scholarly journals Comparison of effects of bracket types and treatment duration on periodontal health of adult patients

2019 ◽  
Vol 9 ◽  
pp. 94-98
Author(s):  
Gülbahar Ustaoglu ◽  
Yasemin Nur Korkmaz ◽  
Koray Halicioglu ◽  
Özge Uysal
Keyword(s):  
Treatment Duration ◽  
Adult Patients ◽  
Plaque Index ◽  
Clinical Parameters ◽  
Gingival Index ◽  
Duration Of Treatment ◽  
Periodontal Health ◽  
Bleeding On Probing ◽  
Significant Difference ◽  
Conventional Brackets

Objective The aim of this study was to assess the effect of fixed orthodontic treatments with steel-ligated conventional brackets and self-ligating brackets (SLBs) on periodontal clinical parameters. Materials and Methods Seventy-seven patients (24 male and 53 female) aged between 18 and 30 years were enrolled in the study. Periodontal parameters including plaque index (PI), gingival index (GI), and bleeding on probing (BOP) index were obtained from all the bonded teeth. Results When the effect of bracket type and duration of treatment on gingival tissues was examined, there was no statistically significant difference between the treatment times (P = 0.670) and bracket types (P = 0.596) in terms of PI. The GI was significantly different between the different treatment durations (P = 0.045); it was higher in patients with a treatment duration of 18–36 months. However, the GI did not change according to the bracket types (P = 0.270). This result was not significantly different between different treatment durations (P = 0.270). There was no significant difference between the treatment periods (P = 0.189) in terms of BOP index, and this result did not change according to the bracket types (P = 0.621). Conclusion SLBs do not require ligatures, which may facilitate plaque accumulation. However, our results showed that SLBs were not advantageous over CBs in terms of periodontal health.

scholarly journals Periodontal health of anterior teeth with two types of fixed retainers

2014 ◽  
Vol 85 (4) ◽  
pp. 699-705 ◽  
Author(s):  
Andrew I. Corbett ◽  
V. Leroy Leggitt ◽  
Nikola Angelov ◽  
Greg Olson ◽  
Joseph M. Caruso
Keyword(s):  
Gingival Crevicular Fluid ◽  
Fluid Volume ◽  
Plaque Index ◽  
Fisher Exact Test ◽  
Periodontal Health ◽  
Bleeding On Probing ◽  
Anterior Teeth ◽  
Significant Difference ◽  
Crevicular Fluid ◽  
Fixed Retainers

ABSTRACT Objective:  To compare the periodontal health of maxillary and mandibular anterior teeth retained with two types of fixed retainers. Materials and Methods:  A fixed straight retainer (SR) group had 39 subjects, and a fixed wave retainer (WR) group had 35 subjects. Subjects were between the ages of 13 and 22 years and had been in fixed retention for 2 to 4 years. Pocket probing depths, bleeding on probing, plaque index, calculus index, recession, and gingival crevicular fluid volume were compared between the two retainer groups. A four-question oral hygiene survey was given to each subject. The Mann-Whitney U-test and Fisher exact test was used to analyze the data. Results:  There was no clinically significant difference between the retainer groups regarding plaque index, gingival crevicular fluid volume, calculus index, recession, bleeding on probing, and pocket probing depths. A statistically significant increase in the reported frequency of flossing (P  =  .006) and ease of flossing (P < .001) was associated with the WR group. There was no significant difference between the groups in reported frequency of brushing and comfort of the retainer. Conclusions:  Under the conditions of this study, no clinical difference was found in the periodontal health of anterior teeth retained with a SR or WR for a period of 2 to 4 years. Subjects in the WR group reported an increase in frequency and ease of flossing.

scholarly journals Asthma and periodontal health in children

2018 ◽  
Vol 75 (12) ◽  
pp. 1202-1208
Author(s):  
Bojana Davidovic ◽  
Mirjana Ivanovic ◽  
Dejan Bokonjic ◽  
Svjetlana Jankovic ◽  
Jelena Eric ◽  
...  
Keyword(s):  
Oral Health ◽  
Oral Hygiene ◽  
Plaque Index ◽  
Gingival Index ◽  
Periodontal Health ◽  
Mean Values ◽  
Asthmatic Children ◽  
Periodontal Index ◽  
Significant Difference ◽  
Children With Asthma

