Toothbrushing behaviour and periodontal pocketing: An 11‐year longitudinal study

Joshi, Shriraksha; Suominen, Anna Liisa; Knuuttila, Matti; Bernabé, Eduardo

doi:10.1111/jcpe.12844

Cited by 23 publications

(35 citation statements)

References 26 publications

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“…A systematic review by Zimmermann et al . as well as a recent longitudinal study by Joshi et al . reported a negative association between frequent toothbrushing and periodontitis.…”

Section: Discussionmentioning

confidence: 98%

“…A systematic review by Zimmermann et al 39 as well as a recent longitudinal study by Joshi et al 40 reported a negative association between frequent toothbrushing and periodontitis. However, there are also some contradicting findings like Lissau et al 41 and Elter et al 42 In our study, we found that boys and girls in different education levels seemed to gain differently from toothbrushing.…”

Section: Discussionmentioning

confidence: 99%

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Cross‐sectional analysis of risk factors for subclinical periodontitis; active matrix metalloproteinase‐8 as a potential indicator in initial periodontitis in adolescents

Heikkinen

Räisänen

Tervahartiala

et al. 2018

Journal of Periodontology

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Background The aim of this study was to investigate how different patient‐related risk indicators might be associated with the odds of developing subclinical periodontitis in adolescents. Methods This cross‐sectional study included 252 Finnish individuals aged 15 to 16 years, of whom 141 were boys and 111 girls. A specially trained dentist performed clinical examinations: measurements included periodontal indexes (bleeding on probing, visible plaque index, root calculus, and probing depth, smoking by pack‐years, periodontal bacteria (Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Tannerella forsythia, Prevotella intermedia, Prevotella nigrescens, and Treponema denticola) and the potential salivary periodontal biomarkers (active matrix metalloproteinase‐8 [aMMP‐8], polymorphonuclear leukocyte elastase [PMN elastase], and total protein, albumin, immunoglobulin A, immunoglobulin G, and immunoglobulin M). Results were analyzed by ordinal logistic regression, one‐way analysis of variance, Fisher exact test, and Kruskal‒Wallis H test. Results The main finding of this study was that subclinical periodontitis in adolescents was statistically significantly associated with elevated salivary aMMP‐8 but not with PMN elastase. Also, adolescents with subclinical periodontitis had statistically significantly higher levels of bleeding on probing, root calculus, and dental plaque than adolescents without subclinical periodontitis. Conclusions We suggest that the main risk factor for subclinical periodontitis in adolescents is the partly calcified, dysbiotic bacterial biofilm, which interacts with the immune defenses of the host; this leads to gingival inflammation and eventually to deepening periodontal pockets. This proinflammatory subclinical periodontitis stage, which represents stage I periodontitis in the new classification, is reflected as elevated salivary aMMP‐8 levels in oral fluids.

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“…A systematic review by Zimmermann et al . as well as a recent longitudinal study by Joshi et al . reported a negative association between frequent toothbrushing and periodontitis.…”

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Cross‐sectional analysis of risk factors for subclinical periodontitis; active matrix metalloproteinase‐8 as a potential indicator in initial periodontitis in adolescents

Heikkinen

Räisänen

Tervahartiala

et al. 2018

Journal of Periodontology

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“…27 Good plaque control is crucial to maintain periodontal health, and data related to tooth brushing behavior supported this statement. 28,29,30 An 11-year study showed that tooth brushing was associated with a decrease in the number of teeth with periodontal pocketing. There was a clear dose-response relationship between tooth brushing frequency and change in the number of teeth with PPD ≥ 4 mm.…”

Section: Periodontal Treatmentmentioning

confidence: 99%

Periodontal disease and its impact on general health in Latin America. Section V: Treatment of periodontitis

et al. 2020

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“…Frequency of tooth brushing was dichotomised as more than once a day versus once a day or less, as this cut-off has been commonly used in studies concerning tooth brushing and oral health (8,9) and since twice a day (morning and evening) is the official recommendation in Norway (35). However, the evidence supporting twice a day as the optimal frequency is inconsistent and limited (10,(36)(37)(38) and some describe this recommendation more as a social norm (37).…”

Section: Discussionmentioning

confidence: 99%

“…When diets include sugary foods and beverages, daily tooth brushing with fluoridated toothpaste is the main primary prevention against caries (6,7). Frequency of brushing has also been associated with periodontal disease (8)(9)(10), and with better health status in general (11)(12)(13)(14). However, the efficacy and long-term effects of brushing are not only influenced by the frequency, but frequency is usually emphasised (15) and may function as an indicator of children's oral hygiene (16).…”

Section: Introductionmentioning

confidence: 99%

Frequency of tooth brushing and associated factors among adolescents in western Norway

Vaktskjold¹

2019

Nor J Epidemiol

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Dental caries is the most prevalent disease in Norway and worldwide, and daily tooth brushing with fluoridated toothpaste is the main preventative measure when diets contain sugary foods. Tooth brushing is an important public health indicator, as the frequency of brushing also has been positively associated with good health in general. In Norway, brushing twice a day is the official recommendation. Our aim was to assess the frequency of tooth brushing among pupils in secondary school in two counties in western Norway, and to identify factors associated with brushing more than once a day. All 59 borough administrations in the two counties were invited to participate in the Ungdata survey in 2015-16; 26 agreed. In total 8,725 pupils filled in the electronic questionnaire (82%). Some 69% brushed their teeth more frequently than once a day, specifically 76% of whom were girls and 63% were boys (adjusted odds ratio=2.0). Of the boys, 6.5% did not brush daily. In 8-10th school grade 71% brushed more than once a day, compared to 65% in 11-13th grade. Out of 28 a priori selected factors, eight were independently associated with frequency of tooth brushing. Besides gender, the strongest associations observed were for frequency of brisk physical exercise, parents being informed about their adolescent’s whereabouts, and satisfaction with one’s own health.

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Toothbrushing behaviour and periodontal pocketing: An 11‐year longitudinal study

Abstract: This 11-year prospective study showed that toothbrushing behaviour was associated with smaller increments in the number of teeth with periodontal pocketing.

Cited by 23 publications

References 26 publications

Cross‐sectional analysis of risk factors for subclinical periodontitis; active matrix metalloproteinase‐8 as a potential indicator in initial periodontitis in adolescents

Cross‐sectional analysis of risk factors for subclinical periodontitis; active matrix metalloproteinase‐8 as a potential indicator in initial periodontitis in adolescents

Periodontal disease and its impact on general health in Latin America. Section V: Treatment of periodontitis

Frequency of tooth brushing and associated factors among adolescents in western Norway

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