingivitis and periodontal disease has been well established. 5 Part of the prevention of such conditions is based on limiting the accumulation of micro-organisms on the teeth and maintaining a fl ora that is consistent with periodontal health.Three separate studies have evaluated the effect of dental prophylaxis before PATF on the amount of fl uoride uptake by BACKGROUNDDental prophylaxis typically consists of placing pumice or an abrasive paste in a rubber cup and applying the paste to the clinical crowns of the teeth using rotating rubber cup at slow speed. This aims at the complete removal of plaque, salivary pellicle, materia alba and extrinsic stains found on the crowns of teeth to reduce and prevent future dental caries. The clinical protocol for performing a routine dental prophylaxis before professionally applied topical fl uoride (PATF) was fi rst advanced by Knutson. 1 The rationale behind this was the belief that materia alba, plaque and other natural coatings on tooth surfaces Background The purpose of this systematic review was to assess the effi cacy of routine dental prophylaxis applied before professionally applied topical fl uoride (PATF) or at a regular recall visit in the prevention of caries or gingivitis. Types of studies reviewed Ovid MEDLINE and its allied versions; CINAHL; Cochrane Library; EMBASE; Health and Psychosocial Instruments; HealthSTAR; International Pharmaceutical Abstracts; and ACP Journal Club were searched for English and Human articles from 1966 to 2007 for original in vivo English publications assessing rubber cup dental prophylaxis. In vitro studies, case series, case reports or letters to editors (not containing primary data), editorials, review articles and commentaries were excluded but were read to identify any potential studies. Results One hundred and eighty-nine articles were searched for relevancy resulting in six original studies that met our inclusion criteria. There was a unanimous agreement in four studies that a dental prophylaxis is not warranted before a PATF for caries prevention in children. A generalisation on dental prophylaxis before PATF cannot be applied to adolescents and adults. Available evidence (two other studies) fails to demonstrate any benefi t in the prevention of gingivitis from ...

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Section: Introductionmentioning

confidence: 93%

Efficacy of dental prophylaxis (rubber cup) for the prevention of caries and gingivitis: a systematic review of literature

Azarpazhooh¹,

Main

2009

Br Dent J

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“…Econotnically, this approach wotild be out of the question iti developitig coutitries and seetns too expensive also lor most industrialized countries to apply. The daily removal of plaque by the individuals thetn-selves is known to be the tnost practical and cllective tneasure for improving periodontal health (9). Effective applicalion of this primary prevention tneasure on a population level could be expected to considerably reduce the need of extensive periodontal Irealmctit at a later age.…”

mentioning

confidence: 99%

Periodontal treatment needs in populations under 20 years of age in Espoo, Finland and Chiangmai, Thailand

Nordblad

Kallio

Ainamo

et al. 1986

Comm Dent Oral Epid

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The aim of this study was to assess the periodontal treatment needs at under 20 yr of age in the affluent area of Espoo, Finland, offering comprehensive public dental health care, as compared to a less advantaged area in Chiangmai, Thailand. In Espoo, 50 girls and 50 boys were examined in each age group of 7, 12 and 17 yr. In Chiangmai equal numbers of girls and boys were examined to obtain a group of 89 subjects aged 18.5 + 0.6 yr. According to the Community Periodontal Index of Treatment Needs (CPITN) the need of scaling increased in Espoo from 6% of the 7-yr-olds to 39% of the 17-yr-olds. Moderate pocketing (4-5 mm) occurred in one subject at age 12 and in three subjects at age 17. In Chiangmai, deep pockets (6 mm and over) were recorded for 1%, moderate pockets for a total of 44%, and dental calculus as the highest treatment need indicator in the remaining 55%, indicating a need for professional treatment in 100% of the group examined. The mean number of sextants requiring scaling was 0.6 per person at age 17 in Espoo as compared to 4.5 at 18.5 yr of age in Chiangmai. Three or more healthy sextants per subject were recorded for 47% of the 17-yr-olds in Espoo and for only 6% of the 18.5-yr-olds in Chiangmai. It was concluded that already at young age vast differences occur between periodontal treatment needs in industrialized and developing countries.

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“…Conversely, Suomi et al 9 . studied young male cadets receiving dental prophylaxes at varying frequencies over a three year period with no additional oral hygiene instructions.…”

Section: Maintenance Of Gingival Healthmentioning

confidence: 99%

Maintenance of gingival health post professional care

Bosma

2011

International Dental Journal

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Oral hygiene habits are strongly associated with general health behaviours; good oral self care should result in good dental health. Clinical dental hygiene services have limited long range probability of success if the patient is not diligent in the daily procedures of personal care to remove and control dental plaque. Therefore, it is important to help make the individual aware of their own ability to control and maintain good oral health after a dental prophylaxis through oral care instruction and the use of select antimicrobials to maintain the gingival health. This paper reviews the evidence outlining the relative roles of prophylaxis and correct oral self-care in maintaining gingival health.

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Study of the Effect of Different Prophylaxis Frequencies on the Periodontium of Young Adult Males

Cited by 31 publications

References 3 publications

Efficacy of dental prophylaxis (rubber cup) for the prevention of caries and gingivitis: a systematic review of literature

Efficacy of dental prophylaxis (rubber cup) for the prevention of caries and gingivitis: a systematic review of literature

Periodontal treatment needs in populations under 20 years of age in Espoo, Finland and Chiangmai, Thailand

Maintenance of gingival health post professional care

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