scholarly journals The influence of text messages and anxiety on pain perception and its impact on orthodontic patients routine

2020 ◽  
Vol 25 (5) ◽  
pp. 30-37
Author(s):  
Daniela Lasmar de Mendonça ◽  
Renata Rodrigues Almeida-Pedrin ◽  
Nayara Caldas Pereira ◽  
Paula Vanessa Pedron Oltramari ◽  
Thaís Maria Freire Fernandes ◽  
...  
Keyword(s):  
Pain Perception ◽  
Statistical Tests ◽  
Text Message ◽  
Text Messages ◽  
Orthodontic Appliances ◽  
Daily Routine ◽  
Baseline Phase ◽  
Significance Level ◽  
Fixed Orthodontic Appliances ◽  
Orthodontic Patients

ABSTRACT Objective: This prospective study aimed at assessing the effects of anxiety and a follow-up text message on pain perception after the installation of fixed orthodontic appliances and its impact on the patients’ routine. Methods: The sample of this study consisted of 103 orthodontic patients, 40 males and 63 females (mean age 20.5 years), distributed in two groups: G1 (n=51), including control patients that did not receive any post-procedure communication; and G2 (n=52), including patients that received a structured text message. In baseline phase, the patients completed a questionnaire to assess their level of anxiety prior to treatment. Pain was assessed by using 100-mm visual analog scale (VAS) in baseline and ten times prospectively in predetermined time points. VAS was also applied to assess the patient’s routine alterations caused by the pain. All data were analyzed using ANOVA, Tukey, Mann-Whitney, t-test, chi-square and Spearman’s correlation tests. All statistical tests were performed with significance level of 5%. Results: Low-level and high-level anxiety was observed in 42.7% and 7.8% of the patients, respectively. Statistically significant correlation was observed between anxiety and pain (p< 0.05). Maximum mean pain intensity was detected in the second treatment day (G1=36.9mm and G2=26.2mm) and was significantly higher in G1. Nearly 53% of the patients in G1 reported alterations in the routine (18.8mm), while in G2 the percentage rate reached 28.8% (9.9mm) (p=0.013). Conclusions: Anxious patients report more pain after the installation of orthodontic appliances. Text messages were effective to reduce pain levels and to decrease the negative effects on patients’ daily routine.

scholarly journals Does Clear Aligner Treatment Result in Different Patient Perceptions of Treatment Process and Outcomes Compared to Conventional/Traditional Fixed Appliance Treatment: A Literature Review

2021 ◽  
Author(s):  
Afnan A. Ben Gassem
Keyword(s):  
Treatment Outcomes ◽  
Treatment Process ◽  
Statistical Tests ◽  
Patient Perceptions ◽  
Treatment Result ◽  
Orthodontic Appliances ◽  
Daily Routine ◽  
Fixed Appliance ◽  
Fixed Orthodontic Appliances ◽  
Clear Aligner

AbstractThis study sought to systematically review the literature to determine whether clear aligner treatment results in different patient perceptions of treatment process and outcomes compared with conventional fixed appliance treatment. A systematic review was conducted to identify studies that examined differences in patient perceptions between clear aligners and conventional fixed appliance treatment. Studies were identified through searching relevant terms using PubMed and Embase. Following review of identified articles, key information about the studies including study design, setting, comparison groups, sample size/response rate, study location, primary outcomes, and statistical tests used were extracted. A total of 13 articles were identified that met the inclusion criteria for this study. These studies described a variety of outcomes which were divided into two broad categories: treatment process (pain, chewing, speech, daily routine, etc.) and treatment outcomes (satisfaction level, smile outcome perceptions, etc.). There was the strongest evidence that clear aligners had a positive impact with respect to treatment process compared with fixed orthodontic appliances. This study highlights that clear aligners may be effective for improving treatment-process-related outcomes among orthodontic patients. More studies need to be conducted to determine whether clear aligners have a beneficial impact with respect to treatment outcomes.

