Early impact of fixed orthodontic therapy on gingival health status in relation to weight status

Background: fixed orthodontic appliances deleterious influence on gingival health is well documented. Association between weight status and gingival health is presented in many studies. This study aimed to evaluate how early the impact of fixed orthodontic therapy on patients` gingival health, and if there are differences of that impact among different weight status groups. Materials and Methods: Sample consisted of 54 patients (25 males, 29 females; age limits are 16 -18 years) going under the course of treatment with fixed orthodontic appliance. Patients were categorized according to their Body Mass Index (BMI) into 3 weight status groups considering WHO charts in 2007 (underweight, normal weight, overweight and obese), then determination of each patient`s gingival health status was through the criteria of the gingival index (GI) by Loe and Silness in 1963 which modified by Loe in 1967. Records of gingival index for all patients who met specific criteria were taken in three time points [before bonding (1st visit), 2 weeks after bonding (2nd visit), and 4 weeks after bonding (3rd visit)]. Also BMI of the patients were checked at each of the three visits. Results: There was a significant increase in gingival index for all BMI weight status groups after just two weeks of treatment, and the increase continues during the 3rd visit, with no significant difference in impact among weight status groups. Conclusions: oral health preventive measures should be applied rapidly and equally to all patients treated with fixed orthodontic appliances, without taking their BMI weight status in consideration.

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Preliminary Evidence of Children’s Weight Gain From 5 Months of Home Quarantine During the COVID-19 Pandemic

American Journal of Lifestyle Medicine ◽

10.1177/15598276211006657 ◽

2021 ◽

pp. 155982762110066

Author(s):

Keith Brazendale ◽

Jeanette Garcia ◽

Ethan T. Hunt ◽

Michael Blankenship ◽

Daniel Eisenstein ◽

...

Keyword(s):

Weight Status ◽

Preventive Measures ◽

Preliminary Evidence ◽

Normal Weight ◽

Preventative Measures ◽

Significant Difference ◽

The Impact ◽

Weight Data ◽

Overweight Or Obesity

Purpose. Preventive measures to curtail the spread of the Coronavirus Disease 2019 (COVID-19)—such as home quarantine, closure of schools/programs—are necessary, yet the impact of these restrictions on children’s weight status is unknown. The purpose of this case report was to investigate changes in children’s body mass index (BMI) and zBMI during COVID-19 quarantine. Methods. Children had their heights and weights recorded early March 2020 (pre-COVID-19) and 5 months later (early August 2020). Paired sample t tests examined changes in BMI and zBMI from baseline to follow-up. Results. Twenty-nine children (62% female; mean age 9.3 years; 27.5% with overweight or obesity) provided height and weight data at both time points. There was a significant difference in pre-COVID-19 BMI (mean [M] = 20.1, standard deviation [SD] = 6.0) and follow-up BMI (M = 20.7, SD = 6.4); t(57) = −3.8, P < .001, and pre-COVID-19 zBMI (M = 0.8, SD = 0.9) and follow-up zBMI (M = 0.9, SD = 0.9); t(57) = -3.1, P = .003. Five of the 29 children moved from normal weight to overweight (n = 4) or obese (n = 1) during 5 months of quarantine. Conclusions. Preliminary evidence shows most children increased their BMI and zBMI values from pre-COVID-19 assessment to the follow-up assessment, 5 months later. These initial findings identify potential incidental negative health consequences of children as a result of COVID-19 preventative measures such as home quarantine.

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Relationship between orthodontic treatment and gingival health: A retrospective study

European Journal of Dentistry ◽

10.4103/1305-7456.137651 ◽

2014 ◽

Vol 08 (03) ◽

pp. 373-380 ◽

Cited By ~ 19

Author(s):

Fatma Boke ◽

Cagri Gazioglu ◽

Sevil Akkaya ◽

Murat Akkaya

Keyword(s):

Retrospective Study ◽

Orthodontic Treatment ◽

Gingival Recession ◽

Orthodontic Appliances ◽

Lower Incisor ◽

Gingival Health ◽

Fixed Orthodontic Appliances ◽

Significant Difference ◽

Before And After ◽

The Relationship

ABSTRACT Objective: The aim of this retrospective study was to evaluate the relationship between orthodontic treatment and gingival health. Materials and Methods: A total of 251 patients among whom 177 were girls and 74 were boys, recruited from the records pool of the Department of Orthodontics, Faculty of Dentistry, University of Gazi, were included in the study. Patients’ treatments have been completed by postgraduate students during the period between 2006 and 2012. Patients’ folders were analyzed according to their age, treatment time, and the type of orthodontic treatment. Intra-oral photographs were analyzed, and the presence or absence of visible plaque, visible inflammation, and gingival recession were recorded, and incisor inclinations analyzed on lateral cephalometric films, before and after orthodontic treatment. Results: No statistically significant difference was found in patients treated with functional appliances before and after treatment. In patients treated with fixed orthodontic appliances, visible plaque, visible inflammation, and gingival recession showed significant increases after treatment, gingival biotype did not show any significant difference. Positive correlation was found between lower incisor position and gingival recession in patients treated with fixed appliance and extraction. And also cuspids were the teeth with the highest prevalence of gingival recession. Conclusion: Considering the relationship between orthodontic treatment and gingival health, cooperation among patients, orthodontists, and periodontists is important.

