Aspects of Oral Health in Orthodontic Patients

1986 ◽  
Vol 13 (2) ◽  
pp. 95-103 ◽  
Author(s):  
N. Pender
Keyword(s):  
Oral Health ◽  
Oral Care ◽  
First Year ◽  
Gingival Inflammation ◽  
Full Data ◽  
Fixed Appliance ◽  
Tooth Cleaning ◽  
Orthodontic Patients ◽  
Removable Appliance ◽  
Removable Appliances

A longitudinal and transverse study has been carried out on 22 orthodontic patients during their first year of treatment to assess levels of plaque control and gingival inflammation. The scores were of full data and the patients randomly arranged on a split mouth cross-over design to study the effects of patient oral care and selective tooth cleaning on levels of oral health. The results are analysed in respect of upper fixed, lower fixed and upper removable appliances, comparing and contrasting quadrants that have been treated differently. Plaque levels appear constant, whereas levels of gingival inflammation are consistently worse during treatment but only in certain areas of the mouth. Levels of plaque and gingivitis are well controlled. There appears to be no hygiene disadvantage to an upper removable appliance when compared with an upper fixed appliance though the effect differs in relation to the tooth aspect considered. The significance of the findings is discussed.

Changes in the Complexity of Orthodontic Treatment for Patients Referred to a Teaching Hospital

1988 ◽  
Vol 15 (1) ◽  
pp. 27-32 ◽  
Author(s):  
C. D. Stephens ◽  
N. W. Harradine
Keyword(s):  
General Practitioner ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Further Training ◽  
Fixed Appliance ◽  
Dental Hospital ◽  
Orthodontic Patients ◽  
Specialist Treatment ◽  
Fixed Appliances ◽  
Removable Appliance

The records of 200 orthodontic patients accepted for treatment by the Orthodontic Department of the Bristol Dental Hospital in 1977 were compared with 200 taken on in 1985 in order to determine whether there had been any change in the proportion of referred cases requiring more complex procedures. Within each sample, cases were categorized as follows: (a) suitable for removable appliance treatment by an undergraduate or general practitioner; (b) requiring simple one arch fixed appliance treatment such as might he attempted by a general practitioner after a period of further training; (c) needing specialist treatment such as full multibracketed fixed appliances or orthognathic surgery. It was found that there had been no change in the proportions of simple and complex cases referred during the 8-year period although the proportion of patients now receiving complex treatment had increased greatly. Possible explanations and implications are discussed.

scholarly journals Oral health promotion in early childhood: age of joining preventive program and behavioral aspects

2014 ◽  
Vol 12 (1) ◽  
pp. 6-10 ◽  
Author(s):  
Letícia Vargas Freire Martins Lemos ◽  
Silvio Issáo Myaki ◽  
Luiz Reynaldo de Figueiredo Walter ◽  
Angela Cristina Cilense Zuanon
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Educational Level ◽  
Oral Care ◽  
First Year ◽  
Oral Health Promotion ◽  
Night Feeding ◽  
Behavioral Aspects ◽  
First Year Of Life

Objective : To analyze the interference of age in the entrance into a public dental care program for infants as well as family behavioral aspects about tooth decay experience in children 0 to 4 years old. Methods : Cross-sectional study involving 465 children who were divided into 3 groups: infants whose mothers joined the program during pregnancy (n=50); infants enrolled in the program during the first year of life (n=230); and infants enrolled in the program between 13 and 18 months old (n=185). The χ2 and Kruskal-Walis tests (95% confidence interval) were used to assess the relationship among variables. Results : There was an association between the age of entrance in the programs and dental caries (p<0.001). A lower prevalence was seen in infants whose mothers joined the program during pregnancy, and among those infants enrolled in the program during the first year of life. The same low prevalence occurred in relation to mothers’ commitment to attend follow-up visits with their infants, cariogenic diet, nighttime oral care, duration of night feeding and parents’ educational level (p<0.001). Unfavorable socioeconomic conditions (p>0.05) and daily oral care (p=0.214) were common variables in the groups with 99% of occurrence. Commitment to attend follow-up visits, nighttime oral care and parents’ educational level (p>0.05) were considered protective factors for dental caries. Cariogenic diet and night feeding were determinant factors to the appearance of dental caries. Conclusion : To promote children oral health it is essential to enroll children in oral health programs and adopt healthy habits as early as possible, besides the adherence of the child to their parents’ advice.

