scholarly journals Quantitative Light-induced Fluorescence-Digital as an oral hygiene evaluation tool to assess plaque accumulation and enamel demineralization in orthodontics

2016 ◽  
Vol 86 (6) ◽  
pp. 991-997 ◽  
Author(s):  
Cara C. Miller ◽  
Girvan Burnside ◽  
Susan M. Higham ◽  
Norah L. Flannigan

ABSTRACT Objective:  To assess the use of Quantitative Light-induced Fluorescence-Digital as an oral hygiene evaluation tool during orthodontic treatment. Materials and Methods:  In this prospective, randomized clinical trial, 33 patients undergoing fixed orthodontic appliance treatment were randomly allocated to receive oral hygiene reinforcement at four consecutive appointments using either white light (WL) or Quantitative Light-induced Fluorescence-Digital (QLF) images, taken with a device, as visual aids. Oral hygiene was recorded assessing the QLF images for demineralization, by fluorescence loss (ΔF), and plaque coverage (ΔR30). A debriefing questionnaire ascertained patient perspectives. Results:  There were no significant differences in demineralization (P  =  .56) or plaque accumulation (P  =  .82) between the WL and QLF groups from T0 to T4. There was no significant reduction in demineralization, ΔF, in the WL, or the QLF group from T0–T4 (P > .05); however, there was a significant reduction in ΔR30 plaque scores (P < .05). All the participants found being shown the images helpful, with 100% of the QLF group reflecting that it would be useful to have oral hygiene reinforcement for the full duration of treatment compared with 81% of the WL group (OR 2.3; P < .05). Conclusions:  Quantitative Light-induced Fluorescence-Digital can be used to detect and monitor demineralization and plaque during orthodontics. Oral hygiene reinforcement at consecutive appointments using WL or QLF images as visual aids is effective in reducing plaque coverage. In terms of clinical benefits, QLF and WL images are of similar effectiveness; however, patients preferred the QLF images.

2011 ◽  
Vol 68 (3) ◽  
pp. 214-219 ◽  
Author(s):  
Sava Matic ◽  
Mirjana Ivanovic ◽  
Predrag Nikolic

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.


2021 ◽  
Vol 66 (2) ◽  
pp. 81-86
Author(s):  
Efka Zabokova-Bilbilova ◽  
Emilija Sefanovska ◽  
Aneta Mijoska ◽  
Olga Kokoceva-Ivanovska

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


2008 ◽  
Vol 55 (2) ◽  
pp. 122-132 ◽  
Author(s):  
Sava Matic ◽  
Mirjana Ivanovic ◽  
Jelena Mandic ◽  
Predrag Nikolic

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.


2021 ◽  
Vol 5 ◽  
pp. 31-34
Author(s):  
Monica Ndudi Adekoya

This article presents a successful orthodontic management of a 12-year-old male using a fixed orthodontic appliance (straight wire technique). His orthodontic treatment was hinged on creating enough space to accept an artificial tooth, correcting the horizontal and vertical relationships of the upper incisors to the lower and the midline shift. Ultimately, an esthetic smile was achieved; function and self-esteem were improved when the artificial tooth was finally fixed.


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.


2019 ◽  
Vol 10 (2) ◽  
pp. 1023-1028
Author(s):  
Ashik Ahamed A ◽  
Geetha RV ◽  
Lakshmi Thangavelu

To estimate the amount of bacteria present in patients wearing metallic and ceramic brackets. The objective of the present study is to investigate the amount of bacteria in patients wearing fixed orthodontic appliance. The fixed orthodontic appliance is the treatment of conditions like malocclusion. It includes brackets, tubes, band and ligating materials and archwires. Composite is used for bonding the brackets to the teeth surface, and it also induces the formation of plaque. Dental plaque is the main aetiology for Causing gingivitis. This study shows that the metallic and ceramic brackets worn by the patients were contaminated with various microorganisms. The main focus of the study is to create awareness among patients with fixed orthodontic appliance and to improve their oral hygiene and to prevent periodontal problems.


2011 ◽  
Vol 1 (1) ◽  
pp. 56-59 ◽  
Author(s):  
Jagan Nath Sharma

Esthetically pleasing face with harmonious soft tissue profile, stable occlusion and pleasant smile are important goals of orthodontic treatment. This case report along with the treatment results is of Class I bimaxillary protrusion malocclusion treated with fixed orthodontic appliance after extraction of all first premolars. The orthodontic treatment involving extraction of premolars brought about good esthetic changes in the face and dentition resulting into improvement in the soft tissue profile, occlusion and attainment of a more harmonious smile and dentofacial esthetics.


2014 ◽  
Vol 19 (3) ◽  
pp. 102-107 ◽  
Author(s):  
Leandro Silva Marques ◽  
Saul Martins Paiva ◽  
Raquel Gonçalves Vieira-Andrade ◽  
Luciano José Pereira ◽  
Maria Letícia Ramos-Jorge

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.


2020 ◽  
Author(s):  
Tahereh Baherimoghadam ◽  
Navid Naseri ◽  
Maliheh Mokhtar ◽  
Shahram Hamedani

Abstract Background Orthodontic appliances complicate daily oral hygiene maintenance and enhance the formation of microbial biofilm on tooth surfaces and orthodontic appliances. Any tool that enhances the oral hygiene of patients during orthodontic treatment would be of imperative beneficial. This trial was conducted to assess the effect of message reminders on oral hygiene of patients during removable orthodontic treatment.Methods In this 2-arm parallel randomized controlled trial, participants were randomly allocated to two groups; one receiving messages reminder and one as the control group. The patients in the messaging group received one or two message reminders and educational videos weekly during the course of treatment. The patients with removable maxillary appliance who were in the age range of 8 to 12 years old and had daily access to Internet to receive message reminders were recruited in this study. A single blinded examiner measured the plaque index (PI), gingival index (GI) and dental caries index of patients in both groups at baseline (T0) and one (T1), three (T2) and six (T3) months after the first day of treatment to assess their oral hygiene status during the course of treatment in both groups.Results A total of 50 patients were enrolled and randomized to two even groups (n = 25) but only 46 patients completed the study; 22 in control group, and 24 in message reminder group. The PI and GI scores were increased neither in control group nor in message reminder group during T0 and T1, significantly. The PI and GI scores in message reminder group were significantly lower than those in the control group at T2 (PI: P = 0.003, GI: P = 0.001) and T3 (PI: P = 0.044, GI: P = 0.012). However, slight significant increasing in the PI and GI score were found during T2 and T3 during in message reminder group. Caries index showed no significant difference between two group during study.Conclusion It seems that message reminders can efficiently promote oral hygiene of patients undergoing removable orthodontic treatment. Although, this promotion wasn’t progressive.Trial registration: Iranian Registry of Clinical Trials (IRCT), IRCT20180923041092N2. Registered 25 July 2020 - Retrospectively registered, https://www.irct.ir/user/trial/47612.


Sign in / Sign up

Export Citation Format

Share Document