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Impact of Mouthwashes on Antibacterial Activity of Subjects with Fixed Orthodontic Appliances: A Randomized Clinical Trial

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-2185 ◽

2017 ◽

Vol 18 (12) ◽

pp. 1112-1116

Author(s):

A Nishad ◽

NS Sreesan ◽

Joseph Joy ◽

Lakshmi Lakshmanan ◽

Joyce Thomas ◽

...

Keyword(s):

Clinical Trial ◽

Antibacterial Activity ◽

Randomized Clinical Trial ◽

Control Group ◽

Orthodontic Appliances ◽

Group I ◽

Fixed Orthodontic Appliances ◽

Significant Difference ◽

The Impact ◽

Experimental Group

ABSTRACT Aim The study aimed to assess the impact of mouthwashes on antibacterial activity of individuals with fixed orthodontic appliances. Materials and methods A total of 60 individuals were considered in the study. Sixty (20 each group) nonextraction class I individuals were randomly divided into experimental and control groups. Group I: Experimental group [chlorhexidine (CHX) mouthwash], group II: Experimental group (neem mouthwash), group III: Control group (distilled water). All the clinical examinations were done at baseline and 30th day respectively, after the start of orthodontic treatment. The mean differences between the different experimental groups were calculated using one-way analysis of variance (ANOVA) test. Results There was no statistical significance at baseline mean plaque index (PI), gingival index (GI) scores, and Streptococcus mutans (SM) colony count between groups. The PI and GI scores among CHX and neem mouthwash groups (p = 0.002, p = 0.032 respectively) were significantly reduced after intervention and also the SM colonies count was reduced in CHX and neem mouthwash groups and there was significant difference between the groups. Conclusion As both mouthwashes showed significant effectiveness on antibacterial activity in individuals with fixed orthodontic appliances, neem mouthwash can be used as an alternative to CHX. Clinical significance It is better to have a sound knowledge regarding the use of mouthwash in long term as fixed orthodontics are associated with accumulation of SM, enamel demineralization, and an increased number of carious lesions, predominantly in sites adjacent to bracket. How to cite this article Nishad A, Sreesan NS, Joy J, Lakshmanan L, Thomas J, Anjali VA. Impact of Mouthwashes on Antibacterial Activity of Subjects with Fixed Orthodontic Appliances: A Randomized Clinical Trial. J Contemp Dent Pract 2017;18(12):1112-1116.

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Assessment of Gingival Health Status among Patients with Fixed Orthodontic Appliance

Polytechnic Journal ◽

10.25156/ptj.v11n1y2021.pp38-41 ◽

2021 ◽

Vol 11 (1) ◽

pp. 38-41

Author(s):

Shahida R. Hussein ◽

Bayan A. Hassan

Keyword(s):

Mean Value ◽

P Value ◽

Orthodontic Appliances ◽

Base Line ◽

Orthodontic Appliance ◽

Gingival Health ◽

Fixed Orthodontic Appliances ◽

Significant Difference ◽

The Mean ◽

Fixed Orthodontic Appliance

Fixed orthodontic appliances corrupt plaque removal, proper oral hygiene, and gingival health so periodontal evaluation is important to be checked in every appointment. The aim of the present study was to assess gingival health among patients with a fixed orthodontic appliance. A clinical comparative study conducted on 25 patients with an aged ranged from 15 to 25 years. Clinical parameters included plaque index (PI), gingival index (GI), and bleeding on probing (BOP) were recorded at base line before starting orthodontic treatment and after 1 month of treatment. A double paired t-test was applied to the data collected for statistical analysis. The mean value of PI (1.11), GI (1.155), and BOP (0.600) scores was increased after placement of fixed orthodontic appliance, but with no statistically significant difference with base line for PI (P-value = 0.596), GI (P-value = 0.355), and BOP (P-value = 0.256), respectively. Regarding age group, mean PI (1.46), GI (1.22), and BOP (0.875) were increased with increasing age, patients who age’s ≥20 showed statistical significant difference for gingival and plaque means P-value = 0.006 and P-value = 0.03) for ≥20, respectively. The finding of this study had shown that patients with fixed orthodontic appliances had non-significant increase in the mean value of plaque, gingival, and BOP indices scores. All mean scores were increased with increasing age, but with non-significantly for BOP only.

