A randomized, 3-month, parallel-group clinical trial to compare the efficacy of electric 3-dimensional toothbrushes vs manual toothbrushes in maintaining oral health in patients with fixed orthodontic appliances

2021 ◽  
Vol 160 (5) ◽  
pp. 648-658
Author(s):  
Ioulia-Maria Mylonopoulou ◽  
Eudoxie Pepelassi ◽  
Phoebus Madianos ◽  
Demetrios J. Halazonetis
Keyword(s):  
Clinical Trial ◽  
Oral Health ◽  
Orthodontic Appliances ◽  
3 Dimensional ◽  
Parallel Group ◽  
Fixed Orthodontic Appliances

scholarly journals A single-centre investigator-blinded randomised parallel group clinical trial to investigate the effect of probiotic strainsStreptococcus salivariusM18 andLactobacillus acidophiluson gingival health of paediatric patients undergoing treatment with fixed orthodontic appliances: study protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e030638 ◽  
Author(s):  
Eleftherios G Kaklamanos ◽  
Rania Nassar ◽  
Sotirios Kalfas ◽  
Manal Al Halabi ◽  
Mawlood Kowash ◽  
...  
Keyword(s):  
Treatment Group ◽  
Oral Hygiene ◽  
Oral Microbiome ◽  
Control Group ◽  
Orthodontic Appliances ◽  
Single Centre ◽  
Paediatric Patients ◽  
Gingival Health ◽  
Parallel Group ◽  
Fixed Orthodontic Appliances

BackgroundThere is limited data on the beneficial effects of probiotics on the gingival health of patients undergoing treatment with fixed orthodontic appliances. This study aims to compare the effect of probiotic tablets combined with regular oral hygiene versus regular oral hygiene alone on gingival status in these patients. The effect of probiotic intake on plaque formation and salivary microbiome composition will be also assessed.Methods and analysisThis is a 3 month single-centre, single blind (clinical and laboratory examiners), parallel group randomised controlled two arm superiority trial. Fifty paediatric patients attending the Postgraduate Orthodontic Clinic at the Hamdan Bin Mohammed College of Dental Medicine (HBMCDM), Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), Dubai, United Arab Emirates, who meet the eligibility criteria will be recruited. Block randomisation with 1:1 allocation and concealment of allocation will be carried out. The treatment group will receive probiotic tablets containingStreptococcus salivariusM18 andLactobacillus acidophilustogether with regular oral hygiene versus the control group on regular oral hygiene alone. Clinical examination and collection of saliva for microbiome assay will be carried out at baseline and end of study. Self-reporting by patients will be used to document acceptability and adverse effects. Statistically significant decrease in gingival bleeding on probing in the treatment group will be classified as primary outcome of treatment success. Statistically significant reduction in Plaque Index, Gingival Index and shift in the composition of the oral microbiome in favour of beneficial bacteria are secondary outcomes indicative of efficacy of probiotic intake.Ethics and disseminationEthical approval for the study has been granted by the HBMCDM, MBRU, Institutional Review Board (Reference #: MBRU-IRB-2018–015). Study findings will be disseminated via publication in peer-reviewed journal.Trial registration numberISRCTN95085398

Looking at Overtreatment in Esthetic Dentistry as a Professional and Business Approach

2021 ◽  
Vol 66 (Special Issue) ◽  
pp. 125-125
Author(s):  
Alexandru Mester ◽  
◽  
Maria Aluas ◽  
Roxana Bordea ◽  
Ondine Lucaciu ◽  
...  
Keyword(s):  
Oral Health ◽  
Medical Doctor ◽  
Orthodontic Appliances ◽  
Health State ◽  
Dental Esthetics ◽  
Doing Business ◽  
Fixed Orthodontic Appliances ◽  
Dental Practitioners ◽  
Business Approach ◽  
The Right

