Why do children and adolescents neglect dental flossing?

Mattos-Silveira, Juliana; Matos-Lima, B. B.; Oliveira, T. A.; Jarroug, Karen Elias; Rego, Renato Vieira; Reyes, Alessandra; Ferreira, Fernando; Imparato, José Carlos Pettorossi; Braga, Mariana Minatel

doi:10.1007/s40368-016-0266-4

Cited by 12 publications

(7 citation statements)

References 18 publications

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“…Similar findings have been reported by [18]. Another study, from Brazil [19], reported similar results for interdental cleaning: the adolescents had been instructed in the importance of using dental floss, but compliance was low. This was attributed to poor motivation, although lack of manual dexterity was also noted.…”

Section: Discussionsupporting

confidence: 82%

Oral Hygiene and Dietary Habits of Primary School Pupils and Secondary School Students in Sweden-A Pilot Study

Erdenborg

Holmström

Naowha

et al. 2022

EJDENT

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Aim: To document oral hygiene and dietary habits in primary school pupils and secondary school students in Stockholm, Sweden. Methodology: A quantitative study, based on two questionnaires, one for primary school pupils aged 9-12 years and the other for secondary school students, aged 16-21 years. The questions covered oral hygiene habits, dietary habits and knowledge of oral health. Results: The participants comprised 42 primary school pupils and 47 secondary school students. The majority, 81% of primary school pupils and 77% of secondary school students, reported brushing their teeth twice daily. Of the primary school pupils, 79% reported that they brushed their teeth unassisted. Nearly 45% consumed sugary sweets three to four times a week. More than half the secondary school students reported consuming sugary drinks and/or sweets three or more times a week. Thirty per cent had received information about the association between diet and oral health, while 30% reported that they had no knowledge of this. With reference to the causes of caries and gingival inflammation, about two-thirds of the participants attributed these conditions to oral bacteria (76% and 67%, respectively), while 17% stated that they did not know the cause. Comparing the frequency and duration of toothbrushing, those who reported brushing their teeth twice a day tended to brush for longer, two minutes or more. Conclusions: The majority of the participants reported good oral hygiene and dietary habits. However, there is still a need for improvement with respect to both oral health knowledge and behaviour. Areas identified as warranting further attention are frequency of toothbrushing, proper use of toothpaste and consumption of sugary drinks and sweets.

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Section: Discussionsupporting

confidence: 82%

Oral Hygiene and Dietary Habits of Primary School Pupils and Secondary School Students in Sweden-A Pilot Study

Erdenborg

Holmström

Naowha

et al. 2022

EJDENT

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“…In agreement with this result, a study carried out with Iranian adolescents showed that all the evaluated youngsters had a high index of dental biofilm and 93% of them had gingival bleeding [23]. These results confirm the fact that adolescence is a risk phase for oral diseases [18], reinforcing the need for intervention studies in this age group.…”

Section: Discussionsupporting

confidence: 81%

“…A previous study conducted with young Indians also showed a high knowledge (90.9%) in oral health [17]. This result suggests that, at present, adolescents have easy access to the media where aspects related to oral health can also be transmitted [18]. However, it is necessary that the acquisition of knowledge is transformed into actions so that the habits are incorporated into the daily life of the individual [19].…”

Section: Discussionmentioning

confidence: 78%

“…In this study it was observed that adolescents with greater knowledge about the use of dental floss presented lower plaque indexes, suggesting that, in these individuals, oral hygiene is performed in a more adequate way. However, it is common that, over time, adolescent motivation to floss diminishes, once supervision ceases, suggesting that oral health promotion and prevention actions should be constantly reinforced as there is a strong component at this stage of life [18].…”

Section: Discussionmentioning

confidence: 99%

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Association Between Periodontal Health Knowledge and Oral Hygiene in Brazilian Adolescents

Marchetti,

Fraiz,

Reis

et al. 2020

Pesqui. Bras. Odontopediatria Clín. Integr.

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To evaluate the influence of oral health knowledge in adolescents' oral hygiene pattern. Material and Methods: Cross-sectional study involving 291 participants aged between 14 and 19 years old enrolled in a public school in Curitiba, Brazil. A self-administered questionnaire containing five affirmations about periodontal diseases and their forms of prevention was arranged on a three-point Likert scale. Correct answers were given a weight=1 and incorrect ones, weight=0. The knowledge score (KS) was determined by the sum. Socioeconomic and demographic data were obtained by a questionnaire sent to those responsible. The oral hygiene pattern was evaluated through the simplified oral hygiene index (OHI-S) by a calibrated researcher (K=0.89). Mann-Whitney U test and univariate and multivariate Poisson regression with robust variance were used for data analysis (α=0.05). Results: There was an inversely proportional association between KS and OHI-S (p=0.018). The multiple model showed that adolescents with a lower KS (PR = 0.93, CI95%: 0.88-0.99), male gender (PR = 1.17, CI95%: 1.01-1.37) and whose caregivers presented a lower level of education (PR=1.30, CI95%: 1.03-1.64) showed a higher index of dental plaque. Conclusion:The level of oral health knowledge, the gender and the caregivers' level of education influences the adolescents' oral hygiene pattern.

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“…According to Mottos-Silveira et al [ 25 ], the main reason why flossing is so rarely performed lies in a lack of cooperation of the individuals, and any manual difficulty encountered with the flossing procedure itself would apparently be a minor issue. It is up to dentists and dental hygienists to educate adolescents and motivate them to make flossing a habit, also reminding the parents of its importance if necessary.…”

Section: Discussionmentioning

confidence: 99%

Oral Hygiene in Adolescence: A Questionnaire-Based Study

Sbricoli

Bernardi

Ezeddine

et al. 2022

IJERPH

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Oral health is fundamental to our well-being, especially in adolescence. The aim of this study is to investigate oral hygiene knowledge through a questionnaire in a sample of adolescents, paying particular attention to those wearing orthodontic braces. The study was designed as a descriptive report of a local survey. An anonymous questionnaire was distributed to individuals born between 2000 and 2005, both on paper and online. Among 213 adolescents answering the questionnaire, 206 went to the dentist at least once (most of them between 5 and 9 years old), and 144 experienced at least one session of professional oral hygiene. Approximately 83% of the sample brushed their teeth at least twice a day, while only 7% used dental floss daily. Only 54% of respondents wearing orthodontic braces were advised to undergo professional oral hygiene during their orthodontic treatment. Education on oral hygiene at home came only from their parents for 61% of the whole sample. Most respondents had their first visit to the dentist apparently too late. Flossing was rare, whether the adolescents wore orthodontic braces or not. In many cases, professional oral hygiene was not common during orthodontic treatment. Adolescents did not learn about oral hygiene from a dental specialist.

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Why do children and adolescents neglect dental flossing?

Abstract: Low compliance and difficulties in flossing among children and adolescents seemed to be more related to lack of motivation, although problems concerning manual skills were also observed.

Cited by 12 publications

References 18 publications

Oral Hygiene and Dietary Habits of Primary School Pupils and Secondary School Students in Sweden-A Pilot Study

Oral Hygiene and Dietary Habits of Primary School Pupils and Secondary School Students in Sweden-A Pilot Study

Association Between Periodontal Health Knowledge and Oral Hygiene in Brazilian Adolescents

Oral Hygiene in Adolescence: A Questionnaire-Based Study

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