Comparison of the effectiveness of two types of toothbrushes on the oral hygiene of patients undergoing orthodontic treatment with fixed appliances

Kılıçoğlu, Hülya; Yildirim, Melek; Polater, Hülya

doi:10.1016/s0889-5406(97)70309-3

Cited by 42 publications

(56 citation statements)

References 16 publications

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“…The index they used clearly was not well suited to that purpose because it is based on a distribution of plaque that is more relevant to gingivitis than to decalcification when a bracket is in situ. The Bonded Bracket Plaque Index (BBPI) was advocated by Kilicoglu et al 42 and has been used in three studies. [42][43][44] Plaque is scored as in Table 4.…”

Section: Review Of Plaque Indices In Orthodontic Treatmentmentioning

confidence: 99%

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Quantifying plaque during orthodontic treatment:

Al-Anezi¹,

Harradine²

2012

The Angle Orthodontist

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Objective: To evaluate the literature on different methods of scoring plaque in patients with fixed orthodontic appliances. Materials and Methods: A systematic electronic and hand search using MEDLINE and PubMed was conducted. Results: Most orthodontic trials have used the original Silness and Lö e plaque index. Indices vary in several potentially important aspects. Only two papers have reported reproducibility of methods of plaque scoring in orthodontic patients. Conclusion: Some plaque indices are inappropriate for orthodontic patients. Newer digital planimetric methods are promising if more complex. There is a need to further assess the reproducibility and practicability of the advocated methods. (Angle Orthod. 2012;82:748-753.)

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Section: Review Of Plaque Indices In Orthodontic Treatmentmentioning

confidence: 99%

“…The Bonded Bracket Plaque Index (BBPI) was advocated by Kilicoglu et al 42 and has been used in three studies. [42][43][44] Plaque is scored as in Table 4. This index aims to take account of the effect of an orthodontic bracket on plaque distribution.…”

Section: Review Of Plaque Indices In Orthodontic Treatmentmentioning

confidence: 99%

Quantifying plaque during orthodontic treatment:

Al-Anezi¹,

Harradine²

2012

The Angle Orthodontist

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“…This type of brush cleans the area above and below the brackets. Studies regarding the effectiveness of the orthodontic toothbrush as compared with the conventional toothbrush in reducing plaque and gingivitis in teeth with fixed appliances have had conflicting results [17,18]. While other studies have shown that electric toothbrushes are highly effective in plaque removal, [19] manual toothbrushes-when used with the correct technique, frequency, and duration-can be equally effective [20].…”

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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“…The mechanical methods used in the studies analyzed were conventional manual (AL-TEEN et al, 2006;BURCH et al, 1994;ERBE et al, 2013;GOMES et al, 2012;HEASMAN et al, 1998;HEINTZE et al, 1996;HICKMAN et al, 2002;HOHOFF et al, 2003;JACKSON, 1991;KILICOGLU et al, 1997;OUSEHAL et al, 2011;RAFE et al, 2006;SHARMA et al, 2008;THIENPONT et al, 2001;TRIMPENEERS et al, 1997;TROMBELI et al, 1995;WILCOXON et al, 1991;WOMACK and GUAY, 1968), orthodontic (AL-TEEN et al, 2006;ARICI et al, 2007;GOMES et al, 2012;RAFE et al, 2006), and electric brushes (BURCH et al, 1994;CLEREHUGH et al, 1998;COSTA et al, 2010;COSTA et al, 2007;ERBE et al, 2013;HEASMAN et al, 1998;HEINTZE et al, 1996;HICKMAN et al, 2002;JACKSON, 1991;OUSEHAL et al, 2011;THIENPONT et al, 2001;TRIMPENEERS et al, 1997;TROMBELI et al, 1995;WILCOXON et al, 1991;WOMACK and GUAY, 1968), interdental brushes (ARICI et al, 2007;BOCK et al, 2010;…”

