Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2015, vol. 21, issue 3
Subject Area: Dental Medicine - Pediatric Dentistry
Pages: 879-882
DOI: 10.5272/jimab.2015213.879
Published online: 23 September 2015

J of IMAB 2015 Jul-Sep;21(3):879-882
Dobrinka M. Damyanova1Corresponding Autor, Vladimir E. Panov1, 2, Sirma T. Angelova1,
1) Department of Pediatric Dentistry, Faculty of Dental Medicine, Medical University of Varna, Bulgaria
2) Department of Conservative Dentistry and Oral Pathology, Faculty of Dental Medicine, Medical University - Varna, Bulgaria.

Background:  Providing and maintaining proper oral hygiene is related with the control of initiation and progression of dental caries and periodontal diseases.
Objective: To accentuate on the application and effectiveness of standardized motivational program for oral hygiene in children with assessment of OHI-S Green-Vermillion.
Methods: The study includes 200 children from 3 to 6 years of age. Comparison and evaluation of effectiveness of toothpastes with different fluoride concentrations regarding proper hygiene status in children. Application of OHI-S by Green-Vermillion. Examined children are divided into two groups. The first group consists of 100 children divided into two subgroups. The subgroup of children aged from 3 to 5 years washed their teeth with toothpaste containing 500 ppm F. The subgroup of children at the age of 6 used toothpaste containing 1000 ppm F. Concerning the second, control group of 100 children no specific motivation activities were provided.
Results: Among children being influenced by standardized motivation program combined with application of toothpaste with 500 ppm F, 45% show better oral hygiene level. Among children influenced by standardized motivation program and toothpaste of 1000 ppm F, 20% of them are with improved oral hygiene status. Reduction of the OHI-S values in children from 3 to 5 years is established from 1.92 to 1.16. In children at the age of 6 OHI-S is reduced from 1.67 to 1.14.
Conclusion: 1. All children improve their oral hygiene status after a period of training and motivation.
2. In children at high decay risk standardized motivation program should be combined with additional prophylactic approaches.

Key words: oral hygiene index, motivation, fluoride concentrations,

- Download FULL TEXT /PDF 583 KB/
Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Damyanova DM, Panov VE, Angelova ST. Improvement of oral hygiene status in children influenced by motivation programs. J of IMAB. 2015 Jul-Sep;21(3):879-882.

Correspondence to: D-r Dobrinka M. Damyanova, Department of  Pediatric Dentistry, Faculty of  Dental Medicine, Medical University – Varna; 84, Tzar Osvoboditel, 9000 Varna, Bulgaria; E-mail:

1. Rashkova M, Peneva M, Doychinova L. Study of the risk factors for the development of dental caries and creation of a system for evaluation of the risk of caries in children. OHDMBSC. 2008 Jun;7(2):3-11.
2. Campbell JR, Moss ME, Raubertas RF. The association between caries and childhood lead exposure, Environ Health Perspect. 2000 Nov;108(11):1099-1102. [PubMed]
3. Dos Santos AP, Nadanovsky P, de Oliveira BH. A systematic review and meta-analysis of the effects of fluoride toothpastes on the prevention of dental caries in the primary dentition of preschool children, Community Dent Oral Epidemiol. 2013 Feb;41(1):1-12. [PubMed] [CrossRef]
4. Doichinova L, Mitova N, Bakardjiev P. Assessment of the Effectiveness of Different Methodologies for Oral Hygiene Training. MedInform. 2014; 1(2):52-60. [CrossRef]
5. Peneva M, Rashkova M, Doychinova L. Age distribution of caries lesions in children,s permanent teeth-a basis for the choice of a therapeutic solution. J of IMAB. 2007; 13(2):58-60.
6. Ten Cate JM. Current concepts on the theories of the mechanism of action of fluoride, Acta Odontol Scand. 1999 Dec;57(6):325-9. [PubMed]
7. Lata S, Varghese NO, Varughese JM. Re-mineralization potential of fluoride and amorphous calcium phosphate-casein phosphor peptide on enamel lesions: an in vitro comparative evaluation.  J Conserv Dent. 2010 Jan-Mar;13(1):42-6. [PubMed] [CrossRef]
8. Marinho VC, Higgins JP, Sheiham A, Logan S. One topical fluoride (toothpastes, or mouthrinses, or gels, or varnishes) versus another for preventing dental caries in children and adolescents. Cochrane Database Syst Rev. 2004; (1):CD002780. [PubMed] [CrossRef]
9. Marinho VC, Higgins JP, Sheiham A, Logan S. Combinations of topical fluoride (toothpastes, mouthrinses, gels, varnishes) versus single topical fluoride for preventing dental caries in children and adolescents. Cochrane Database Syst Rev. 2004; (1):CD002781. [PubMed] [CrossRef]
10. Robinson C, Shore RC, Brookes SJ, Strafford S, Wood SR, Kirkham J. The chemistry of enamel caries. Crit Rev Oral Biol Med. 2000; 11(4):481-95. [PubMed] [CrossRef].

Received: 26 July 2015
Published online: 23 September 2015

back to Online Journal