scholarly journals CURRENT PROBLEMS OF THE APPLICATION OF AN INDIVIDUAL APPROACH IN THE PRESCRIPTION OF PERSONAL ORAL HYGIENE MEANS IN ORTHODONTIC TREATMENT

2021 ◽  
Vol 17 (3) ◽  
pp. 94-100
Author(s):  
Anna Petrova ◽  
Irina Firsova ◽  
Svetlana Lebedeva ◽  
Elena Naryzhnaya ◽  
Olga Popkova ◽  
...  

Relevance: The use of fixed orthodontic structures increases the risk of developing dental diseases. An effective way to prevent dental diseases is personalized training and monitoring of individual oral hygiene. Purpose of the work: To increase the effectiveness of the prophylaxy of dental diseases in patients undergoing orthodontic treatment. Materials and Methods: The analysis of 60 medical records in the municipal and private clinics of Saratov was carried out. The age of the patients was 13–18 years old. There also was a survey among 15 orthodontists on the subject of the identifying difficulties of using the personification of an integrated approach. A questionnaire was given to the patients. The age of the respondents was 13–18 years old. Results: According to the analysis of data from medical records in municipal and private clinics, a low prevalence of the use of an individual approach in the prescription of personal oral hygiene products in patients undergoing treatment with the use of fixed orthodontic structures was revealed, which is associated with an insufficient amount of time for admission within the framework of the compulsory medical insurance system, and also with low compliance of patients and their parents, as well as low hygienic education of patients, insufficient government attention to preventive dentistry, and lack of labor rates for dental hygienists. When questioning patients, difficulties in adhering to recommendations for personal oral hygiene was revealed. Conclusions. We have developed an algorithm of actions to improve the effectiveness of individual oral hygiene among adolescents undergoing orthodontic treatment. The proposed measures will increase the level of motivation and compliance of patients.

Author(s):  
O. V. Dudnik ◽  
Ad. A. Mamedov ◽  
O. I. Admakin ◽  
A. A. Skakodub ◽  
Y. O. Volkov ◽  
...  

Relevance. Cleft lip and palate is one of the severe malformations of the face and jaw, requiring a comprehensive approach to the rehabilitation of the patients, including doctors of various specialties, one of which is orthodontists. A feature of orthodontic treatment is difficulty of fixing bracket systems, as well as lowering the level of oral hygiene, caused by deformation and displacement of fragments of the maxillofacial region.Purpose. Improving the effectiveness of orthodontic treatment and hygiene of the oral caviti in patients with cleft lip and palate in permanent bite period.Materials and methods. A comparison was made of the effetctiveness of fixing brackets systmes with direct and indirect bonding techniques and the effectiveness of oral hygiene during orthodontic treatment using irrigators.Results. The results of the study showed a difference in the effectiveness of using direct and indirect methods of fixing bracket systems in patients with cleft and palate. The use of irrigators as additional means of oral hygiene has demonstrated a positive dynamic of hygiene indices.Conclusions. Results of the study demonstrate the advantages of fixation the brackets by indirect bonding and use additional hygiene products irrigator for improving of oral hygiene.


2022 ◽  
pp. 98-100
Author(s):  
A. A. Sultanov ◽  
Y. Y. Pervov ◽  
A. K. Yatsenko ◽  
M. A. Sultanova ◽  
D. O. Drozdova

The article presents a clinical case of the diagnostics and treatment of the temporomandibular joint dysfunction (TMJ) in patient after orthodontic treatment. The hypertonia of masticatory muscles, limit of mouth opening and deviation of the jawbone to the right were observed during physical examination. Adhesion of the disk to the articular tubercle of the right temporal bone was detected on MRI. Hyperrotation of the articular head and the deviation of the jawbone to the right were observed on the charts during axiography. Disappearing of the feeling of heaviness in the right TMJ, free mouth opening, absence of deviation symptom, and the reduction of the rigidity of the masseter muscles were observed on the basis of diagnostic examinations after treatment. Presented clinical experience lets us make a conclusion that it is necessary to prescribe taking axiography and MRI during diagnosing and treating temporomandibular joint dysfunction.


