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

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.

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

Stomatoloski glasnik Srbije ◽

10.2298/sgs1001007m ◽

2010 ◽

Vol 57 (1) ◽

pp. 7-13 ◽

Cited By ~ 1

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.

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Possibilities to prevent gingivitis during fixed orthodontic appliance therapy

Stomatoloski glasnik Srbije ◽

10.2298/sgs0802122m ◽

2008 ◽

Vol 55 (2) ◽

pp. 122-132 ◽

Cited By ~ 5

Author(s):

Sava Matic ◽

Mirjana Ivanovic ◽

Jelena Mandic ◽

Predrag Nikolic

Keyword(s):

Risk Factors ◽

Oral Hygiene ◽

Orthodontic Treatment ◽

Orthodontic Appliances ◽

Treatment Results ◽

Orthodontic Appliance ◽

Orthodontic Therapy ◽

Gingival Health ◽

Fixed Orthodontic Appliances ◽

Fixed Orthodontic Appliance

Introduction: During orthodontic treatment, the risk of gingivitis, periodontal disease and dental caries is increased. For good gingival health during orthodontic therapy, patients must be educated about the importance of daily oral hygiene and also given instructions on plaquecontrol techniques and how to use plaque removal devices properly. Objectives: The aim of this study was to present risk factors for gingivitis during treatment with fixed orthodontic appliances as well as methods and resources for prevention of this widespread disease. Conclusion: Maintaining proper oral hygiene is of great benefit not only for gingival health but also for the success of orthodontic treatment and maintenance of treatment results. Beside healthy gingiva, favorable habits in oral hygiene remain life-long.

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Discomfort associated with fixed orthodontic appliances: determinant factors and influence on quality of life

Dental Press Journal of Orthodontics ◽

10.1590/2176-9451.19.3.102-107.oar ◽

2014 ◽

Vol 19 (3) ◽

pp. 102-107 ◽

Cited By ~ 4

Author(s):

Leandro Silva Marques ◽

Saul Martins Paiva ◽

Raquel Gonçalves Vieira-Andrade ◽

Luciano José Pereira ◽

Maria Letícia Ramos-Jorge

Keyword(s):

Quality Of Life ◽

Oral Hygiene ◽

Orthodontic Appliances ◽

Speech Impairment ◽

Poor Oral Hygiene ◽

Orthodontic Appliance ◽

Determinant Factors ◽

Fixed Orthodontic Appliances ◽

Fixed Orthodontic Appliance

OBJECTIVE: To investigate the determinant factors of discomfort attributed to the use of fixed orthodontic appliance and the effect on the quality of life of adolescents. MATERIAL AND METHODS : Two hundred and seventy-two individuals aged between 9 and 18 years old, enrolled in public and private schools and undergoing orthodontic treatment with fixed appliance participated in this cross-sectional study. The participants were randomly selected from a sample comprising 62,496 individuals of the same age group. Data was collected by means of questionnaires and an interview. Discomfort intensity and bio-psychosocial variables were assessed using the Oral Impact on Daily Performance questionnaire. Self-esteem was determined using the Global Negative Self-Evaluation questionnaire. Statistical analysis involved the chi-square test and both simple and multiple Poisson regression analyses. RESULTS: Although most individuals did not present discomfort, there was a prevalence of 15.9% of impact on individuals' daily life exclusively due to the use of fixed orthodontic appliance . Age [PR: 3.2 (95% CI: 1.2-8.5)], speech impairment [PR: 2.2 (95% CI: 1.1-4.6)], poor oral hygiene [PR: 2.4 (95% CI: 1.2-4.8)] and tooth mobility [PR: 3.9 (95% CI: 1.8-8.1)] remained independently associated with a greater prevalence of discomfort (P ≤ 0.05). CONCLUSIONS: Discomfort associated with the use of fixed orthodontic appliances exerted a negative influence on the quality of life of the adolescents comprising the present study. The determinants of this association were age, poor oral hygiene, speech impairment and tooth mobility.

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

Padjadjaran Journal of Dentistry ◽

10.24198/pjd.vol23no2.14025 ◽

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.

