scholarly journals Seven-year follow-up of a patient with hereditary gingival fibromatosis treated with a multidisciplinary approach: case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ning Li ◽  
Wenfang Wang ◽  
Yuanyuan Sun ◽  
Hongning Wang ◽  
Tiejun Wang
Keyword(s):  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Long Term Results ◽  
Orthodontic Appliances ◽  
Gingival Hyperplasia ◽  
Fixed Orthodontic Appliances ◽  
Gingival Enlargement ◽  
Gingival Fibromatosis

Abstract Background Hereditary gingival fibromatosis (HGF) is rare in clinical practice, and the long-term results of the combined orthodontic-periodontal treatment of HGF are rarely reported. Case presentation This study reports for the first time the results of seven years of follow-up in a seven-year-old girl with HGF. The diagnosis was confirmed by clinical signs, family history and histopathological examination. First, periodontal scaling and oral hygiene reinforcement were performed regularly in the mixed dentition stage. Next, gingivoplasty was performed on the permanent dentition. Two months after the surgery, treatment with fixed orthodontic appliances was conducted. The teeth were polished on a monthly basis, and oral hygiene was reinforced to control gingival enlargement. Gingival hypertrophy recurred slightly, and gingivectomies were performed in the months following the start of orthodontic treatment. Follow-up was performed for 24 months with orthodontic retention, and gingival enlargement remained stable after the combined treatment. Conclusions The risk of gingival hyperplasia recurrence during and after orthodontic treatment is high, but satisfying long-term outcomes can be achieved with gingivectomy, malocclusion correction, and regular follow-up maintenance.

scholarly journals EVALUATION OF DENTAL EDUCATION AND ORAL HYGIENE OF PATIENTS UNDERGOING ORTHODONTIC TREATMENT

2017 ◽  
Vol 21 (2) ◽  
pp. 82-84
Author(s):  
S. Yu Kosyuga ◽  
D. I Botova
Keyword(s):  
Oral Cavity ◽  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Dental Education ◽  
Dental Status ◽  
Orthodontic Appliances ◽  
Hygienic Condition ◽  
Rational Use ◽  
Fixed Orthodontic Appliances

During long-term orthodontic treatment there are various complications associated with a reduction in the level of hygiene. The article is devoted to the study of the hygienic condition of the oral cavity and the level of dental education in dynamics in patients undergoing orthodontic treatment. The examination and questioning of 40 patients aged from 18 to 35 years with fixed orthodontic appliances. In patients after 12 months of use braces deteriorating hygienic condition of the oral cavity. Care should be taken to inform patients about the care products and hygiene items, and their rational use, depending on the timing of orthodontic treatment and dental status.

Changes in the contents of the oral flora, in gingival hypertrophy caused by fixed orthodontic appliances (Preprint)

2020 ◽  
Author(s):  
Ilma Robo ◽  
Saimir Heta ◽  
Enxhi Gjumsi ◽  
Vera Ostreni
Keyword(s):  
Oral Cavity ◽  
Topical Treatment ◽  
Orthodontic Treatment ◽  
Orthodontic Appliances ◽  
Laboratory Examination ◽  
Oral Flora ◽  
Streptococcus Anginosus ◽  
Fixed Orthodontic Appliances ◽  
Gingival Hypertrophy

BACKGROUND The placement of orthodontic apparatus in the oral cavity, according to the literature, should influence the alteration of oral flora, especially the subgingival one. The purpose of the study is to evaluate the subgingival flora of patients with fixed orthodontic appliances, regardless of placement time. OBJECTIVE The purpose of the study is to evaluate the subgingival flora of patients with fixed orthodontic appliances, regardless of placement time. METHODS In 3 cases of patients with fixed orthodontic appliances, a bacterial sample of the gingival sulcus was taken for laboratory examination. Patients were clinically evaluated for the presence or tendency, of having gingival hypertrophy. RESULTS Results from the 3 cases included in the study, 1 of them came up with Streptococcus Anginosus positive, Doxycilin-sensitive. The tendency for gingival hypertrophy was maximal 3% to 1.5% respectively in each patient. In the patient with different oral flora, daily topical treatment with tetracycline, placed in the gingival sulcus, was applied. CONCLUSIONS Alteration of the oral flora with the placement of fixed orthodontic appliances is not a fully verifiable fact, as it indicates the patient's follow-up, at the time of placement of the apparatus and until removal after orthodontic treatment, depending on the 2-3-year period of treatment. The tendency for gingival hypertrophy is apparently high, versus the presence of fixed orthodontic apparatus.