"Dental practitioners, sometimes, are facing patient’s requests to overtreatment care, which in many situations is completely unnecessary or even dangerous/ risky/ disproportionate to the patient’s (oral) health state/condition. It can include procedures such as: teeth whitening, removal of amalgam fillings, closing diastema, veneers, dental extractions, root canal treatment, dental implants or fixed orthodontic appliances. It is known that dentistry practice belongs to two different and conflicting worlds, medical and business. In front of such situations, dentists should decide the right way of doing their job: being a medical doctor and treating patients or doing business and executing exactly what patients are asking for. Due to these facts, this presentation aims to: 1) identify the main issues related to this dilemma of dentists and 2) offer a better perspective on realizing dental esthetics treatments without jeopardize the oral health of the patient, but also the dentist’s profession and professional integrity. "

scholarly journals The Effect of Fixed Orthodontic Appliances and Fluoride Mouthwash on the Oral Microbiome of Adolescents – A Randomized Controlled Clinical Trial

PLoS ONE ◽  
2015 ◽  
Vol 10 (9) ◽  
pp. e0137318 ◽  
Author(s):  
Jessica E. Koopman ◽  
Nicoline C. W. van der Kaaij ◽  
Mark J. Buijs ◽  
Yassaman Elyassi ◽  
Monique H. van der Veen ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Oral Microbiome ◽  
Controlled Clinical Trial ◽  
Orthodontic Appliances ◽  
Randomized Controlled Clinical Trial ◽  
Randomized Controlled ◽  
Fixed Orthodontic Appliances

scholarly journals The advisability of oral health education of patients treated with fixed orthodontic appliances

2013 ◽  
Vol 123 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Joanna Czaplińska ◽  
◽  
Małgorzata Pobol-Aidi ◽  
Nedal Aidi ◽  
Teresa Matthews-Brzozowska
Keyword(s):  
Oral Health ◽  
Health Education ◽  
Orthodontic Appliances ◽  
Oral Health Education ◽  
Education Of Patients ◽  
Fixed Orthodontic Appliances

scholarly journals Impact of Mouthwashes on Antibacterial Activity of Subjects with Fixed Orthodontic Appliances: A Randomized Clinical Trial

2017 ◽  
Vol 18 (12) ◽  
pp. 1112-1116
Author(s):  
A Nishad ◽  
NS Sreesan ◽  
Joseph Joy ◽  
Lakshmi Lakshmanan ◽  
Joyce Thomas ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Antibacterial Activity ◽  
Randomized Clinical Trial ◽  
Control Group ◽  
Orthodontic Appliances ◽  
Group I ◽  
Fixed Orthodontic Appliances ◽  
Significant Difference ◽  
The Impact ◽  
Experimental Group

ABSTRACT Aim The study aimed to assess the impact of mouthwashes on antibacterial activity of individuals with fixed orthodontic appliances. Materials and methods A total of 60 individuals were considered in the study. Sixty (20 each group) nonextraction class I individuals were randomly divided into experimental and control groups. Group I: Experimental group [chlorhexidine (CHX) mouthwash], group II: Experimental group (neem mouthwash), group III: Control group (distilled water). All the clinical examinations were done at baseline and 30th day respectively, after the start of orthodontic treatment. The mean differences between the different experimental groups were calculated using one-way analysis of variance (ANOVA) test. Results There was no statistical significance at baseline mean plaque index (PI), gingival index (GI) scores, and Streptococcus mutans (SM) colony count between groups. The PI and GI scores among CHX and neem mouthwash groups (p = 0.002, p = 0.032 respectively) were significantly reduced after intervention and also the SM colonies count was reduced in CHX and neem mouthwash groups and there was significant difference between the groups. Conclusion As both mouthwashes showed significant effectiveness on antibacterial activity in individuals with fixed orthodontic appliances, neem mouthwash can be used as an alternative to CHX. Clinical significance It is better to have a sound knowledge regarding the use of mouthwash in long term as fixed orthodontics are associated with accumulation of SM, enamel demineralization, and an increased number of carious lesions, predominantly in sites adjacent to bracket. How to cite this article Nishad A, Sreesan NS, Joy J, Lakshmanan L, Thomas J, Anjali VA. Impact of Mouthwashes on Antibacterial Activity of Subjects with Fixed Orthodontic Appliances: A Randomized Clinical Trial. J Contemp Dent Pract 2017;18(12):1112-1116.

