Improvement in awareness levels and periodontal health among patients undergoing fixed orthodontic appliance therapy with established gingivitis and periodontal health maintenance program: A questionnaire based study.
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.
. Jamilian A, Kiaee B, Sanayei S, Khosravi S, Perillo L. Orthodontic Treatment of Malocclusion and its Impact on Oral Health-Related Quality of Life. Open Dent J. 2016; 10:236‐41.
. Wishney M. (2017). Potential risks of orthodontic therapy: a critical review and conceptual framework. Aust Dent J. 2017; 62(1), 86–96.
. Ousehal L, Lazrak L, Es-Said R, Hamdoune H, Elquars F, Khadija A. Evaluation of dental plaque control in patients wearing fixed orthodontic appliances: a clinical study. Int Orthod. 2011; 9(1):140-55.
. Zachrisson S, Zachrisson BU. Gingival condition associated with orthodontic treatment. Angle Orthod. 1972; 42(1):26–34.
. Zachrisson BU, Alnaes L. Periodontal condition in orthodontically treated and untreated individuals. I. Loss of attachment, gingival pocket depth and clinical crown height. Angle Orthod. 1973; 43(4): 402–11.
. Kloehn JS, Pfeifer JS. The effect of orthodontic treatment on the periodontium. Angle Orthod. 1974; 44(2):127-34.
. Ristic M, Vlahovic Svabic M, Sasic M, Zelic O. Clinical and microbiological effects of fixed orthodontic appliances on periodontal tissues in adolescents. Orthod Craniofac Res. 2007;10(4):187-95.
. Wang SY, Yang,YH, Chang HP. The effect of an oral hygiene instruction intervention on plaque control by orthodontic patients. J Dent Sci. 2007; 2(1):45-51.
. Singla S, Gupta P, Lehl G, Talwar, M. 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. J Indian Orthodont Soc. 2019; 53(4), 272–7.
. Lee SM, Yoo SY, Kim HS, Kim KW, Yoon YJ, Lim SH, Shin HY, Kook JK. Prevalence of putative periodontopathogens in subgingival dental plaques from gingivitis lesions in Korean orthodontic patients. J Microbiol. 2005;43(3):260-5.
. Cozzani M, Ragazzini G, Delucchi A, Mutinelli S, Barreca C, Rinchuse DJ, Servetto R, Piras V. Oral hygiene compliance in orthodontic patients: a randomized controlled study on the effects of a post-treatment communication. Prog Orthod. 2016;17(1):41.
. Marini I, Bortolotti F, Parenti SI, Gatto MR, Bonetti GA. Combined effects of repeated oral hygiene motivation and type of toothbrush on orthodontic patients: a blind randomized clinical trial. Angle Orthod.2014; 84(5): 896–901.
. Fleming P. Timetable for oral prevention in childhood-a current opinion. Prog Orthod. 2015; 16:27.
. Gao X, Lo ECM, Kot SCC, Chan KCW. Motivational interviewing in improving oral health: A systematic review of randomized controlled trials. J Periodontol. 2014; 85(3): 426–37.
. Soldani FA, Lamont T, Jones K, Young L, Walsh T, Lala R, Clarkson JE. One-to-one oral hygiene advice provided in a dental setting for oral health. Cochrane Database Syst Rev. 2018;10(10):CD007447.
. Loe H, Sillness J. Periodontal disease in pregnancy. I. prevalence and severity. Acta Odontol Scandinavica. 1963; 21:533-51.
. Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J. 1975; 25(4):229-35.
. Kilicoglu HM, Yildirim H, Polater. Comparison of the effectiveness of two types of toothbrushes on oral hygiene of patients undergoing orthodontic treatment with fixed appliances. Am J Orthod Dentofacial Orthop. 1997; 111:591–594.
. Carvajal P, Gómez M, Gomes S, Costa R, Toledo A, Solanes F, Romanelli H, Oppermann R, Rösing C, Gamonal J. Prevalence, severity, and risk indicators of gingival inflammation in a multi-center study on South American adults: a cross sectional study. J Appl Oral Sci. 2016;24(5):524-34.
. Hosadurga R, Boloor VA, Rao SN, MeghaRani N. Effectiveness of two different herbal toothpaste formulations in the reduction of plaque and gingival inflammation in patients with established gingivitis - A randomized controlled trial. J Tradit Complement Med. 2017;8(1):113‐9.
. Bardal PA, Olympio KP, Bastos MR, Henriques FC, Buzalaf RA. Education and motivation in oral health: Preventing disease and promoting health in patients undergoing orthodontic treatment. Dental Press J Orthod.2011;16:95–102.
. Lalic M, Aleksic E, Gajic M, Milic J, Malesevic D. Does oral health counselling effectively improve oral hygiene of orthodontic patients? Eur J Paediatr Dent. 2012;13(3):181‐6.
. Mamai-Homata E, Koletsi-Kounari H, Margaritis V. Gender differences in oral health status and behaviour of Greek dental students: A meta-analysis of 1981, 2000, and 2010 data. J Int Soc Prev Community Dent. 2016;6(1):60‐8.
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