scholarly journals Evaluation of a prevention programme efficiency for patients with fixed orthodontic appliances

2011 ◽  
Vol 68 (3) ◽  
pp. 214-219 ◽  
Author(s):  
Sava Matic ◽  
Mirjana Ivanovic ◽  
Predrag Nikolic
Keyword(s):  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Control Group ◽  
Orthodontic Appliances ◽  
Orthodontic Appliance ◽  
Fixed Orthodontic Appliances ◽  
The Difference ◽  
School Of Dentistry ◽  
Fixed Orthodontic Appliance ◽  
Experimental Group

Background/Aim. Orthodontic treatment enables the establishment of functional occlusion and improvement of oral health, however, it increases the risk of periodontal disease development. The aim of this paper was to examine the efficiency of the applied programme for the prevention of gingivitis in children undergoing the fixed orthodontic appliance therapy and to determine the most efficient devices and techniques for maintaining oral hygiene during orthodontic treatment. Methods. The study included 80 patients of both genders - 60 patients comprised the experimental group and 20 patients comprised the control group. All of them were patients of the Clinic for Orthodontics at the School of Dentistry in Belgrade, aged between 13 and 18. The Silness-L?e Plaque Index (PI) was utilised for the assessment of oral hygiene quality and Silness-L?e Gingival Index (GI) and M?hlemann Papilla Bleeding Index (PBI) were utilised for the assessment of gingival state. Checkups were conducted as a single-blind study at the beginning and after the first, the third and the sixth month of the preventive and prophylactic programme. Results. During the observed period, a statistically significant change in PI, GI and PBI values was noticed (p < 0.005), as well as the difference in the dynamics of value changes during the periods between the observed groups. Conclusion. The preventive programme, applied to children undergoing the fixed orthodontic appliance therapy, had a positive effect both on oral hygiene quality and gingival state. The values of the examined parameters of the patients from the experimental group were significantly lower in comparison with those of the patients from the control group. The most efficient combination of devices for oral hygiene during orthodontic treatment was: a Curaprox CP5460 toothbrush, CD Ortho 60 orthodontic toothbrush and Curaprox CPS 14 interdental brush.

scholarly journals Effect of oral hygiene training on the plaque control in patients undergoing treatment with fixed orthodontic appliances

2010 ◽  
Vol 57 (1) ◽  
pp. 7-13 ◽  
Author(s):  
Sava Matic ◽  
Mirjana Ivanovic ◽  
Predrag Nikolic
Keyword(s):  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Control Group ◽  
Orthodontic Appliances ◽  
Preventive Program ◽  
Gingival Health ◽  
Fixed Orthodontic Appliances ◽  
Increased Risk ◽  
Group 2 ◽  
Experimental Group