Background/Aim. Oral health is an important part of overall health. Good oral health is important for oral diseases prevention and health maintenance of respiratory system. The aim of the study was to evaluate oral hygiene and periodontal health parameters of asthmatic children and to compare them with children without asthma as well as to evaluate those parameters according to type of used medications and time of taking medications in children with asthma. Methods. This epidemiological study included 68 children with asthma and 68 children without asthma or any other chronic disease aged from 6 to 16 years. Parameters used in this study were Greene-Vermillion index, L?e-Silness gingival index and Community Periodontal Index (CPI). Results. Good oral hygiene (31.1%) was more present in children without asthma whereas poor hygiene (20.0%) was more frequent in children with asthma (p < 0.001). Healthy gingiva was more frequent in children without asthma (25%) while mild (58.8%) and moderate gingival inflammation (5.9%) were more frequent in the group of children with asthma (p < 0.01). Mean CPI values were higher in children with asthma (p < 0.001). Mean values of Plaque Index, Gingival Index and CPI did not show statistically significant difference in relation to type of administered medication. However, taking medications in the afternoon was related to higher mean values of Plaque Index and Gingival Index (p < 0.05) within the group of children with asthma. Conclusion. Children with asthma had poorer oral hygiene and were diagnosed with greater values of oral hygiene and periodontal indices compared with the group of children without asthma. For this reason, it is necessary to promote oral health and establish good oral hygiene habits in asthmatic children.

scholarly journals Gingival Inflammatory Indices and Dental Stain Index after Using Aloe Vera-Green Tea Mouthwash, Matrica Mouthwash, or 0.2% Chlorhexidine Mouthwash Compared with Placebo in Patients with Gingival Inflammation

2019 ◽  
Vol 13 (1) ◽  
pp. 214-220
Author(s):  
Jaber Yaghini ◽  
Narges Naghsh ◽  
Sayed Mohsen Sadeghi ◽  
Samaneh Soltani
Keyword(s):  
Clinical Trial ◽  
Green Tea ◽  
Aloe Vera ◽  
Plaque Index ◽  
Gingival Index ◽  
Bleeding On Probing ◽  
Mean Values ◽  
Significant Difference ◽  
The Mean ◽  
Anti Inflammatory

Introduction: The purpose of this study was to evaluate and compare the effects of composition of aloe vera-green tea, matrica, and chlorhexidine on gingival inflammatory indices and dental stain index. Materials & Methods: In this double-blinded placebo-controlled clinical trial, anti-inflammatory, anti-plaque formation, and dental staining effects of two herbal mouthwashes, including aloe vera-green tea and matrica in comparison with chlorhexidine in 60 patients with plaque induced gingivitis referring to Isfahan University of Medical Sciences, School of Dentistry were evaluated. The indices evaluated in this study were plaque index (Silness and Loe), gingival index (Loe and Silness), bleeding on probing index (Ainamo and Bay) and dental stain index (Lobene stain index). They were evaluated on the first day of using mouthwashes and two weeks later. The obtained data were analyzed using SPSS software version 22. One-way ANOVA, Tukey post hoc, and paired t and Chi-square tests (α=0.05) were used as appropriate. Results: There was no significant difference between the four groups in terms of the mean values of plaque index, gingival index, BOP index, and stain index before the application of mouthwash. However, after mouthwash application, the mean values of indices were significantly different between the four groups. Aloe vera-green tea and chlorhexidine mouthwashes reduced plaque index, gingival index, and bleeding on probing index significantly and there was no significant difference between these two mouthwashes (P>0.05). The effect of matrica mouthwash on plaque index and gingival index was significantly lower than aloe vera-green tea and chlorhexidine (P<0.05). The mean reduction in BOP index was not significantly different between the aloe vera-green tea, chlorhexidine, and matrica groups. Regarding dental stain index, both herbal mouthwashes caused significantly lower dental stain in comparison with chlorhexidine (P<0.05). Conclusion: The results of the present study show that aloe vera-green tea mouthwash may be an effective mouthwash owing to its antiplaque and anti-inflammatory properties and may be an ideal substitute for chlorhexidine. Clinical Trial: The clinical trial code: IR.MUI.REC.1395.3.573

scholarly journals Periodontal Parameters Alterations with Use of Conventional Bracket and Self-ligating Brackets

