scholarly journals To Assess the Knowledge, Attitude and Practice of Oral Hygiene Protocols Among Patients Having Orthodontic Treatment

2018 ◽  
Vol 2 (7) ◽  
pp. 176-179
Author(s):  
Mansimranjit Kaur Uppal ◽  
Khateeb Khan
Keyword(s):  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Dental Practice ◽  
Positive Effects ◽  
Attitude And Practice ◽  
Gingival Health ◽  
Orthodontic Patients ◽  
Dentofacial Orthopedics ◽  
Oral Hygiene Instruction ◽  
Knowledge Attitude And Practice

INTRODUCTION: Orthodontic treatment is widely acknowledged and accepted in everyday dental practice due to the positive effects it has on the dentofacial complex. Importance of oral hygiene in orthodontic patients is also important to prevent any further oral diseases.AIM: The aim of this study was to assess the knowledge, attitude, and practice of oral hygiene protocols among patients having orthodontic treatment.MATERIALS AND METHODS: The sample consisted of 90 patients who had permanent dentition from the Department of Orthodontics and Dentofacial Orthopedics and various questions were asked regarding the knowledge, attitude and practice on oral hygiene during the time of orthodontic treatment. All the responses were analysed statistically.RESULTS: The results of the study showed that nearly 40% of the patients were unaware about gingival health, 65% did not follow the oral hygiene instruction. Despite being given instructions, most of them were reluctant in practicing them strictly.CONCLUSION: The knowledge, attitude, practice of oral hygiene among orthodontic patients were poor and showed the need of better education and motivation. Many factors may be responsible for the non-maintenance of gingival health practices. There is a need to incorporate and evaluate more intense oral hygiene programs in the future.

scholarly journals Knowledge, Attitude and Practice of Patients towards Orthodontic Treatment: A Multi-centric Study

2014 ◽  
Vol 4 (1) ◽  
pp. 6-11 ◽  
Author(s):  
Rabindra Man Shrestha ◽  
Prakash Bhattarai ◽  
Jyoti Dhakal ◽  
Sujita Shrestha
Keyword(s):  
Waiting Time ◽  
Orthodontic Treatment ◽  
Good Knowledge ◽  
Attitude And Practice ◽  
Orthodontic Patients ◽  
Negative Perceptions ◽  
Treatment Objective ◽  
Male Patients ◽  
The Difference ◽  
Knowledge Attitude And Practice

Introduction: Patient’s perspective and cooperation on treatment procedure and service is very important to evaluate the management system and success of the orthodontic treatment. Objective: To assess knowledge, attitude and practice of Nepalese patients towards orthodontic treatment and to find the difference of perception between female and male patients. Materials & Method: A structured questionnaire comprising of fifteen questions in three sections was used among 536 orthodontic patients at eight orthodontic treatment centers. The knowledge, attitude and practice were assessed on Likert scale. The data were rescored based on positive, neutral or negative perceptions and depicted for a level. The difference in perception between female and male patients was tested using Mann-Whitney U test. Result: 85% of orthodontic patients possess good knowledge about ongoing orthodontic treatment; however about half of the patients are unaware about retainers. About 35% patients think that people wearing braces do not look good, 59% experience long waiting time, 25% feel time spent for procedure is inadequate and 68% believe orthodontic treatment is expensive; still 82% are happy about treatment outcome. Most of the patients brush and rinse more carefully, however 28.9% patients are careless about braces and 12.7% forget appointment dates. Conclusion: Nepalese orthodontic patients possess good knowledge about orthodontic treatment, however lack adequate attitude and practice towards the treatment. The practitioners should inform patients about retainers and be concerned about waiting time, procedure duration and cost of the treatment.DOI: http://dx.doi.org/10.3126/ojn.v4i1.11304 Orthodontic Journal of Nepal Vol.4(1) 2014; 6-11

scholarly journals A dissertation on adolescent compliance with oral hygiene instruction during orthodontic treatment

2015 ◽  
Vol 3 (2) ◽  
pp. 18-24
Author(s):  
SM Omar Faruk ◽  
Md Zakir Hossain
Keyword(s):  
Observational Study ◽  
Female Patient ◽  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Orthodontic Appliances ◽  
Successful Treatment Outcome ◽  
Close Supervision ◽  
Acid Producing Bacteria ◽  
Dentofacial Orthopedics ◽  
Oral Hygiene Instruction