Introduction. During orthodontic treatment, there is increased risk of periodontal disease and caries. Therefore these patients must be trained to maintain proper oral hygiene to minimize risks. The aim of this study was to examine the effects of oral hygiene training with different devices as well as a motivation and remotivation in oral hygiene using brochures, verbal methods and tablets for plaque identification. Material and Methods. The study included 80 subjects, both genders, divided in control (20) and experimental groups (60). All examinees in the experimental groups used toothbrush Curaprox CP5460 for oral hygiene. Subjects in experimental group 1 used mouthwash Curasept ADS 205, in the experimental group 2 orthodontic toothbrush CD Ortho 60 and proximal toothbrush Curaprox CPS14 while subjects in experimental group 3 used proximal toothbrush Curaprox CPS14 and mouthwash Curasept ADS 205. All participants were given tablets erythrosine and brochure in which was explained and illustrated the use of the aforementioned means for oral hygiene. Control check ups were conducted at the beginning, after the first, third and sixth month of the preventive program. Results. The values of the examined parameters, plaque index (PI), gingival index (GI) and gingival bleeding index (GBI), in experimental groups were significantly lower compared to control group (p<0.05). Conclusion. Motivation, compliance and implementation of all preventive procedures proposed by this program, as well as regular controls, contributed in maintaining gingival health during orthodontic treatment.

scholarly journals Gingival and oral hygiene conditions in patients with fixed orthodontic appliance wearers

2011 ◽  
Vol 23 (2) ◽  
Author(s):  
Rini Anggraeni ◽  
Isnaniyah Malik ◽  
Ina Hendiani
Keyword(s):  
Oral Hygiene ◽  
Survey Method ◽  
Orthodontic Appliances ◽  
Orthodontic Appliance ◽  
Pocket Depth ◽  
Fixed Orthodontic Appliances ◽  
Gingival Enlargement ◽  
Dental Hospital ◽  
Fixed Orthodontic Appliance ◽  
Posterior Area

The aim of this study was to get the description of gingival condition and oral hygiene in patients with the fixed orthodontic appliance at Orthodontics Specialist Clinic of Oral and Dental Hospital Faculty of Dentistry Universitas Padjadjaran (RSGM FKG UNPAD) Bandung. This descriptive study with a survey method included 30 patients with fixed orthodontic appliances consist of 8 male and 22 females. The sample collected by purposive sampling. The data was collected based on filling questioner forms and clinical examination with an assessed degree of gingival enlargement by Carranza assessed Gingival Index by Loe and Silness, measured pocket depth, and assessed Plaque Index by Silness and Loe. The result showed that 90% of samples had gingival enlargement with variants of gingival enlargement degree from grade 1, 2, 3 and mostly present in the posterior area. Prevalence of gingivitis was 100% divided into 76.67% suffering mild gingivitis and 23.33% suffering moderate gingivitis. In an examination of pocket depth, 6.67% had 1.1-2 mm of pocket depth; 70% had 2.1-3 mm of pocket depth, and 23.33% had 3.1-4 mm. In an examination of oral hygiene, 43.33% had good oral hygiene; 46.67% had moderate oral hygiene, and 10% had poor oral hygiene. The conclusion of this research was the orthodontics wearer suffering from gingival enlargement and mild gingivitis.

scholarly journals The Effect of Gargling with Aqueous Extract of Dandelion (Taraxacum officinale) on the Oral Hygiene Status of Patients Wearing Fixed Orthodontic Appliance: A Clinical Study

2018 ◽  
Vol 40 (1) ◽  
pp. 1-4
Author(s):  
Munad Jihad Al duliamy
Keyword(s):  
Streptococcus Mutans ◽  
Aqueous Extract ◽  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Taraxacum Officinale ◽  
Orthodontic Appliances ◽  
Tooth Cleaning ◽  
Fixed Orthodontic Appliances ◽  
Wide Range ◽  
Fixed Appliances

