scholarly journals Periodontal health in patients under conventional and lingual orthodontic therapies

2015 ◽  
Vol 44 (5) ◽  
pp. 251-256 ◽  
Author(s):  
José Gonzalo Tapia-Rivera ◽  
Andréia Cotrim-Ferreira ◽  
Laurindo Borelli-Neto ◽  
Marcos Gabriel Prieto ◽  
Rívea Inês Ferreira-Santos

AbstractObjectiveSome clinical periodontal health parameters were assessed comparatively in patients using conventional and lingual brackets.Material and methodA trained examiner registered the frequencies of visible plaque (VP), bleeding on probing (BOP), as well as the simplified oral hygiene (OHI-S) and modified gingival (MGI) indices in 83 subjects from two clinics. The effects of orthodontic treatments on periodontal health were analyzed using logistic regression (α = 0.05).ResultIn the conventional group, the frequency of visible plaque was significantly higher on the buccal surfaces of anterior (OR = 12.5) and maxillary posterior (OR = 3.6) teeth, p < 0.01. BOP in posterior teeth was also more frequent in this group, p < 0.05. The lingual group presented higher frequency of visible plaque on the lingual surfaces of anterior teeth (OR = 4.3; p = 0.0034). The conventional group had significantly higher frequencies of mild gingivitis in the buccal regions of anterior (OR = 9.0) and maxillary posterior (OR = 16.7) teeth, p < 0.05, and anterior papillae (OR = 9.0; p = 0.0003). On the other hand, the lingual group evidenced mild gingivitis more often in the lingual regions of anterior teeth (OR = 54.5), p < 0.01.ConclusionBased on the results of this study, the clinical periodontal health conditions may be considered acceptable for patients using both conventional and lingual brackets.

2017 ◽  
Vol 10 (3) ◽  
pp. 144
Author(s):  
Sonali Mondal ◽  
Gazi Shamim Hassan ◽  
Kamrun Nessa ◽  
Shyamal Kumar ◽  
Ashik Abdullah Imon ◽  
...  

<p>The purpose of this study is to compare the periodontal health of the lower anterior teeth retained with the use of removable and fixed retainers. Fifty four cases receiving comprehensive orthodontic treatment in between 10 to 30 years were randomly selected and divided into 2 groups of 27 each. One group was given removable retainers and other was given fixed retainers. The periodontal status of the patients was accessed with bleeding on probing index, Plaque index and Calculus index. The mean plaque index in case of removable retainers at 1st, 3rd and 6th month were 0.5, 1.0 and 1.7 where as in case of fixed retainers that were 1.8, 3.0 and 4.5. The mean dental calculus index in case of removable retainers at 1st, 3rd and 6th month were 0.0, 0.1 and 0.1 where as in case of fixed retainers that were 0.1, 0.9 and 1.8. In conclusion, removable retainers are superior in oral hygiene maintenance, yet the use of fixed retainers cannot be denied.</p>


2007 ◽  
Vol 77 (6) ◽  
pp. 1085-1089 ◽  
Author(s):  
Zuhal Yetkin Ay ◽  
Mözgür Sayın ◽  
Yener Özat ◽  
Tuba Goster ◽  
A. Onur Atilla ◽  
...  

Abstract Objective: To determine the most appropriate oral hygiene motivation method (OHMM) for orthodontic patients with fixed appliances. Materials and Methods: A total of 150 orthodontic patients, scheduled for their regular controls, were included in this study. The patients were divided into five groups (n = 30) according to the verbal OHMM and instructed as follows: only verbal information (V), verbal information with demonstration on model (M), verbal information with demonstration on model and self application by the patient (M+A), verbal information using the illustration catalog (I), and verbal information using the illustration catalog and self application by the patient (I+A). All of the applications of the patients were made under the supervision of the clinicians. The periodontal parameters (plaque index [PI], gingival index [GI], and bleeding on probing [BOP]) were recorded at the baseline (before the instructions of the OHMM), 1 week later, and 4 weeks after the OHMM. Results: All periodontal parameters showed significant decreases after 4 weeks in all OHMM groups (P &lt; .05). I+A group has significantly lower PI scores and BOP percentages than the other groups (P &lt; .05) after 4 weeks. The difference between the V group and M+A, I, and I+A groups in the GI scores were significant (P &lt; .05), and the I+A group has presented the lowest GI score. Conclusions: The OHMM applied by the patients under the supervision of the clinician seemed to be more successful in the elimination of plaque and inflammatory symptoms in patients with fixed appliances.


