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 Microbiological Evaluation of 0.2% Chlorhexidine Gluconate Mouth Rinse in Orthodontic Patients

2007 ◽  
Vol 77 (5) ◽  
pp. 881-884 ◽  
Author(s):  
Emel Sari ◽  
Ilhan Birinci
Keyword(s):  
Streptococcus Mutans ◽  
Orthodontic Treatment ◽  
Chlorhexidine Gluconate ◽  
Wilcoxon Test ◽  
Orthodontic Appliances ◽  
Mouth Rinse ◽  
Fixed Orthodontic Appliances ◽  
Orthodontic Patients ◽  
Fixed Appliances

Abstract Objective: To assess the effectiveness of 0.2% chlorhexidine gluconate mouth rinse on Streptococcus mutans and lactobacilli in orthodontic patients with fixed appliances. Materials and Methods: Twenty patients, aged 13–18, with fixed orthodontic appliances participated in the study. The levels of S mutans and lactobacilli in saliva samples were evaluated at four stages: at the beginning of the orthodontic treatment, at least 2 weeks after the bonding of brackets, 1 week after the introduction of 0.2% chlorhexidine gluconate mouth rinse, and at the fourth week. The changes in S mutans and lactobacilli levels were analyzed via Wilcoxon test. Results: Increases in bacterial levels of S mutans and lactobacilli were detected after the orthodontic appliances were bonded. A significant decrease in S mutans levels was observed 1 week after the introduction of chlorhexidine mouth rinse. Conclusions: An 0.2% chlorhexidine gluconate mouth rinse decreased S mutans levels, but had no effect on lactobacilli levels.

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

2011 ◽  
Vol 68 (3) ◽  
pp. 214-219 ◽  
Author(s):  
Sava Matic ◽  
Mirjana Ivanovic ◽  
Predrag Nikolic
Keyword(s):  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Control Group ◽  
Orthodontic Appliances ◽  
Orthodontic Appliance ◽  
Fixed Orthodontic Appliances ◽  
The Difference ◽  
School Of Dentistry ◽  
Fixed Orthodontic Appliance ◽  
Experimental Group

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.

scholarly journals Photogrammetric analysis of postextraction space closure

2021 ◽  
Vol 68 (2) ◽  
pp. 59-67
Author(s):  
Mirjana Umicevic-Davidovic ◽  
Marijana Arapovic-Savic ◽  
Adriana Arbutina ◽  
Tijana Adamovic ◽  
Igor Djukic
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Plan ◽  
Total Sample ◽  
Orthodontic Appliances ◽  
Results Of Treatment ◽  
Aesthetic Appearance ◽  
Space Closure ◽  
Fixed Orthodontic Appliances ◽  
The Difference ◽  
Digital Caliper

Introduction. When planning orthodontic treatment, it is sometimes necessary to apply the extraction of individual teeth, in order to achieve proper occlusion and an acceptable aesthetic appearance. Clinicians give the greatest advantage to elastic chains as a method for post-extraction space closure during treatment with fixed orthodontic appliances. When closing post-extraction spaces, it is necessary to measure them in order to adjust the treatment plan. One of the most acceptable methods is photogrammetry. The aim of this study was to analyze, using a photogrammetric method, the efficacy of post-extraction space closure with elastic chains during orthodontic treatment with fixed orthodontic appliances. Material and Methods. The total sample in study consisted of 38 post-extraction spaces in 19 patients who were indicated for first premolars extraction and use of fixed orthodontic appliances in order to achieve treatment goal. Elastic chains were used to close post-extraction spaces. Post-extraction sites were monitored for 6 months with follow-up examinations every 4 weeks. Mechanisms were activated at controlled examinations, and measurements of the width of post-extraction spaces were performed by photogrammetry and digital caliper. Results. The results showed that average reduction of post-extraction space width was 1.00 mm per month by photogrammetric measurement, while the average values of measurements with a digital caliper were 1.02 mm. The average values were measured in six time intervals and a statistically significant change in average intervals of post-extraction spaces during 6 months was determined. Conclusion. The elastic chain has proven to be a very effective mechanism for closing post-extraction space, and photogrammetry as a simple and precise method for monitoring results of treatment. Since the difference in relation to measurements with a digital caliper is minimal, photogrammetry can be routinely applied in everyday practice.

scholarly journals Changes in subgingival microflora after placement and removal of fixed orthodontic appliances

