Clinical effect of subgingival chlorhexidine irrigation on gingivitis in adolescent orthodontic patients

Morrow, Dan J.; Wood, David; Speechley, Mark

doi:10.1016/0889-5406(92)70113-o

Cited by 40 publications

(21 citation statements)

References 20 publications

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“…Subgingival chlorhexidine irrigation was evaluated in two studies. The first study 31 was a randomized split-mouth trial conducted in adolescents with gingivitis and banded first molars. The clinical effects of a 0.12% chlorhexidine digluconate single irrigation were evaluated compared to saline irrigation on 4 sites per tooth without root instrumentation.…”

Section: Scientific Evidence Of Antiseptic Use In Orthodontic Patientmentioning

confidence: 99%

Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for clinicians

et al. 2014

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Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for clinicians * abstract: Properly performed daily mechanical biofilm control is the most important prevention strategy for periodontal diseases. However, proper mechanical biofilm control is not performed effectively by the majority of the population, mainly due to lack of motivation and of manual dexterity. Local biofilm retention factors may aggravate home oral hygiene quality. For this reason, patients wearing fixed orthodontic appliances comprise a group that may benefit from the daily use of mouthwashes. The purpose of this review was to perform a systematic search in the literature on antiseptics used to control supragingival biofilm and gingivitis in orthodontic patients. Six studies investigating the effect of chlorhexidine and 5 studies evaluating the effect of the daily use of antiseptics were found. Chlorhexidine showed better results in reducing plaque and gingivitis. However, because of its adverse effects after continuous use, it should not be indicated for long-term periods. Among the agents considered for daily use, the fixed combination of essential oils was the only one evaluated in a clinical trial, in which a comparative group presented a statistically significant clinical impact. There is no direct evidence supporting the indication of antiseptic agents for orthodontic patients other than chlorhexidine and essential oils. It can be concluded that, for patients undergoing orthodontic treatment, chlorhexidine should be considered for treating acute gingival inflammation, whereas essential oils should be indicated for long-term daily use in controlling supragingival biofilm.

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Section: Scientific Evidence Of Antiseptic Use In Orthodontic Patientmentioning

confidence: 99%

Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for clinicians

et al. 2014

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“…In the latter case, the split-mouth design is adopted, where the mouth is divided into two or more experimental segments that are randomly assigned to different treatments. For example, Morrow et al 1 enrolled 23 patients in a split-mouth trial for the treatment of gingivitis. Four sites located on the left or right side (segment) of a patient’s mouth were randomly assigned to either the experimental treatment (chlorhexidine) or control (saline).…”

Section: Introductionmentioning

confidence: 99%

Sample size considerations for split-mouth design

Zhu

Zhang

Ahn

2015

Stat Methods Med Res

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Split-mouth designs are frequently used in dental clinical research, where a mouth is divided into two or more experimental segments that are randomly assigned to different treatments. It has the distinct advantage of removing a lot of inter-subject variability from the estimated treatment effect. Methods of statistical analyses for split-mouth design have been well developed. However, little work is available on sample size consideration at the design phase of a split-mouth trial, although many researchers pointed out that the split-mouth design can only be more efficient than a parallel-group design when within-subject correlation coefficient is substantial. In this paper, we propose to use the generalized estimating equation (GEE) approach to assess treatment effect in split-mouth trials, accounting for correlations among observations. Closed-form sample size formulas are introduced for the split-mouth design with continuous and binary outcomes, assuming exchangeable and “nested exchangeable” correlation structures for outcomes from the same subject. The statistical inference is based on the large sample approximation under the GEE approach. Simulation studies are conducted to investigate the finite-sample performance of the GEE sample size formulas. A dental clinical trial example is presented for illustration.

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“…If plaque is not carefully removed from teeth and brackets, patients are at a risk of developing gingivitis, dental caries, and oral malodor [12,13]. There is a direct relationship between oral health (plaque) and caries incidence in orthodontic patients [14,15].…”

Section: Discussionmentioning

confidence: 99%

Oral Hygiene Behavior during Fixed Orthodontic Treatment

Anuwongnukroh¹,

Dechkunakorn²,

R³

2017

Dentistry

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Objective: To assess oral hygiene behavior among patients undergoing orthodontic treatment with fixed appliances. Material and Method:One hundred and five orthodontic patients (33 males and 72 females) treated with fixed appliances at the Orthodontic Clinic, Department of Orthodontics, Faculty of Dentistry, Mahidol University, Thailand were studied. Patients were requested to fill out a structured questionnaire regarding the reason for seeking orthodontic treatment, the necessity of orthodontic treatment in daily life, oral hygiene behavior after placement of fixed orthodontic appliances. The data was analyzed to determine the frequency distribution and percentage ratio for each of the variables.Results: Approximately 83% of the patient sought orthodontic treatment for esthetic tooth alignment and 85.7% reported orthodontic treatment was necessary in their daily lives. During orthodontic treatment, 61% of the patients used orthodontic toothbrush, 81.9% used fluoride toothpaste. Percentage of regular and occasional uses of dental floss were 19% and 60% Similarly the use of regular and occasional use of mouth wash was 23.8% and 55.2%, toothpick 21% and 51.4%, and interdental brush 36.2% and 51.4%. Approximately 45% of the patients brushed their teeth in the morning and before bed, 28.6% brushed after meals, and 25.7% brushed every time after meals or snacks. About 83% reported that their orthodontists or dental assistants instructed them how to brush their teeth. Only 52.4% of the patients received instructions about oral hygiene care supplements. Conclusion:Most patients sought orthodontic treatment for esthetic tooth alignment and reported the necessity of orthodontic treatment in daily life. Although most of the patients used fluoride toothpaste, orthodontists and dental assistants should increase their awareness for instructing their patients in oral hygiene care to prevent caries and periodontal disease during fixed orthodontic treatment. Oral hygiene instruction is essential in all cases of orthodontic treatment and the use of adjuncts must be reinforced.

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Clinical effect of subgingival chlorhexidine irrigation on gingivitis in adolescent orthodontic patients

Cited by 40 publications

References 20 publications

Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for clinicians

Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for clinicians

Sample size considerations for split-mouth design

Oral Hygiene Behavior during Fixed Orthodontic Treatment

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