2014 ◽  
Vol 85 (4) ◽  
pp. 699-705 ◽  
Author(s):  
Andrew I. Corbett ◽  
V. Leroy Leggitt ◽  
Nikola Angelov ◽  
Greg Olson ◽  
Joseph M. Caruso

ABSTRACT Objective:  To compare the periodontal health of maxillary and mandibular anterior teeth retained with two types of fixed retainers. Materials and Methods:  A fixed straight retainer (SR) group had 39 subjects, and a fixed wave retainer (WR) group had 35 subjects. Subjects were between the ages of 13 and 22 years and had been in fixed retention for 2 to 4 years. Pocket probing depths, bleeding on probing, plaque index, calculus index, recession, and gingival crevicular fluid volume were compared between the two retainer groups. A four-question oral hygiene survey was given to each subject. The Mann-Whitney U-test and Fisher exact test was used to analyze the data. Results:  There was no clinically significant difference between the retainer groups regarding plaque index, gingival crevicular fluid volume, calculus index, recession, bleeding on probing, and pocket probing depths. A statistically significant increase in the reported frequency of flossing (P  =  .006) and ease of flossing (P &lt; .001) was associated with the WR group. There was no significant difference between the groups in reported frequency of brushing and comfort of the retainer. Conclusions:  Under the conditions of this study, no clinical difference was found in the periodontal health of anterior teeth retained with a SR or WR for a period of 2 to 4 years. Subjects in the WR group reported an increase in frequency and ease of flossing.


1998 ◽  
Vol 35 (3) ◽  
pp. 248-254 ◽  
Author(s):  
Fanny W. L. Wong ◽  
Nigel M. King

A review of the studies of the caries prevalence and periodontal health of patients with cleft lip and palate (CLP) revealed that only five investigations of caries prevalence in CLP patients included children. One reported that CLP children did not have a higher caries prevalence in the permanent dentition, whereas more recent studies have reported a higher caries prevalence in both the primary and permanent dentitions of CLP children than in those of noncleft children. However, there is wide variation in the teeth examined and the method of presenting data on caries prevalence. Six papers have reported on the periodontal health of adult CLP patients, and only one has done so on that of children. The adult CLP patients had poorer oral hygiene and more gingivitis, but there is no conclusive evidence that they have a higher risk of developing periodontal disease. No data on the oral hygiene of CLP children were available, but it has been emphasized that they have significantly more gingivitis than noncleft children, especially in the maxillary anterior teeth.


2006 ◽  
Vol 20 (3) ◽  
pp. 241-246 ◽  
Author(s):  
Rafael Leonardo Xediek Consani ◽  
Marcelo Ferraz Mesquita ◽  
Lourenço Correr-Sobrinho ◽  
Maurício Tanji

The aim of this study was to assess the displacement of posterior teeth in maxillary complete dentures stored in water at 37°C. Twenty acrylic resin-based maxillary complete dentures were constructed with the anterior teeth arranged in normal overlap and the posterior teeth in Angle class I. Metallic pins were placed on the labial cusp of the first premolars (PM), and on the mesiolabial cusp of the second molars (M). The final acrylic resin pressing was made in a metallic flask with aid of the RS tension system, and polymerized in a moist-hot cycle at 74°C for 9 hours. The dentures were deflasked after cooling in their own polymerizing water or after cooling in polymerizing water plus bench storage for 3 hours, and stored in water at 37°C for periods of 7, 30, and 90 days. Following deflasking and after each storage period tested, the PM-PM (premolar to premolar), M-M (molar to molar), LPM-LM (left premolar to left molar), and RPM-RM (right premolar to right molar) distances were measured with an STM Olympus microscope, with an accuracy of 0.0005 mm. Collected data were submitted to ANOVA and Tukey's test (5%). There was no statistically significant difference for the PM-PM, M-M, and LPM-LM distances after all storage periods when the flask cooling methods were considered. With exception of the RPM-RM distance after the 30-days water plus bench storage period, the other distances remained statistically stable.


1987 ◽  
Vol 66 (9) ◽  
pp. 1503-1508 ◽  
Author(s):  
C.G. Emilson ◽  
B. Lindquist ◽  
K. Wennerholm

In eight subjects who were initially highly colonized with Streptococcus mutans and who used a 1% chlorhexidine gel, the numbers of this organism were suppressed in both plaque and saliva. Bacterial plaque samples were obtained from all tooth surfaces, and the recolonization pattern of S. mutans was studied over a 26-week period. At baseline, 83% of all surfaces harbored S. mutans with buccal surfaces colonized in higher frequency than the others. After chlorhexidine treatment, the proportion of tooth surfaces colonized by S. mutans was reduced to a low level. Re-appearance was slow. S. mutans was first recovered from the most posterior teeth in the mouth, the molar surfaces were recolonized earlier than were those of pre-molars and anterior teeth, and the buccal surfaces were recolonized more readily than were the other tooth surfaces. The data show that there is a specific recolonization pattern of S. mutans after chlorhexidine treatment, and that the re-emergence of S. mutans is most probably due to regrowth of bacteria which have not been eradicated.


