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Related Concept Videos

Assessment of the Mouth01:26

Assessment of the Mouth

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A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Related Experiment Video

Updated: Sep 13, 2025

Oral Health Assessment by Lay Personnel for Older Adults
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Supervised toothbrushing programs: evaluating impact, barriers, and facilitators - a mixed-method umbrella review.

Chandrashekar Janakiram1,2, Anju James3,4, Sujay Vivek Vattiprolu3,4

  • 1Department of Public Health Dentistry, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India. sekarcandra@gmail.com.

Evidence-Based Dentistry
|August 2, 2025
PubMed
Summary
This summary is machine-generated.

Supervised toothbrushing programs effectively reduce dental caries in children and adolescents. Key factors for success include knowledge, social support, and environmental resources, as identified by the Theoretical Domains Framework (TDF).

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Area of Science:

  • Public Health
  • Pediatric Dentistry
  • Behavioral Science

Background:

  • Dental caries remains a significant public health issue among children and adolescents.
  • Effective interventions are crucial for improving oral hygiene practices in this demographic.
  • Understanding implementation factors is vital for program sustainability.

Purpose of the Study:

  • To evaluate the efficacy of supervised toothbrushing programs for children and adolescents (ages 3-18).
  • To explore stakeholder perspectives on implementing and sustaining these programs.
  • To identify barriers and facilitators influencing program adoption and long-term success.

Main Methods:

  • An umbrella review following JBI methodology and PRISMA guidelines.
  • Systematic search across multiple databases (MEDLINE, Cochrane, Scopus, etc.).
  • Convergent segregated synthesis of quantitative and qualitative data, applying the Theoretical Domains Framework (TDF).

Main Results:

  • Quantitative synthesis of one systematic review (four trials) showed significant reductions in dental caries with supervised toothbrushing.
  • Qualitative synthesis revealed knowledge, social influences, and environmental context/resources as key enablers and barriers.
  • Social support and knowledge domains were particularly influential, impacting adherence to toothbrushing routines.

Conclusions:

  • Supervised toothbrushing programs demonstrate effectiveness in reducing dental caries in pediatric populations.
  • The Theoretical Domains Framework (TDF) effectively maps barriers (knowledge gaps, environmental constraints) and facilitators for program implementation.
  • Addressing behavioral regulation factors is essential for optimizing program outcomes and sustainability.