Combined effects of repeated oral hygiene motivation and type of toothbrush on orthodontic patients:A blind randomized clinical trial

Abstract

Objective: To investigate the effects on plaque index (PI) scores of manual or electric toothbrush with or without repeated oral hygiene instructions (OHI) and motivation on patients wearing fixed orthodontic appliances. Materials and Methods: One month after the orthodontic fixed appliance bonding on both arches, 60 patients were randomly assigned to four groups; groups E 1 (n 5 15) and E 2 (n 5 15) received a powered rotating-oscillating toothbrush, and groups M 1 (n 5 15) and M 2 (n 5 15) received a manual toothbrush. Groups E 1 and M 1 received OHI and motivation at baseline (T0) and after 4, 8, 12, 16, and 20 weeks (T4, T8, T12, T16, and T20, respectively) by a Registered Dental Hygienist; groups E 2 and M 2 received OHI and motivation only at baseline. At each time point a blinded examiner scored plaque of all teeth using the modified Quigley-Hein PI. Results: In all groups the PI score decreased significantly over time, and there were differences among groups at T8, T12, T16, and T20. At T8, PI scores of group E 1 were lower than those of group E 2 , and at T12, T16, and T20, PI scores of groups M 1 and E 1 were lower compared to those of groups M 2 and E 2 . A linear mixed model showed that the effect of repeated OHI and motivation during time was statistically significant, independently from the use of manual or electric toothbrush. Conclusions:The present results showed that repeated OHI and motivation are crucial in reducing PI score in orthodontic patients, independent of the type of toothbrush used. (Angle Orthod. 2014;84:896-901.)

Oral hygiene compliance in orthodontic patients: a randomized controlled study on the effects of a post-treatment communication

“…Further investigations should analyze the effects of repeated motivation on PI score trends during the entire duration of orthodontic treatment in order to provide an orthodontic hygiene protocol [2]. …”

“…Optimal oral hygiene requires thorough and clear professional instructions, adequate tools, and patient motivation, which is an essential factor to obtain compliance [2, 3]. A systematic review of randomized controlled trials conducted by Gao and colleagues [4] showed varied success in using motivational approaches, which are potentially more useful to achieve behavioral changes than conventional health education, focusing on disseminating information and giving normative advice.…”

Air-powder polishing on self-ligating brackets after clinical use: effects on debris levels

“…, 10 , 26 , 27 Longitudinal studies should take into consideration these factors and take a deeper look at the relationship between the consequences of debris levels with mechanical and chemical processes involved in orthodontic treatment.…”

Effects of Two Different Periodontal Recall Programs on Oral Hygiene and Gingival Health of Patients Undergoing Fixed Orthodontic Treatment:

“…Furthermore, Marini et al indicated the importance of repeated oral hygiene instructions and motivations which were crucial in reducing PI scores at a follow up time of 4 weeks to 20 weeks. 37 Some studies have pointed out that it is difficult to remove the plaque from or around the brackets and other orthodontic appliances completely and that it might be helpful for mechanical plaque control to be supported with chemical plaque control. 38 Listerine, the essential oil containing mouthrinse, is effective especially on the supragingival plaque bacteria.…”