scholarly journals Effect of fixed-appliance orthodontic treatment on DMFT-index

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

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.


2017 ◽  
Vol 50 (1) ◽  
pp. 1
Author(s):  
Fitria Avriliyanti ◽  
Sri Suparwitri ◽  
Ananto Ali Alhasyimi

Background: Fixed orthodontic appliance patients have a high risk to increasing plaque accumulation in tooth surface due to the presence of fixed appliance components. Using mouthwash with antibacterial agent from herbal material can control dental plaque accumulation. Bay leaf (BL) contains active compounds such as essential oil, tannin and flavonoid that have been known as an antibacterial agent. Purpose: The purpose of this study was to determine the effect of rinsing with 60% of BL aqueous decoction to the accumulation of dental plaque in fixed orthodontic appliance patients. Method: This research was an experimental clinical research with pretest and post-test control group design conducted on 20 subjects with age ranged between 18-25 years old. All subjects were undergoing the last stage (finishing) of fixed active orthodontic treatment. The subjects were instructed to rinse with 60% of BL aqueous decoction and 0.2% chlorhexidine as a control. Wash out period that needed between rinsing with 60% of BL aqueous decoction and rinsing with 0.2% chlorhexidine was 7 days. Each mouthwash used routinely for 7 days with same duration and intensity. Plaque scoring was measured before and after each treatment using Orthodontic Plaque Index (OPI). Result: One-way Anova test showed that there was a significant difference in the plaque index before and after treatment between the group of rinsing with 60% of BL aqueous decoction and group of rinsing with chlorhexidine (p<0.05). Conclusion: Rinsing with 60% BL aqueous decoction can decrease the accumulation of dental plaque in fixed orthodontic appliance patients.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Linda Sangalli ◽  
Fabio Savoldi ◽  
Domenico Dalessandri ◽  
Stefano Bonetti ◽  
Min Gu ◽  
...  

Abstract Background Remote digital monitoring during orthodontic treatment can help patients in improving their oral hygiene performance and reducing the number of appointments due to emergency reasons, especially in time of COVID-19 pandemic where non-urgent appointments might be discouraged. Methods Thirty patients scheduled to start an orthodontic treatment were divided into two groups of fifteen. Compared to controls, study group patients were provided with scan box and cheek retractor (Dental Monitoring®) and were instructed to take monthly intra-oral scans. Plaque Index (PI), Gingival Index (GI), and White Spot Lesions (WSL) were recorded for both groups at baseline (t0), every month for the first 3 months (t1, t2, t3), and at 6 months (t4). Carious Lesions Onset (CLO) and Emergency Appointments (EA) were also recorded during the observation period. Inter-group differences were assessed with Student's t test and Chi-square test, intra-group differences were assessed with Cochran’s Q-test (significance α = 0.05). Results Study group patients showed a significant improvement in plaque control at t3 (p = 0.010) and t4 (p = 0.039), compared to control group. No significant difference was observed in the number of WSL between the two groups. No cavities were detected in the study group, while five CLO were diagnosed in the control group (p = 0.049). A decreased number of EA was observed in the study group, but the difference was not significant. Conclusions Integration of a remote monitoring system during orthodontic treatment was effective in improving plaque control and reducing carious lesions onset. The present findings encourage orthodontists to consider this technology to help maintaining optimal oral health of patients, especially in times of health emergency crisis.


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 &gt; .05); however, there was a significant reduction in ΔR30 plaque scores (P &lt; .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 &lt; .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.


2021 ◽  
Vol 11 (23) ◽  
pp. 11216
Author(s):  
Chiho Moon ◽  
George K. Sándor ◽  
Edward Chengchuan Ko ◽  
Yong-Deok Kim

Backgrond: Until now, there have been many studies on the postoperative stability of orthognathic patients treated with traditional fixed orthodontic appliances. Recently, the use of clear aligners as orthodontic appliances has increased in orthodontic treatment for aesthetic and patient convenience. The aim of this preliminary study was to investigate the stability and characteristics of patients undergoing orthognathic surgery using clear aligners. Patients and Methods: This study was performed on patients who underwent orthognathic surgery by one surgeon at Pusan National University Dental Hospital from April 2017 to August 2021. A comparative study was conducted on five patients treated with clear aligners during orthodontic treatment and ten patients treated with traditional fixed appliances as a control group. Postoperative skeletal changes and recurrence were evaluated by cone beam computed tomography and lateral cephalometric radiographs taken two days postoperatively and six months postoperatively. Several measurement variables were used to confirm the presence or absence of recurrence, preoperative and postoperative orthodontic treatment period, and the number of extracted teeth. Results: Postoperative stability for six months after surgery was not significantly different between the clear aligner group and the traditional fixed appliance group. The preoperative orthodontic treatment period was also shorter in the clear aligner group, and the number of extracted premolar teeth and impacted teeth were also fewer in the clear aligner group, but there was no significant difference. Conclusions: Orthodontic treatment using clear aligners continues to develop, and it is believed that there is no limit to what can be accomplished during orthodontic surgery accompanied by clear aligners.


