scholarly journals Post covid-19 fungal infection and its impact on orthodontic practice: A review

2021 ◽  
Vol 7 (3) ◽  
pp. 186-190
Author(s):  
Mahammad Anas ◽  
Prasad Konda ◽  
Arshad Hussain ◽  
Mohammed Baba Fareed ◽  
Rony T Kondody
Keyword(s):  
Fungal Infection ◽  
Oral Hygiene ◽  
Tooth Extraction ◽  
Fungal Infections ◽  
Fungal Spore ◽  
The Body ◽  
Orthodontic Appliances ◽  
Children And Young People ◽  
Hygiene Measures ◽  
Orthodontic Patients

As COVID-19 cases are reducing worldwide, the patients recovered from this disease are showing some complications include impact on lungs, kidneys, heart, and cases of a black fungal infection, called mucormycosis. There are a variety of bacterial and fungal co-infections which is associated with poorly controlled diabetes mellitus and other immune impaired condition. The COVID-19 exhibits, a specific pathophysiological feature, which will result in secondary fungal infections. The recent COVID-19 wave showed that many children and young people are testing positive for this disease. There is high chance for some of them can come across an orthodontic clinic. Oral mucormycosis is normally developed from the breathing of spores or through an open contaminated oral wound, affecting mainly immunocompromised patients. Oral mucormycosis is reported in some patient, following tooth extraction. The fungal spore can reach the body when there is a loss of anatomical continuity as can occur after a tooth extraction or in an ulcer. Chance for Post COVID-19 Mucormycosis in orthodontic patients are very rare. However, Orthodontist should take care when doing minor surgical procedure in the patient recovered from severe COVID-19 infection. Orthodontic appliances can increase the number of bacteria and fungus by limiting oral hygiene. Orthodontist should advise patients to the importance of maintaining basic oral hygiene measures, which include simple things like changing the toothbrush once they test negative, oral rinsing and brushing.

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 Online Oral Hygiene Instructions for Orthodontic Patients in Malaysian Population

2021 ◽  
Vol 16 (1) ◽  
pp. 223-236
Author(s):  
Nurul Asyikin Yahya ◽  
Keyword(s):  
Oral Hygiene ◽  
Oral Care ◽  
Knowledge Retention ◽  
High Rate ◽  
Orthodontic Appliances ◽  
Massive Open Online Course ◽  
Learning Content ◽  
Fixed Orthodontic Appliances ◽  
Orthodontic Patients ◽  
Oral Hygiene Instructions

Fixed orthodontic appliances causes plaque accumulation, which leads to the formation of dental caries and gingivitis. Therefore, concise oral hygiene instructions (OHI) is necessary to avoid the occurrence of these diseases. Massive Open Online Course (MOOC) ensures interactive learning to improve knowledge retention. MOOC transfers the responsibility of learning OHI to the patients with remote guidance from the clinician, thus reduces clinical time. This research aimed to develop the MOOC learning content on OHI in orthodontic practice. The secondary aim was to assess the overall analytics data among learners enrolled for the completion rate and time taken to complete the MOOC. The ADDIE principles which were, "Analyse, Design, Develop, Implement and Evaluate", were used to develop the MOOC. The contents were based on a published pamphlet of OHI from the Ministry of Health, Malaysia. The MOOC was pre-tested, and content was improved based on the feedback from users and experts. The MOOC named “Penjagaan Kebersihan Pendakap Gigi” utilises the Bahasa Melayu language to educate learners regarding oral care with orthodontic appliances. Sixty-two learners joined the MOOC, with 77.4% achieving a high rate of completion of the MOOC learning content. There were forty-six female learners (74.2%), while male learners comprised sixteen (25.8%). The median (interquartile range) time taken to complete MOOC learning content were 31.50 minutes, (13.00 minutes to 55.50 minutes). This shows that MOOC could be an alternative platform to instruct patients on OHI with fixed appliances. MOOC can potentially reduce clinical time to teach OHI to patients.

scholarly journals Do Audio-Visual Aids Help in Improving Oral Hygiene in Orthodontic Patients?

2021 ◽  
Vol 10 (22) ◽  
pp. 1667-1671
Author(s):  
Arya S. Prasad ◽  
Arvind Sivakumar
Keyword(s):  
Oral Hygiene ◽  
T Test ◽  
Plaque Index ◽  
Orthodontic Appliances ◽  
Visual Aids ◽  
Plaque Score ◽  
Orthodontic Patients ◽  
Group 2 ◽  
Hygiene Compliance ◽  
Group 1

