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Item Frequency of Tooth Brushing and Associated Factors in Mexican Schoolchildren Six to Nine Years of Age(2013) Casanova-Rosado, JF; Vallejos-Sánchez, AA; Minaya-Sánchez, M; Medina-Solís, CE; De La Rosa-Santillana, R; De L Márquez-Corona, M; Maupomé, GerardoObjective: To determine the prevalence of daily tooth brushing and evaluate some variables associated. Subjects and Methods: A cross-sectional study was carried out in 320 schoolchildren six to nine years old in Campeche, Mexico. Information on sociodemographic and socio-economic variables, oral hygiene practices and attitudes were collected through a questionnaire. The frequency of tooth brushing was categorized as “0” = fewer than seven times/week, “1” = at least once a day. In the analysis, nonparametric tests were used. Results: Mean age was 6.99 ± 1.00 years, 52.5% were boys. The prevalence of daily tooth brushing was 81.6%. In bivariate analysis, the prevalence of tooth brushing was higher (p < 0.05) among the children of mothers with higher schooling (9.80 years vs 8.47 years, p < 0.05), and in younger children (84.6% in 6−7-year olds vs 71.2% in 8−9-year olds, p < 0.05). A slight, non-significant association (p < 0.10) was noted between the current frequency of tooth brushing and an earlier age when the child first started brushing with toothpaste. There were no statistically significant differences (p > 0.05) in the frequency of tooth brushing by gender or by the mother’s attitude toward the oral health of her child. Conclusions: The prevalence of daily tooth brushing was high compared to other studies. Mother’s maximum level of schooling (as an indicator of socio-economic position) was associated with higher frequency of tooth brushing. Maternal characteristics are associated with the oral health behaviour of their children.Item A visual evaluation of oral plaque removal utilizing an adjunct enzyme pre-rinse in orthodontic subjects(Allen Press, 2020-11-01) Rose, Jennifer; Ghoneima, Ahmed; Lippert, Frank; Maxwell, Lisa; Eckert, George; Stewart, Kelton T.; Orthodontics and Oral Facial Genetics, School of DentistryObjective: To determine if an adjunct proteolytic pre-rinse along with contemporary methods of dental cleaning may more effectively remove visual plaque in subjects with fixed orthodontic appliances. Materials and methods: Forty-three orthodontic subjects, ages 10 to 25, completed this single site, double-blind, crossover clinical trial. Subjects randomly received bromelain enzyme or a powdered-sugar placebo pre-rinse, followed by manual tooth brushing and use of a Waterpik. Subjects received the alternate pre-rinse during the subsequent visit. Baseline and residual plaque accumulation were recorded via disclosing tablet and digital photography. A single, blinded examiner scored visual plaque scores from randomized photographs. Treatment effects on composite plaque score were evaluated using repeated-measures analysis of variance. A 5% significance level was used for all tests. Results: No significant differences in plaque scores were noted at baseline or post-rinse between the enzyme and placebo. The changes from baseline to post-rinse (P = .190), post-brushing (P = .764), and post-Waterpik (P = .882) were not significantly different between interventions. Significant reduction in plaque scores were observed in both arms of the study after brushing (P < .01) and waterjet use (P < .01). Neither age (P = .220) nor gender (P = .449) impacted plaque scores. Conclusions: Use of a bromelain enzyme pre-rinse alone did not significantly enhance plaque removal. A significant reduction in retained plaque was observed with the application of brushing and or Waterpik.