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Effect of fixed-appliance orthodontic treatment on DMFT-index

Macedonian Pharmaceutical Bulletin ◽

10.33320/maced.pharm.bull.2020.66.02.008 ◽

2021 ◽

Vol 66 (2) ◽

pp. 81-86

Author(s):

Efka Zabokova-Bilbilova ◽

Emilija Sefanovska ◽

Aneta Mijoska ◽

Olga Kokoceva-Ivanovska

Keyword(s):

Oral Hygiene ◽

Orthodontic Treatment ◽

Oral Health Status ◽

Control Group ◽

Orthodontic Appliance ◽

Fixed Appliance ◽

Significant Difference ◽

Dmft Index ◽

Tooth Mousse ◽

Fixed Orthodontic Appliance

The aim of the study was to evaluate changes in dental status during fixed orthodontic treatment. A total of 60 patients with diagnosed malocclusion were included. Subjects were divided in 3 groups (20 subjects in each group). The first group was treated with dental cream GC Tooth Mousse, and the second group with Fluorogal - solution with a low concentration of fluoride (0.05% F). Control group comprised 20 patients. All subjects received precise instructions for oral hygiene and exclusion of dietary intake before fixed orthodontic appliance was placed and during each control. In our study clinical oral health status (DMFT-index) was registered before and at the end of the orthodontic treatment. The subjects treated with dental cream GC Tooth Mousse at the end of the orthodontic treatment had increased DMFT-index 5.85 in comparison to the beginning of the treatment, where the average value of the index was 5.25 (however, the difference was not statistically significant). A statistically significant difference between medium values of the DMFT-index before and after the orthodontic treatment was detected in the control group. The results of this study show that DMFT-index increased in a group of dental patients undergoing orthodontic therapy with fixed appliances. The patients must follow good instructions, motivation, and control of oral hygiene during the treatment. Key words: carious lesions, fixed orthodontic appliance

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The Assessment of Enamel Demineralisation by Fluorescent Light in Fixed Orthodontics

Key Engineering Materials ◽

10.4028/www.scientific.net/kem.638.262 ◽

2015 ◽

Vol 638 ◽

pp. 262-269

Author(s):

Atena Galuscan ◽

Daniela Jumanca ◽

Angela C. Podariu ◽

Adina Dumitrache ◽

Ramona A. Popovici ◽

...

Keyword(s):

Dental Caries ◽

Risk Level ◽

Control Group ◽

Fluorescent Light ◽

Orthodontic Appliances ◽

Orthodontic Appliance ◽

Enamel Demineralization ◽

Fixed Orthodontic Appliances ◽

Diagnodent Pen ◽

Fixed Orthodontic Appliance

<p class="TTPAbstract">The brackets collating technique and microbial factors increase the risk for enamel demineralization in patients with fixed orthodontic appliance. The aim of this study was to determine the risk level of enamel demineralization in fixed orthodontic device bearers. The enamel demineralization was assessed in 187 patients by measuring dental structure by fluorescent light. The measurements were performed with the DIAGNOdent Pen 2190 (KaVo, Biberach, Germany). Except canines which remain in the risk 1 category, without enamel demineralization, the other investigated teeth may have a medium demineralization degree The values recorded with fluorescent light on canine enamel showed low and insignificant differences (p>0.05) as a result of fixed orthodontic appliances, classifying these teeth as healthy teeth with enamel integrity or with low enamel demineralization. The molars presented significantly increased values in the study group as compared to the control group (p<0.05). 6 years molars had a marked predisposition to demineralization and caries as compared to frontal group teeth, after fluorescent light measurements. The measurements include these teeth in the medium to high risk for dental caries. The DIAGNOdent, due to its capacity to determine the demineralization degree of dental surfaces, may be used to monitor patients and to prevent the occurrence of dental caries during fixed orthodontic treatments.<o:p></o:p></p>

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STATUS KEBERSIHAN GIGI DAN MULUT SISWA SMA NEGERI 9 MANADO PENGGUNA ALAT ORTODONTIK CEKAT

e-GIGI ◽

10.35790/eg.3.1.2015.6409 ◽

2015 ◽

Vol 3 (1) ◽

Author(s):

Ravenske E. C Momongan ◽

Benedictus S. Lampus ◽

Juliatri .