2020 ◽  
Vol 11 (SPL4) ◽  
pp. 578-583
Author(s):  
Ankita Komal Labh ◽  
Anjaneyulu K ◽  
Geo Mani

Depending upon the site of the tooth, accessibility of oral hygiene products like toothbrush, tooth floss etc. different teeth have varying susceptibility to getting infected by cariogenic bacteria. Plaque accumulation, occlusal morphology, oral hygiene practices etc. play an important role in determining the susceptibility of teeth towards caries. A retrospective cross-sectional study was conducted using patient records from the Dental College, Chennai after reviewing and analysing the data of 86000 patients between June 2019 and March 2020. The variables involved were age, gender and site of carious teeth. Data were then exported to the Statistical Package for Social Sciences (SPSS) for Windows (Version 19, 2010) for further analysis. The total sample size was 19014. The sample had a gender distribution of 55.56% males and 44.44% females. Class 1 dental caries was found to be most prevalent in sextant 6 that is the lower right posterior teeth region. Least incidence of class 1 DC was noted in sextant 5, which is the lower anterior teeth. Young adults (18-35 years) had the highest incidence of class 1 dental caries (p<0.05). Among males and females, respectively, class 1 caries was most prevalent in sextant 6 (p<0.05). Within the limits of the study, it can be concluded that caries experience is highest in mandibular posteriors. There was a slight male predilection in the prevalence of class 1 dental caries. Young adults in the age group, 18-35 years, have the highest incidence of class 1 DC.


1970 ◽  
Vol 9 (3) ◽  
pp. 173-178
Author(s):  
P Suwal ◽  
A Sultana

Introduction: This study was designed to observe the success of three quarter crown over conventional full veneer crown in the posterior teeth (premolars and molars) where there has been considerable destruction of tooth structure but with the buccal surface remaining intact. Method: A total number of 30 patients were studied. Among which 15 patients were treated with three quarter crown and rest of the 15 patients were treated with conventional full veneer crown. The specific parameters of the study were the preservation of natural tooth tissue, prevalence of secondary caries, conservation of periodontal health, esthetic, comfort and oral hygiene maintenance. After 6 Month of follow up period patient were recalled to evaluate the above mentioned parameters. Results: Among all the observations this study revealed the similar result in both group of patients. Periodontal disease and maintenance of oral hygiene was significantly associated in patient with three quarter crown, slight alteration of oral hygiene in the patient treated with full veneer crown was present. Conservation of the natural tooth structure especially buccal wall with negligible alteration in patient’s aesthetics (20%) as well as functional activities (20%) was significant for those patients with three quarter crown. Conclusion: Overall findings established that three quarter crown is equally effective for the restoration of the tooth and can be used as an alternative to conventional full veneer crown in the posterior teeth where there has been considerable destruction of tooth structure but with the buccal surface remaining intact. Keywords: Three quarter crown; conventional full veneer crown; secondary caries; periodontal disease; oral hygiene; esthetic DOI: http://dx.doi.org/10.3126/hren.v9i3.5586   HR 2011; 9(3): 173-178


Author(s):  
Qiuwen Chen ◽  
Yanjun Ge ◽  
Jinyou Chai ◽  
Hailan Feng ◽  
Jianzhang Liu ◽  
...  

Elderly patients often find it challenging to remove plaque accumulated on the attachments of implant overdentures (IOD) using conventional cleaning instruments. Further, excessive plaque accumulation can lead to peri-implant diseases and occasionally to respiratory diseases. Therefore, here, we aimed to compare the effectiveness of waist-shaped interdental brushes (WIB) with that of straight-shaped ones (SIB) in plaque removal from the locator attachments of IOD. Twenty participants with two locator attachments retaining mandibular IOD participated in this study. After the baseline cleaning, the participants refrained from oral hygiene maintenance for 3 days. A dentist cleaned one of the attachments using the WIB and the other attachment using the SIB. The pre- and post-cleaning modified plaque index (mPLI) scores were recorded. Following another 3 days free from oral hygiene maintenance, the trained participants repeated the same cleaning procedure using the WIB and SIB. Pre- and post-cleaning mPLI scores were recorded. Regardless of the type of brush used, the post-cleaning mPLI scores were lower than the pre-cleaning ones. After the cleaning procedure, the overall mean mPLI score was lower in the WIB group than in the SIB group. The post-cleaning mPLI scores at the line-angles and on the axial surfaces of the attachments were also lower in the WIB group than in the SIB group. There was no difference in the cleaning effectiveness between the dentist and participants when they used the same type of interdental brush. The WIB was significantly more efficient in plaque removal than the SIB, especially at the line-angle sites.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1861-1868
Author(s):  
Bianca Princeton ◽  
Abilasha R ◽  
Preetha S

Oral hygiene is defined as the practice of keeping the mouth clean and healthy, by brushing and flossing to prevent the occurrence of any gum diseases like periodontitis or gingivitis. The main aim of oral health hygiene is to prevent the buildup of plaque, which is defined as a sticky film of bacteria and food formed on the teeth. The coastal guard is an official who is employed to watch the sea near a coast for ships that are in danger or involved with illegal activities. Coastal guards have high possibilities of being affected by mesothelioma or lung cancer due to asbestos exposure. So, a questionnaire consisting of 20 questions was created and circulated among a hundred participants who were coastal guards, through Google forms. The responses were recorded and tabulated in the form of bar graphs. Out of a hundred participants, 52.4% were not aware of the fact that coastal guards have high chances of developing lung cancer and Mesothelioma. 53.7% were aware of the other oral manifestations of lung cancer other than bleeding gums. Majority of the coastal guards feel that they are given enough information about dental hygiene protocols. Hence, to conclude, oral hygiene habits have to be elaborated using various tools in the right manner to ensure better health of teeth and gums.


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