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Factors associated with toothbrushing performance among children: An observational cohort study
Vered Matalon1, Liran Levin2, Michael Yagudaev1
1Pediatric Dentistry Clinic, Oral Medicine Unit, Sheba Medical Center, Tel-Hashomer, Israel.
International Journal of Paediatric Dentistry
|July 24, 2024
Summary
Effective toothbrushing in children is crucial for preventing dental diseases. Older age, female gender, and regular dental visits improved toothbrushing skills, though many children still struggled with optimal technique.
Area of Science:
- Pediatric Dentistry
- Oral Hygiene Research
- Public Health
Background:
- Effective plaque removal is vital for preventing dental caries and periodontal diseases in all age groups.
- Optimizing toothbrushing performance in children is key to establishing lifelong oral health habits.
Purpose of the Study:
- To identify factors that enhance toothbrushing performance (TB-P) in pediatric patients.
- To assess the effectiveness of instructional interventions for improving children's brushing techniques.
Main Methods:
- An observational cohort study analyzed 1737 children using a triple-headed toothbrush (TH-TB) between 2009 and 2017.
- Toothbrushing performance was evaluated using the TB-P Skill Index (TB-PS-I) at regular follow-up appointments.
- Interventions included direct instruction and re-demonstration for suboptimal TB-P.
Main Results:
- Older age, female gender, increased follow-up frequency, and twice-daily brushing were associated with improved TB-P.
- Common errors included inadequate coverage of canine segments and insufficient brushing strokes.
- Instructional feedback significantly improved TB-P, irrespective of patient demographics or visit frequency.
Conclusions:
- Optimal toothbrushing technique remains a challenge for a significant proportion of children over 8 years old, even with specialized tools like the TH-TB.
- Targeted educational interventions are effective in improving children's brushing skills.
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