![]() On the contrary, for GII (without disclosing), the association between these factors was not found ( p > 0.05), indicating that in those cases, the longest duration of the procedure did not necessarily imply in a better quality of the prophylaxis. In the case of prophylaxis duration, when considering GI (with disclosing), there was an inverse correlation between the dental plaque index and prophylaxis duration, that is, the longer the procedure duration, the smaller the amount of remaining dental plaque on teeth, for smooth and occlusal surfaces. The amount of dental plaque was verified through the following indexes: Greene and Vermillion 15-smooth surfaces and Mestrinho, Carvalho, and Figueiredo 16-occlusal surfaces ( Fig. The study conditions were disclosing of dental plaque before professional prophylaxis (GI-disclosing) and professional prophylaxis without dental plaque disclosing (GII-control). For this purpose, an opaque black envelope contained cards with numbers #1 and #2 to indicate the group in which the child would be allocated at the beginning of the study. Thereafter, the children were randomized into two groups. Children had their teeth dried with gauze and stained with 1% malachite green solution for the habitual plaque index record by the examiner. After the agreement in participating in the study, informed consent was obtained from all parents or legal guardians of the minors. Taking these aspects into account, this study aimed to clarify whether dental plaque disclosing before professional prophylaxis would improve the visualization of dental plaque, therefore optimizing the procedure.Ī randomized crossover clinical trial was conducted in which the same child ( n = 25) was evaluated under the two studied conditions, after a washout period of 1 month. ![]() Within this context, the dental plaque visualization by disclosing solutions could be an auxiliary method for dental prophylaxis in young children, improving the procedure quality, although it has not been described in the literature. 14Ĭonsidering its important role in ECC prevention, it is mandatory that professional dental prophylaxis is capable of removing dental plaque effectively, thus enabling the counterbalance of oral hygiene performed at home. 13 Thus, a dentist can help to control dental plaque through periodic professional dental prophylaxis. 12 Although most of the parents understand that hygiene is important to maintain oral health, it is common that they have difficulty in executing tooth brushing of the infants and preschool children at home. 11 Notwithstanding, instructions on oral hygiene and dietary habits alone are not enough to assure effectiveness. 10 In the first year of the child's life, the preventive measurements aim to instruct and teach the parents/legal guardians. Given this context, prevention is the procedure of choice that should be ideally executed before the course of the disease, 9 since it is cost-saving, compared with surgical treatment. 4 At an advanced stage, ECC may result in infection and pain, 5 in addition to alterations in mastication, speech, and breathing, 6 which can affect the general health, therefore jeopardizing the quality of life, 7 growth, and development 8 of children with deep caries lesions. 1 Additionally, the term ECC reflects the multifactorial etiologic process 2, 3 that has been influenced by many social and behavioral factors, including diet, oral hygiene procedures, and fluoride exposure. ![]() ![]() ![]() Early childhood caries (ECC) is defined as the presence of one or more decayed (non-cavitated or cavitated lesions), missing (because of caries), or filled tooth surfaces in any primary tooth in a child aged 71 months or younger. ![]()
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