The Occlusal Index Used to Assess Orthodontic Treatment

1975 ◽  
Vol 2 (1) ◽  
pp. 47-51 ◽  
Author(s):  
Elizabeth A. Pickering ◽  
Peter Vig
Keyword(s):  
Orthodontic Treatment ◽  
Quantitative Assessment ◽  
Objective Analysis ◽  
Treatment Results ◽  
Fixed Appliance ◽  
Mean Values ◽  
London Hospital ◽  
Significant Difference ◽  
Removable Appliance ◽  
Removable Appliances

Search of the literature has failed to reveal any previous objective analysis of changes produced by treatment. Using the Occlusal Index a survey was carried out on study models of patients accepted for treatment in the Orthodontic Department of The London Hospital, over a nine year period (1963–71). The spread of severity of malocclusion of these patients was assessed to see if there had been a gradation in severity through the period as reflected by a trend in the yearly mean values of the Occlusal Index scores. Analysis of the results failed to show any discernible trend. The Occlusal Index was used to gain an objective and quantitative assessment of change produced by treatment and subsequently to correlate this change with the use of fixed and removable appliances. A slight but statistically significant difference was apparent in treatment results. Fixed appliance cases showed superiority to removable appliance cases, producing a better end result and greater degree of improvement. The difficulties in the use of application of the Occlusal Index to British cases are discussed and suggestions are made for modification.

The Effect of Orthodontic Appliances on the Distribution of Candida and Plaque in Adolescents

1982 ◽  
Vol 9 (3) ◽  
pp. 158-163 ◽  
Author(s):  
M. Addy ◽  
W.C. Shaw ◽  
P. Hansford ◽  
M. Hopkins
Keyword(s):  
Culture Technique ◽  
Orthodontic Appliances ◽  
Fixed Appliance ◽  
Selective Media ◽  
Local Factors ◽  
Oral Carriage ◽  
Removable Appliance ◽  
Removable Appliances ◽  
Removable Orthodontic Appliances ◽  
Oral Hygiene Instruction

The site prevalence and intra-oral density of Candidal organisms may be increased by local factors including prostheses. However, whether significant changes in Candidal carriage occurs with denture wearing is not clearly established. This study employed the imprint culture technique to assess the effects of fixed and removable orthodontic appliances on oral carriage, site prevalence and intra-oral density of Candida in adolescents. Moreover, alterations in plaque distribution were measured. Groups of 12–16 year olds without or wearing fixed and removable appliances were studied. Imprint cultures were taken from six intra-oral sites and colony counts recorded after 48 hours incubation on selective media. Plaque scores were recorded from non-appliance and removable appliance wearers. The prevalence of Candidal carriage in the groups was not significantly different being 46 per cent of non-appliance, 51 per cent of fixed appliance and 52 per cent of removable appliance wearers. However, the prevalence of Candidal recovery at some sites and Candidal densities at all sites were significantly increased in both fixed and removable appliance wearers. Thus orthodontic appliances may predispose to Candidal proliferation in oral carriers. However, the results do not permit the conclusion that appliances may change non-carriers of Candida to carriers. Plaque distribution was significantly altered in removable appliance wearers when compared with non-appliance wearers as a result of increases in palatal plaque scores. These findings again emphasize the particular need for oral hygiene instruction in patients wearing appliances or partial prostheses.

scholarly journals A randomized controlled trial of self-perceived pain, discomfort, and impairment of jaw function in children undergoing orthodontic treatment with fixed or removable appliances

2015 ◽  
Vol 86 (2) ◽  
pp. 324-330 ◽  
Author(s):  
Anna-Paulina Wiedel ◽  
Lars Bondemark
Keyword(s):  
Controlled Trial ◽  
Leisure Activities ◽  
Mixed Dentition ◽  
Fixed Appliance ◽  
Perceived Pain ◽  
Fixed Appliances ◽  
Jaw Function ◽  
Functional Shift ◽  
Removable Appliance ◽  
Removable Appliances

ABSTRACT Objective:  To compare patients’ perceptions of fixed and removable appliance therapy for correction of anterior crossbite in the mixed dentition, with special reference to perceived pain, discomfort, and impairment of jaw function. Material and Methods:  Sixty-two patients with anterior crossbite and functional shift were recruited consecutively and randomized for treatment with fixed appliances (brackets and archwires) or removable appliances (acrylic plates and protruding springs). A questionnaire, previously found to be valid and reliable, was used for evaluation at the following time points: before appliance insertion, on the evening of the day of insertion, every day/evening for 7 days after insertion, and at the first and second scheduled appointments (after 4 and 8 weeks, respectively). Results:  Pain and discomfort intensity were higher for the first 3 days for the fixed appliance. Pain and discomfort scores overall peaked on day 2. Adverse effects on school and leisure activities were reported more frequently in the removable than in the fixed appliance group. The fixed appliance group reported more difficulty eating different kinds of hard and soft food, while the removable appliance group experienced more speech difficulties. No significant intergroup difference was found for self-estimated disturbance of appearance between the appliances. Conclusions:  The general levels of pain and discomfort were low to moderate in both groups. There were some statistically significant differences between the groups, but these were only minor and with minor clinical relevance. As both appliances were generally well accepted by the patients, either fixed or removable appliance therapy can be recommended.