Keyword(s):

High School ◽

Oral Hygiene ◽

Orthodontic Appliances ◽

Socioeconomic Level ◽

Check List ◽

Orthodontic Appliance ◽

Economic Level ◽

Fixed Orthodontic Appliances ◽

Dental Appliance ◽

Fixed Orthodontic Appliance

Abstract: Fixed orthodontic appliance has been widely used in society, but they are often not aware of the risk of the use of fixed orthodontic appliances such as dental and oral hygiene problems. Design tool fixed orthodontic makethe dental cleaning procedure becomes more difficult. Oral hygiene is maintained in the user less dental appliance, such as the user orthodontic appliances can cause periodontal tissue damage and increasing the number of caries during treatment. This study is a descriptive study in order to determine the status of oral and dental hygiene students of Public Senior High School 9 Manado users fixed orthodontic appliances. The study population is the students of Public Senior High School 9 Manado fixed orthodontic appliance users who were attending school classes XI and XII. Samples numbered 39 people and sampling carried out with total sampling method. The research instrument was a check list form and interview. Assessment of dental and oral hygiene status was obtained by measuring the score Simplified Oral Hygiene Index (OHI-S). The results showed that the average of OHI-S scores in SMA Negeri 9 Manado was 1,22. By sex as much as 3 boys (7,7%) had a score of OHI-S 0,83 and a total of 36 girls (92,3%) had a score of OHI-S 1,23; based on the socio-economic level as much as 6 students (15,4%) with moderate socioeconomic level had OHI-S score of 1,97 and a total of 33 students (84,6%) in the high socioeconomic level had OHI-S score of 1,06. Period of <1 year usage by 25 students (64,1%) had a score of OHI-S 1.05; 1-2 years as many as 12 respondents (30.8%) had a score of OHI-S 1,15 and >2 years two respondents (5, 1%) had a score of OHI-S 1.5.Oral hygiene status of the student-sex male and female average is fair. Oral hygiene statuses of students with socio-economic level of parents are on average quite good and students with low socioeconomic level average moderate. Oral hygiene status of students who use a fixed orthodontic appliance under 1 year and 1-2 years on average quite good and more than 2 years on average moderate. Oral hygiene status of the student users fixed orthodontic appliances in general quite good. Keywords : Fixed orthodontic, dental and oral hygiene.Abstrak: Alat ortodontik cekat sudah banyak digunakan dalam masyarakat, namun mereka sering tidak menyadari risiko penggunaan alat ortodontik cekat seperti masalah kebersihan gigi dan mulut. Desain alat ortodontik cekat menyebabkan prosedur pembersihan gigi dan mulut menjadi lebih sulit. Kebersihan gigi dan mulut yang kurang terjaga pada pengguna dental appliance, seperti pada pengguna alat ortodontik dapat menyebabkan kerusakan jaringan periodontal dan meningkatnya jumlah karies selama perawatan. Penelitian ini merupakan penelitian deskriptif dengan tujuan untuk mengetahui status kebersihan gigi dan mulut siswa SMA Negeri 9 Manado pengguna alat ortodontik cekat. Populasi penelitian yaitu siswa SMA Negeri 9 Manado pengguna alat ortodontik cekat yang duduk dibangku sekolah kelas XI dan XII. Sampel berjumlah 39 orang dan pengambilan sampel dilakukan dengan metode total sampling. Instrumen penelitian berupa formulir check list dan wawancara. Penilaian status kebersihan gigi dan mulut diperoleh dengan pengukuran skor Oral Hygiene Index Simplified (OHI-S). Hasil penelitian menunjukkan skor OHI-S rata-rata siswa SMA Negeri 9 Manado sebesar 1,22. Berdasarkan jenis kelamin sebanyak 3 siswa laki-laki (7,7%) memiliki skor OHI-S 0,83 dan sebanyak 36 siswa perempuan (92,3%) memiliki skor OHI-S 1,23; berdasarkan tingkat sosial ekonomi sebanyak 6 siswa (15,4%) dengan tingkat sosial ekonomi sedang memiliki skor OHI-S 1,97 dan sebanyak 33 siswa (84,6%) pada tingkat sosial ekonomi tinggi memiliki skor OHI-S 1,06. Lama penggunaan < 1 tahun sebanyak 25 siswa (64,1%) memiliki skor OHI-S 1,05; 1 – 2 tahun sebanyak 12 responden (30,8%) memiliki skor OHI-S 1,15 dan > 2 tahun ada 2 responden (5, 1%) memiliki skor OHI-S 1,5. Status kebersihan gigi dan mulut siswa berjenis kelamin laki-laki dan perempuan rata-rata tergolong baik. Status kebersihan gigi dan mulut siswa dengan tingkat sosial ekonomi orang tua sedang rata-rata tergolong baik dan siswa dengan tingkat sosial ekonomi rendah rata-rata tergolong sedang. Status kebersihan gigi dan mulut siswa yang menggunakan alat ortodontik cekat di bawah 1 tahun dan 1- 2 tahun rata-rata tergolong baik dan lebih dari 2 tahun rata-rata tergolong sedang. Status kebersihan gigi dan mulut siswa pengguna alat ortodontik cekat pada umumnya tergolong baik.Kata kunci: alat ortodontik cekat, kebersihan gigi dan mulut.

