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VOLUME 11 , ISSUE 4 ( July, 2010 ) > List of Articles

RESEARCH ARTICLE

Oral Hygiene Status among Orthodontic Patients

Fatin Awartani, Farhad Atassi

Citation Information : Awartani F, Atassi F. Oral Hygiene Status among Orthodontic Patients. J Contemp Dent Pract 2010; 11 (4):25-32.

DOI: 10.5005/jcdp-11-4-25

License: CC BY-NC 3.0

Published Online: 01-01-2007

Copyright Statement:  Copyright © 2010; The Author(s).


Abstract

Aim

The aim of this study was to evaluate the oral hygiene status of patients with fixed orthodontic appliances.

Methods and Materials

The following indices were used to evaluate the oral hygiene status of patients in orthodontic treatment: gingival bleeding index (GBI), plaque index (PI), and ortho-plaque index (OPI). A self-administrated questionnaire was prepared covering oral hygiene practice, oral hygiene cleaning aids, and number of visits to a dental hygienist.

Results

Fifty patients (15–30 years old) were selected for the study from among the orthodontic patients treated at the King Saud University College of Dentistry, Riyadh, Saudi Arabia. Results showed that the PI and OPI were high with mean scores of 65.24 (SD 16.43) and 53.56 (SD 8.74) respectively, while the average GBI was a much lower value at 19.14 (SD 7.95). No significant difference was observed between male and female patients for the PI (p=0.925) and for the OPI (p=0.072), but a significant difference was observed for the GBI at the 5 percent significance level (p=0.033). The result of OPI showed that 20 (40 percent) of the patients had fair oral hygiene, whereas 30 (60 percent) had poor oral hygiene. Only 16 (32 percent) of the participants reported visiting the dental hygienist during their orthodontic treatment, while the remaining 34 (68 percent) did not.

Conclusion

The oral home care of the orthodontic patients surveyed was not at an optimal level, which indicated the need to establish an oral hygiene maintenance program.

Clinical Significance

Inadequate oral home care among orthodontic patients may make them more prone to develop gingivitis during orthodontic treatment. It is, therefore, essential that oral hygiene instructions and a hygiene maintenance program not be overlooked during orthodontic treatment.

Citation

Atassi F, Awartani F. Oral Hygiene Status among Orthodontic Patients. J Contemp Dent Pract [Internet]. 2010 July; 11(4):025-032. Available from: http://www.thejcdp.com/journal/ view/volume11-issue4-atassi


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  1. Gingival condition associated with orthodontic treatment. Angle Orthod. 1972; 42(1):26-34.
  2. Gingival disease pattern during fixed orthodontic therapy adolescents versus adults. J Dent Res 1984;63(Special issue):309, abstract 1245.
  3. Effects of orthodontic bands on mirobiologic and clinical parameters. Am J Orthod Dentofacial Orthop. 1990; 97(3):213-8.
  4. Periodontal condition in orthodontically treated and untreated individuals. I. Loss of attachment, gingival pocket depth and clinical crown height. Angle Orthod. 1973; 43(4):402-11.
  5. The effect of orthodontic treatment on salivary flow, pH, buffer capacity, and levels of mutans streptococci and lactobacilli. Aust Orthod J. 1999; 15(4):229-34.
  6. Clinical significance of Actinobacillus actinomycetemcomitans in young individuals during orthodontic treatment. A 3-year longitudinal study. J Clin Periodontol. 1997; 24(9 Pt 1):610-7.
  7. Effect of orthodontic therapy with fixed and removable appliances on oral microbiota: a six-month longitudinal study. New Microbiol. 1997; 20(1):55-62.
  8. Orthodontics and inadequate oral hygiene compliance as a combined cause of localized gingival recession: a case report. Quintessence Int. 1991; 22(11):865-70.
  9. Our common enemy. J Am Soc Prev Dent. 1971;1(2):14-7 passim.
  10. Needs-related plaque control measures based on risk prediction. A. R. In: Lang PN, Attström R, Löe H, editors. Proceedings of the European Workshop on Mechanical Plaque Control. Chicago: Quintessence Publishing; 1998. p. 190-247.
  11. [Effect of fixed appliance on periodontal status of patients with malocclusion.] Zhonghua Kou Qiang Yi Xue Za Zhi. 2000; 35(4):286-8.
  12. The plaque control record. J Periodontol. 1972; 43(1):38.
  13. Problems and proposals for recording gingivitis and plaque. Int Dent J. 1975; 25(4):229-35.
  14. Ortho-plaque Index. In: Oral health for the orthodontic patient. Chicago: Quintessence; 1999. p. 67-70.
  15. Experimental gingivitis in man. J Periodontol. 1965;36:177-87
  16. A study of the effects of orthodontic appliances on oral microbial flora. Oral Surg Oral Med Oral Pathol. 1964; 17:658-67.
  17. Clinical and microbiological effects of fixed orthodontic appliances. J Clin Periodontol. 1987; 14(6):326-33.
  18. Relative distribution of bacteria at clinically healthy and periodontally diseased sites in humans. J Clin Periodontol. 1978; 5(2):115-32.
  19. The relationship between malocclusion and periodontal disease. J Periodontol. 1972; 43(7):415-7.
  20. Relationship of occlusion and periodontal disease. 8. Relationship of crowding and spacing to periodontal destruction and gingival inflammation. J Periodontol. 1974; 45(1):43-9.
  21. Systematic plaque control in children undergoing long-term orthodontic treatment. Eur J Orthod. 1979; 2(1):27-39.
  22. Periodontal conditions in adolescents subjected to multiband orthodontic treatment with controlled oral hygiene. Eur J Orthod. 1982; 4(2):77-86.
  23. [Evaluation of oral and orthodontic appliance hygiene in orthodontically treated patients.] Przegl Lek. 2003;60 Suppl 6:126-8.
  24. The interdental brush and its place in operative and crown and bridge dentistry. J Oral Rehabil. 1976; 3(2):107-13.
  25. On the mechanics of tooth brushing. Odontol Revy. 1966; 17(1):9-16.
  26. Clinical evaluation of plaque removal by counterrotational electric toothbrush in orthodontic patients. Quintessence Int. 1995 Mar; 26(3):199-202.
  27. Longitudinal study of periodontal condition associated with orthodontic treatment in adolescents. Am J Orthod. 1979; 76(3):277-86.
  28. Effect of diet on early plaque formation in man. Odontol Revy. 1965; 16:112-25.
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