How should I brush my teeth?

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Regular daily toothbrushing plays an important part in preventing periodontal disease and caries but is there consensus on how this should be carried out. The main aim of this study was to assess the methods of toothbrushing recommended for both adults and children by dental associations, toothpaste and toothbrush companies and professional dental sources such [read the full story…]

Teaching toothbrushing with fluoride toothpaste – are we doing it well?

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Toothbrushing at least twice a day with fluoride toothpaste is an effective way of reducing caries. This is confirmed by good systematic review evidence, so teaching patient effective toothbrushing with fluoride toothpaste is a key preventive strategy.  The aim of this qualitative study was to explore oral health professionals (OHPs) perspectives regarding their strategies, considerations [read the full story…]

Trail suggests that straight interdental brushes may be more effective than angled brushes

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The effective removal of plaque is important for the prevention of both caries and periodontal disease. Interdental cleaning aids are frequently recommended in addition to toothbrushing to improve plaque removal.  The aim of this study was to investigate interproximal plaque removal with an angled interdental brush as compared to a straight interdental brush. Adults aged [read the full story…]

Parents motivating factors for brushing children’s teeth were largely short term

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Regular toothbrushing with fluoride toothpaste has strong evidence for its effectiveness.  Brushing at least twice a day is more effective that once a day or less and ‘Twice a day” is has been a long-standing oral health message.  The aim of this qualitative study was to gain an in-depth understanding of the issues parents facing [read the full story…]

Insufficient evidence for the efficacy of primary school-based behavioural interventions for reducing caries

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This new Cochrane review looked at school-based interventions aimed at changing behaviour related to toothbrushing habits and the frequency of consumption of cariogenic food and drink in children between the ages of 4 and 12 years. The Cochrane Oral Health Group’s Trials Register, and Cochrane Central Register of Controlled Trials (CENTRAL) ,Medline, Embase, CINAHL, PsycINFO, [read the full story…]

Review finds that toothbrushing has only a small effect on ventilator-associated pneumonia

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Ventilator-associated pneumonia (VAP) is a life-threatening condition in critically ill patients receiving mechanical ventilation. Incidence rates vary between 9% and 45% and it carries a significant mortality risk. The oropharynx and upper gastrointestinal tract are the main reservoirs for the associated pathogens.  The aim of this review was to evaluate the effects of oral care [read the full story…]

In pre-school children addition of casein phosphopeptide-amorphous calcium phosphate paste to regular brushing with fluoridated toothpaste did not have added decay prevention effect

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Early childhood caries (ECC) remains a significant public health problem and evidence (Yengopal 2009) and  has suggested that casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) may improve the effectiveness of fluoridated toothpaste. The aim of this study was to see if adding the daily application of a CPP-ACP-containing paste for 1 yr is superior to regular fluoride [read the full story…]

Type of manual toothbrush and duration of brushing may influence the amount of plaque removed

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In Europe the first mass produced bristle toothbrushes came into use in the 18th Century. Although hog bristle brushes were reported in China during the Tang Dynasty (619-907). Today nylon toothbrushes are in widespread use and manual brushes come in a wide range of brush head sizes with  multiple tufts often angled in different directions. [read the full story…]

Powered toothbrushes are as safe to use as manual toothbrushes

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Powered toothbrushes (PTB) have been available since the 1960s and Cochrane reviews have shown that powered toothbrushes with a rotation oscillation action reduce plaque and gingivitis more than manual toothbrushing (MTB). The main focus of these review has been their effectiveness rather than the safety of these brushes.  Van der Weijden et al undertook a [read the full story…]

How clean is your toothbrush?

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The aim of this review was to evaluate the cumulative state of knowledge related to toothbrush contamination, its possible role in disease transmission, and in preparation for a research study related to toothbrush contamination in critically ill adults. The Pub Med, CINAHL, Cochrane Library, National Guidelines Clearinghouse, Web of Science, and Google Scholar databases were [read the full story…]