A Comparative Assessment of the Effect of Professional Oral Hygiene Measures on the Periodontal Health of Patients Undergoing Fixed Orthodontic Appliance Therapy

Objetive: Home oral care practices in patients undergoing orthodontic therapy are often ineffective in maintaining optimal plaque control. The aim of the present study was to assess the effectiveness of periodontal maintenance program in subjects with established gingivitis undergoing fixed orthodontic appliance therapy for one year. Material and Methods: Forty patients undergoing fixed orthodontic appliance therapy with established chronic gingivitis were recruited for the study. As a part of a periodontal maintenance program, a pre-validated structured questionnaire evaluating oral hygiene and periodontal health was administered at the baseline as well as at the end of the study. At the baseline Gingival Bleeding Index, Gingival Index, and Bonded Bracket Plaque Index scores were recorded, Scaling and polishing procedure was performed followed by a customised Oral Hygiene Advice (OHA) session was conducted for all the study subjects. Clinical indices were assessed and OHA was conducted at the 3rd, 6th, 9th, and 12th months of orthodontic treatment visits. Results: There was significant improvement in the clinical indices and awareness regarding oral hygiene and periodontal health level in the patients at the end of the 12th month. Conclusion: The periodontal maintenance program appeared to be effective in improving the periodontal health and awareness health awareness level about oral hygiene among patients undergoing fixed orthodontic therapy at the end of 12 months in our study population.

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Estimation Of Bacterial Load In Patients Wearing Metallic And Ceramic Brackets

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v10i2.376 ◽

2019 ◽

Vol 10 (2) ◽

pp. 1023-1028

Author(s):

Ashik Ahamed A ◽

Geetha RV ◽

Lakshmi Thangavelu

Keyword(s):

Oral Hygiene ◽

Dental Plaque ◽

Bacterial Load ◽

Orthodontic Appliance ◽

Ceramic Brackets ◽

Fixed Orthodontic Appliance

To estimate the amount of bacteria present in patients wearing metallic and ceramic brackets. The objective of the present study is to investigate the amount of bacteria in patients wearing fixed orthodontic appliance. The fixed orthodontic appliance is the treatment of conditions like malocclusion. It includes brackets, tubes, band and ligating materials and archwires. Composite is used for bonding the brackets to the teeth surface, and it also induces the formation of plaque. Dental plaque is the main aetiology for Causing gingivitis. This study shows that the metallic and ceramic brackets worn by the patients were contaminated with various microorganisms. The main focus of the study is to create awareness among patients with fixed orthodontic appliance and to improve their oral hygiene and to prevent periodontal problems.

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The Extent of Periodontal Awareness and Treatment Modalities among Patients from North Malabar Region

Journal of Health and Allied Sciences NU ◽

10.1055/s-0040-1708083 ◽

2020 ◽

Vol 10 (01) ◽

pp. 21-26

Author(s):

Anu Chandran ◽

Rahul Bhandary ◽

Nina Shenoy ◽

Amitha Ramesh ◽

Biju Thomas

Keyword(s):

Oral Hygiene ◽

Systemic Disease ◽

Periodontal Treatment ◽

Treatment Modalities ◽

Periodontal Health ◽

Periodontal Condition ◽

Hygiene Measures ◽

Study Population ◽

The Relationship ◽

Percentage Data

AbstractThe aim of this study was to explore and understand the patient’s views on their periodontal condition, their attitudes to oral health, awareness of different periodontal treatment modalities as well as oral-systemic disease link with the help of a questionnaire survey. A total of 370 patients comprising of 201 males and 169 females were included in the study. The patients were interviewed on a questionnaire basis. A questionnaire contained 22 questions relating to oral hygiene measures, knowledge and awareness regarding periodontal condition, its various treatment modalities, and the relation between oral and systemic disease. The completed questionnaires were then analyzed statistically to obtain percentage data. The results showed an extreme lack of awareness of the periodontal condition and oral hygiene measures as well as limited knowledge regarding different periodontal treatment modalities. Only 5.6% of the study population were aware of the relationship between oral and systemic disease. Since the level of awareness in this regard is at a bare minimum, there is an urgent need to educate and raise awareness of different treatment modalities available to improve periodontal health among general population groups.

