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Por.20 10-039 Research Article Removal of dental plaque from different regions of the mouth after a I-minute episode of mechanical oral hygiene PRASAo, 05 MPH, PREM K.SREBNIVASAN PHD, SUBMASH PATIL, Mos, KUMAR G, CHHABRA, MOS, avatl, nb & WILAMDEVIZI0, os SHIVALINGAPPA [Amsrmacr: Purpost: To aisess deal plague on diferent regions of the dentition prior to and immediately afer teatheashing, Methods: Sujets retrained Hom oral hygiene for 22-25 howe poo ssline whole oth ple {sessment by the “uresky odifeation ofthe Quigley Hen Index CTMQH). Al subjects brushed with a marketed foftptledtothbrsh and fsrde denice for | minute pir fo pos-brshing plague asssenents sila 8 ‘sli. One slibted clinical examiner conducted all measiements Rests: 30 subjects (mean age 27 yeas) complied the sty Inespective of arch, poseror teeth harbored higher frequencies fo scores af 3-5 thin ‘omespondingamerir eth prior to brushing. fn comparison othe pee-brshing eaminaton, score of OT were more ‘common inthe pos rushing evaluation, however. pete equencie oT higher plague were observed on poster than ‘nant regions, Irespective of ger, subject rach, ater tech abered lower mean amounts of pagae than postenoe tet by ANOVA at both cinical examinations (P=0.0001). Adgionaly imespetve of ach, lower mean Scores or plague wer obsected on anferioe teeth than fom posterior eth orth whol uth at bth examinations (Pe (0001), Lingual and moar surfaces consistently arbored lg desis of plague and epesented res withthe lest plague removal afer oothishing, Mi-vestular sites represented the ares wit the highest percent removal of Plague at 65% and hore significa lower levels of plague tan proximal ites daring all phates of the sty (P= $0089) (am J Den 011 246068) Cunicar siewricace: Anterior hand vestbular surfaces eonsstenty harbored signify lower amounts of ‘ental plague contastw higher aroun on wala, ingual apd posenorregons. Significant diflrenes betwee the ‘enn fo plague deposits underscore reasons to vate eth lading tone accurlting more dal plage ing ‘al ygiene examinations 1 Dr. Prem K. Swenivasan, Colgate-Palnotive Company, 99 River Road, Pseatway, NIGRNSS, USA, EE Prem, Sreeniasanaesipal com Introduction Supragingial plague, 2 ata bitin, forms realy 08 the surces of the exposed dstion Oral bioins comprise Imullayered communities of bath gan-posiive and pram: egaive Davtria Fates of these mica accumulations incude aisunct profes for aimicbial sscepubiy and ‘iene. Clinical sues in cnjunton with microbolgial Umulyris demonstrate the relatonshipe between del plague fd ange of orl sass ising gingivitis eral cares and periodontal disease Cina investigators have noted substan diferencia ‘be amouns of suagingial plague colonizing the diffrent regions ofthe dention!” Albwgh mos india may have repeatable pate of plage on ei eniion some subjers may hve Svsiandal amount of plaque whe eters have Tower amounts of plague. Although he ability of ie india to perform routine cl gene influences tbe amount of Plage, research indetes efor vane of factors ‘ental plague formation Tooth positon, salvar fet. eal ‘oxygen tein. the pellicles Wa form on tooth sues, det Sd crestcular fidence te development of supa plague ‘Aree for elective ein conta ofthe plage somes a primary fear for dental poi eal programs to main tral heath However despite eduction and many ongoing programs, iti clear tht mest indvdils fl 0 prt [ce oral hygiene AN nity 4 routinely remove the eral plague is rected in he widespread realence of orl Siseases including sings, crs, and perodontal dase ‘worldwide Futhermoe eps inate win the detiion, poser teth harbor lager-daposis. of plas. Cones oosingly. repos indicate higher prevalence of gum denses Focudnggagvis asocised wid hse eons” Conse, numerous sues have investigated improve mens in orl fygene expedient othe removal of dena Plaque Ammon of ise sis have deemined te eects Df specie