BACKGROUND Oral hygiene maintenance is a crucial factor for successful orthodontic therapy. Oral hygiene compliance is a must to maintain better oral hygiene and plaque control in orthodontic patients. To get good oral hygiene compliance the information has to reach the patients in a proper way. The purpose of this study was to determine whether audio - visual aids help in improving oral hygiene status in orthodontic patients. METHODS A prospective randomized control trial study was done on 30 subjects, who underwent fixed orthodontic appliances selected from the out-patient department of Department of Orthodontics and Dentofacial Orthopaedics, Saveetha Dental College and Hospitals, (SIMATs), Chennai. They were divided randomly into two groups based on a computer - generated randomization chart: group 1 – experimental group (audio - visual aids group), group 2 – control group (verbal instruction) respectively. Group 1 subjects received oral hygiene instruction through videotape instructions and group 2 received verbal and written instructions. RESULTS The results were assessed with respect to plaque index scores of both groups. A parametric intragroup comparison (paired ‘t’ test) was done to compare the before and after plaque score of each group and student independent sample ‘t’ test to compare both groups. The plaque score for the verbal group was found to be 0.666 + / - 0.417 and for the audio - visual group it was 1.211 + / - 0.261. A statistically significant P - value (< 0.05) was found between the groups. CONCLUSIONS Patients who were given instructions through audio - visual aids had better improvement in plaque scores than patients who were given instructions verbally. KEY WORDS Audio - Visual Aids, Dental Plaque Index, Oral Hygiene, Oral Hygiene Index, Orthodontic Appliance

Clinical Management of an Unusual Case of Gingival Enlargement

2007 ◽  
Vol 8 (4) ◽  
pp. 88-94 ◽  
Author(s):  
S. Sumanth ◽  
K. Mahalinga Bhat ◽  
G. Subraya Bhat
Keyword(s):  
Oral Hygiene ◽  
Clinical Management ◽  
Unusual Case ◽  
Periodontal Therapy ◽  
Response To Therapy ◽  
The Body ◽  
Hygiene Measures ◽  
Nonsurgical Periodontal Therapy ◽  
Gingival Enlargement ◽  
One Year

Abstract Aim The purpose of this article is to report a case of conditioned gingival enlargement managed by nonsurgical periodontal therapy. Background Hormones are specific regulatory molecules that modulate a host of body functions. Hormonal effects reflect physiologic and pathologic changes in almost all tissues of the body with the periodontium being no exception. Physiologic changes like puberty, the menstrual cycle, and pregnancy cause hormonal variations that may cause inflammation of the gingiva. Oral contraceptives that contain estrogen and/or progesterone are associated with gingival enlargement. Report A 28-year-old female presented with a complaint of swelling of the gingiva with spontaneous bleeding in the maxillary anterior region for a period of one year. The health history documented the use of contraceptives for one year, and a clinical examination revealed the existence of poor oral hygiene and englarged painful gingival tissues that bled when touched. Summary This case reaffirms the fact plaque control is the most important procedure in any periodontal therapy. Another factor contributing to the excellent response to therapy is patient compliance. The patient followed home care instructions well and was effective in personal oral hygiene measures. Citation Sumanth S, Bhat KM, Bhat GS. Clinical Management of an Unusual Case of Gingival Enlargement. J Contemp Dent Pract 2007 May;(8)4:088-094.

scholarly journals Managing orthodontic appliances in everyday life: A qualitative study of young people’s experiences with removable functional appliances, fixed appliances and retainers

2020 ◽  
Vol 47 (1) ◽  
pp. 47-54 ◽  
Author(s):  
Jennifer E Kettle ◽  
Amy C Hyde ◽  
Tom Frawley ◽  
Clare Granger ◽  
Sarah J Longstaff ◽  
...  
Keyword(s):  
Young People ◽  
Qualitative Study ◽  
Everyday Life ◽  
Social Process ◽  
The Body ◽  
Orthodontic Appliances ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Cross Sectional ◽  
Orthodontic Patients

Objective: To compare young people’s experiences of wearing a range of orthodontic appliances. Design: A cross-sectional, qualitative study with purposive sampling. Setting: UK dental teaching hospital. Participants: Twenty-six orthodontic patients aged 11–17 years. Methods: Patients participated in in-depth semi-structured interviews. All interviews were transcribed verbatim and analysed thematically. Results: Young people reported physical, practical and emotional impacts from their appliances. Despite these reported impacts, participants described ‘getting used’ to and, therefore, not being bothered by their appliance. Framework analysis of the data identified a multi-dimensional social process of managing everyday life with an appliance. This involves addressing the ‘dys-appearance’ of the body through physically adapting to an appliance. This process also includes psychological approaches, drawing on social networks, developing strategies and situating experiences in a longer-term context. Engaging in this process allowed young people to address the physical, practical and emotional impacts of their appliances. Conclusion: This qualitative research has identified how young people manage everyday life with an appliance. Understanding this process will help orthodontists to support their patients.

scholarly journals Condition of periodontium in patients with fixed orthodontic appliances

2014 ◽  
Vol 71 (10) ◽  
pp. 915-919 ◽  
Author(s):  
Jasminka Andjelic ◽  
Snezana Matijevic
Keyword(s):  
Oral Hygiene ◽  
World Health ◽  
Orthodontic Appliances ◽  
Gingival Index ◽  
Periodontal Condition ◽  
Fixed Orthodontic Appliances ◽  
Research Population ◽  
Orthodontic Patients ◽  
Using Data ◽  
Health Organization