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Quantitative Light-induced Fluorescence-Digital as an oral hygiene evaluation tool to assess plaque accumulation and enamel demineralization in orthodontics

The Angle Orthodontist ◽

10.2319/092415-648.1 ◽

2016 ◽

Vol 86 (6) ◽

pp. 991-997 ◽

Cited By ~ 10

Author(s):

Cara C. Miller ◽

Girvan Burnside ◽

Susan M. Higham ◽

Norah L. Flannigan

Keyword(s):

Oral Hygiene ◽

Orthodontic Treatment ◽

Visual Aids ◽

Evaluation Tool ◽

Orthodontic Appliance ◽

Duration Of Treatment ◽

Prospective Randomized Clinical Trial ◽

Clinical Benefits ◽

To Receive ◽

Fixed Orthodontic Appliance

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 > .05); however, there was a significant reduction in ΔR30 plaque scores (P < .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 < .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.

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Discomfort associated with fixed orthodontic appliances: determinant factors and influence on quality of life

Dental Press Journal of Orthodontics ◽

10.1590/2176-9451.19.3.102-107.oar ◽

2014 ◽

Vol 19 (3) ◽

pp. 102-107 ◽

Cited By ~ 4

Author(s):

Leandro Silva Marques ◽

Saul Martins Paiva ◽

Raquel Gonçalves Vieira-Andrade ◽

Luciano José Pereira ◽

Maria Letícia Ramos-Jorge

Keyword(s):

Quality Of Life ◽

Oral Hygiene ◽

Orthodontic Appliances ◽

Speech Impairment ◽

Poor Oral Hygiene ◽

Orthodontic Appliance ◽

Determinant Factors ◽

Fixed Orthodontic Appliances ◽

Fixed Orthodontic Appliance

OBJECTIVE: To investigate the determinant factors of discomfort attributed to the use of fixed orthodontic appliance and the effect on the quality of life of adolescents. MATERIAL AND METHODS : Two hundred and seventy-two individuals aged between 9 and 18 years old, enrolled in public and private schools and undergoing orthodontic treatment with fixed appliance participated in this cross-sectional study. The participants were randomly selected from a sample comprising 62,496 individuals of the same age group. Data was collected by means of questionnaires and an interview. Discomfort intensity and bio-psychosocial variables were assessed using the Oral Impact on Daily Performance questionnaire. Self-esteem was determined using the Global Negative Self-Evaluation questionnaire. Statistical analysis involved the chi-square test and both simple and multiple Poisson regression analyses. RESULTS: Although most individuals did not present discomfort, there was a prevalence of 15.9% of impact on individuals' daily life exclusively due to the use of fixed orthodontic appliance . Age [PR: 3.2 (95% CI: 1.2-8.5)], speech impairment [PR: 2.2 (95% CI: 1.1-4.6)], poor oral hygiene [PR: 2.4 (95% CI: 1.2-4.8)] and tooth mobility [PR: 3.9 (95% CI: 1.8-8.1)] remained independently associated with a greater prevalence of discomfort (P ≤ 0.05). CONCLUSIONS: Discomfort associated with the use of fixed orthodontic appliances exerted a negative influence on the quality of life of the adolescents comprising the present study. The determinants of this association were age, poor oral hygiene, speech impairment and tooth mobility.

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

Vojnosanitetski pregled ◽

10.2298/vsp1103214m ◽

2011 ◽

Vol 68 (3) ◽

pp. 214-219 ◽

Cited By ~ 4

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.

