The Effects of Different Tooth Brushing Explanations in Fixed Orthodontic Treatment
- Conditions
- Dental Plaque Induced Gingival DiseaseOrthodontic Treatment
- Interventions
- Other: Tooth brushing
- Registration Number
- NCT06436664
- Lead Sponsor
- Yuzuncu Yıl University
- Brief Summary
The aim of this study is to investigate the effects of tooth brushing training methods on orthodontic patients and to determine the most effective oral hygiene methods for individuals receiving orthodontic treatment.
- Detailed Description
Because orthodontic appliances cause food retention, a good level of oral hygiene is needed to maintain dental health. Inadequate tooth brushing can lead to gingival diseases on periodontal tissue, cavities and white lesions on tooth enamel. Antimicrobial agents and fluoride products are useful but it cannot replace the mechanical removal of plaque. Because the mechanical plaque control is still considered the most important oral hygiene tool during orthodontic treatment.
In the literature, it has been reported that the motivation to maintain oral hygiene during the orthodontic fixed treatment phase has a very positive effect on periodontal health, and in the same studies, plaque index scores increased over time in control groups that were not given repeated oral treatment. If patients are not given repeated and regular oral hygiene motivation in every session in the clinical routine, gum health may deteriorate. More invasive methods may be required to correct this condition. Because poor oral hygiene, if left unchecked, can compromise the outcome of orthodontic treatment.
When performing manual tooth brushing, the modified Bass technique (MBT) is often recommended to provide optimum plaque reduction by protecting oral tissues from mechanical irritation. The problem with this brushing technique is that it consists of a complex sequence of movements. First of all, the toothbrush should be positioned at a 45° angle to the gingival edge. Secondly, the brush should be moved back and forth with small horizontal vibrations. Thirdly, debris must be removed by sweeping the brush towards the occlusal face in a vertical motion (upward in the lower jaw, downwards in the upper jaw). This sequence of movements requires dexterity and attention to technique. Brushing demonstration techniques or sequences have been developed through a brochure, a model, or video.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 80
- The patient with orthodontic attachments at least 4 months
- with permanent dentition
- impacted or atypically erupted teeth
- with prosthetic restorations such as crowns or implants
- open bite
- deep bite
- crowding more than 7 mm or polydiastema cases
- Individuals diagnosed with periodontitis
- ndividuals with cleft lip and palate or other craniofacial anomalies
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description Control group Tooth brushing In patients receiving fixed orthodontic treatment, the orthodontic plaque index, Turesky modified index and gingival index will be recorded at the beginning, 1st and 3rd months. No special instructions will be given to these patients regarding the tooth brushing process. Group 1 Tooth brushing Patients will receive a standard brochure and oral presentation on tooth brushing in the Group 1. The orthodontic plaque index, Turesky modified index and gingival index will be recorded at the beginning, 1st and 3rd months. These patients will receive a standardized brochure for tooth brushing. Group 2 Tooth brushing Patients will receive a standard tooth brushing on a dental model in the Group 2. The orthodontic plaque index, Turesky modified index and gingival index will be recorded at the beginning, 1st and 3rd months. Group 3 Tooth brushing In patients undergoing fixed orthodontic treatment, the orthodontic plaque index, Turesky modified index and gingival index will be recorded at the beginning, 1st and 3rd months. Patients will be taught standard tooth brushing with a video in Group 3.
- Primary Outcome Measures
Name Time Method Orthodontic plaque index Baseline, 1st month, 3rd month Score 0: No plaque accumulation Score 1: There is plaque accumulation covering one side of the bracket base Score 2: There is plaque accumulation covering two sides of the bracket base Score 3: There is plaque accumulation covering three sides of the bracket base Score 4: There is plaque accumulation covering all four sides of the bracket base. and/or the presence of gingival inflammation
The Turesky modified index Baseline, 1st month, 3rd month The Turesky modified index, plaque on the buccal and lingual surfaces of all teeth. TMQHI scores were recorded as follows:
0, no dental plaque present,
1. isolated areas of dental plaque,
2. A thin dental plaque tape of ≤1 mm,
3. dental plaque covered up to 1/3 of the tooth surface,
4. dental plaque covered between 1/3 and 2/3 of the tooth surface,
5. dental plaque covers ≥2/3 of the tooth surface.
- Secondary Outcome Measures
Name Time Method Gingival Index Baseline, 1st month, 3rd month Score 0: Healthy gingiva, Score 1: Gingival characterised by mild inflammation, mild discolouration, mild oedema, no bleeding on probing, Score 2: Moderate inflammation, gingiva shiny, red and oedematous. There is bleeding on probing, Score 3: Severe inflammation, marked redness and oedema. There is a tendency to spontaneous bleeding.
Trial Locations
- Locations (1)
Yasemin TUNCA
🇹🇷Van, Turkey