JICA GrassRoots Support Project in Bangladesh and Volunteer Activity by Students Teams.
Model Project for Improvement on Oral Health Care in Rural Area in Bangladesh.
Detail of TBI:
Tooth brushing practice is carried out by children of the target schools themselves with small headed tooth brush and paste.
There are many methods/techniques about Toothbrushing as following;
1) BASS
2) STILLMAN'S
3) CHARTER'S
4) MODIFIED BASS
5) (HORIZONTAL) SCRUB
6) FONES' (CIRCULAR)
Because we must use feasible method/technique for in our Dental Camp,
We used Scrub method and BASS method mainly.(Please see Pictures cards belows.)
Scrubbing method/technique is the most feasible method/technique for very young children.
Children 10-15 years can learn the Bass method/technique.
In BASS method/technique, the filaments a toothbrush were push toward roots of teeth at the angle of 45 degree with small vibratory (forward-and-backward)movement.
In addition, brush is placed vertically with vibratory motion(up-and-down strokes) on the lingual surfaces( offen brushing up is not easy by forward-and-backward movement! ) of front teeth.
Fluoride toothpaste:
Fluorine in toothpaste( effective contained material are MFP,NaF etc. below 1000ppmF ) is expected to be effective for preventing caries disease.
Fluoride-containing mouth rinse/mouthwash( effective contained material is NaF. 0.2% for onetime/week 0.05% for onetime/day)
and Modified fluoride toothpaste technique are useful for reducing dental caries.
(1) Squeeze out 2 cm long of the toothpaste.
(2) Two minutes tooth brushing.
(3) Hold the toothpaste around the dentition about half a minute before spitting the toothpaste out.
(4) No post-brushing or rinsing and no eating/drinking for two hours.
But this is not easy for very young children to bear the unaccustomed pungent taste and mint flavor of toothpaste.
(TBI is the Brand-new Experience for many young children)
Topical application of fluoride solution cannot be performed by children / parent themselves , We did not include it in this(our first!) project.
These may be challenges for the future.
( Fluoride makes the enamel (the surface of the teeth) strong but it dose not have effect to prevention against periodontal(gum) disease.)
Dole-out policy have negative repercussions for other programs like maternal and child health project or immunization program.
In order to settle the dispute over the controversial plan( distribution about Toothbrush and Toothpaste),
We gradually reduced the size of toothpaste and ask SMC to purchase Toothbrush and Toothpaste for the health of their children.
Also We scrutinized the market and confirmed good supply of Toothbrush and Toothpaste.
Picture-story in Bengali:
had been shown along with practical tooth brushing demonstration using Large Teeth and Jaw Model and Tooth brush.
For more infomation about this Picture Slide Show, Please contact to Prof. KhurshiduZaman
A Brand-new Experience of TBI and Toothbrushing
and Check Up of the Stay behind Dental Plaque by dyeing after Toothbrushing:
Plaque staining liquid contain a harmless Red-colored dye that is attracted to the plaque on teeth.
It allowing children to easily see areas that they could not brush well.
The dye is easy to be removed with coming tooth brushing.
It's easy to see where children can not brush and to improve their brushing technique.