2019 ◽  
Vol 9 (2) ◽  
pp. 6-12
Author(s):  
Manish Bajracharya ◽  
Ranjita Shrestha Gorkhali ◽  
Abhilasha Khanal ◽  
Neesha Shrestha ◽  
Umesh Parajuli
Keyword(s):  
Random Number ◽  
Random Number Generator ◽  
Plaque Index ◽  
Gingival Index ◽  
Periodontal Status ◽  
Significant Difference ◽  
Conventional Brackets ◽  
Bonferroni Test ◽  
The Mean ◽  
Conventional Bracket

Introduction: Different bracket systems are available in the market claiming to have some advantage over the other. Conventional brackets and the self-ligating brackets are the most common. Though both the systems work basically similarly, the difference between the two system is principally in the ligating technique. The advantage of conventional brackets claimed are faster tooth movements and improved oral health of the patient. Materials & Method: A total number of 20 patients were shorted from the waiting list meeting the selection criteria. With the help of random number generator, two groups with 10 subjects each were created for conventional brackets (0.022 Slot MBT brackets) and self-ligating brackets (0.022 Slot DAMON prescription) respectively. The patients were blinded regarding the selection of the brackets. The brackets were bonded according to the random number allocation. After the bonding, the periodontal parameters i.e. gingival index (GI), plaque Index (PI) were measured again at an interval of 60 (T1) and 120 days (T2). Periodontal indices were calculated by summing the mean score of each examined tooth and dividing by the number of the evaluated teeth. Data collection was done with the help of a periodontal probe. All the records were taken by the same periodontist to avoid inter-examiner variability. To reassure that there is no any intra-examiner variation for periodontal status, the same periodontist re-measured the periodontal parameters again of 10 individuals selected randomly after 7 days from the initial measurements. To examine the intra-examination variability, Dahlberg’s formula was used between the two readings taken at a span of 7 days of the same subjects. The mean value of Plaque index and Gingival index was checked for normal distribution applying Kolmogorov- Smirnov test. One-way ANOVA test was applied for comparison between and within groups for plaque index and Gingival index during three different period in Conventional brackets and Self-ligating brackets. Post hoc Bonferroni test was applied for multiple comparison. Independent t-test was applied for comparison between conventional brackets and self-ligating brackets to compare the plaque index and gingival index. All data were test were analyzed at P<0.05. Result: There was no any significant difference between T0 and T1 and between T1 and T2 in both the conventional brackets and self-ligating brackets. However, there was statistical difference between the time period from T0 to T2. There was also no any significant difference between conventional bracket and self-ligating brackets in terms of plaque index and gingival index. Conclusion: There are no advantages of self-ligating brackets over conventional brackets in terms of periodontal status.

scholarly journals Duration of orthodontic treatment with fixed appliances in adolescents and adults: a systematic review with meta-analysis

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Allen Abbing ◽  
Vasiliki Koretsi ◽  
Theodore Eliades ◽  
Spyridon N. Papageorgiou
Keyword(s):  
Treatment Duration ◽  
Meta Analysis ◽  
Risk Of Bias ◽  
Adult Patients ◽  
Comprehensive Treatment ◽  
Orthodontic Appliances ◽  
Duration Of Treatment ◽  
Quality Of Evidence ◽  
Fixed Appliances

Abstract Objectives Adults with fixed orthodontic appliances are increasing nowadays. Compared with adolescents, adults present biological differences that might influence treatment duration. Therefore, the aim of the study was to compare duration of treatment with fixed appliances between adults and adolescents. Materials and methods Eight databases were searched up to September 2019 for randomized and non-randomized clinical studies comparing treatment duration with fixed appliances in adolescents and adult patients. After duplicate study selection, data extraction, and risk of bias assessment with the Cochrane ROBINS-I tool, random effects meta-analyses of mean differences (MD) and their 95% confidence intervals (CIs) were performed, followed by assessment of the quality of evidence with GRADE. Results A total of 11 unique studies (one prospective and 10 retrospective non-randomized) with 2969 adolescents and 1380 adult patients were finally included. Meta-analysis of 7 studies found no significant difference in the duration of comprehensive treatment with fixed appliances (MD = − 0.8 month; 95% CI = − 4.2 to 2.6 months; P = 0.65; I2 = 92%) between adults and adolescents. Similarly, both distalization of upper first molars with skeletal anchorage for class II correction and the retraction of canines into the premolar extraction spaces lasted similarly long among adults and adolescents. On the other hand, alignment of palatally displaced canines lasted considerably longer in adults compared to adolescents (1 study; MD = 3.8 months; 95% CI = 1.4 to 6.2 months; P = 0.002). The quality of evidence for the meta-analysis was low due to the inclusion of non-randomized studies with considerable risk of bias. Conclusions While existing evidence does not indicate a difference in the overall duration of treatment with fixed appliances between adults and adolescents, the alignment of palatally displaced canines lasted significantly longer in adults. However, our confidence in these estimates is low due to the risk of bias in the included studies. Trial registration PROSPERO: (CRD42019148169)

