Dental Plaque Control Case Study

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From several years the challenge of dental plaque control has been accepted by the scientist worldwide. An efficient therapeutic strategy for dental plaque control and periodontal disease has not been established yet. Removing plaque has been carried out as the treatment for periodontal disease. In spite of this treatment, however, plaque development recurs. The currently available anti-plaque products are mostly antimicrobial compounds. Long-time therapy with antibiotics, however, may cause the appearance of resistant bacteria.
Similarly the control of dental plaque risk factors has been considered to be very important in prevention of the dental diseases. Thus it indicates the necessity of understanding the scenario of risk factors within
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Dombivli and 28 patients from rural region i.e. Mulgaon and Kulgaon. From this survey an attempt was made to correlate the food habits, oral hygiene and their influence in dental plaque formation. The data obtained from the patients from rural and urban region were compared with the type of biofilm and the type of clinical symptoms. Frequency of each individual parameter was calculated and it was checked for its relation with the dental plaque formation.
A questionnaire was designed which included gender, age, food habit, frequency of tea and sweet consumption, tobacco addiction and occurrence of diabetes. With the help of the survey, each factor and the occurrence of clinical symptoms like gingivitis and periodontitis were correlated.
Rural and urban population follows different diets and use different types of dental health care products. e.g. in urban population toothpaste, tooth powder were observed while rural population mainly uses charcoal powder. Also, frequency of cleaning the teeth affects the oral health status. Immuno- compromised persons with an old age and the presence of diabetes were also considered as important factors while conducting a survey. Intake of tobacco in any form (i.e. smoking and chewing) damages gingiva and provide easy access to
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Most of the patients (i.e. 65%) belong to age group between 21 years to 40 years. Food habit of 16 cases (57%) were non vegetarian while 12 cases (43%) had vegetarian food habit. Also 27 patients (97%) were had habit of tea consumption, of which 50% patients were use to drink the tea more than 4 time per day. Incidence of tobacco addiction was found in 12 patients (43%) and only 6 patients (22%) were found diabetic. Sweet consumption was observed in 20 patients (75%), which were used to eat sweets more than one time per day.
Total 3 patients (10%) were using mouthwash for cleaning their teeth and 24 patients (85%) were brushing their teeth only once in a day using toothpaste. Although most of the patients had no symptoms, but gingivitis, pain, swelling in gingivum, bleeding gums were observed in the patients from rural region.
Biostatistical analysis was carried out to study the association of each factor with the type of dental plaque (biofilm formation). Table 1 represents the biostatistical analysis of the survey of the patients from urban region.
Based on the contingency coefficient value it was observed that “age, gender, food habit, diabetes, use of toothpowder, mouthwash” were least associated factor that influences the type of biofilm formation in patients from rural

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