treatments, evaluated Be elects of specie tring durations including ined bashing of each gc, tized proesional bashing with pei groupe of shjers Such as deal stint or sce peas no ol Hygiene Por to cial examinations!” While thee sles ize common cin indes they primarily report mean plage Scores of the dentition, In adition to thee studs Spproach eves the efits of ol hysneformlaiens on {he fail surtices of ater asa surge fr whole oath ‘noes. " Uing the general poplaton with common bis Ing techniques, ths say analyzed plague score frequencies ffom distinct regions of the dettenincang each ach folowing single episode of mechanical eal ygiene. This rma fer anal suport or progans by dent proesions Toencourage effective ol hygiene Materials and Methods Sujets - This study was condcted at a singh cone inated ater approval by the eizal Boa of SDM Denil Cole, — = is Dharwad. nti. For prospeive sujet (age range 18-70 year) from the local area who were refered fom he dena ‘lime rth at et 20 mata eth apd vale forthe ay Sarton were serene. Thity lus who completed informa onset wh no sina signs of ol egiet an with plage feores of 15 or grater by te Tucaky modicton of te (QuigeyHen make” aging sores of For more Hythe serine nex enlled Emo jets were at offered any incentives or parton. Indvhals ih systemic tease, chronic medal corns tcatng onions ofthe hea. Kine, er or inectousconitons mer exces. Ako tcl were inal reprin pean, etton, ‘ctons to akohol or subainees tects with cmens, Snres veneers oer chon cal condoning ‘ares snd pera dst ln presen recto Suis procedures «Engle sabjecs were isracted os procedures and. scheduled for a. toeine wis Sibjete fetuned fom orl hypene Ibe 22:24 hours prior thet fuselne vist A eat dena examiner condted whole ‘mouth craminations for denal plague by the Turesky ‘adication of the Quigley. Index. All cr Byene sreles were obtained commerily, a dentist depend 15 frame of fluo paste (Colle Dena Crem on 30 Fle otbnash (Oni ft tin?) and sraced bjt to brih he ere dentin in thi cstmary mane X dental asst ted the tanhing durston fr 1 mine. Subjects frist inthe absence of 4 mio and expetorated the ees sy snd ned thee mouth with ap water, The ‘alifrted dent completed ole mouth. dena pg ‘tamination fr all subjects © obtain aerhnahing dental Removal of dena plague 61 th dai de Plague scores, Al enrolled sets completed the ene study ‘ithe essed for seasiclaal Cincal scoring procedures - Clinical examinations were conducted under coast ping condos wth sary ‘raton exercises conducted prea the art f the ay In {ea and reve axcesments pong. group of eight ada subject th examine demonstrated 3 94 relabity fr dent Plague ascent bythe Tarek moist ofthe Quigley Nei indo This examiner complete all inal examinations ‘orth study. Clint erations were conducted nan re separate rom tha used fo subject stations or bing to mute blinding forthe cincal examiner wth dental plage Sinlowed pr lo. ander the trsking piso sing [AlphaPic dilosing solution Subjects were insted 0 not scutes procedures wh he cial examiner. With the exception ofthe thd molars, six surfaces of the tthe resis mid fea focal dfn Buca es Fingal, ing dso-singu were seared or denial plage by Turesky mosification ofthe Quigley-Hein Index (TMQH). “The scoring scheme for thisinder as flows = Nonages 1 Sorte eck faq tte env main of he sh 2A th cnn a of pase op ma he ea = Ain a ier i ong ik 4 Page cveing lest one-hit ut thant hind he ro fhe ‘= Pagar coneg tid oe of te a of eh (2 Prorat 1 em st din sto fis ‘iy Peer ‘The caliatd examine compe lll examinstions sd dealin recorded al els on appropriate orm, Static anal - Al recorded cnc ets were compiled for satel amiss. ANOVA evited he eft of gener, arch (uppers. lowe) region interior vs. pstero) and ‘valuation tne (preteen! posttrentmen) on ping ‘Sores wich compried the primary efiacy variable, AR inal made inehoed alo he wo factor neractons aon these four factors as well as 2 atdom eet for subject Tis