Objectives: To determine the level of compliance with Oral Hygiene Instruction ( OHI) of 12 to 18 years old adolescent patient receiving orthodontic treatment at Dhaka Dental College and Hospital.Materials and Methods : In this descriptive observational study, a total number of 100 patients (37 boys & 63 girls) were selected (with convenient sampling) from Orthodontics and Dentofacial Orthopedics Department in Dhaka Dental College & Hospital. As the number of female patient is higher than that of male patient at Orthodontics and Dentofacial Orthopedics Department in Dhaka Dental College & Hospital and the samples were selected with convenient sampling, the number of female patient was higher in this study.Results: This was an observational study conducted among 100 patients in the department of Orthodontics and Dentofacial Orthopedics, Dhaka Dental College and Hospital. The result of this study indicates that after five month of insertion of orthodontic appliance, 76% patients were good complier with Oral Hygiene instruction (OHI).Conclusion: The insertion of orthodontic appliances can result in changes in the oral environment, such as causing higher concentration of acid-producing bacteria due to the difficulty of performing oral hygiene after the insertion of appliance. Orthodontic appliances can also be associated with white spots, enamel decalcification, periodontal breakdown, and development of carious lesions. Continual plaque build-up may thus jeopardize the continuity of orthodontic treatment and the achievement of successful treatment outcome. So it is very important to give Oral Hygiene Instruction (OHI) at the commencement of orthodontic treatment and close supervision of the patient during treatment.Ban J Orthod & Dentofac Orthop, April 2013; Vol-3, No.2

scholarly journals Effects of Reinforced Oral Hygiene Instruction Program With and Without Professional Tooth Cleaning on Plaque Control and Gingival Health of Orthodontic Patients Wearing Multibracket Appliances

2019 ◽  
Vol 53 (4) ◽  
pp. 272-277
Author(s):  
Sapna Singla ◽  
Priyanka Gupta ◽  
Gurvanit Lehl ◽  
Manjit Talwar
Keyword(s):  
Oral Hygiene ◽  
Plaque Score ◽  
Tooth Cleaning ◽  
Gingival Health ◽  
Group I ◽  
Orthodontic Patients ◽  
Plaque Control ◽  
The Mean ◽  
Group Ii ◽  
Oral Hygiene Instruction

Introduction: Fixed orthodontic therapy is considered to be one of the important risk factor for plaque accumulation, since various orthodontic components serves as the retentive areas for plaque accumulation and thus increasing the risk of caries and periodontitis. Therefore these patients must be encouraged to maintain good oral health throughout the treatment. Objective: To investigate the effects of reinforced oral hygiene instruction programme with and without professional tooth cleaning on the plaque accumulation and gingival health of orthodontic patients wearing fixed multibracket appliances. Material and Methods: Forty patients with fixed orthodontic appliances in the age range of 12–28 years were divided randomly into Group I (n=20) and Group II (n=20). Group I received oral hygiene instructions and Group II received similar instructions supplemented with one sitting of professional tooth cleaning. The plaque and gingival index were recorded at the baseline (before the instructions), after 4 and 8 weeks in both the groups. At each visit all the instructions were reinforced in both the groups. Results: Intergroup comparison showed significant decrease in the mean plaque score at 4 weeks in Group II (p<0.01), but no significant difference in the mean plaque score at 8 weeks and mean gingival scores at 4 and 8 weeks between both the groups. Within the group comparison, showed that the mean values of both the indices showed significant decrease after 8 weeks in both the groups (p<0.01). Conclusion: Reinforced oral hygiene instruction programme with or without professional prophylaxis can lead to efficient control of plaque accumulation as well as improvement in the gingival health of orthodontic patients wearing multibracket appliances. However, provision of professional tooth cleaning should be based on individual plaque control needs.

scholarly journals The perception of COVID-19 among Italian dental patients: an orthodontic point of view

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Stefano Martina ◽  
Alessandra Amato ◽  
Paolo Faccioni ◽  
Alfredo Iandolo ◽  
Massimo Amato ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Point Of View ◽  
Dental Practice ◽  
Online Questionnaire ◽  
Chi Square ◽  
Dental Patients ◽  
Patient Health ◽  
Chi Square Test ◽  
Orthodontic Patients ◽  
Level Of Significance

