{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T23:20:36Z","timestamp":1775863236223,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,9,18]],"date-time":"2023-09-18T00:00:00Z","timestamp":1694995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100014092","name":"International Federation of Dental Hygienists","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014092","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dental Hygiene"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Many pre\u2010school children in Ireland experience dental caries in their primary dentition. The rate of dental caries varies, impacted by the levels of fluoride in the water and socio\u2010economic status (18%\u201355%). This article reports on a novel initiative in which dental hygienists (DHs) supported pre\u2010school teachers (PST) to implement a toothbrushing programme for children attending pre\u2010schools in Ireland. It was hypothesised that such an initiative would create an environment in pre\u2010schools that would improve the oral hygiene skills and habits of children and increase the oral health knowledge of parents and PST.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A storybook (Brushing our teeth with Brush Bunny), a toothbrushing song and information leaflets were developed. DHs were provided with specific online training for the programme. The resources, including toothbrushes and toothpastes, were delivered to the pre\u2010schools and training was provided by the DHs to the PST to prepare for and implement daily toothbrushing sessions. The standards for the toothbrushing programme followed the ChildSmile\u00a9 programme. Before and after questionnaires gathered quantitative and qualitative data from the parents and PST. The toothbrushing programme was implemented by PST for 3\u2009months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixteen DHs and PST from 19 classes in 17 schools successfully delivered the programme to 331 children, and 227 parents completed both pre\u2010 and post\u2010questionnaires. Poor baseline knowledge in relation to the \u2018spit don't rinse\u2019 message increased from 29% to 48%. However, there was no improvement in awareness of the benefits of fluoride in toothpaste. Awareness of the best brushing routines in relation to frequency and length was good at baseline and remained so after the programme. Most parents (90%) felt the programme had impacted positively on their child's toothbrushing routine.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This experimental study suggests that the logistics of implementing a daily toothbrushing routine to improve the oral hygiene skills and habits of pre\u2010school children are possible in Irish pre\u2010school settings when PST are supported by DHs. Parents\u2019 oral health knowledge may be improved, and it may impact positively on the children's daily toothbrushing routine. A larger study is required to confirm these findings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/idh.12760","type":"journal-article","created":{"date-parts":[[2023,9,18]],"date-time":"2023-09-18T20:18:20Z","timestamp":1695068300000},"page":"158-166","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Development, implementation and evaluation of a dental hygienist supported daily toothbrushing programme in Irish pre\u2010schools: A single\u2010case experimental design"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6008-6035","authenticated-orcid":false,"given":"Sviatlana","family":"Anishchuk","sequence":"first","affiliation":[{"name":"Irish Dental Hygienist's Association  Dublin Dental University Hospital, Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0408-8543","authenticated-orcid":false,"given":"Catherine","family":"Waldron","sequence":"additional","affiliation":[{"name":"Irish Dental Hygienist's Association  Dublin Dental University Hospital, Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,9,18]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Oral Health in America: Advances and Challenges","author":"National Institute of Dental and Craniofacial Research","year":"2021"},{"key":"e_1_2_10_3_1","volume-title":"North South Survey of Children's Oral Health in Ireland 2002","author":"Whelton H","year":"2006"},{"key":"e_1_2_10_4_1","unstructured":"TuohyM.A Study of Dental Caries Levels among Three\u2010Year\u2010Old Children in South Tipperary\u2014A Comparison of Medical Card Holders and Non\u2010Medical Card Holders. Thesis submitted in part fulfilment of the requirements for the degree of Master of Dental Public Health. University College Cork;2000."},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12783"},{"issue":"1","key":"e_1_2_10_6_1","first-page":"31","article-title":"Rationale for restoration of carious primary teeth: a review","volume":"58","author":"Finucane D","year":"2012","journal-title":"J Ir Dent Assoc"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2001.tb03370.x"},{"key":"e_1_2_10_8_1","volume-title":"Strategies to Prevent Dental Caries in Children and Adolescents: Evidence\u2010Based Guidance on Identifying High Caries Risk Children and Developing Preventive Strategies for High Caries Risk Children in Ireland","author":"Irish Oral Health Services Guideline Initiative","year":"2009"},{"issue":"2","key":"e_1_2_10_9_1","first-page":"167","article-title":"Behavior management conference panel I report\u2014rationale for behavior management techniques in pediatric dentistry","volume":"26","author":"Adair SM","year":"2004","journal-title":"Pediatr Dent"},{"key":"e_1_2_10_10_1","volume-title":"Population and Migration Estimates, April 2022","author":"Central Statistics Office","year":"2022"},{"key":"e_1_2_10_11_1","unstructured":"Citizensinformation.ie.Early Childhood Care and Education Scheme. Accessed February 6 2023.https:\/\/www.citizensinformation.ie\/en\/education\/pre_school_education_and_childcare\/early_childhood_care_and_education_scheme.html"},{"key":"e_1_2_10_12_1","unstructured":"Dental Council.Scope of Practice.2014.http:\/\/www.dentalcouncil.ie\/files\/Scope%20of%20Practice%20\u2010%20Guidance%20(approved)%20\u2010%2020141203.pdf"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.2016.96.7.e1"},{"key":"e_1_2_10_14_1","unstructured":"NHS Health Scotland.Childsmile\u2014Improving the Oral Health of Children in Scotland. Accessed February 6 2023.https:\/\/www.child\u2010smile.org.uk\/"},{"key":"e_1_2_10_15_1","volume-title":"Brush Bunny","author":"Anishchuk S","year":"2023"},{"key":"e_1_2_10_16_1","volume-title":"Healthy Ireland Smart Start","author":"National Childhood Network","year":"2022"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-6-42"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.27.3.379"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.3310\/hta19990"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-038116"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0058593"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-022-02270-7"}],"container-title":["International Journal of Dental Hygiene"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/idh.12760","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T10:23:15Z","timestamp":1706782995000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/idh.12760"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,18]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1111\/idh.12760"],"URL":"https:\/\/doi.org\/10.1111\/idh.12760","archive":["Portico"],"relation":{},"ISSN":["1601-5029","1601-5037"],"issn-type":[{"value":"1601-5029","type":"print"},{"value":"1601-5037","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,18]]},"assertion":[{"value":"2022-06-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}