Skuteczność usuwania płytki nazębnej u dzieci z uzębieniem mlecznym, stałym i mieszanym

Sara Shamsa¹, *Anna Piróg², Anna Turska-Szybka², Dorota Olczak-Kowalczyk²

Summary
Introduction: Dental plaque plays a crucial role in the development of carious lesions. Most common dental plaque stagnation areas are fissures, anatomical pits, and cervical surfaces.
Aim: The aim of the study was to evaluate the oral hygiene state and to determine areas predisposed to plaque retention depending on the type of dentition.
Material and methods: The study was performed in 60 otherwise healthy patients with age ranging from 3 to 16 (mean age 9 years). They were divided into 3 groups: 1 – with primary dentition (n = 20), 2 – mixed (n = 20), 3 – permanent (n = 20). Dental plaque level was assessed by means of OHI-S index. Most common plaque accumulation areas were identified using GC TriPlaque gel.
Results: Mean OHI-S in first group amounted to 1.23; in second group – 1.14; and third one – 1.12. Mature plaque deposits were observed in all children, in children with permanent dentition mainly on the interproximal surfaces, with primary dentition mainly on the smooth areas. The most plaque retention was observed on the surfaces along the gumline. The most plaque deposits were observed in first quadrant, the least in lower ones. Study revealed that patients who use scrub technique have more old plaque deposits than the others. Patients who rinse their mouth have less plaque retention on buccal surfaces. Only 32% brush their teeth under parent`s supervision. Study revealed that it is helpful in oral care improvement.
Conclusions: Mean OHI-S index (OHI-S > 0.6) showed fair oral hygiene in all study groups. Improvement in brushing skills and oral health education during check-up visits are necessary for both children and their parents.

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