Background: During the course of fixed orthodontic therapy, it is difficult to maintain high standard oral hygiene care by mechanical tooth cleaning only. Therefore, mouthwashes are commonly used as adjunct for mechanical tooth cleaning. Most of the mouthwashes are chemicals and have a wide range of side effects. Plant extracts have stood the test of time as safe inexpensive and available remedy for providing general health care. Objective: The present study attempted to evaluate the efficacy of gargling with aqueous extract of Dandelion (Taraxacum officinale) on the oral hygiene status of patients wearing fixed orthodontic appliances. Methods: Eleven male patients undergoing orthodontic treatment with fixed appliances were recruited in the study. All patients were given the same oral hygiene regimen during the study period. Clinical evaluation of OPI (orthodontic plaque index) and salivary streptococcus mutans count were recorded at the first activation visit (three weeks after placement of the orthodontic appliances) which considered the baseline visit and after one week of gargling with the extract. The data were statistically analyzed with SPSS (version 21) using Paired Samples t-test. Result: The results of the statistical analysis revealed that, there were highly significant reductions in both OPI and salivary streptococcus mutans count after one week gargling with aqueous extract of Dandelion (Taraxacum officinale). Conclusion: The present finding concluded that, aqueous extract of Dandelion (Taraxacum officinale) could be use as a promising ingredient in manufacturing mouthwashs and other dental supplies that contribute in maintaining good oral hygiene during the course of orthodontic treatment with fixed appliances.

scholarly journals Interproximal space recovery using an orthodontic elastic separator before prosthetic restoration: a case report

2011 ◽  
Vol 22 (1) ◽  
pp. 79-82 ◽  
Author(s):  
Luciana Lira Meneghel ◽  
Linda Wang ◽  
Murilo Baena Lopes ◽  
Alcides Gonini Júnior
Keyword(s):  
Contact Point ◽  
Orthodontic Appliances ◽  
Gingival Inflammation ◽  
Second Molar ◽  
Restorative Treatment ◽  
Normal Occlusion ◽  
Fixed Orthodontic Appliances ◽  
Pocket Formation

The presence of a dental contact point is essential to maintain normal occlusion and to preserve the health of periodontal structures. Occasionally dental caries could compromise the interproximal contact point, leading to migration of the adjacent teeth with consequent retention of food, gingival inflammation, pocket formation, bone loss and dental mobility. In order to achieve an adequate restorative treatment, reestablishment of interproximal space is necessary. This report describes the interproximal space recovery between the maxillary first and second molars of a 45-year-old female patient before tooth reconstruction. In this case, an orthodontic elastic separator was indicated as an alternative to fixed orthodontic appliances in order to recover the necessary space. The technique was proven efficient, effective, economical, easy to perform and, above all, less invasive than other methods. The interproximal space was regained and a ceramic onlay was cemented for restoring the maxillary second molar. Periodical clinical and radiographic follow-up should be maintained to ensure long-term success.

scholarly journals Idiopathic gingival enlargement: A case report

2015 ◽  
Vol 11 (1) ◽  
pp. 26-28
Author(s):  
Rajesh Shah ◽  
Shivalal Sharma
Keyword(s):  
Case Report ◽  
Oral Hygiene ◽  
Rare Condition ◽  
Psychological Disturbances ◽  
Gingival Enlargement ◽  
Gingival Fibromatosis ◽  
One Year ◽  
Maxillary Region

Idiopathic gingival fibromatosis is a relatively rare condition characterized by the proliferation of the gingival tissues resulting in masticatory, esthetics, phonetics and psychological disturbances. We present a case with generalized diffuse gingival enlargement involving the maxillary and mandibular arches extending on buccal and lingual/palatal surfaces and covering incisal/occlusal third of the tooth in the left maxillary region. Gingivectomy was carried out in all four quadrants. Periodic recalls showed maintenance of good oral hygiene and one year follow-up revealed no recurrence.JCMS Nepal. 2015;11(1): 26-28

scholarly journals Self-Reported Changes in Oral Hygiene Habits among Adolescents Receiving Orthodontic Treatment

2019 ◽  
Vol 7 (4) ◽  
pp. 96 ◽  
Author(s):  
Sandra Petrauskiene ◽  
Natalia Wanczewska ◽  
Egle Slabsinskiene ◽  
Gintare Zemgulyte
Keyword(s):  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Background Information ◽  
Categorical Variables ◽  
Orthodontic Appliances ◽  
Risk Indicator ◽  
Fixed Orthodontic Appliances ◽  
Significant Difference ◽  
Orthodontic Patients ◽  
Oral Hygiene Habits

