sdj-10013

Assessment of oral hygiene in a sample of orthodontically treated patients using different bracket materials with different motivational techniques in  Sulaimani City

Aras M. Rauf, Tara A. Rashid, Ara O. Fatah, Fadil A. Kareem & Nyaz O. Mohammad

College of Dentistry, University of Sulaimani

DOI: https://doi.org/10.17656/sdj.10013

Abstract

Objectives: To compare the effectiveness of three different motivational techniques for maintaining good oral hygiene during the long term fixed orthodontic treatment.

Materials and methods: This comparative study was carried in Sulaimani city, on 60 patients with their age ranged from 12-18 years having fixed orthodontic appliances for a period of  18± 6 months were selected and divided randomly according to motivational techniques into three study groups (A, B and C), each group was subsequently  subdivided into 2 subgroups according to the type of bracket material.  The sample was subjected over a period of 6 months to different motivational techniques during the orthodontic treatment. Oral health status was examined and recorded twice using simplified oral hygiene index (OHI-S). The results were statistically analyzed with Statistical Product and Service Solutions software (SPSS, V16).

Results: After motivation and reinforcement, improvement of oral health was observed among the patients. Visual evidence motivational technique (applied for group C) approved to be the most significant effective motivational technique (P≤ 0.001) for patients undergoing orthodontic treatment regardless the type of the bracket material.

Conclusions: Orthodontists should concern about the motivation of the patients undergoing orthodontic treatment keeping sustained oral hygiene throughout the treatment period. This study confirmed that visual evidence motivational technique is the best educational and motivational technique for orthodontic patients that should be carried out before and throughout the treatment.

Keywords: Oral health status, motivational technique, orthodontic treatment.

References

1.      Pender N. Aspects of oral health in orthodontic patients. Br J Orthod. 1986:13:95–103.

2.      Lundstro¨m F, Krasse B. Streptococcus mutans and lactoba- cilli frequency in orthodontic patients; the effects of chlorhexidine treatment.  Eur J Orthod. 1987:9:109–16.

3.      Olympio KPK, Bardal PAP, de M Bastos JR, Buzalaf MAR. Effectiveness of a chlorhexidine dentrifrice in orthodontic patients: a randomizedcontrolled trial.  J Clin Periodontol. 2006:33:421– 26.

4.      Arends J, Christofferson I. The nature of early caries lesions in enamel. J Dent Res. 1986:65:2– 11.

5.      O’Reilly MM, Featherstone JD. Demineralization and remineralization around orthodontic appliances: an in vivo study.  Am J Orthod Dentofacial Orthop.  1987:92:33–40.

6.      Årtun J, Brobakken BO. Prevalence of carious white spots after  ortho  dontic treatment with multibonded appliances. Eur J Orthod

1986:8:229–34.

7.      Årtun J, Thylstrup A. A 3-year clinical and SEM study of surface changes of carious enamel lesions after inactivation. Am J Orthod Dentofacial Orthop.1989:95:327–33.

8.      Mizrahi E. Enamel demineralization following orthodontic treatment. Am J Orthod 1982:82:62–

7.

9.      Gorelick L, Geiger AM, Gwinnett AJ. Incidence of white spot formation after bonding and banding. Am J Orthod 1982:81:93–8

10.    Mitchell L. Decalcification during orthodontic treatment with fixed appliances - an overview. Br J Orthod. 1992:19:199–205.

11.    Ogaard B. Prevalence of white spot lesions in 19year-olds: a study  on untreated and orthodontically treated persons 5 years after treatment. Am J Orthod Dentofacial Orthop. 1989:96:4237.

12.    Pancherz H, Mühlich DP. Entwicklung von Karies bei kieferorthopä discher Behandlung mit festsitzenden Apparaturen - Ein Vergleich  von Zähnen mit und ohne Kariesvorschädigungen. Kieferorthop.  1997:11:139–44.

13.    Zachriss BU, Alnaes L: Periodontal condition in orthodontically treated and untreated individuals 1. Loss of attachment, gingival pocket depth and clinical crown height. Angle Orthodontist 1973: 43:402–11.

14.    Zachriss BU, Alnaes L: Periodontal condition in orthodontically treated and untreated individuals 2. Alveolar bone loss - radiographic findings.Angle Orthodontist. 1974:44:48–55.

15.    Alexander SA: Effects of orthodontic attachments on the gingival health of permanent second molars. Am J Orthod Dentofacial Orthop. 1991:100:337–40.

16.    Gomes SC, Varela CC, da Veiga SL, Rosing CK, Oppermann RV: Periodontal conditions in subjects following orthodontic therapy. A preliminary study. Eur J Orthod. 2007:29:477–81.