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A single-centre investigator-blinded randomised parallel group clinical trial to investigate the effect of probiotic strainsStreptococcus salivariusM18 andLactobacillus acidophiluson gingival health of paediatric patients undergoing treatment with fixed orthodontic appliances: study protocol

BMJ Open ◽

10.1136/bmjopen-2019-030638 ◽

2019 ◽

Vol 9 (9) ◽

pp. e030638 ◽

Cited By ~ 2

Author(s):

Eleftherios G Kaklamanos ◽

Rania Nassar ◽

Sotirios Kalfas ◽

Manal Al Halabi ◽

Mawlood Kowash ◽

...

Keyword(s):

Treatment Group ◽

Oral Hygiene ◽

Oral Microbiome ◽

Control Group ◽

Orthodontic Appliances ◽

Single Centre ◽

Paediatric Patients ◽

Gingival Health ◽

Parallel Group ◽

Fixed Orthodontic Appliances

BackgroundThere is limited data on the beneficial effects of probiotics on the gingival health of patients undergoing treatment with fixed orthodontic appliances. This study aims to compare the effect of probiotic tablets combined with regular oral hygiene versus regular oral hygiene alone on gingival status in these patients. The effect of probiotic intake on plaque formation and salivary microbiome composition will be also assessed.Methods and analysisThis is a 3 month single-centre, single blind (clinical and laboratory examiners), parallel group randomised controlled two arm superiority trial. Fifty paediatric patients attending the Postgraduate Orthodontic Clinic at the Hamdan Bin Mohammed College of Dental Medicine (HBMCDM), Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), Dubai, United Arab Emirates, who meet the eligibility criteria will be recruited. Block randomisation with 1:1 allocation and concealment of allocation will be carried out. The treatment group will receive probiotic tablets containingStreptococcus salivariusM18 andLactobacillus acidophilustogether with regular oral hygiene versus the control group on regular oral hygiene alone. Clinical examination and collection of saliva for microbiome assay will be carried out at baseline and end of study. Self-reporting by patients will be used to document acceptability and adverse effects. Statistically significant decrease in gingival bleeding on probing in the treatment group will be classified as primary outcome of treatment success. Statistically significant reduction in Plaque Index, Gingival Index and shift in the composition of the oral microbiome in favour of beneficial bacteria are secondary outcomes indicative of efficacy of probiotic intake.Ethics and disseminationEthical approval for the study has been granted by the HBMCDM, MBRU, Institutional Review Board (Reference #: MBRU-IRB-2018–015). Study findings will be disseminated via publication in peer-reviewed journal.Trial registration numberISRCTN95085398

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Changes in Distribution of Dental Biofilm after Insertion of Fixed Orthodontic Appliances

Journal of Clinical Medicine ◽

10.3390/jcm10235638 ◽

2021 ◽

Vol 10 (23) ◽

pp. 5638

Author(s):

Urszula Kozak ◽

Agnieszka Lasota ◽

Renata Chałas

Keyword(s):

Oral Hygiene ◽

Dental Plaque ◽

General Health ◽

Control Group ◽

Orthodontic Appliances ◽

Fixed Appliance ◽

Dental Biofilm ◽

Supragingival Plaque ◽

Fixed Orthodontic Appliances ◽

The Impact

Good oral hygiene is an important factor in oral and general health, especially in orthodontic patients, because fixed appliances might impede effective oral hygiene and thus increase the risks of tooth decay, periodontal disease and general health complications. This study investigated the impact of fixed orthodontic appliances on the distribution of dental biofilm in teenagers. Supragingival plaque was assessed at T0, T1 and T2. The distribution of the biofilm was analyzed. Approximal Plaque Index (API) and Bonded Bracket Index (BBI) were used to measure the presence of dental plaque. After insertion of the fixed appliance, the dental plaque indices values in the orthodontically treated group were significantly higher (p < 0.05) than in the control group. Fixed orthodontic appliances caused significant changes in the distribution of the biofilm. This was characterized by the change of location of the dental plaque. In the orthodontic group, we observed an increase in the amount of the supragingival plaque on the vestibular surface of the teeth.

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Effect of fixed orthodontic appliances on nonmicrobial salivary parameters

The Angle Orthodontist ◽

10.2319/111317-773.1 ◽

2018 ◽

Vol 88 (6) ◽

pp. 806-811 ◽

Cited By ~ 1

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.

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