scholarly journals Effect of automated messaging on oral hygiene in adolescent orthodontic patients: A randomized controlled trial

2018 ◽  
Vol 89 (2) ◽  
pp. 262-267 ◽  
Author(s):  
Mike C. Ross ◽  
Phillip M. Campbell ◽  
Larry P. Tadlock ◽  
Reginald W. Taylor ◽  
Peter H. Buschang
Keyword(s):  
Randomized Controlled Trial ◽  
Oral Hygiene ◽  
Treatment Time ◽  
Controlled Trial ◽  
Text Message ◽  
Text Messages ◽  
Randomized Controlled ◽  
Prospective Randomized Controlled Trial ◽  
Orthodontic Patients ◽  
Hygiene Compliance

ABSTRACTObjective:To determine whether automated text messages sent daily to adolescent orthodontic patients improves oral hygiene more than weekly reminders.Materials and Methods:A blinded, prospective, randomized controlled trial was designed to evaluate the effects of automated messages on oral hygiene. Subjects were recruited from patients undergoing orthodontic treatment at the Texas A&M University College of Dentistry, Department of Orthodontics. They were being treated with a variety of fixed full appliances in both arches. Subjects were randomly assigned to either a once-a-week text message group or a daily text message group. There were 52 females and 27 males who were 12 to 17 years of age. Oral hygiene was measured at the beginning of the study and again 8.6 ± 0.9 weeks later.Results:The daily reminder group (N = 42) had significantly greater improvements in oral hygiene compliance than the weekly reminder group (N = 37). The daily score decreases were 48%, 21% and 19% for the bleeding index (BI), plaque index (PI), and gingival index (GI), respectively. The weekly score decreases were 27%, 14% and 13% for the BI, PI, and GI. There were no sex differences in hygiene changes during the study. The 42% of patients who completed the survey at the end of the study wanted more frequent messages and reported that messages related to decreasing treatment time were the most effective, while those related to oral hygiene were the least effective.Conclusions:Daily text messages are more effective at improving oral hygiene than weekly text messages.

scholarly journals A randomized clinical trial to evaluate the plaque removal efficacy of an oscillating-rotating toothbrush versus a sonic toothbrush in orthodontic patients using digital imaging analysis of the anterior dentition

2018 ◽  
Vol 89 (3) ◽  
pp. 385-390 ◽  
Author(s):  
Christina Erbe ◽  
Collin Jacobs ◽  
Malgorzata Klukowska ◽  
Hans Timm ◽  
Julie Grender ◽  
...  
Keyword(s):  
Primary Outcome ◽  
Orthodontic Appliances ◽  
Imaging Analysis ◽  
Plaque Score ◽  
Plaque Removal ◽  
Fixed Orthodontic Appliances ◽  
Adolescent Patients ◽  
Orthodontic Patients ◽  
Single Use ◽  
Electric Toothbrush

ABSTRACT Objective: To compare the plaque removal efficacy of an oscillating-rotating electric toothbrush with an orthodontic brush head versus a sonic toothbrush in adolescent patients with fixed orthodontic appliances. Materials and Methods: This was a randomized, examiner-blind, replicate single-use, two-treatment, four-period, crossover study with a washout period between visits of approximately 24 hours. Forty-four adolescent patients with fixed orthodontic appliances in both arches were randomized based on a computer-generated randomization schedule to one of four toothbrush treatment sequences. The primary outcome was plaque score change from baseline, measured using digital plaque imaging analysis. Results: Baseline plaque levels for both brush treatments were high, covering more than 50% of the tooth area. Effective plaque removal was observed with both brush treatments (P &lt; .001); however, the reduction in plaque with the oscillating-rotating toothbrush was statistically significantly greater (P = .017) compared with the sonic toothbrush. Conclusions: The study provides evidence for more effective plaque-removing efficacy of the oscillating-rotating toothbrush versus the sonic toothbrush among orthodontic patients.

scholarly journals Effect of fixed orthodontic appliances on nonmicrobial salivary parameters

