Quantifying plaque during orthodontic treatment:

Al-Anezi, Saud A.; Harradine, Nigel

doi:10.2319/050111-312.1

Cited by 72 publications

(66 citation statements)

References 49 publications

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“…The PI system used in the present research was not specifically designed for orthodontic patients, even if it has been used in some studies conducted on orthodontic population. [28][29][30] Further investigations should use a more specific orthodontic PI system, such as the modified Silness and Loe index, and should analyze the effects of repeated OHI and motivation on PI score trends during the entire duration of orthodontic treatment in order to provide an orthodontic hygiene protocol.…”

Section: Discussionmentioning

confidence: 99%

Combined effects of repeated oral hygiene motivation and type of toothbrush on orthodontic patients:A blind randomized clinical trial

Marini

Bortolotti

Parenti

et al. 2014

The Angle Orthodontist

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Objective: To investigate the effects on plaque index (PI) scores of manual or electric toothbrush with or without repeated oral hygiene instructions (OHI) and motivation on patients wearing fixed orthodontic appliances. Materials and Methods: One month after the orthodontic fixed appliance bonding on both arches, 60 patients were randomly assigned to four groups; groups E 1 (n 5 15) and E 2 (n 5 15) received a powered rotating-oscillating toothbrush, and groups M 1 (n 5 15) and M 2 (n 5 15) received a manual toothbrush. Groups E 1 and M 1 received OHI and motivation at baseline (T0) and after 4, 8, 12, 16, and 20 weeks (T4, T8, T12, T16, and T20, respectively) by a Registered Dental Hygienist; groups E 2 and M 2 received OHI and motivation only at baseline. At each time point a blinded examiner scored plaque of all teeth using the modified Quigley-Hein PI. Results: In all groups the PI score decreased significantly over time, and there were differences among groups at T8, T12, T16, and T20. At T8, PI scores of group E 1 were lower than those of group E 2 , and at T12, T16, and T20, PI scores of groups M 1 and E 1 were lower compared to those of groups M 2 and E 2 . A linear mixed model showed that the effect of repeated OHI and motivation during time was statistically significant, independently from the use of manual or electric toothbrush. Conclusions:The present results showed that repeated OHI and motivation are crucial in reducing PI score in orthodontic patients, independent of the type of toothbrush used. (Angle Orthod. 2014;84:896-901.)

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Section: Discussionmentioning

confidence: 99%

Combined effects of repeated oral hygiene motivation and type of toothbrush on orthodontic patients:A blind randomized clinical trial

Marini

Bortolotti

Parenti

et al. 2014

The Angle Orthodontist

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“…At present, it is routinely used in the lingual technique, and eventually in the technique for brackets bonded from the vestibular side, when the professional has the intention to hasten the clinical act of positioning the brackets, thereby reducing chair-time, with this factor being an aspect on which there is unanimity in the studies (Bozelli et al, 2013;Castilla et al, 2014;Ciuffolo et al, 2012). However, a relevant variable to be considered during orthodontic treatment is the maintenance of periodontal health, since the orthodontic bracket tends to be an accessory that retains bacterial plaque (Al-Anezi and Harradine, 2012;Jordan and LeBlanc, 2002;Nassar et al, 2009). The doubt that motivated this study was precisely whether the type of adhesive -with chemical polymerization -used in the indirect technique, would have more chance of causing deleterious effects on the periodontium.…”

Section: Discussionmentioning

confidence: 99%

“…By virtue of the orthodontic bracket tending to be an accessory that retains plaque (Al-Anezi and Harradine, 2012;Jordan and LeBlanc, 2002;Nassar et al, 2009), and knowing that indirect technique is a procedure increasingly being used by orthodontists (Ciuffolo et al, 2012;Gange, 2000;Silverman et al, 1972). The aim of this research was to compare the plaque index, gingival index, evaluate the gingival crevicular fluid and index of white spots on tooth enamel in patients submitted to bracket bonding by means of the direct and indirect techniques.…”