scholarly journals Appropriate Oral Hygiene Motivation Method for Patients with Fixed Appliances

2007 ◽  
Vol 77 (6) ◽  
pp. 1085-1089 ◽  
Author(s):  
Zuhal Yetkin Ay ◽  
Mözgür Sayın ◽  
Yener Özat ◽  
Tuba Goster ◽  
A. Onur Atilla ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
The Other ◽  
Plaque Index ◽  
Gingival Index ◽  
Verbal Information ◽  
Bleeding On Probing ◽  
Orthodontic Patients ◽  
Fixed Appliances ◽  
The Difference

Abstract Objective: To determine the most appropriate oral hygiene motivation method (OHMM) for orthodontic patients with fixed appliances. Materials and Methods: A total of 150 orthodontic patients, scheduled for their regular controls, were included in this study. The patients were divided into five groups (n = 30) according to the verbal OHMM and instructed as follows: only verbal information (V), verbal information with demonstration on model (M), verbal information with demonstration on model and self application by the patient (M+A), verbal information using the illustration catalog (I), and verbal information using the illustration catalog and self application by the patient (I+A). All of the applications of the patients were made under the supervision of the clinicians. The periodontal parameters (plaque index [PI], gingival index [GI], and bleeding on probing [BOP]) were recorded at the baseline (before the instructions of the OHMM), 1 week later, and 4 weeks after the OHMM. Results: All periodontal parameters showed significant decreases after 4 weeks in all OHMM groups (P &lt; .05). I+A group has significantly lower PI scores and BOP percentages than the other groups (P &lt; .05) after 4 weeks. The difference between the V group and M+A, I, and I+A groups in the GI scores were significant (P &lt; .05), and the I+A group has presented the lowest GI score. Conclusions: The OHMM applied by the patients under the supervision of the clinician seemed to be more successful in the elimination of plaque and inflammatory symptoms in patients with fixed appliances.

scholarly journals Effects of adhesive flash-free brackets on enamel demineralization and periodontal status

2020 ◽  
Vol 90 (3) ◽  
pp. 339-346
Author(s):  
Ayten Tan ◽  
Serpil Çokakoğlu
Keyword(s):  
Class Ii Malocclusion ◽  
Gingival Index ◽  
Periodontal Health ◽  
Periodontal Status ◽  
Time Points ◽  
Enamel Demineralization ◽  
Intergroup Comparison ◽  
Conventional Brackets ◽  
Ceramic Brackets ◽  
T1 And T2

ABSTRACT Objectives To evaluate the effects of adhesive precoated (APC) flash-free brackets on enamel demineralization and periodontal status in patients during fixed orthodontic treatment. Materials and Methods Thirty patients, age 12 to 18 years, who had Angle Class I or Class II malocclusion with mild to moderate crowding in the permanent dentition were selected for this study. APC flash-free and conventional ceramic brackets were bonded for a split-mouth study design. The quadrant allocation was randomized. Demineralization records were obtained immediately after bonding (T0), 1 month after bonding (T1), and 6 months after bonding (T2). Clinical periodontal measurements, including gingival index, plaque index, and bleeding upon probing, were obtained before bonding (T0) and at the same time points (T1 and T2). Data were analyzed using Mann-Whitney U and Friedman tests to compare parameters between groups and times. Results Demineralization values decreased on most sides of the brackets for both groups between T0 and T1. In the conventional group, there was significantly higher demineralization on more sides compared with flash-free brackets between T1 and T2. With one exception, the decreased values were found in the incisal/occlusal sides of all brackets at T2. All periodontal parameters showed significant increases after 6 months of treatment in both groups. Intergroup comparison showed no significant differences in demineralization or periodontal measurements at any of the time points. Conclusions The effects of APC flash-free and conventional brackets on enamel demineralization and periodontal health did not differ from each other.

