Aim:The study aimed to assess the impact of mouthwashes on antibacterial activity of individuals with fixed orthodontic appliances.
Materials and methods:A total of 60 individuals were considered in the study. Sixty (20 each group) nonextraction class I individuals were randomly divided into experimental and control groups. Group I: Experimental group [chlorhexidine (CHX) mouthwash], group II: Experimental group (neem mouthwash), group III: Control group (distilled water). All the clinical examinations were done at baseline and 30th day respectively, after the start of orthodontic treatment. The mean differences between the different experimental groups were calculated using one-way analysis of variance (ANOVA) test.
Results:There was no statistical significance at baseline mean plaque index (PI), gingival index (GI) scores, and Streptococcus mutans (SM) colony count between groups. The PI and GI scores among CHX and neem mouthwash groups (p = 0.002, p = 0.032 respectively) were significantly reduced after intervention and also the SM colonies count was reduced in CHX and neem mouthwash groups and there was significant difference between the groups.
Impact of Mouthwashes on
Conclusion:As both mouthwashes showed significant effectiveness on antibacterial activity in individuals with fixed orthodontic appliances, neem mouthwash can be used as an alternative to CHX.Clinical significance: It is better to have a sound knowledge regarding the use of mouthwash in long term as fixed orthodontics are associated with accumulation of SM, enamel demineralization, and an increased number of carious lesions, predominantly in sites adjacent to bracket.
Background:The smear layer is an amorphous film, i.e., always formed by the action of endodontic instruments inside the root canal during chemomechanical preparation. Different solutions have been used and tested for its removal. For the removal of smear layer, demineralization, and softening of root dentin, chelating agents have been preferred.
The retraction groups in the study created greater amount of gingival retraction than the least sulcus width required for the elastomeric impression material and so are clinically useful.
Conclusion: The present study concluded that fracture resistance was more in zirconia posts than metal as well as glass posts in the teeth that have undergone endodontic therapy.
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