Section: Mechanical Methods Evaluatedmentioning

confidence: 99%

“…Of the articles included, 17 were evaluated as having high methodological quality (AL-TEEN et al, 2006;ARICI et al, 2007;BURCH et al, 1994;CLEREHUGH et al, 1998;COSTA et al, 2007;ERBE et al, 2013;GOMES et al, 2012;HICKMAN et al, 2002;HOHOFF et al, 2003;OUSEHAL et al, 2011;RAFE et al, 2006;SHARMA et al, 2008;THIENPONT et al, 2001;TRIMPENEERS et al, 1997;TROMBELI et al, 1995;WILCOXON et al, 1991), 6 as having moderate methodological quality (BOCK et al, 2010;HEASMAN et al, 1998;HEINTZE et al, 1996;JACKSON, 1991;KILICOGLU et al, 1997;KOSSACK and JOST-BRINKMANN, 2005;WOMACK and GUAY, 1968) and none with low methodological quality. Figure 2 illustrates the classification of articles according to the methodological evaluation criteria.…”

Section: Quality Assessmentmentioning

confidence: 99%

Effectiveness of different mechanical bacterial plaque removal methods in patients with fixed orthodontic appliance: a systematic review/meta-analysis

Pithon

Sant'Anna²,

Baião³

et al. 2017

Biosci. J.

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the presence of fixed orthodontic appliances and its accessories tends to affect bacterial plaque removal, resulting in inadequate cleaning being performed by the patient. Thus, the aim of this systematic review and meta-analysis was to answer the following focal question: are the mechanical methods of oral cleaning effective for the reduction of bacterial dental plaque in patients with a fixed orthodontic appliance? A systematic search of the literature was conducted in the following databases: Scopus, PubMed, Cochrane, Web of Science, Embase, and Medline, in addition to Controlled Trials and Grey Literature, without limitations of language and year of publication. Furthermore, searches were also conducted in the reference lists of the articles selected. Included in the present review were clinical studies with patients undergoing therapy with fixed orthodontic appliances, which would, by means of comparison, evaluate the effectiveness of different mechanical bacterial plaque removal methods. The methodological quality of the articles included was evaluated in accordance with the methodological evaluation protocol, and was classified as high, moderate or low. In order to perform the meta-analysis, articles with high methodological quality were included. Analysis of subgroups was performed according to the type of intervention. The plaque index was defined as the continuous outcome variable, using the fixed effect when there was homogeneity among the articles, and the random effect in cases of heterogeneity. 1815 articles were found, of which only 23 fulfilled the eligibility criteria, with 17 being of high methodological quality and 6 of moderate quality. Of these, 18 included an analysis of the effectiveness of the conventional manual brush, 4 of the manual orthodontic brush,15 of electric brushes, 3 of interdental brushes, 1 of dental floss and 4 or oral irrigation devices, and 1 of Siwak. In the qualitative evaluation of the studies, the use of these mechanical control methods was shown to be effective, with exception of the use of Siwak, which presented an increase in bacterial plaque. Moreover, the results of the meta-analysis indicated a significant reduction of -0.98 (IC 95%) in the plaque index for the use of conventional manual brushes in the period of one month (p<0.001). There is a body of evidence that proves the effectiveness of mechanical bacterial plaque removal in patients using orthodontic appliances and accessories. The findings of the meta-analysis proved the effectiveness of the conventional manual brush. Further studies with better standardization of samples are required to strengthen the evidences.

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Comparison of the effectiveness of two types of toothbrushes on the oral hygiene of patients undergoing orthodontic treatment with fixed appliances

Cited by 42 publications

References 16 publications

Quantifying plaque during orthodontic treatment:

Quantifying plaque during orthodontic treatment:

Oral Hygiene Behavior during Fixed Orthodontic Treatment

Effectiveness of different mechanical bacterial plaque removal methods in patients with fixed orthodontic appliance: a systematic review/meta-analysis

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