2020 ◽  
Vol 75 (9) ◽  
pp. 505-510
Author(s):  
Veerasamy Yengopal

1. Prosthetic outcomes and clinical performance of CAD-CAM monolithic zirconia versus porcelain-fused-to-metal implant crowns in the molar region - 2. The effect of using a mobile application to improve oral hygiene among adolescents receiving fixed orthodontic treatment: A RCT


2021 ◽  
Vol 1 (38) ◽  
pp. 41-44
Author(s):  
S. N. Razumova ◽  
Y. S. Kozlova ◽  
А. S. Brago ◽  
N. M. Razumov ◽  
T. A. Glybina

Compliance with oral hygiene is an important aspect of the prevention of dental diseases. But an uncontrolled choice, the use of improperly selected home hygiene products can lead to a number of complications, for example hyperesthesia of dentin. An important aspect of the choice of home hygiene products is their effect on the hard tissues of the tooth.Aim. To study in the experiment the effect of a hard toothbrush with a high level of abrasiveness of a toothpaste on the change in the enamel surface according to profilometry data.Materials and methods. Using the device for cleaning teeth, a study was carried out on the roughness of the surface if the enamel of the sample. In research were used the first 3 molars removed for periodontal indications, of which 3 samples of 1×1 cm were prepared. The measurements were carried out using a Senso neox profilometer (Sensofar) with a 3D magnification of 150 at the following time intervals: initial condition of the tooth, 1 week, 1 month, 6 months, 1 year.Conclusion. When using a hard toothbrush together in combination with a highly abrasive paste, the optimal combination time is not more than 6 months. Further, there is an increase in roughness of enamel surface.


2017 ◽  
Vol 07 (02) ◽  
pp. 031-037
Author(s):  
Akshara Mary Jacob ◽  
Nina Shenoy ◽  
Rahul Bhandary

Abstract Background: Orthodontic treatment helps in improving aesthetics, oral hygiene as well as functional occlusion. Also, importance of oral hygiene in orthodontic patients is always intensified to prevent any further periodontal disease. Regular oral hygiene maintenance is important for the maintenance of gingival health during and after orthodontic therapy as it helps in preservation of the health of gingiva as well as overall oral health. Objective: To assess the extent of oral hygiene awareness and impact of orthodontic treatment on of periodontal health, among medical students. Method: A cross sectional survey containing 19 questions was answered by 150 medical students who had undergone fixed Orthodontic treatment from various colleges in Mangalore, Karnataka. Results and Conclusion: The results of this survey showed that medical students have adequate knowledge of oral hygiene practices. Majority of medical students who had undergone orthodontic treatment showed increased bleeding from gums, increased sensitivity and difficulty in brushing and flossing indicating that orthodontic treatment does have impact on maintenance of oral hygiene. Thus, a thorough assessment of the periodontal health is recommended prior to orthodontic treatment. Equal emphasis should also be laid on the necessity of good oral hygiene and regular periodontal maintenance for the best outcome.


Sexual Health ◽  
2005 ◽  
Vol 2 (4) ◽  
pp. 259 ◽  
Author(s):  
Tim R. H. Read ◽  
Marcus Y. Chen ◽  
Catriona S. Bradshaw ◽  
Sriyakantha Beneragama ◽  
Christopher K. Fairley

Asymptomatic women are often screened for gonorrhoea at Australian sexual health centres. The medical records of all women diagnosed with gonorrhoea at the Melbourne Sexual Health Centre (MSHC) between January 2002 and December 2003 were audited and the database was examined for risk factors in all women tested in 2003. Fifteen cases of gonorrhoea were identified among women at MSHC, all had symptoms or an identifiable risk factor. Asymptomatic women without risk factors may not require screening for Neisseria gonorrhoeae in low prevalence populations.