2018 ◽  
Vol 88 (6) ◽  
pp. 806-811 ◽  
Author(s):  
Ioannis P. Zogakis ◽  
Erez Koren ◽  
Shlomit Gorelik ◽  
Isaac Ginsburg ◽  
Miriam Shalish
Keyword(s):  
Orthodontic Treatment ◽  
Statistical Significance ◽  
Orthodontic Appliances ◽  
Inclusion Criteria ◽  
Reactive Protein ◽  
Fixed Orthodontic Appliances ◽  
Salivary Ph ◽  
Orthodontic Patients ◽  
The Difference ◽  
Ph Decrease

ABSTRACT Objectives: To examine possible changes in the levels of salivary antioxidants, C-reactive protein (CRP), cortisol, pH, proteins, and blood in patients treated with fixed orthodontic appliances. Materials and Methods: Salivary samples from 21 orthodontic patients who met specific inclusion criteria were collected before the beginning of orthodontic treatment (T0; baseline), 1 hour after bonding (T1), and 4–6 weeks after bonding (T2). Oxidant-scavenging ability (OSA) was quantified using a luminol-dependent chemiluminescence assay. Cortisol and CRP levels were measured using immunoassay kits. pH levels and presence of proteins and blood in the samples were quantified using strip-based tests. Results: A significant decrease in salivary pH was observed after bonding (P = .013). An increase in oxidant-scavenging abilities during orthodontic treatment was detected, but the change was not statistically significant. Cortisol and CRP levels slightly increased after bonding, but the difference was small without statistical significance. Changes in the presence of proteins and blood were also insignificant. Conclusions: Exposure to fixed orthodontic appliances did not show a significant effect on salivary parameters related to inflammation or stress, with the exception of a significant but transient pH decrease after bonding.

scholarly journals Gingival Bleeding Index Status Among Orthodontic Patients Treated with Fixed Orthodontic Appliances in a Tertiary Level Hospital

KYAMC Journal ◽  
2018 ◽  
Vol 9 (3) ◽  
pp. 129-132
Author(s):  
Md Ali Kawsar ◽  
Mohammad Rafiqul Islam ◽  
Rifat Rezwana ◽  
Md Rubayet Alam Prodhan ◽  
Md Ahsan Habib ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Mean Value ◽  
Orthodontic Appliances ◽  
Tertiary Level ◽  
Dental Floss ◽  
Gingival Bleeding ◽  
Fixed Orthodontic Appliances ◽  
Orthodontic Patients ◽  
Mouth Wash ◽  
Medical University

Background: Oral hygiene maintenance becomes difficult during fixed orthodontic treatment.Objective: The aim of this study was to assess Gingival Bleeding Index among patients treated with fixed orthodontic appliances in a tertiary level hospital.Metanitil and Methody: This study was conducted on 100 patients treated with fixed orthodontic appliances for more than six months in the OPD of Orthodontics Department at Bangabandhu Sheikh Mujib Medical University, Dhaka from July 2013 to July 2014. All the information related to oral hygiene maintenance like brushing, dental floss use, use of mout hwash during treatment in the OPD were recorded. The Gingival Bleeding Index (GBI) was calculated and recorded. Apart from this, frequency of brushing, type of tooth brush, technique of brushing and inter dental brush were also considered.Result: Over all mean value of GBI was 23.44±17.00. Mean value of GBI was 26.44 ± 15.23 among patients who brushed their teeth once a day but it was decreased gradually as the patients increased frequency of toot hbrush use per day and became 11.55±4.71 among the patients who brushed their teeth thrice a day. Mean value of GBI was 23.46±17.18 who did not use dental floss and 22.85 (12.64) who used dental floss once a day. Mean value of GBI was 25.30±17.73 who used inter dental brush irregularly but 2.75±0.35 who used it thrice a day. Mean value of GBI was25.17±17.69 who did not use mouth wash whereas it reduced to 8.00±0.00 among them who used mouth wash thrice a day.Conclusion: The Gingival Bleeding Index (GBI) is increased in patients treated with fixed orthodontic appliances.KYAMC Journal Vol. 9, No.-3, October 2018, Page 129-132

scholarly journals Effect of text message follow-up on patient's self-reported level of pain and anxiety

