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      Are Dentists Hypocrites? Oral Self-care Habits and Self-reported Oral Health Status among Dentists and Non-dentists in Croatia

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          Abstract

          Objectives

          Dentists provide dental care to their patients and educate them on their oral hygiene and how to maintain oral health. This paper aimed to determine whether dentists are hypocritical when advising their patients on oral hygiene procedures and dental treatments because they do not apply to themselves what they recommend to others.

          Material and methods

          This is a self-reported study conducted through an online survey questionnaire completed by 1001 participants, of whom 551 were non-dentists and 450 dentists. This is the first study on oral hygiene habits and oral status among dentists in Croatia. This research included almost 10% of the total number of working dentists in Croatia.

          Results

          In terms of dental hygiene habits, dentists brushed, flossed and used interdental brushes more frequently, and they also changed toothbrushes more frequently, whereas they attended check-ups less frequently. Dentists also reported a smaller number of teeth with cavities, a greater number of teeth with fillings, a greater number of extracted teeth, and a greater number of dental crowns, but a smaller number of healthy teeth compared to general population. However, dentists had a much higher proportion of participants over 30 years of age, and when sub-analysis of participants over 30 years of age was performed, dentists had a greater number of healthy teeth compared to the general population.

          Conclusions

          The results showed that dentists are aware of the importance of their oral health and that they do not pay attention only to their oral hygiene habits, but also apply advice they give their patients. Therefore, they cannot be considered hypocritical.

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          Most cited references16

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          Oral Health Attitudes and Behavior among a Group of Turkish Dental Students

          Objectives The purpose of this study was to evaluate self-reported oral health attitude and behavior among a group of Turkish dental students and to compare differences in oral health attitudes between years of study and gender. Methods This study included 267 (153 female, 114 male) dental students. A modified English version of Hiroshima University Dental-Behavioral Inventory (HU-DBI) which consists of twenty-eight dichotomous responses (yes-no) was used. Results Totally 141 preclinical (1, 2 and 3rd years of study) and 126 clinical students (4 and 5th years of study) who were mean age of 21.16 participated in the study. Statistically significant differences were found between years of study for brushing each of teeth carefully, cleaning the teeth well without using toothpaste, using a toothbrush which has hard bristles and for having had their dentist tell that they brush very well. There were statistically significant differences between females and males for using a toothbrush which has hard bristles and using tooth floss regularly. Statistically significant differences were found for brushing each of the teeth carefully and using mouth wash on regular basis between smokers and non-smokers. Conclusions This study confirmed that oral and dental health behavior and attitudes and also their knowledge about oral and dental health care of dental students improved with increasing level of education while oral and dental health care of female students were better than males and oral and dental health care of non-smokers were better than smokers.
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            Assessment of the oral health behavior, knowledge and status among dental and medical undergraduate students: a cross-sectional study

            Background It is widely accepted that oral health plays an important role in overall health. Both dental and medical students are expected to possess good oral health awareness and work together for public oral health promotion especially in developing countries like China. The aim of this study was to assess the oral health knowledge, behavior and status of dental and medical undergraduate students in the first (fresh) and third year (before specialized courses) study. Methods A self-administered structured questionnaire with 13 questions was designed based on oral health knowledge, behavior and status and a cross-sectional study was conducted among the 1st, 3rd year dental students (1DS, 3DS) and medical students (1MS, 3MS) of Sichuan University in Chengdu, China, in the period of September–December 2017. The data was analyzed by chi-square test using IBM SPSS Statistics v. 21.0. Results The oral health behavior, consciousness and status of the 1st, 3rd year medical and dental students were not optimistic. Dental freshmen were slightly superior to the medical ones in terms of the brushing methods and the awareness of oral disease-systemic disease relationship. The junior dental students showed highly significant improvement than their counterparts, mainly in the items about frequency of brushing teeth, brushing methods of vertical scrub or Bass technique (66.3%), usage of floss or mouth wash (49.7%), causes of caries, periodontal diseases and system diseases (56.9–83.4%). The rates mentioned above were 36.1, 15.8%, 26.7–43.6% among 3MS, respectively. In terms of oral health status, significant differences were only observed in junior students. The prevalence rates of bad breath, gum bleeding, and tooth discoloration among 3DS were obviously lower than those of 3MS. However, only a total of 17.2% junior students had a good oral health, including 23.8% dental students and 11.4% medical students. Conclusions Our study provided a new understanding of oral health knowledge, behavior and status among dental and medical students, which may help to promote the reform of oral health education and establish a model for clinicians and dentists to work together for improving oral health.
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              Toothbrush wear in relation to toothbrushing effectiveness