Background/Aim. Orthodontic patients should be familiar with techniques of maintaining oral hygiene as well as with proper methods of checking maintenance of oral hygiene. The aim of this study was to determine a correlation between condition of periodontium and techniques of maintaining oral hygiene in patients treated with fixed orthodontic appliances. Methods. The research population included 100 patients, aged 15-25, treated by the orthodontist from 2005 to 2010. The maintenance of oral hygiene and the condition of periodontium was assessed using the following indices: plaque index, gingival index, bleeding index and oral hygiene index. The study was carried out using data obtained from the especially designed questionnaire as well as by objective examination of periodontal condition in accordance with the World Health Organization methodology, using adequate indicators and indices. Results. The results of the study show a significant correlation between condition of periodontium and oral hygiene in those with fixed orthodontic appliances. The use of interdental brushes and mouthwash liquid, as well as teeth brushing, were among the most significant predictors of healthy teeth and mouth. Conclusion. Teeth and mouth hygiene determined by frequency of teeth brushing, using of interdental brushes and mouthwash liquid are the basic preconditions for preservation and promotion of tooth and mouth health in patients with fixed orthodontic appliances.

scholarly journals Oral hygiene awareness in orthodontic patients; A cross sectional survey

2019 ◽  
Vol 26 (06) ◽  
Author(s):  
Muhammad Ilyas ◽  
Muhammad Usman Khalid ◽  
Syeda Qurat-Ul-Ain Arif ◽  
Sobia Ashraf
Keyword(s):  
Oral Health ◽  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Current Status ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Plaque Deposition ◽  
Hygiene Measures ◽  
Dental Hospital ◽  
Orthodontic Patients

Aim and Objectives: To evaluate the current status of oral hygiene awareness in patients undergoing active orthodontic treatment and to educate them how they can improve and maintain their oral health throughout orthodontic treatment to minimize the risk of dental caries, plaque deposition, gingivitis and localized enamel decalcification. Study Design: Prospective survey. Setting: Orthodontic Department, Punjab Dental Hospital Lahore, Pakistan. Period: 06 months 1st August 2018 to 31st January 2019. Methods and Materials: A structured questionnaire was distributed to 100 patients undergoing active orthodontic treatment at orthodontic department of Punjab Dental Hospital Lahore, Pakistan in an effort to assess the level of awareness and practical measures taken by patients to maintain and improve their oral health during orthodontic treatment. Conclusion: This survey revealed that most of the patients are aware and practising oral hygiene measures during their orthodontic treatment and dentist should repeat all these instruction on every visit.

scholarly journals Effect of Orthodontic Treatment in Occurrence of Dental Caries

2013 ◽  
Vol 3 (1) ◽  
pp. 31-36
Author(s):  
Sandhya Shrestha ◽  
Lipika Shrestha ◽  
Namita Shrestha ◽  
Rabindra M Shrestha
Keyword(s):  
Dental Caries ◽  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Age Groups ◽  
Age Group ◽  
Cross Sectional ◽  
Fixed Appliance ◽  
Hygiene Measures ◽  
Orthodontic Patients ◽  
And Gender

Introduction: Attaining improved aesthetics and proper occlusion are main reasons for commencing orthodontic treatment in any patient. However it is anticipated that orthodontic treatment increases the risk of carious lesions. Objective: To analyze prevalence of dental caries in relation to gender, age group, duration of orthodontic treatment and malocclusion type; and to assess oral hygiene and food habit practice in Nepalese orthodontic patients. Materials & Method: A cross sectional study was done in 212 orthodontic patients (age range 11-30 years) having fixed appliance for at least six months duration. A survey form based on ‘Dentition Status & Treatment Need, WHO’ was used to depict DMFT Index and prevalence of dental caries. A questionnaire was used to assess the practice of oral hygiene measures and food habits of the orthodontic patients. The association between dental caries and gender, age group, duration of orthodontic treatment and malocclusion type were analyzed using chi-square test (p<0.05). Result: The prevalence of dental caries (DMFT) was 79.2% and mean DMFT value was 2.87 among Nepalese orthodontic patients. Occurrence of dental caries among male and female patients was 69.44% and 60% respectively. Caries occurrence was highest in age group 16-20 years (72.22%), in more than 18 months treatment duration group (63.92%) and in Class I malocclusion group (68.38%). Similarly, 30.2% consume sweets foodstuff, 26.9% consume junk food and 14.2% consume snacks in between meals frequently. Conclusion: Fairly good proportion of Nepalese orthodontic patients practice normal oral hygiene methods but very few use special oral hygiene measures. The study showed no association between dental caries occurrence and gender groups, age groups, duration of orthodontic treatment and malocclusion types. DOI: http://dx.doi.org/10.3126/ojn.v3i1.9279 Orthodontic Journal of Nepal, Vol.3, No.1, 2013: 31-36

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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