2012 ◽  
Vol 83 (4) ◽  
pp. 605-610 ◽  
Author(s):  
Daniel J. Keith ◽  
Daniel J. Rinchuse ◽  
Meghan Kennedy ◽  
Thomas Zullo
Keyword(s):  
Text Message ◽  
Control Group ◽  
Orthodontic Appliances ◽  
Patient Anxiety ◽  
Significant Difference ◽  
Initial Appointment ◽  
Orthodontic Patients ◽  
Initial Placement ◽  
Time Point

ABSTRACT Objectives: To determine whether a text message reduces the severity of patient self-reported levels of pain and anxiety following initial placement of orthodontic appliances. Materials and Methods: Thirty-nine orthodontic patients were randomly assigned to one of two groups and matched for age, gender, and bracket type (self-ligating vs conventional). The subjects completed baseline questionnaires to ascertain their levels of pain and anxiety before initiating orthodontic treatment. Following the initial appointment, subjects completed the pain questionnaire and anxiety inventory at the same time daily for 1 week. One group received a structured text message showing concern and reassurance, while the second group served as a control and received no postprocedural communication. Results: There was a statistically significant difference in pain in relation to time between the text message group and the control group as it was demonstrated that demonstrated that compared with the text message group, mean pain intensity increased and selfreported discomfort was longer in the control group. Anxiety was determined to be at its peak the day following initial orthodontic appliance placement and gradually tapered off from that time point. No intergroup difference was noted when analyzing anxiety. Conclusions: This study demonstrated that a text message sent from an orthodontic office following initial appliance placement resulted in a lower level of patient's self-reported pain. Additionally, patient anxiety is at its peak the day following the initial appointment and decreases from that point forward.

scholarly journals Microbiologic Changes in Subgingival Plaque After Removal of Fixed Orthodontic Appliances

2009 ◽  
Vol 79 (6) ◽  
pp. 1149-1155 ◽  
Author(s):  
Dong-Soon Choi ◽  
Bong-Kuen Cha ◽  
Paul-Georg Jost-Brinkmann ◽  
Si-Young Lee ◽  
Beom-Seok Chang ◽  
...  
Keyword(s):  
Detection Method ◽  
Orthodontic Appliances ◽  
Treponema Denticola ◽  
Subgingival Plaque ◽  
Campylobacter Rectus ◽  
Prevotella Nigrescens ◽  
Fixed Orthodontic Appliances ◽  
Orthodontic Patients ◽  
Polymerase Chain ◽  
Subgingival Microbiota

Abstract Objective: To evaluate changes that occur in the subgingival microbiota after removal of fixed orthodontic appliances using polymerase chain reaction (PCR). Materials and Methods: Thirty orthodontic patients (11 males and 19 females; aged 20 ± 7.3 yr) were included in this study. Subgingival plaque samplings were gathered from the disto-buccal gingival crevice of the left upper central incisors and the left lower central incisors, and from the mesio-buccal gingival crevice of the left upper first molars and the left lower first molars, at two different times: 2 weeks before appliance removal (T1), and 3 months after appliance removal (T2). DNA was extracted from the samples and the 16S rRNA-based PCR detection method was used to determine the prevalence of Actinobacillus actinomycetemcomitans, Tannerella forsythia, Campylobacter rectus, Eikenella corrodens, Porphyromonas gingivalis, Prevotella intermedia, Prevotella nigrescens, and Treponema denticola, which are considered as putative periodontopathogens. Results: The frequency of positive sites at T1 and T2 was 65% and 43.3% for C. rectus, and 53.3% and 30.8% for E. corrodens, respectively. For the other bacteria, the frequency tended to be reduced between times. Conclusion: Periodontopathogens during orthodontic treatment were significantly reduced within 3 months of appliance removal. However, how long it takes to return to the preorthodontic composition of the subgingival microbiota and whether it happens at all remain to be seen.