The prevalence of malocclusion and a need for orthodontic treatment is high. Orthodontic appliances increase biofilm accumulation by expanding plaque retention sites. The aim of this study was to investigate the self-reported changes in oral hygiene habits among adolescents receiving orthodontic treatment. A cross-sectional study of 291 patients aged 10–17 years (mean (M) = 12.98; standard deviation (SD) = 2.36) was conducted in the Department of Orthodontics, Lithuanian University of Medical Sciences (LSMU) Hospital (Kaunas, Lithuania) during the fall semester (October–January) of the 2017/2018 study year. An anonymous self-administered questionnaire covered background information, experience of orthodontic treatment, oral hygiene habits and the seeking of professional dental care. Statistical data analysis was performed using SPSS version 22. To establish relationships between categorical variables, Chi-squared tests (χ2) were used. A p-value ≤ 0.05 was set to indicate statistically significant difference. The univariate logistic regression analysis evaluated the probability of an event given a certain risk indicator, including odds ratio (OR) and its confidence interval (95% CI). Associations were found between the usage of auxiliary measures (OR = 1.797 (1.118–2.887), p = 0.015), tongue cleaning (OR = 1.712 (1.059–2.767), p = 0.028), mouth rinsing after meals (OR = 1.707 (1.048–2.781), p = 0.032) and experience of orthodontic treatment, respectively. More orthodontic patients underwent professional oral hygiene regularly than non-orthodontic patients (p = 0.024). More patients with fixed orthodontic appliances reported significantly changed oral hygiene habits, while more orthodontic patients with removable appliances did not change their oral hygiene habits.

Oral Hygiene Status among Orthodontic Patients

2010 ◽  
Vol 11 (4) ◽  
pp. 25-32 ◽  
Author(s):  
Fatin Awartani ◽  
Farhad Atassi
Keyword(s):  
Home Care ◽  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Plaque Index ◽  
Orthodontic Appliances ◽  
Dental Hygienist ◽  
Maintenance Program ◽  
Fixed Orthodontic Appliances ◽  
Significant Difference ◽  
Orthodontic Patients

Abstract Aim The aim of this study was to evaluate the oral hygiene status of patients with fixed orthodontic appliances. Methods and Materials The following indices were used to evaluate the oral hygiene status of patients in orthodontic treatment: gingival bleeding index (GBI), plaque index (PI), and ortho-plaque index (OPI). A self-administrated questionnaire was prepared covering oral hygiene practice, oral hygiene cleaning aids, and number of visits to a dental hygienist. Results Fifty patients (15–30 years old) were selected for the study from among the orthodontic patients treated at the King Saud University College of Dentistry, Riyadh, Saudi Arabia. Results showed that the PI and OPI were high with mean scores of 65.24 (SD 16.43) and 53.56 (SD 8.74) respectively, while the average GBI was a much lower value at 19.14 (SD 7.95). No significant difference was observed between male and female patients for the PI (p=0.925) and for the OPI (p=0.072), but a significant difference was observed for the GBI at the 5 percent significance level (p=0.033). The result of OPI showed that 20 (40 percent) of the patients had fair oral hygiene, whereas 30 (60 percent) had poor oral hygiene. Only 16 (32 percent) of the participants reported visiting the dental hygienist during their orthodontic treatment, while the remaining 34 (68 percent) did not. Conclusion The oral home care of the orthodontic patients surveyed was not at an optimal level, which indicated the need to establish an oral hygiene maintenance program. Clinical Significance Inadequate oral home care among orthodontic patients may make them more prone to develop gingivitis during orthodontic treatment. It is, therefore, essential that oral hygiene instructions and a hygiene maintenance program not be overlooked during orthodontic treatment. Citation Atassi F, Awartani F. Oral Hygiene Status among Orthodontic Patients. J Contemp Dent Pract [Internet]. 2010 July; 11(4):025-032. Available from: http://www.thejcdp.com/journal/ view/volume11-issue4-atassi

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