title: Plaque reduction in school children using a disposable brush pre-pasted with xylitol toothpaste.
abstract: OBJECTIVE
  The epidemiological data from many countries indicates a global increase in dental caries in children and adults. The purpose of this study was to determine if children in a school setting would accept an after lunch brushing program and if such program would be effective in reducing plaque.
  
  
  METHODS
  A small school of 300 students in Eastern Tennessee was selected to participate of which 200 elected to brush after lunch for 30 school days. Fifty-four students' anterior teeth were stained with a disclosing solution before, during and at the end of the study. The 54 students represented 4 students from each grade level, kindergarten through eighth grade
  
  
  METHODS
  An ADA approved 27 tuft brush pre-pasted with a paste made with 49% by weight of xylitol was given to each child after lunch. The paste did not require water or the need to spit. A short, 4 minute, musical educational video on correct brushing was designed with the assistance of the mathematics teacher to be shown while the students brushed.
  
  
  RESULTS
  The students, principal, and the staff readily accepted the concept and were very cooperative and appreciative. The reduction in plaque levels was dramatic.
authors.forename: Barry L
authors.initials: BL
authors.lastname: Hopper
authors.forename: Franklin
authors.initials: F
authors.lastname: Garcia-Godoy
mesh_terms: D000293:Adolescent; D001294:Attitude to Health; D001296:Audiovisual Aids; D002327:Cariostatic Agents / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D004396:Coloring Agents; D003773:Dental Plaque / Q000175:diagnosis / Q000517:prevention & control*; D003774:Dental Plaque Index; D004209:Disposable Equipment; D005240:Feasibility Studies; D006267:Health Education, Dental / Q000379:methods; D006801:Humans; D007180:Incisor / Q000473:pathology; D023861:Photography, Dental; D012571:School Dentistry; D014099:Toothbrushing / Q000295:instrumentation*; D014100:Toothpastes / Q000627:therapeutic use*; D014742:Videodisc Recording; D014993:Xylitol / Q000627:therapeutic use*
chemical_list: D002327:Cariostatic Agents; D004396:Coloring Agents; D014100:Toothpastes; D014993:Xylitol