Effects on Gingivitis of Two Different 0.4% SnF2 Gels

1988 ◽  
Vol 67 (2) ◽  
pp. 503-507 ◽  
Author(s):  
R.L. Boyd ◽  
P.J. Leggott ◽  
P.B. Robertson
Keyword(s):  
Treatment Group ◽  
High Availability ◽  
Plaque Index ◽  
Control Group ◽  
Bleeding Tendency ◽  
Gingival Index ◽  
Periodontal Health ◽  
Pocket Depth ◽  
Treatment Groups ◽  
The One

For nine months we monitored the periodontal health of 81 adolescents undergoing orthodontic treatment with fixed appliances, to determine whether daily use of a brush-on 0.4% SnF 2 gel would be better than toothbrushing alone in maintaining periodontal health in these patients, and whether a gel supplying a high percentage of available Sn2+ ion would be more beneficial than a gel supplying a low percentage of available Sn2+ ion. The subjects were matched for age and sex and placed into a control group, which used toothbrushing alone, and two treatment groups, which used toothbrushing supplemented with daily use of a SnF2 gel. One treatment group used a gel with 98% available Sn2+ ion twice daily for the entire nine months. The other treatment group used a gel with less than 2% available Sn2+ once a day for six months, then twice a day for the remaining three months of the study. Clinical assessments (Plaque Index, Gingival Index, Bleeding Tendency, pocket depth, and coronal staining) were made before appliances were placed and at one, three, six, and nine months after appliances were placed. Results indicated that the group using the high-availability Sn 2+ gel twice daily had significantly lower Gingival Index and Bleeding Tendency scores at the one-, three-, six-, and nine-month examinations than did the control group. The group using the low-availability Sn2+ gel showed no significant differences in these assessments from the control group. Neither treatment group showed significant differences from the control group in Plaque Index or pocket depth. In the group using the high-availability Sn2+ gel, one subject developed mild coronal staining, and two developed moderate staining.

scholarly journals Oral Hygiene and Gingival Health in Patients with Fixed Prosthodontic Appliances - A Six Month Follow-up

2017 ◽  
Vol 13 (4) ◽  
pp. 328-332 ◽  
Author(s):  
Basnyat S KC ◽  
B. Sapkota ◽  
S. Shrestha
Keyword(s):  
Oral Hygiene ◽  
Dental Prosthesis ◽  
Plaque Index ◽  
Diagnostic Tools ◽  
Gingival Index ◽  
Partial Denture ◽  
Fixed Partial Denture ◽  
Fixed Dental Prosthesis ◽  
Single Crown ◽  
Significant Difference

Background Gingival inflammation and periodontal disease are the common complications of fixed dental prosthesis. They can be overcome by good oral hygiene maintenance.Objective The objective of this study was to assess the oral hygiene and gingival condition in patients after placement of fixed dental prosthesis for a period of six months. It was also analyzed how factors like type of fixed dental prosthesis (Single crown, fixed partial denture) and material (Metal, Porcelain fused to metal) are statistically associated with oral hygiene and gingival health.Method The sample consisted of 50 patients visiting the Dental Outpatient Department of Dhulikhel Hospital. The oral examinations were conducted using basic diagnostic tools (Mouth mirror, periodontal probe and explorer). Teeth and gingiva were examined using the Plaque and Gingiva Index by Silness and Löe. The examinations were conducted after 14 days and six months after placement of fixed dental prosthesis along with the oral hygiene instructions. Paired sample t-test were done to find statistical association using SPSS 16.0.Result Our results revealed no significant difference in plaque index among patients with single crown whereas fixed partial denture showed statistical significance. No significant differences were found for type of material. The statistical analysis showed similar results for gingival index.Conclusion Our research showed that single crown had no significant difference on Plaque index and Gingival index of the patient after 14 days and six months, whereas, Fixed partial denture showed significant difference. Both metal and porcelain fused to metal crown revealed no statistically significant difference on Plaque index and Gingival index.

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