Effectiveness of three different types of educational methods on implementation of proper oral hygiene behaviour prior to orthodontic treatment

Abstract

Objective: The aim of this study was to compare three teaching methods’ time and personnel requirements, and their effects on plaque and gingival indices. Methods: This study was a single-blind randomized controlled trial on fixed orthodontic appliance candidates (n = 90), assigned into a control group (n = 30) and two different study groups (n = 30 each). The control group received standard printed educational material and was assisted with verbal information. The study groups either received video-assisted or hands-on training about fixed orthodontic appliance and oral hygiene. The time requirements for all three educational interventions was recorded during the initial visit. The adequacy of oral hygiene was documented through plaque and gingival indices during the initial visit and eighth week of the treatment. The continuous variables were analyzed using 1-way ANOVA. Tukey HSD and Student t-tests were used for post-hoc comparisons (α?#8197;= 0.05). Also, a chi-square test was used for the analysis of categorical variables. Results: Standard education failed to maintain the plaque and gingival indices at the eighth week of the treatment. Although both video-assisted and hands-on training took a considerable amount of time, they served well in preserving both of the indices at the eighth week. The longer the educational intervention was, the better the preservation of the plaque and gingival indices. Conclusion: Educational intervention, either with video-assisted or hands-on programs, provided better results in oral hygiene depending on the time and personnel constraints of the orthodontist.

Intra-Oral Photograph Analysis for Gingivitis Screening in Orthodontic Patients

“…However, patients received oral hygiene management education at the beginning of orthodontic treatment, and it was confirmed that the degree of inflammation was the lowest among those with a high interest in oral health. Ozlu et al [ 42 ] reported that the Loë–Silness index is frequently used and that the second GI is often used as a secondary outcome to confirm the effectiveness of oral education in patients undergoing orthodontic treatment. However, the GI varies depending on the general condition of patients and the targeting area of the GI does not include the bonded dental surfaces.…”

Oral Hygiene Practices and Oral Health Knowledge among Adult Orthodontic Patients: A Best Practice Implementation Project

“…Currently, there are no clinically available orthodontic guidelines that would standardize oral hygiene education among orthodontic patients [16,17]. The gap between the best available evidence regarding the general principles of oral hygiene in orthodontic patients to prevent dental caries and periodontal disease and its application in practice can be reduced through evidence implementation projects [18][19][20].…”