 

17.    Kloehn JS, Pfeifer JS: The effect of orthodontic treatment on the periodontium. Angle Orthod 1974: 44:127–34.

18.    Kouraki E, Bissada NF, Palomo JM, Ficara AJ: Gingival enlargement and resolution during and after orthodontic treatment. N Y State Dent. J 2005:71:34–7.

19.    Sadowsky C, Begole EA: Long-term effects of orthodontic treatment of periodontal health. Am J Orthod Dentofac Orthop. 1981: 80:156–72.

20.    Carvalho LEP, Granjeiro JM, Bastos JRM, Henriques JFC,  Tarzia O. Clorexidina em O d o n t o l o g i a . R e v G a ú c h a O d o n t o l .

1991:39:423-7.

21.    Sekino S, Ramberg P, Uzel NG, Socransky S, Lindhe J.  Effect os various chlorhexidine regimens on salivary  bacteria and de novo plaque formation. J Clin Periodontol.  2003:30:919-25.

22.    Sreenivasan PK, Tambs G, Gittins E, Nabi N, Gaffar  A. A rapid procedure to ascertain the antimicrobial  effcacy  of oral c a r e formulations. Oral Microbiol Immuol. 2003: 18:371-8.

23.    Owens J, Addy M, Faulkner J, Lockwood C, Adair R. A short- term clinical study design to investigate the chemical plaque  inhibitory properties of mouthrinses when used as adjunct  to toothpastes: applied to chlorhexidine. J Clin Periodontol.  1887:24:732-7.

24.    Torres MCM. Utilização da clorexidina em seus diversos  veículos. Rev Bras Odontol.

2000:57:174-80.

25.    Boyd RL. Enhancing the value of orthodontic treatment: incorporating effective preventive dentistry into treatment. Am J Orthod Dentofacial Orthop. 2000:117:601-3.

26.    Dannan. Evaluation of Oral Hygiene Instructions’ Awareness during Orthodontic Treatment among Syrian Orthodontists; [Internet Scientific Publications, LLC]. 

27.    Depaola IG. Chemotherapeutic inhibition of supragingival  dental plaque and gingivitis development. J Clin Periodontol. 1989:16:311-5.

28.    Greene JC. The Oral Hygiene Index—

Development and uses. Journal of Periodontology. 1967:38:37. 

29.    Heintze SD. Aproflaxia individual em pacientes com aparelhos fixos: recomendações para consultório Ortodontia. 1996:29:4-15.

30.    FeliuJL. Long-term benefits of orthodontic treatment on oral hygiene. Am J Orthod

Dentofacial Orthop. 1982:82:473-7.

31.    Bastos JRM, Henriques JFC, Olympio KPK. Prevenção de carie e doença periodontal em pacientes sob tratamento ortodôntico. Manual didático. Bauru: Universidade de São Paulo: 2001.

32.    Uetanabaro T, Martins JES, Andrade JLF. Acúmulo de placa bacteriana em pacientes portadores de colagem direta e anéis convencionais. Rev Gaúcha Odontol.

1984:32:161-6.

33.    Silva Filho OG, Corrêa AM, Terada HH, Nary Filho H, Caetano MK. Programa supervisionado

de motivação e instrução de h y g i e n e e fsioterapia bucal em crianças  com aparelhos ortodônticos. Rev Odontol Univ São Paulo. 1990:4:11-9.

34.    Priscil B; Kelly Polido O; Jose  B; Jose H; Marília B. Education and motivation in oral health preventing disease and promoting health in patients undergoing orthodontic treatment Dental Press J. Orthod. 2011  vol.16 (3). 

35.    Huber SJ, Vernino AR, Nanda RS. Professional prophylaxis and its effect on the periodontium of full-banded orthodontic patients. Angle Orthod. 1972:42:26–34.

36.    Yeung SC, Howell S, Fahey P. Oral hygiene program for orthodontic patients. Am J Orthod Dentofacial Orthop. 1989:96:208–13.

37.    Boyd RL. Longitudinal evaluation of a system for self-monitoring plaque control effectiveness in orthodontic patients. J Clin Periodontol. 1983:10:380–88.

  

38.    McGlynn FD, Le Compte EJ, Thomas RG, Courts FJ, Melamed BG. Effect of behavioral selfmanagement on oral hygiene adherence among orthodontic patients. Am J Orthod. 1987:91:321– 27.

39.    Lees A, Rock WP. A comparison between written, verbal, and videotape oral hygiene instruction for patients with fixed appliances. J Orthod. 2000:27:323–28.

40.    Huber SJ, Vernino AR, Nanda RS. Professional prophylaxis and its effect on the periodontium of full-banded orthodontic patients. Angle Orthod. 1972:42:26–34.

41.    Yeung SC, Howell S, Fahey P. Oral hygiene program for orthodontic patients. Am J Orthod Dentofacial Orthop. 1989:96:208–13.

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