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Impact of Fixed Orthodontic Therapy on Salivary Characteristics in Relation to Weight Status

Biomedical & Pharmacology Journal ◽

10.13005/bpj/1512 ◽

2018 ◽

Vol 11 (3) ◽

pp. 1463-1470

Author(s):

Zaid Ali Alasadi ◽

Alhan Ahmed Qasim

Keyword(s):

Flow Rate ◽

Weight Status ◽

Calcium Concentration ◽

Normal Weight ◽

Phosphate Concentration ◽

Orthodontic Appliances ◽

Chemical Characteristics ◽

Orthodontic Therapy ◽

Physical And Chemical Characteristics ◽

Physical And Chemical

The aim of the present study is to evaluate the early impact of fixed orthodontic therapy on some salivary physical and chemical characteristics of patients in relation to their weight status. The sample consisted of 54 patients (25 males and 29 females; age between 16-18 years old) going under the course of fixed orthodontic treatment. Patients were categorized according to their Body Mass Index (BMI) into 3 weight status groups (underweight, normal weight, overweight and obese), then unstimulated salivary samples were collected from each patient who met specific inclusion and exclusion criteria during three time intervals; before bonding (1st visit), 2 weeks after bonding (2nd visit), and 4 weeks after bonding (3rd visit), then salivary samples are examined to evaluate some salivary physical properties (flow rate, pH) and some chemical properties (salivary calcium concentration, salivary phosphate concentration). A significant increase in salivary flow rate for all weight status categories during the 2ndvisit. A significant decrease in salivary pH for both underweight and overweight groups during 2nd visit with no significant change for normal weight group. A significant decrease in salivary calcium concentration for all weight status groups. And a significant increase in salivary phosphate concentration for all weight status groups. Exposure to fixed orthodontic appliances causes significant changes in salivary physical and chemical characteristics in early stages of treatment. These changes differ among patients with different BMI weight status, but with lesser intensity on normal weight patients than underweight and overweight and obese patients.

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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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The impact of fixed orthodontic appliances on oral microbiome dynamics in Japanese patients

Scientific Reports ◽

10.1038/s41598-020-78971-2 ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Isamu Kado ◽

Junzo Hisatsune ◽

Keiko Tsuruda ◽

Kotaro Tanimoto ◽

Motoyuki Sugai

Keyword(s):

Relative Abundance ◽

Japanese Patients ◽

Oral Microbiome ◽

Orthodontic Appliances ◽

Periodontal Pathogens ◽

Supragingival Plaque ◽

Fixed Orthodontic Appliances ◽

Microbial Dna ◽

The Impact ◽

Level Analysis

AbstractFixed orthodontic appliances are common and effective tools to treat malocclusion. Adverse effects of these appliances, such as dental caries and periodontitis, may be associated with alteration of the microbiome. This study investigated the impact of these appliances on the dynamics of the oral microbiome. Seventy-one patients were selected. Supragingival plaque samples were collected before placement (T0) and six months after placement (T1). Saliva samples were collected at T0 and T1, and then when appliance removal (T2). Microbial DNA was analyzed by 16S rRNA meta-sequencing. The diversity analysis indicated dynamic changes in the structure of the oral microbiome. Taxonomic analysis at phylum level showed a significant increase in Bacteroidetes and Saccharibacteria (formally TM7) and decrease in Proteobacteria and Actinobacteria over time, in both plaque and saliva. Genus level analysis of relative abundance indicated a significant increase in anaerobic and facultative anaerobes in both plaque and saliva. Fixed orthodontic appliances induced measurable changes in the oral microbiome. This was characterized by an increase in relative abundance of obligate anaerobes, including periodontal pathogens. It can be concluded that this dysbiosis induced by fixed orthodontic appliances is likely to represent a transitional stage in the shift in microbiome from healthy to periodontitis.

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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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How is Satiety Affected When Consuming Food While Working on A Computer?

Nutrients ◽

10.3390/nu11071545 ◽

2019 ◽

Vol 11 (7) ◽

pp. 1545 ◽

Cited By ~ 1

Author(s):

Lily Ding ◽

Nazimah Hamid ◽

Daniel Shepherd ◽

Kevin Kantono

Keyword(s):

Energy Intake ◽

Eating Behavior ◽

Normal Weight ◽

Restrained Eating ◽

Computer Work ◽

Meal Intake ◽

Significant Difference ◽

Before And After ◽

And Control ◽

The Impact

More people working at offices are choosing to eat meals at their desks, making “desktop dining” an increasingly common phenomenon. Previous studies have reported that environmental distractors, such as television viewing, can influence meal intake and subsequent snack intake. However, the impact of stressful mental tasks on eating behavior has received relatively less attention, focusing only on subsequent meal intake or concurrent snack intake. This study sets out to determine whether eating while working influenced current meal energy intake. This research also examined the relationship between dietary restraint status and energy intake. A crossover experimental design was employed requiring participants (14 males and 29 females) to eat pizza quietly and at rest (control), and while working on a computer (work). Measurements included BMI, energy intake, state anxiety, restrained eating behavior, stress levels (pre- and post-eating), and appetite (before and after both work and control sessions). The findings showed that consuming food while working on a computer significantly increased stress but had no influence on energy intake compared to the control condition. However, post-eating hunger levels were significantly higher in the work condition compared to the control condition. As expected, satiety levels decreased significantly from pre- to post-eating for both work and control conditions. In addition, no significant relationship was observed between restrained eating behavior and energy intake in both work and control conditions. These results suggest that eating while working affected satiety of normal weight participants, as indicated by the significant difference in post-meal satiety levels between work and control conditions.

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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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