2014 ◽  
Vol 142 (5-6) ◽  
pp. 301-305 ◽  
Author(s):  
Marija Zivkovic-Sandic ◽  
Branka Popovic ◽  
Jelena Carkic ◽  
Nadja Nikolic ◽  
Branislav Glisic
Keyword(s):  
Statistical Significance ◽  
Orthodontic Appliances ◽  
Fixed Orthodontic Appliances ◽  
Orthodontic Patients ◽  
Group A ◽  
Subgingival Microflora ◽  
Fixed Appliances ◽  
Pcr Method ◽  
Group B ◽  
The Right

Introduction. The placement of fixed orthodontic appliances may lead to increased plaque accumulation and changes in subgingival microflora. Objective. The aim of this study was to examine the changes in frequency of subgingival microflora that occur after placement and removal of fixed orthodontic appliance using polymerase chain reaction (PCR). Methods. This study included 33 orthodontic patients, who were divided into two groups. Subgingival plaque samples were collected from the right upper incisor (U1) and right upper first molar (U6). In group A, the samples were taken three times: before placement appliance (T1), after one month (T2), and after 3 months (T3). In group B the samples were also taken three times: before appliance removal (T1), after one month (T2), and after three months (T3). PCR method was used to determine the presence of P. gingivalis, A. actinomycetemcomitans, T. forsythia, and P. intermedia. Results. In group A the frequency of P. gingivalis showed statistically significant decrease at U1 (p=0.049) and U6 (p=0.008), from T1 to T2, and at U1 (p=0.048) from T1 to T3. In group B only the frequency of T. forsythia showed a statistically significant decrease, at U6 (T1 vs. T2, p=0.004; T1 vs. T3, p=0.0003). Regarding other analyzed bacteria, changes in the presence were noticed but no statistical significance was found. Conclusion. Placement of fixed appliances may have an impact on subgingival microflora, but in the first months after the placement and removal of the appliance changes were not significant, probably due to good oral hygiene.

The effectiveness of a dental gel with barberry extract in the treatment of plaque-induced gingivitis in orthodontic patients undergoing treatment with fixed appliances

2021 ◽  
Vol 21 (1) ◽  
pp. 51-56
Author(s):  
A. G. Skubitskaya ◽  
I. V. Firsova ◽  
S. V. Poroyskyi ◽  
O. G. Strusovskaya
Keyword(s):  
Orthodontic Treatment ◽  
Periodontal Diseases ◽  
Orthodontic Appliances ◽  
Local Immunity ◽  
Group I ◽  
Fixed Orthodontic Appliances ◽  
Tnf Α ◽  
Orthodontic Patients ◽  
Fixed Appliances ◽  
Group Ii

Relevance. The high necessity in orthodontic treatment among young patients and the use of fixed orthodontic appliances for the treatment of dental pathology are the factors that initiate inflammatory periodontal processes. Timely diagnosis and optimal preventive and treatment procedures can prevent or stop the inflammatory periodontal complications which could have developed during the orthodontic treatment. One of the effective methods for the prevention and treatment of inflammatory periodontal diseases is the use of targeted antimicrobial agents based on medicinal plants that have specific antimicrobial activity against periodontal pathogens. Purpose – to study the effectiveness of the dental gel with barberry extract for the treatment of plaque-induced gingivitis in orthodontic patients during the active phase of the treatment with fixed appliances.Materials and methods. The study included 60 patients (35 women and 25 men) aged 18 to 35 years who had presented for the orthodontic care. The patients undergoing orthodontic treatment with fixed appliances were randomly divided into two groups. In group I, the patients were prescribed applications of a dental gel with barberry extract; in group II, this medication was not prescribed. The clinical condition of the periodontium was assessed with periodontal indices PMA, SBI and OHI-S. The immune status was evaluated by the level of secretory IgA, interleukins (IL-1β and IL-4) and tumor necrosis factor-α (TNF-α). The patients were followed up during 1 month of treatment. The results were statistically processed with Statsoft Statistica 8.0 and Graph Pad Prism 5.0.Results. In group II, the production of immunoglobulin IgA, pro- and anti-inflammatory cytokines was impaired after a month of treatment, associated with a significant deterioration in the oral hygiene status and an increase in PMA (by 3 times), SBI (by 5.3 times) indices. In group II, the oral fluid concentrations of IL-1β, IL-4 and TNF-α significantly differed from those in group I as of the 7th day of the observation period and indicated suppression of the mucosal immunity. Clinical and immune parameters of the group I patients improved and were comparable with the control by the end of the observation month.Conclusions. Patients with dental abnormalities are at risk of developing inflammatory periodontal diseases. The results of the immunological tests, performed during the treatment with the use of a dental gel with barberry extract, demonstrated the recovery of the local immunity, as evidenced by the elevation of secretory immunoglobulin A in saliva and improvement of cytokine profile parameters.

