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

Abstract

Introduction: Fixed orthodontic therapy is considered to be one of the important risk factor for plaque accumulation, since various orthodontic components serves as the retentive areas for plaque accumulation and thus increasing the risk of caries and periodontitis. Therefore these patients must be encouraged to maintain good oral health throughout the treatment. Objective: To investigate the effects of reinforced oral hygiene instruction programme with and without professional tooth cleaning on the plaque accumulation and gingival health of orthodontic patients wearing fixed multibracket appliances. Material and Methods: Forty patients with fixed orthodontic appliances in the age range of 12–28 years were divided randomly into Group I (n=20) and Group II (n=20). Group I received oral hygiene instructions and Group II received similar instructions supplemented with one sitting of professional tooth cleaning. The plaque and gingival index were recorded at the baseline (before the instructions), after 4 and 8 weeks in both the groups. At each visit all the instructions were reinforced in both the groups. Results: Intergroup comparison showed significant decrease in the mean plaque score at 4 weeks in Group II (p<0.01), but no significant difference in the mean plaque score at 8 weeks and mean gingival scores at 4 and 8 weeks between both the groups. Within the group comparison, showed that the mean values of both the indices showed significant decrease after 8 weeks in both the groups (p<0.01). Conclusion: Reinforced oral hygiene instruction programme with or without professional prophylaxis can lead to efficient control of plaque accumulation as well as improvement in the gingival health of orthodontic patients wearing multibracket appliances. However, provision of professional tooth cleaning should be based on individual plaque control needs.

The Clinical, Microbiological, and Immunological Effects of Probiotic Supplementation on Prevention and Treatment of Periodontal Diseases: A Systematic Review and Meta-Analysis

“…Poor plaque control is a key determinant of periodontal disease [ 126 ]. Effective OHI can control and reduce plaque accumulation and improve the gingival health status, independent of professional prophylactic care [ 127 , 128 ]. Supporting this evidence, our findings indicated that probiotic supplementation combined with OHI resulted in statistically significant improvements in all clinical outcomes, including plaque accumulation.…”

Mobile Application-Based Support for Periodontal Treatment Improves Clinical, Cognitive, and Psychomotor Outcomes: A Randomized Controlled Trial Study

“…A study that examined the effect of a reinforced oral hygiene instruction program on the gingiva health of patients using fixed orthodontic appliances, conducted by Singla et al (2019), demonstrated that there was an improvement in the subjects' psychomotor ability to clean the oral cavity, as indicated by a significant decrease in the mean plaque score (PI) and gingival index (GI) in the test group after four and eight weeks of using the program [47]. In addition, Williams et al (2018) conducted a study that compared the effectiveness of oral hygiene instructions provided through verbal instructions and the use of computer assistance, in which a lower plaque score was obtained in the group that was given the intervention of computer-assisted oral cleaning instructions, although it was only significant in subjects aged 50 years and under, compared to the group that was only offered verbal instructions by professionals [48].…”

Oral Microbiome Profiles and Inflammation in Pregnant Women Who Used Orthodontic Appliances

“…The risk of inflammation in pregnant women with orthodontic appliances is also caused by high OHI-S. Orthodontic appliance use can also increase plaque formation, which may impact the health of the gingiva and periodontium [ 37 ]. Oral hygiene is important to maintain and even increase, especially in pregnant women with orthodontic appliances, in order to prevent caries, gingivitis, and periodontitis.…”