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Gingival and oral hygiene conditions in patients with fixed orthodontic appliance wearers

Padjadjaran Journal of Dentistry ◽

10.24198/pjd.vol23no2.14025 ◽

2011 ◽

Vol 23 (2) ◽

Author(s):

Rini Anggraeni ◽

Isnaniyah Malik ◽

Ina Hendiani

Keyword(s):

Oral Hygiene ◽

Survey Method ◽

Orthodontic Appliances ◽

Orthodontic Appliance ◽

Pocket Depth ◽

Fixed Orthodontic Appliances ◽

Gingival Enlargement ◽

Dental Hospital ◽

Fixed Orthodontic Appliance ◽

Posterior Area

The aim of this study was to get the description of gingival condition and oral hygiene in patients with the fixed orthodontic appliance at Orthodontics Specialist Clinic of Oral and Dental Hospital Faculty of Dentistry Universitas Padjadjaran (RSGM FKG UNPAD) Bandung. This descriptive study with a survey method included 30 patients with fixed orthodontic appliances consist of 8 male and 22 females. The sample collected by purposive sampling. The data was collected based on filling questioner forms and clinical examination with an assessed degree of gingival enlargement by Carranza assessed Gingival Index by Loe and Silness, measured pocket depth, and assessed Plaque Index by Silness and Loe. The result showed that 90% of samples had gingival enlargement with variants of gingival enlargement degree from grade 1, 2, 3 and mostly present in the posterior area. Prevalence of gingivitis was 100% divided into 76.67% suffering mild gingivitis and 23.33% suffering moderate gingivitis. In an examination of pocket depth, 6.67% had 1.1-2 mm of pocket depth; 70% had 2.1-3 mm of pocket depth, and 23.33% had 3.1-4 mm. In an examination of oral hygiene, 43.33% had good oral hygiene; 46.67% had moderate oral hygiene, and 10% had poor oral hygiene. The conclusion of this research was the orthodontics wearer suffering from gingival enlargement and mild gingivitis.

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Effect of fixed-appliance orthodontic treatment on DMFT-index

Macedonian Pharmaceutical Bulletin ◽

10.33320/maced.pharm.bull.2020.66.02.008 ◽

2021 ◽

Vol 66 (2) ◽

pp. 81-86

Author(s):

Efka Zabokova-Bilbilova ◽

Emilija Sefanovska ◽

Aneta Mijoska ◽

Olga Kokoceva-Ivanovska

Keyword(s):

Oral Hygiene ◽

Orthodontic Treatment ◽

Oral Health Status ◽

Control Group ◽

Orthodontic Appliance ◽

Fixed Appliance ◽

Significant Difference ◽

Dmft Index ◽

Tooth Mousse ◽

Fixed Orthodontic Appliance

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

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The effect of Ramadan fasting on plaque count of Streptococcus Mutans in patients wearing fixed orthodontic appliance. A clinical study

Mustansiria Dental Journal ◽

10.32828/mdj.v14i1.765 ◽

2019 ◽

Vol 14 (1) ◽

pp. 87

Author(s):

Dr. Munad Jihad AL_Duliamy ◽

Dr. Rehab Adil Shuker ◽

Dr. Bassam Abdulrazzaq Abdulrazzaq

Keyword(s):

Clinical Study ◽

Streptococcus Mutans ◽

Oral Hygiene ◽

Orthodontic Appliances ◽

Orthodontic Appliance ◽

Ramadan Fasting ◽

Significant Difference ◽

Fixed Orthodontic Appliance ◽

Plaque Count

Aim: This clinical study is to investigate the effect of fasting (Sawm) Ramadan on thecount of streptococcus mutans in plaque surrounding fixed orthodontic appliances.Materials and Methods: Fifteen patients with orthodontic appliances wereparticipated in this study. Plaque specimens were collected from those patients attwo occasions, during Rmadan fasting (Sawm) and after they break there fastingafter Ramadan. The plaque Streptococcus mutans number of colony-formingunits (CFU) was analyzed by using Dentocult SM Strip mutans test.Results: This study demonstrated highly significant difference in Streptococcusmutans (CFU) counts in plaque between the values obtained from fasting patientsduring Ramadan and when they are breaking the fast after Ramadan.Conclusions: during Ramadan fasting, persons change timing and types of their foodand beverages consuming as well as teeth cleaning habits. Therefore orthodontistshould be aware of their patients’ oral hygiene during Ramadan by promoting andmaintaining satisfactory teeth cleaning during fasting (Sawm) and Iftar hours.

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