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.


e-GIGI ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Cliff G. Lombo ◽  
P. S. Anindita ◽  
Juliatri .

Abstract: Orthodontics is the branch of dentistry that studies about how to prevent, protect, and care of malocclusion involving teeth, as well as skeletal and soft tissues of dentofacial region. Fixed orthodontic appliance is one of the means used to achieve the treatment goal. The use of orthodontic bracket is one of the main components in fixed orthodontic treatment which serves to deliver the required force on the teeth. This study aimed to determine the amount of Cr and Ni ions released from the stainless steel bracket (brand A, B, and C) immersed in sea water. This was a laboratory experimental study with a pre-experimental and nonequivalent control group designs. Samples were assayed using UV-Vis spectroscopy to determine the release of the metals: nickel and chromium. The samples consisted of 4 kinds of brand bracket immersed in sea water for 48 hours at a temperature of 37ºC. The results showed that the release of nickel and chromium ions in sea water varied in each sample. In sample A, the release of nickel 0.096 ppm and of chromium 0.202 ppm. In sample B, the release of nickel 0.154 ppm and of chromium 0.027 and. In sample C, the release of nickel 0,066 ppm and of chromium 0,019 ppm. The release of chromium in each sample was higher than the release of nickel. The results showed that there was no particular pattern of the released ions. This might be due to the different composition of the stainless steel brackets depending on the terms of each manufacturer.Keywords: bracket stainless steel, nickel and chromium, UV-Vis spectroscopy, seawaterAbstrak: Ortodonsia adalah cabang dari ilmu kedokteran gigi yang mempelajari tentang cara mencegah, melindungi, dan merawat maloklusi yang melibatkan gigi geligi, skeletal, dan jaringan lunak regio dentofasial. Alat ortodontik cekat merupakan salah satu cara yang digunakan untuk mencapai tujuan perawatan ontodontik. Penggunaan braket ortodonti merupakan salah satu komponen utama dalam perawatan ortodonti cekat yang berfungsi untuk menghantarkan gaya yang diperlukan pada gigi. Penelitian ini bertujuan untuk mengetahui besarnya ion Cr dan Ni yang terlepas pada braket stainless steel merek A, B, dan C yang direndam dalam air laut. Jenis penelitian yang digunakan ialah eksperimental laboratorik dengan rancangan pra eksperimental serta desain penelitian nonequivalent control group. Sampel diuji menggunakan spektroskopi UV-Vis untuk mengetahui pelepasan logam nikel dan cromium. Sampel terdiri dari 4 macam merek braket direndam dalam air laut selama 48 jam pada suhu 37ºC. Hasil penelitian menunjukkan terdapat pelepasan logam nikel dan kromium dalam air laut yang bervariasi di tiap sampel. Sampel A memiliki pelepasan nikel 0,096 ppm dan kromium 0,202 ppm; sampel B memiliki pelepasan nikel 0,154 ppm dan kromium 0,027; sampel C memiliki pelepasan nikel 0,066 ppm dan kromium 0,019 ppm. Pelepasan kromium pada tiap sampel lebih tinggi dibandingkan dengan pelepasan nikel. Hasil penelitian tidak menunjukan pola tertentu. Hal ini dapat disebabkan karena komposisi yang berbeda-beda dari braket stainless steel tergantung ketentuan masing-masing pembuatnya.Kata kunci: braket stainless steel, nikel dan cromium, spektroskopi UV-Vis, air laut


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Leena Smadi ◽  
Lara Kharma ◽  
Asma’a Abu Abed ◽  
Eman Bny Mfarej ◽  
Asma Abdalmohdi