ina mel indicated that al nerctions were nt sgican (F005). Therefore, the interactions ere dropped frm the ‘del nfl model nla he fed effet gee ch, ‘pion, evaluation, ana random sje effet. Ts del was Used tosses the asta signfeance of the fied eft 00 Plague scores. Plague sores betwae each region dane, Prteror and whole mouth were determined by rest with Percent diflerenes tween each examination determined ‘ecribed previously" Analyses were conducted by Mint ndiesls at Pc 005 ported sia. Resuls ‘The stay group comprised 30 al sbjets with 18 males, and 12 females ean age of 236 18 yeas) who completed Allin evabatons ‘Whole mesh plague score Eeguencies ae shown in de Figur (a). Brashng rece the fequncies fer cores betwee 2S and coresponding iors isis wth score of O and [Ate post-rushing examunain «plague core of | was mos ‘common and observed on 3 of ses "The. fequency fr each plaque score on anerie and poster sce each evant s shown i the gt 1A the pre-bshing evaluation, posterior regions harbored Iiherfequencis of sores Between 3-5 wih 49% of these ‘See reporting score of 3 in comparison 0 30s of soeror ses (Fig) ith tose obseratins replied especie of toh Fig ed) Beashing reduces te fequency of higher sores wile inceaing the equecies fr lower scores berwecn 02 Tae Mom ee nl tt i lh ad Tle. re a png pa se ie © SD) ad poco ‘hte nana bee irespeiv of arch or region valued ante o pose. ‘As cserved daring the pre-tising examination equeles foe higher sores were penter‘on Pteror sacs than atari eons nd were prominent rss of 2 an Sasical ales by ANOVA sessed the effect of sender, rch upper ve lower, sirfoe (tro porn, fad valuion tine (presresment on posetetmet) on Pogue scores which compris the primary efeacy vale From he fur fics and ech of the two facto interactions well as anor fect or sbjet inetd th lineation ‘were not spin (P> 0.05). Subeoen sats vation fall plage sores by ANOVA demonsrated lower average postnshing Scores than he pre Srshing evahiton and wee 126 and 254 respectively. Mean plague Scores of ano and pose surfces were 173 ant 207 respectively while sores forthe aper and lower arch were 184 and 196 respectively. These amlyses demonstrated higher ple scores ithe pe ‘sting than te post-brushing exam. more plague on the lower thn the upper arch with postin sie report ‘ore plague than comesponing anterior regions (P= 0.00, ‘Anais of the mean pngue scores. between dient segions of the dentition is shown ia Table. Pied test ‘sblyes indeed sigicaly higher mean score fr denial Plague in the posenor region than elder woke mouth or lnenor sires (P< O01) inespetive of toibesing Consistent withthe frequency dsrbutons on anton and osteo rion of either atch, sical lower mean ses Df plague were observed on ane sues of ier arch (Table 2) han the conesponding pester repians (P< 0.03), Imereingly. percent ferences in man plaque sores eeween the afteror and poseric eons were comparable iespectiv of wasting: ‘Mean plaque scores from disc regions ofthe mouth are shown in Table 3. Wheres, otmting demonstrat eduction of det plague with each region, the igual fre with 39% plage rection represented the eon with the lest plague ema, Molar steaces th the highs pre Trashing plague score deminsrsed 1% plague removal afer tothbnshing, Oterrepons with less han SP plague removal afer toothbrushing cluded minal and postror Surfaces. Mere han 80% plague moval eas observed fom ‘steric: and vesibulr regions following totbnshing but these editions were lower than tose from the midvestbulae ‘races The highest plage removal (65) afer others twas obuerved fon mi-vestbulrsracs tht demonstrated Sieifeny lower amounts of plaque thn be proxi repjons at peebrushing (P- C0059) and. postbrashing valuations (= 0.000). Discussion ‘orl hygiene comprises a canon protdure pactcnd vweidvide with reports tracing the pratces 1 antiquity Whereas range of approaches contin to be alized by

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