2012 ◽  
Vol 36 (4) ◽  
pp. 411-415 ◽  
Author(s):  
S Bhandary ◽  
V Shetty ◽  
AM Hedge ◽  
K Rai

Objective: To assess the awareness of care providers of visually impaired children regarding their oral hygiene. Method: A simple pre-structured questionnaire was given to the care providers and the awareness regarding their oral health was assessed. Results: There was a general lack of awareness among the care providers of these children regarding dental diseases and its prevention. Furthermore, the importance of oral hygiene was found to be very low. Conclusion: The results obtained showed that most of the caretakers were unaware of the difficulties faced by these children in the maintenance of their oral health.


2009 ◽  
Vol 8 (1) ◽  
pp. 1
Author(s):  
Eddy H. Habar

Enamel decalcification around and under orthodontic appliances have been known asa significant clinical problem, in fact an orthodontic patient is a high risk person.Whether this high risk due to oral hygiene related to orthodontic appliance or as acause of phosporic acid contained in zinc oxyphosphate cement that have beencommonly used to bracket adhesion. The purpose of this article was to provide adescription of enamel decalcification process and prevention of decalcificationfollowing orthodontic treatment. Prevention of enamel decalcification followingorthodontic treatment can be performed by polishing tooth surface after treatment,using tooth paste contained fluoride, rinsing, maintenance good oral hygiene, toothbrushing, and other additional oral hygiene method.


2021 ◽  
Vol 15 (1) ◽  
pp. 151-159
Author(s):  
Aravinthrajkumar Govindaraj ◽  
S.P. Saravana Dinesh

Aim: The aim of this study is to critically review the studies that studied the effect of Chlorhexidine varnish and fluoride varnish on White Spot Lesion (WSL) in patients undergoing orthodontic treatment. Materials and Methods: The electronic database PubMed, The Cochrane Library, Medline, Embase, Google Scholar, Web of Knowledge along with a complimentary manual search of all orthodontic journals till the first week of December 2019 was searched. English language study performed on humans, randomized or nonrandomized clinical trials, comparing the effect of fluoride and chlorhexidine varnish on WSL was included in the review. Quality assessment of included studies was performed. Clinical Significance: The need for an adjunct oral hygiene aid to reduce the incidence and prevalence of white spot lesions in orthodontic patients is necessary. The use of these varnishes will aid in the same and thus make the adverse effects of fixed orthodontic treatment negligible. Review of Literature: Enamel demineralization is a significant risk associated with orthodontic treatment when oral hygiene is poor. Prevention of demineralization during orthodontic treatment is one of the greatest challenges faced by clinicians despite modern advances in caries prevention. The development of White Spot Lesions (WSLs) is attributed to prolonged plaque accumulation around the brackets. Results: The search identified a total of 3 studies that were included in this review. One study had Low risk of bias and the remaining 2 studies had moderate overall risk. Results showed that there was a reduction in the incidence of white spot lesions in orthodontic patients after application of chlorhexidine and Fluoride varnish. Conclusion: Low level evidence is available to conclude that the use of chlorhexidine varnishes and fluoride varnishes reduces the prevalence of white spot lesions in patients undergoing fixed orthodontic treatment. Due to its limitations, the results of this systematic review should be handled with caution and further well-planned Randomized Clinical Trial (RCT) are needed to provide a discrete conclusion.


Author(s):  
Natalia E. Malahova ◽  
Aleksej V. Silin ◽  
Aleksej D. Shmatko ◽  
Boris S. Padun

The review of the general literature devoted to the prediction of the results of dental anomaly orthodontic treatment was carried out. An effective tool for reliable stage and result planning of orthodontic treatment is the creation of a software system contributing to individual approach as well as taking into account many factors that influence the etiopathogenesis of dental anomalies. On the background of studying the dynamics of changes in chronic gingivitis during orthodontic treatment, a protocol was developed for constructing a mathematical model for creating software which can be used for implementing personalized treatment approach.


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