Caries-Preventive Effects of Fluoride-Releasing Materials

1995 ◽  
Vol 9 (4) ◽  
pp. 377-383 ◽  
Author(s):  
T. Büyükyilmaz ◽  
B. Øgaard
Keyword(s):  
Clinical Studies ◽  
Antimicrobial Agents ◽  
Orthodontic Appliances ◽  
Clinical Effects ◽  
Bonding Agents ◽  
Model Studies ◽  
Fixed Orthodontic Appliances ◽  
Caries Model ◽  
Orthodontic Patients ◽  
Caries Lesions

The plaque-retentive properties of fixed orthodontic appliances result in a severe challenge on surfaces generally not susceptible to caries. Lesions may develop within a month in the absence of fluoride, and clinical studies have shown that from 50 to 75% of orthodontic patients develop decalcifications on labial surfaces during treatment. Fluoride mouthrinses reduce the occurrence, although compliance is often poor. Orthodontic bonding agents and cements releasing fluoride, which reduce the need for cooperation, have been introduced. Few clinical studies have been done to prove the cariostatic properties of fluoride-releasing materials in orthodontics. In short-term caries model studies, glass ionomers and a glass filler containing light-cured adhesive that releases relatively large amounts of fluoride have shown cariostatic properties. However, during severe challenges such as occur with orthodontic appliances, fluoride alone has limited cariostatic properties. The combination of fluoride with antimicrobial agents, and the use of acidic fluoride solutions depositing acid-resistant coatings of calcium fluoride and titanium have shown to give better clinical effects than fluoride alone during extreme conditions. Fluoride-releasing materials may therefore be considered as useful supplements to these procedures.

scholarly journals Microbiological Evaluation of Octenidine Dihydrochloride Mouth Rinse after 5 Days' Use in Orthodontic Patients

2009 ◽  
Vol 79 (4) ◽  
pp. 766-772 ◽  
Author(s):  
Alev Aksoy Dogan ◽  
Emel Sesli Cetin ◽  
Emad Hüssein ◽  
Ali Kudret Adiloglu
Keyword(s):  
Inhibitory Effect ◽  
Oral Bacteria ◽  
Lactobacillus Species ◽  
Orthodontic Appliances ◽  
Cariogenic Bacteria ◽  
Fixed Orthodontic Appliances ◽  
Octenidine Dihydrochloride ◽  
Orthodontic Patients ◽  
Fixed Appliances

Abstract Objective: To determine the absolute and relative antibacterial activity of octenidine dihydrochloride (OCT) against total and cariogenic bacteria in saliva samples of patients with fixed orthodontic appliances during 5 days of usage. Materials and Methods: The study group consisted of 5 male and 13 female subjects who were selected from patients in the Clinic of Orthodontics. Each patient was given physiologic saline (PS), chlorhexidine gluconate (CHX), polyvinylpyrrolidone-iodine complex (PVP-I), and OCT every morning for 5 days, each separated by a 2-week interval. Total and cariogenic bacteria in saliva samples of orthodontically treated patients with fixed appliances were collected during 5 days of usage. Unstimulated saliva was collected as a baseline sample. Saliva samples were collected at 15 minutes, and on the second, third, and fifth day after rinsing the mouth with any of the solutions for 30 seconds, and bacterial counts were detected. Results: OCT showed an ultimate reduction of total viable oral bacteria, Lactobacillus species, and Streptococcus mutans in vivo. OCT also had a significantly greater inhibitory effect than 0.2% CHX and 7.5% PVP-I, from the beginning of the study until the fifth day after the orthodontic appliances were bonded (P &lt; .1). Conclusions: OCT compared favorably with respect to CHX and PVP-I complex in orthodontically treated patients with fixed appliances (P ≤ .1).

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