Impact of wearing fixed orthodontic appliances on oral health-related quality of life among Brazilian children

2011 ◽  
Vol 38 (4) ◽  
pp. 275-281 ◽  
Author(s):  
Andréa Antônia Costa ◽  
Meire Coelho Ferreira ◽  
Júnia Maria Serra-Negra ◽  
Isabela Almeida Pordeus ◽  
Saul Martins Paiva
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Orthodontic Appliances ◽  
Health Related Quality ◽  
Fixed Orthodontic Appliances ◽  
Related Quality ◽  
Health Related ◽  
Brazilian Children

scholarly journals A Mobile App (WhiteTeeth) to Promote Good Oral Health Behavior Among Dutch Adolescents with Fixed Orthodontic Appliances: Intervention Mapping Approach (Preprint)

2017 ◽  
Author(s):  
Janneke Francisca Maria Scheerman ◽  
Pepijn van Empelen ◽  
Cor van Loveren ◽  
Berno van Meijel
Keyword(s):  
Oral Health ◽  
Health Behavior ◽  
Literature Search ◽  
Intervention Mapping ◽  
Orthodontic Appliances ◽  
Oral Health Behavior ◽  
Target Behaviors ◽  
Fixed Orthodontic Appliances ◽  
Semistructured Interviews ◽  
Systematic Development

BACKGROUND The insertion of fixed orthodontic appliances increases the risk of dental caries, particularly in adolescents. Caries can be prevented through good oral health behavior. To support adolescents with fixed orthodontic appliances and for promoting oral health behavior, we developed a theory- and evidence-based mHealth program, the WhiteTeeth app. OBJECTIVE The objective of our paper was to describe the systematic development and content of the WhiteTeeth app. METHODS For systematic development of the program, we used the intervention mapping (IM) approach. In this paper, we present the results of applying the first 5 steps of IM to the design of an mHealth program: (1) identifying target behaviors and determinants through problem analysis, including a literature search, a survey study, and semistructured interviews, to explore adolescent oral health behavior during orthodontic therapy; (2) defining program outcomes and objectives; (3) selecting theoretical methods and translating them into practical strategies for the program design; (4) producing the program, including a pilot test with 28 adolescents testing the acceptability and usability of the WhiteTeeth app; and (5) planning implementation and adoption. RESULTS On the basis of our literature search, we identified fluoride use and control of dental plaque levels (eg, tooth brushing and proxy brush usage) as target behaviors for preventing caries. Next, we identified important and changeable determinants of oral health behavior that fitted the theoretical concepts of the Health Action Process Approach (HAPA) theory. The HAPA theory, the self-regulation theory, and the results of the semistructured interviews were used to define the program objectives, that is, the performance and change objectives. After defining the objectives, we identified multiple behavior change techniques that could be used to achieve these objectives, such as providing oral health information and feedback, prompting self-monitoring, coaching of set actions and coping plans, and sending reminders. We translated these methods into practical strategies, such as videos and a brushing timer. Next, we combined these strategies into a single program resulting in the WhiteTeeth app (which is available on both iTunes and Google Play stores as “Witgebit”). Adolescents with fixed orthodontic appliances and dental professionals were included in the development process to increase the success of implementation. The pilot test revealed that the app users appreciated and liked the app. The WhiteTeeth app can be integrated into current orthodontic care. CONCLUSIONS IM allowed us to identify multiple techniques that have been shown to be the most effective in initiating behavior change, but have not yet been incorporated into existing orthodontic apps. The WhiteTeeth app contains all these techniques, which makes it a unique and promising home-based app for promoting oral health in adolescents with fixed orthodontic appliances.

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