Section: Introductionmentioning

confidence: 98%

“…In general, fixed appliance prevent the maintenance of good oral hygiene, particularly when brackets are bonded with excessive adhesive material, thus favoring bacterial plaque accumulation (Al-Anezi and Harradine, 2012;Jordan and LeBlanc, 2002;Nassar et al, 2009), which in turn could lead to the occurrence of gingival inflammation (Al-Anezi and Harradine, 2012;Miles, 2010) and enamel demineralization -white spots (O'Reilly et al, 2013;Tufekci et al, 2011). If on the one hand, indirect bonding allows the removal of excess resin during the act of laboratory bonding; on the other hand, it does not allow the predictability of adhesive flow during its clinical stage (Ciuffolo et al, 2012;Kanashiro et al, 2014;Miles, 2010;Mohode, 2012).…”

Section: Introductionmentioning

confidence: 99%

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Periodontal conditions in orthodontic patients using direct and indirect bracket bonding techniques: A randomized study

Zanini¹,

Nassar²,

Nassar³

et al. 2016

J. Dent. Oral Hyg.

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The aim of this study was comparing two orthodontic bracket bonding techniques (direct and indirect), with regard to the following variables: plaque index; gingival index, evaluation of gingival crevicular fluid, and white spots on tooth enamel. Seventeen patients were randomly selected (10 men and 7 women) with a mean age of 15.8 years, and these were subjected to comprehensive orthodontic treatment (braces), totaling a sample size of 260 teeth examined. The experimental model used was the split-mouth technique, in each patient, the maxillary brackets in one hemi-arch were bonded by the direct, and in the other by the indirect technique, the same occurring in the mandibular arch. Assessments were performed in the following time intervals: pre-bonding, one, three and six months after initial placement of the brackets. The data were subjected to statistical analysis by the KruskalWallys test (Dunn's post-test) to assess the intra-group evolution of the variables. The Wilcoxon test was used for comparison between groups. The brackets bonded to teeth by the direct technique showed a higher number of surfaces with the presence of bacterial plaque and bleeding, when compared with the indirect technique, in time intervals of 3 and 6 months. For measurement of fluid, direct bonding showed increased index in 3-month evaluation. The occurrence of white spots showed no statistical difference between groups. As conclusion, indirect technique shows less oral health impairment with a lower incidence of plaque accumulation, bleeding and fluid.

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“…[1][2][3][4] Dental plaque is a highly complex bacterial structure which when accumulated, shifts to gram-negative anaerobic or facultative species which can cause periodontal disease. 1,4 Besides, it can cause white spot lesions, which is again an unfavorable complication.…”

Section: Introductionmentioning

confidence: 99%

Effects of the initial stage of active fixed orthodontic treatment and sex on dental plaque accumulation: A preliminary prospective cohort study

Rakhshan¹,

Rakhshan

2015

The Saudi Journal for Dental Research

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Objectives: The aim of this pilot study was to assess the effect of orthodontic treatment and gender on plaque index. Materials and methods: In this prospective cohort study, the O'Leary plaque index of 25 orthodontic patients was clinically examined before the beginning of treatment (as control) and after the leveling stage (as treatment group). The role of treatment and gender was assessed using two-way repeated-measure ANOVA, paired and independent-sample t-tests, and Pearson correlation coefficient (a = 0.05, b 6 0.1). Results: ANOVA showed a significant increase in plaque index after treatment (P = 0.000), but without any difference between the genders (P = 0.997) or any interaction between the variables gender and treatment (P = 0.796). There were significant post-treatment increases in plaque index in males (paired t-test's P = 0.018) and females (P = 0.000). The plaque indices were not different between males and females, either before leveling (independent-sample t-test's P = 0.785) or after it (P = 0.880). There were no correlations between patients' gender and either of pre-or post-treatment

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Quantifying plaque during orthodontic treatment:

Cited by 72 publications

References 49 publications

Combined effects of repeated oral hygiene motivation and type of toothbrush on orthodontic patients:A blind randomized clinical trial

Combined effects of repeated oral hygiene motivation and type of toothbrush on orthodontic patients:A blind randomized clinical trial

Periodontal conditions in orthodontic patients using direct and indirect bracket bonding techniques: A randomized study

Effects of the initial stage of active fixed orthodontic treatment and sex on dental plaque accumulation: A preliminary prospective cohort study

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