Impact of dental neglect score on oral health among patients receiving fixed orthodontic treatment: A cross-sectional study

Abstract

Objective:Maintenance of meticulous oral health practices is critical for patients who are under orthodontic treatment as failure to do so can result in deterioration of periodontal health. Thus, the present study was commenced to assess dental negligence and oral health status among patients undergoing orthodontic treatment using dental neglect scale (DNS) questionnaire.Materials and Methods:The present cross-sectional study was planned and carried out among the 40 patients undergoing fixed orthodontic treatment. The study comprised of two questionnaires, one was close-ended questionnaire which consisted of questions regarding patient practice in maintenance of oral health and other questionnaire comprised of DNS followed by examination of oral hygiene status using Oral Hygiene Index Simplified. Data so obtained were subjected to analysis using SPSS version 20 and Chi-square test was used to statistically analyze data with P < 0.05 regarded as a statistically significant value.Results:The present study revealed that 63% among the studied orthodontic patients brushed once daily, 26% brushed twice daily, and 11% brushed thrice. About one-fourth was using brush with soft bristles and only 9% among the respondents used interdental aids. Data revealed positive correlation between DNS and oral hygiene index-simplified score with P < 0.05.Conclusion:The present study found that less frequency of brushing, rinsing mouth, and eating sticky and hard food can be attributed to self-neglect of the orthodontic patients.

Self-Reported Changes in Oral Hygiene Habits among Adolescents Receiving Orthodontic Treatment

“…Thus, two-thirds of patients receiving orthodontic treatment brushed their teeth at least twice a day and for at least 2 min. Meanwhile, other studies showed a lower share of participants following the tooth brushing recommendations, and tooth brushing once a day was found to be prevalent among participants in Saudi Arabia [33] and India [34].…”

“…A regular usage of interproximal measures leads to higher action and maintenance of self-efficacy, a lower level of biofilm and better periodontal tissue status in orthodontic patients [45,46]. However, several studies revealed that the majority of patients were not familiar with a regular usage of interdental aids, such as dental floss or an interdental brush [34][35][36]43,[46][47][48]. This study suggested a reason for optimism, since 56% of participants receiving orthodontic treatment reported using interproximal measures, while significantly less non-orthodontic patients reported the same oral behavior.…”

“…In this study, most of the orthodontic patients with fixed appliances reported mouth rinsing after meals, while this habit was less prevalent among the control group participants. The findings of other studies revealed that less than half of patients used mouthwash [34][35][36]43,44].…”

The Use of Miswak as Toothbrush for Orthodontic Patient

“…Presence of fixed appliance intraorally is considered as a leading factor that causes hindrance for patients to properly clean their teeth [8]. This would cause a multitude of side effects mainly, periodontal problem.…”

Avaliação transversal de parâmetros periodontais em indivíduos portadores de fissuras de lábio, alvéolo e palato

“…A fim de driblar todos estes efeitos colaterais que atingem o periodonto do paciente em tratamento ortodôntico, muitos autores sugerem a realização da ortodontia em conjunto com uma manutenção periodontal, incluindo avaliações periodontais frequentes, controle de placa bacteriana e orientações de higiene bucal em todas as consultas (Alfuriji et al, 2014;Pandey et al, 2016;Cerroni et al, 2018).…”