              Abstract Objective To investigate to what extent the degree of toothbrush wear of 3‐month‐old manual toothbrushes influence plaque scores. Material and methods During a recently published study with a follow‐up of 1 year, all participants performed a similar basic home‐based oral hygiene regimen. Hence, they were instructed to brush for 2 minutes twice daily according to the Bass method technique and using a standard dentifrice containing sodium fluoride. Toothbrushes were turned in every 3‐month, and the degree of wear was scored. The mean plaque score data were additionally analysed and correlated with wear scores of the toothbrushes. Results For analysis, for each of 172 individual participants, a set of three identical, 3‐month‐old used toothbrushes were available. Toothbrush wear varied widely between participants. However, per patient, the 3‐month wear status of the three evaluated toothbrushes was strongly correlated (rho = 0.8, P < 0.0001). Participants who returned toothbrushes with extreme wear had significantly higher plaque scores than those who returned toothbrushes with no visible or light wear (P = 0.01). Conclusion Toothbrush wear per individual patient is fairly consistent. Toothbrushes with extreme wear were less effective than those with no or light wear. Therefore, bristle splaying appears to be a more appropriate measure of brush replacement time then the commonly used toothbrush age. Splaying of the outer tufts beyond the base of the toothbrush is a condition that indicates it is time to change the brush.
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                Author and article information

                Journal
                Acta Stomatol Croat
                Acta Stomatol Croat
                ASC
                Acta Stomatologica Croatica
                University of Zagreb School of Dental Medicine, and Croatian Dental Society - Croatian Medical Association
                0001-7019
                1846-0410
                March 2024
                March 2024
                : 58
                : 1
                : 59-75
                Affiliations
                [1 ]deptDepartment of Dental Anthropology , University of Zagreb School of Dental Medicine
                [2 ] University Hospital Centre Zagreb
                [3 ]Health Center , Šibenik, Croatia
                [4 ]deptClinical department of Anesthesiology, Resuscitation and Intensive Care Medicine , University Hospital Dubrava , Zagreb, Croatia
                [5 ]Chair of deptAnesthesiology and Reanimatology , University of Zagreb School of Dental Medicine
                [6 ]deptDepartment of Surgery , University Hospital Merkur , Zagreb, Croatia
                Author notes
                Address for correspondence: Asst. professor Andrej Šribar, MD, PhD, University of Zagreb School of Dental Medicine, University Hospital Dubrava, Zagreb, Croatia, asribar@ 123456sfzg.unizg.hr

                Author’s contribution

                M.V. – Conceptualization, Writing - original draft, Supervision; A.B. - Data curation; Investigation; A.Š. - Formal analysis; Methodology; Writing - original draft; O.Š. – Resources, Writing - review and editing.

                Author information
                https://orcid.org/0000-0002-1935-8657
                https://orcid.org/0000-0002-6517-9895
                https://orcid.org/0000-0001-5034-4993
                Article
                ASC_58(1)_59-75
                10.15644/asc58/1/6
                10981909
                38562218
                5284057c-8c83-4e43-b76f-424b209bb904
                University of Zagreb School of Dental Medicine

                This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND) 4.0 License.

                History
                : 15 December 2023
                : 22 February 2024
                Categories
                Original Scientific Papers

                oral hygiene,dentist,non-dentist,oral status,mesh terms: patients,self assessment,dentist-patient relation

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