scholarly journals Periodontal health knowledge and awareness among subjects with fixed orthodontic appliance

2018 ◽  
Vol 23 (5) ◽  
pp. 40.e1-40.e9 ◽  
Author(s):  
Elham S. Abu Alhaija ◽  
Eman M. Al-Saif ◽  
Dafi Q. Taani
Keyword(s):  
Orthodontic Treatment ◽  
Health Knowledge ◽  
Negative Attitude ◽  
Gingival Recession ◽  
Orthodontic Appliances ◽  
Duration Of Treatment ◽  
Periodontal Health ◽  
Fixed Orthodontic Appliances ◽  
Orthodontic Patients ◽  
High Level

Abstract Objective: To report on periodontal health knowledge and awareness among orthodontic patients and to investigate the effect of age, attitude and duration of orthodontic treatment on periodontal health awareness among orthodontic patients. Methods: A total of 297 orthodontics patient (90 males, 207 females) with mean age of 17.7 ± 5.0 years (older then 18 years = 119, 18 years or younger = 178) were included in this study. Subjects were currently wearing upper and lower fixed orthodontic appliances for an mean period of 12.55 ± 10.86 months (less than or equal to 18 months = 231, more than 18 months = 66). Data was collected through a self-administered questionnaire (demographic characteristics, subjects’ awareness toward their periodontal health, periodontal knowledge among orthodontic patient and patients’ attitude toward orthodontic treatment regarding periodontal health) and clinical periodontal examination. Results: Periodontal knowledge was poor among orthodontic patients in relation to dental plaque. Only 24 subjects (8%) correctly answered knowledge-related questions. Adult orthodontic patients reported negative attitude toward fixed orthodontic treatment in respect to periodontal health (p<0.001). Duration of orthodontic treatment negatively affected subjects’ attitude toward fixed orthodontic treatment (p<0.01). The majority of subjects were in the high level of awareness group (64%). Orthodontic patients’ awareness toward their periodontal health during fixed orthodontic treatment was affected by attitude scores (p=0.005), number of teeth with gingival recession (p=0.041), Gingival Index (p=0.000), duration of treatment (p=0.047) and age (p=0.008). Conclusions: Periodontal health knowledge among orthodontic patients was poor. Orthodontic patients’ awareness of their periodontal health was moderate and was affected by age, attitude and duration of orthodontic treatment.

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

scholarly journals Prevalence of White Spot Lesion in Nepalese Patients with Fixed Orthodontic Appliance

2013 ◽  
Vol 3 (2) ◽  
pp. 7-10
Author(s):  
Sandhya Shrestha ◽  
Rabindra Man Shrestha
Keyword(s):  
Treatment Duration ◽  
Orthodontic Treatment ◽  
White Spot ◽  
P Value ◽  
Orthodontic Appliances ◽  
White Spot Lesion ◽  
Male And Female ◽  
Fixed Orthodontic Appliances ◽  
Significant Difference ◽  
Orthodontic Patients

Introduction: Enamel decalcification in the form of white spot lesion is a common complication seen in patients with fixed orthodontic appliances. Objective: To determine the prevalence of white spot lesion among Nepalese fixed orthodontic patients, to compare the occurrence of WSL among the patients with lesser and greater duration of treatment, and to compare between the gender groups. Materials & Method: A cross-sectional study was done to compare the prevalence of WSL between 300 orthodontic patients and 100 non-orthodontic subjects. Further comparison was done between the mean treatment duration between orthodontic subjects of 6-18 months and >18 months, and between male and female samples. Subjects were visually examined on second premolar to second premolar in both maxillary and mandibular arches using Gorelick’s WSL index. Descriptive statistics were calculated and independent t-test was used to compare the difference between the groups. The p-value <0.05 was considered significant. Result: The prevalence of WSL in Nepalese orthodontic patients was 54.3%; among them prevalence was 40% in lesser treatment duration group and 68.7% in greater treatment duration group. The study found significant difference between untreated nonorthodontic group and orthodontically treated group with respect to the number of teeth affected with WSL. Also, there was significant difference between the categories of orthodontic treatment duration. There was no significant difference between male and female samples. Conclusion: Fixed orthodontic treatment increase the risk of white spot lesion. Duration of orthodontic treatment also showed significant increase in the occurrence of WSL.  

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.

Sign in / Sign up

Export Citation Format

Share Document