Perception, awareness, and practice among patients seeking orthodontic treatment toward maintenance of periodontal health and factors affecting the same among patients visiting dental clinics in Patna

Abstract

Background:During the orthodontic treatment, maintenance of periodontal health is of utmost importance; hence, this study was conducted to explore the perception and awareness of patients seeking orthodontic treatment toward maintenance of periodontal health and factors affecting the same.Materials and Methods:It was a cross-sectional descriptive questionnaire study conducted among134 patients seeking orthodontic treatment from 16 private clinics in Patna. The study was conducted in the month of June 2019. The city was divided into four directions east, west, north, and south and four clinics were selected from each directions randomly. A close-ended questionnaire was prepared consists of demographic details and questions regarding their perception, awareness, and practice to maintain periodontal health from the start of orthodontic treatment.Results:Majority of study participants {74 (55.22%)} were between the age group of 11 and 15 years. Among all study participants, females {81 (60.45%)} were more than males. It was determined that 112 (83.58%) of patients were using tooth brush and tooth paste/powder for cleaning teeth. There was moderate awareness, negative perception, and fair practice of majority of study participants seeking orthodontic treatment toward maintenance of periodontal health. Awareness of study participants was significantly (P-value ≤ 0.05*) associated with practice.Conclusion:There was moderate awareness, negative perception, and fair practice of majority of study participants seeking orthodontic treatment toward maintenance of periodontal health. Education of study participants was significantly associated with awareness and practice regarding maintenance of periodontal health. There is further need to educate the orthodontic patients toward maintenance of periodontal health.

Exploring the Reasons for Seeking Orthodontic Treatment among the Patients Attended in Selected Private Settings

“…The study findings revealed that the mean age of orthodontic patients was 17.9 (±5.9) years with range 7-36 years, half of the patients belonged to 11-15 years age group. Similar findings were observed in the study Al-harbi et al [8] , Sawai et al [9] Another study conducted by Baheti et al [10] reported that 60% of the study participants belonged to 13-20 years age group, which was close to current study result. According to American Academy of Orthodontics (AAO) the best phase of seeking orthodontic treatment is between 11 and 14 years, [11] which is visible in the current scenario that majority patients were seeking orthodontic treatment belonged to 11-15 years age group.…”

<p>Adherence to Dietary Advice and Oral Hygiene Practices Among Orthodontic Patients</p>

“…[27][28][29]43 In comparison, other studies reported reduced adherence to toothbrushing (<65%). 26,30,33,34,37 These varying findings could be attributed to several reasons, such as differences in demographic factors or oral hygiene advice protocols implemented in the different countries and hospitals investigated in these studies. The use of dental floss is associated with better gingival health in orthodontic patients.…”

“…The average age of active orthodontic patients in this study was older (68.5% >18 years) compared to those in previous studies, which investigated younger participants. [26][27][28] The increased number of responses among adults could be due to the method used for survey invitation, which was sent to patients' registered phone numbers. In this study, the majority of the participants were females (73.1%), with males comprising 26.9% of the sample.…”

“…This distribution of gender is consistent with the literature and with the distribution of patients who attend orthodontic practice and seek orthodontic treatment. 24 , 26 , 27 , 29 , 30 This might be because females are more concerned about esthetics than males and have a higher demand for orthodontic treatment. 31 , 32 However, some studies reported different patterns of gender distribution, with more males undergoing orthodontic treatment than females.…”

Knowledge, attitude and practice of patients towards orthodontic treatment

“…In this study only slightly more than half the respondents made use of special cleaning aids. We found a large variation in the usage of special cleaning aids within the existing literature, ranging from 25.3 to 100% [33][34][35]. Although this is an area of interest, the current study was not designed to look at the reasons behind this poor orthodontic treatment related behaviour.…”