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Plaquing of Herpes Simplex Viruses
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High Plaque Levels after Thorough Toothbrushing: What Impedes Efficacy?

S Ebel1, H Blättermann1, U Weik1

  • 11 Department of Medicine, Justus-Liebig-University Giessen, Giessen, Germany.

JDR Clinical and Translational Research
|April 2, 2019
PubMed
Summary

Even when brushing optimally, young adults show uneven time distribution, leading to persistent plaque and gingivitis. Evenness of brushing time is a key predictor of oral cleanliness and reduced bleeding.

Keywords:
behavioral sciencedental educationdental hygienegingivitisoral hygienepreventive dentistry

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Area of Science:

  • Oral hygiene research
  • Behavioral science in dentistry
  • Periodontal health

Background:

  • Previous studies indicate significant dental plaque and poor toothbrushing performance.
  • A knowledge gap exists regarding oral hygiene behaviors that predict persistent plaque.
  • This study investigates the link between toothbrushing behavior, oral cleanliness, and gingivitis.

Purpose of the Study:

  • To examine the relationship between toothbrushing behavior and oral cleanliness after brushing.
  • To identify specific toothbrushing behaviors that predict plaque accumulation and gingival bleeding.
  • To understand the impact of brushing time distribution and movement patterns on oral health outcomes.

Main Methods:

  • A cross-sectional study involving 98 young adults in Germany.
  • Participants were filmed while brushing their teeth to their best ability.
  • Analysis included brushing movements, evenness of time distribution, dental status, gingival bleeding, and oral cleanliness.

Main Results:

  • Persistent plaque was observed at 69.48% of gingival margin sites.
  • Evenness of brushing time distribution was the most significant behavioral predictor for marginal plaque and bleeding.
  • Regression analyses showed brushing behavior explained 15.2% of plaque variance and 19.4% of bleeding variance.

Conclusions:

  • Young adults exhibit uneven brushing time distribution even when attempting optimal oral hygiene.
  • Uneven brushing time distribution is a more significant factor than brushing movements in explaining plaque and bleeding variance.
  • Understanding these behavioral aspects is crucial for improving oral cleanliness and health.