Abstract Background The present study aimed to investigate the patients’ perception of the dental practice during the COVID-19 outbreak, and whether the pandemic will affect the attendance of orthodontic patients at the dental practice. An online questionnaire, including the Patient Health Questionnaire-4 (PHQ-4), was submitted to Italian dental patients with items about their perceived risks when going to the dentist, concerns about continuing orthodontic treatment, and the onset of temporomandibular disorders (TMD). Data were analyzed with a chi-square test and logistic regression analysis. The level of significance was set at P < 0.05. Results A total of 1566 subjects completed the survey, including 486 who were under orthodontic treatment or who had a child in orthodontic treatment. A total of 866 participants (55.3%) thought the risk of contracting the COVID-19 infection was higher in a dental practice; this perception was associated with gender (women more than man), age (over 60 years old) and high levels of distress (P<0.001). However, 894 patients (57.1%) felt comfortable going back to the dentist. Most of the orthodontic patients (84%) would continue their treatment. After the lockdown, there was a slight increase in the frequency of TMD pain (356 versus 334). Conclusions Most of the participants believed that the dental practice is a place at greater risk of contracting COVID-19, even if they continue to go to the dentist. Gender, age, and the level of distress were associated with the increase in the fear of going to the dentist due to COVID-19. Because of the pandemic, 16% of patients undergoing orthodontic treatment would not return to the dental practice to continue their orthodontic treatment after the lockdown. The prevalence of TMD pain in the population increased due to the pandemic.

scholarly journals Oral Hygiene Awareness and Effect of Orthodontic Treatment on Periodontal Health among Medical Students

2017 ◽  
Vol 07 (02) ◽  
pp. 031-037
Author(s):  
Akshara Mary Jacob ◽  
Nina Shenoy ◽  
Rahul Bhandary
Keyword(s):  
Medical Students ◽  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Cross Sectional Survey ◽  
Periodontal Health ◽  
Cross Sectional ◽  
Hygiene Practices ◽  
Adequate Knowledge ◽  
Gingival Health ◽  
Increased Sensitivity

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.

scholarly journals Effect of Chlorhexidine Varnish and Fluoride Varnish on White Spot Lesions in Orthodontic Patients- a Systematic Review

2021 ◽  
Vol 15 (1) ◽  
pp. 151-159
Author(s):  
Aravinthrajkumar Govindaraj ◽  
S.P. Saravana Dinesh
Keyword(s):  
Systematic Review ◽  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Significant Risk ◽  
White Spot ◽  
Fluoride Varnish ◽  
Cochrane Library ◽  
White Spot Lesions ◽  
Manual Search ◽  
Orthodontic Patients

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.

scholarly journals Effects of rapid maxillary expansion on nasal mucociliary clearance

2015 ◽  
Vol 86 (2) ◽  
pp. 250-254
Author(s):  
Hasan Babacan ◽  
Cenk Doruk ◽  
Ismail Onder Uysal ◽  
Salim Yuce
Keyword(s):  
Orthodontic Treatment ◽  
Mucociliary Clearance ◽  
Systemic Disease ◽  
Rapid Maxillary Expansion ◽  
Control Group ◽  
Maxillary Expansion ◽  
Positive Effects ◽  
Significant Difference ◽  
Orthodontic Patients ◽  
Nasal Mucociliary Clearance

ABSTRACT Objective:  To evaluate the changes in nasal mucociliary clearance in orthodontic patients after rapid maxillary expansion (RME) therapy. Materials and Methods:  Forty-two children (25 boys and 17 girls) participated in this study. The RME group consisted of 21 patients (mean age, 13.8 years), who had undergone RME at the initiation of orthodontic treatment. The control group consisted of 21 subjects (mean age, 13.6 years), who were attending the department of orthodontics for active orthodontic treatment. The nasal mucociliary clearance was assessed by the saccharin test. Saccharin transit times (STTs) were measured for each treated subject before expansion (T1), after RME (T2), and after a 3-month retention period (T3). Records were obtained at the same time intervals for each group. Results:  The STT decreased significantly in the RME group after expansion and retention (P &lt; .05). A statistically significant difference was found when the STTs of the control and RME groups were compared after expansion and retention (P &lt; .05). Conclusions:  The STTs of young orthodontic patients with maxillary narrowness and without any history of nasal or systemic disease were within normal limits. However, RME increased the mucociliary clearance in patients who had maxillary narrowness, having positive effects on nasal physiology and increasing nasal cavity volume.

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