Objectives: Calculate the prevalence and severity of dental caries and periodontal health among school students aged 12-18 years old and their attitudes toward dental health and oral hygiene at Al-Mafraq governate- Jordan.Materials and methods: Demographic and oral behavioral information were collected; students aged 12-18 years old from six public schools distributed over three districts in Al-Mafraq governate over a six-month period had a full oral and dental examination. DMFT index (Decay, Missing, Filling, Teeth) was used to measure caries experience. Plaque index (PI) and gingival index (GI) of Löe and Silness were used to evaluate the oral health status. T - test was used for statistical evaluation. A P-value < 0.05 was considered statistically significant.Results: 1165 students were examined, 51% never had been to a dentist or had any previous dental treatment, 39.6% of the students examined never brushed their teeth and 61.85 % had dental caries. The (SiC) was 4.72 with a decay representing 93.53%. Females brush their teeth more frequent than males with a statistically significant difference; p< 0.001. Females showed lower DMFT index (1.81) and compared to males (2.25) with a statistically significant difference. Females showed lower SiC (4.164) compared to males (5.186)   with a statistically significant difference. There was no statistically significant difference between males and females in PI p= 0.590, and GI; p= 0.852.Conclusions: The prevalence of dental caries among students in Al-Mafraq governate and the significant caries index were substantially higher than the target goals of WHO/ FDA of year 2015 with more than 90 % of unmet treatment needs. Girls showed better oral hygiene habits compared to boys and exhibited less dental caries experience. However, periodontal status did not differ significantly between both genders.


Author(s):  
Soheila Manifar ◽  
Shamsolmoulouk Najafi ◽  
Maryam Koopaie ◽  
Abbas Tafakhori ◽  
Diba Farmanbordar

Introduction: Headache is a common problem with intense side effects on quality of life. Dental and maxillofacial problems, including dental infections and temporomandibular disorders may trigger the onset of headache or have direct impact on the intensity of headache. The purpose of this paper is assessment of oral health indexes in chronic headache patients and compare it with a healthy control group. Material & Methods: Thirty chronic headache patients based on diagnosis by a neurologist were enrolled in our study and thirty healthy volunteers were recruited into the control group. Dental and periodontal examination were carried out in order to evaluate of the decayed, missing and filled teeth (DMFT) index, the assessment of community periodontal index of treatment needs (CPITN) index and determination of tooth wear status and oral health status. Statistical analysis was done using SPSS statistical package (version 20, IBM). Results: Mean age, educational level, tooth brushing, using dental floss and DMFT index was not statistically different between chronic headache patients and control group. There was no statistically significant difference in CPITN index between cases and control group (p-value=0.538). Conclusion: This study suggest that chronic headache patients have an acceptable oral hygiene which may be attribute to their attempts to omit pain from head and oral region. Considering high prevalence of chronic headache, planning a protocol for oral hygiene instruction is necessary. In this regard, coordination between neurologists and oral medicine specialists can be very effective.


2019 ◽  
Vol 2 (10) ◽  
pp. 260-263
Author(s):  
Vasudha Bhagat ◽  
Mehtab Singh Bhagat

INTRODUCTION: Diabetes in any form (type 1 or type 2) has the potential to affect the oral health of an individual. AIM: To assess the oral hygiene status (simplified) and DMFT among adolescents aged 12-19 years with type 1 diabetes (cases) in Jammu District, Jammu and Kashmir (J&K), India MATERIALS AND METHOD: A total of 50 patients aged 12-19 years with type 1 diabetes mellitus, screened via medical history from  August 2017 to August 2018 were enrolled in the study. The control group consisted of 51 healthy adolescents matched for age and gender selected randomly. The DMFT index was used to record the Decayed, Missing, Filled teeth, while the OHI-S Index was used to assess the Oral Hygiene Status. The examinations were done under artificial light and  data was analyzed using SPSS version  19.0. The t-test, Odd’s Ratio (OR) and multiple regression were used to analyze the data.  RESULTS: Of a total of 101 participants(50 cases and 51 controls) enrolled in the study, cases reported higher values of OHI-S and DMFT  as compared to controls. The cases had an OHI-S score of 3.12±3.2 indicating poor oral hygiene, the controls’ score of 2.54±1.1 revealed fair oral hygiene and no significant statistical differences were found (OR=2.1). A significant difference (p=0.03) was seen upon comparison of DMFT among cases (4.67±6.6) and controls (3.82±2.9). The cases were 1.7 (OR) times more likely to have higher DMF values as compared to controls CONCLUSION: Efforts must be reinforced among adolescents emphasizing the importance of oral health, through more frequent dental education camps in Jammu district, J&K, India


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