Introduction: Maintenance of good oral hygiene is important for patients undergoing fixed orthodontic treatment.Aim: The aim of this study was to evaluate the effectiveness of a manual orthodontic toothbrush, powered toothbrush with oscillating head and sonic toothbrush in controlling plaque, gingivitis and interdental bleeding in patients undergoing fixed orthodontic treatment, and to compare their relative efficacy.Materials and methods: Sixty subjects, who were to receive orthodontic treatment with both upper and lower fixed appliances, were randomly divided into three study groups, with 20 patients in each group. Groups I to III were given manual orthodontic, powered and sonic toothbrushes, respectively. Plaque index (PI), gingival index (GI) and interdental bleeding index were scored to assess the level of plaque accumulation, gingival health and interdental bleeding at baseline; 4 and 8 weeks recall visits after fixed appliance bonding. Paired t-tests and one-way analysis of variance (ANOVA) tests were used for intragroup and intergroup comparisons. The level of statistical significance was set at p < 0.05.Results: This study showed that a significant reduction in all the three indices scores was found from baseline to 4 and 8 weeks in group III. On intergroup comparison, no statistically significant differences were detected between the three groups for any of the parameters assessed.Conclusion: On intragroup comparison, sonic brushes performed superiorly in reducing gingivitis, plaque and interdental bleeding as compared to the manual orthodontic and powered brushes. On intergroup comparison, the relative comparative effectiveness was found to be similar for all the three brushes.How to cite this article: Sharma R, Trehan M, Sharma S, Jharwal V, Rathore N. Comparison of Effectiveness of Manual Orthodontic, Powered and Sonic Toothbrushes on Oral Hygiene of Fixed Orthodontic Patients. Int J Clin Pediatr Dent 2015;8(3):181-189.
The influence of law on the orthodontic profession has greatly increased in the last few decades. Dental law has emerged today as a full-fedged specialty dealing with a variety of areas, like professional negligence, doctor-patient contracts, consumer protection laws, ethics, general and special health legislations and practice regulatory mechanisms. This article highlights the concept of informed consent which is based on the premise that each individual has a right to make decisions concerning his health, disease and treatment.How to cite this article: Jharwal V, Trehan M, Rathore N, Rathee P, Agarwal D, Mathur N. Informed Consent for Braces. Int J Clin Pediatr Dent 2014;7(2):105-108.
As the demand for esthetic orthodontic treatment has gained momentum in the past few years, orthodontists are looking for simple and cost-effective devices for precise lingual bracket placement. This short communication describes a versatile lingual jig that can be fabricated with ease by a clinician, allowing precise lingual bracket positioning.
Objective: The purpose of this study was to test the hypothesis that mandibular prognathism is associated with enlarged adenoids. Materials and methods: The adenoid tissue dimensions were assessed in 92 females (age: 15-30 years) and further divided into three groups: Group I-normal mandible (76° ≤ SNB ≤ 82°; n = 31); Group II-mandibular retrognathism (SNB < 76°; n = 31); Group III-mandibular prognathism (SNB > 82°; n = 30). All subjects were examined by lateral cephalometry with the head position standardized using an inclinometer. Results and conclusion: Results showed no statistically significant difference in the adenoid tissue dimensions among the three groups. Thus, patients with a prognathic mandible do not show enlarged adenoids.
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