scholarly journals New Water Irrigator For Cleaning Dental Plaque

2018 ◽  
Vol 6 (10) ◽  
pp. 299-305
Author(s):  
Azrul Hafiz Abdul Aziz
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Dental Plaque ◽  
Tooth Enamel ◽  
New Device ◽  
Tooth Cleaning ◽  
Cleaning Device ◽  
Orthodontic Patients ◽  
Fixed Appliances ◽  
Gum Disease

Patient with fixed appliances (braces) must have good oral hygiene to prevent dental caries, decalcification, periodontal problems and oral health diseases. Many orthodontic patients’ complaint of not able to clean between their fixed appliances (braces) due to the arch wires prevented the insertion of the toothbrush. Food can also get stuck between the fixed appliances and their teeth. This could result in dental cavity and gum disease for this patient if left untreated. In this study, a new device of tooth cleaning was tested against normal tooth brushing. A new cleaning device which uses water irrigation to remove dental plaque on tooth enamel surfaces were develop for this study. Both method of tooth cleanings was compared between each other on the effectiveness to remove dental plaque on tooth enamel surfaces. In the end, water irrigator was found to be slightly more effective to clean dental plaque.    

scholarly journals Herbal mouthwashes for oral health care-A paradigm shift

2021 ◽  
Vol 8 (3) ◽  
pp. 100-102
Author(s):  
Pavita Kataria ◽  
Harpreet Singh ◽  
Davinderjit Kaur Shergill
Keyword(s):  
Dental Health ◽  
Oral Care ◽  
Aloe Vera ◽  
Herbal Medicines ◽  
Gingival Inflammation ◽  
Herbal Products ◽  
Cleaning Agents ◽  
Tooth Cleaning ◽  
Review Study ◽  
And Control

Herbs have been used since centuries to prevent and control various diseases. Being low in cost, safe, and easily available, herbal medicines are staging a comeback globally, owing to their antimicrobial, antifungal, anti-inflammatory, and anti-carcinogenic properties. In dentistry, herbal extracts have been widely used in tooth cleaning agents and mouthrinses. The present study is aimed at reviewing various extracts of herbal products and their effects on dental health. From this review study, it is evidenced that Aloe vera, Neem, Clove Oil, Castor Oil, and Peppermint showed better results than conventional mouthwashes in dental plaque and gingival inflammation reductions. However, preclinical and clinical trials are needed to gauge biocompatibility and safety before herbal medicines are often recommended conclusively for oral care.

Pregnancy & Oral Health and Dental Management in Pregnant Patient

2020 ◽  
Vol 3 (11) ◽  
Author(s):  
Dr. Vishal Thakur ◽  
Dr. Reetika Thakur ◽  
Dr. Manpreet Kaur ◽  
Dr. Jasleen Kaur ◽  
Dr. Atul Kumar ◽  
...  
Keyword(s):  
Birth Weight ◽  
Preterm Birth ◽  
Oral Health ◽  
Human Body ◽  
Oral Hygiene ◽  
Pregnancy Outcomes ◽  
Oral Care ◽  
Pregnant Patient ◽  
Dental Management ◽  
Exciting Time

Pregnancy is a unique, exciting time in a woman's life, and there are so many changes going on in human body during pregnancy and mouth is no exception , so good oral hygiene is extremely important during pregnancy . Usually oral health is often the most neglected form of health during all stages of life & the most important cause for this neglection is lack of awareness among people & this problems also increases when a lady is pregnant because of mis-perceptions and mis-leading information in the society or due to lack of knowledge. But the fact is during pregnancy many complex physiologic changes occur in the women’s body, which can adversely affect oral health and in turn those oral health problems may lead to pregnancy outcomes like preterm birth or low birth weight. Proper oral care is of utmost importance during pregnancy to avoid these complications. Avoiding foods that may cause oral problems, proper brushing and flossing and having dental consultations on a regular basis are steps to ensure good oral health during pregnancy.

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