Dental water jet efficacy in the plaque control of orthodontic patients wearing fixed appliance: A randomized controlled trial.


Journal

Journal of clinical and experimental dentistry
ISSN: 1989-5488
Titre abrégé: J Clin Exp Dent
Pays: Spain
ID NLM: 101603132

Informations de publication

Date de publication:
Nov 2019
Historique:
received: 05 11 2018
accepted: 04 02 2019
entrez: 9 11 2019
pubmed: 9 11 2019
medline: 9 11 2019
Statut: epublish

Résumé

Different studies assess the role of fixed orthodontic appliances in supragingival plaque accumulation. In patients wearing fixed orthodontic appliances a good management of oral hygiene is required in order to prevent complication like as decay, enamel demineralization, gingivitis, gingival hyperplasia and periodontitis. The aim of this Randomized Controlled Trial (RCT) is to evaluate the efficacy of the use of a DWJ in patients under orthodontic treatment with fixed multibracket appliance. The study design was single-blinded RCT with a split mouth protocol. Each patient followed a personal cleaning protocol using a DWJ in addition to traditional brushing only on one side while just brushing on the control side. The side on which was decided to use the DWJ was chosen randomly and the dental hygienist who took the measurements was blind. Plaque and gingival indexes were evaluated at baseline and at one, three and six-months follow-up. It did not emerge any difference in the plaque and gingival indexes trend between the two groups. Patients initially reported an worsening of the indexes at one month evaluation, then they set at baseline levels at three and six months. The dental water jet does not improve significantly the efficacy of home oral hygiene in orthodontic patients wearing a multi-bracket fixed appliance. Patients did not show the traditional worsening during the whole orthodontic therapy.

Sections du résumé

BACKGROUND BACKGROUND
Different studies assess the role of fixed orthodontic appliances in supragingival plaque accumulation. In patients wearing fixed orthodontic appliances a good management of oral hygiene is required in order to prevent complication like as decay, enamel demineralization, gingivitis, gingival hyperplasia and periodontitis. The aim of this Randomized Controlled Trial (RCT) is to evaluate the efficacy of the use of a DWJ in patients under orthodontic treatment with fixed multibracket appliance.
MATERIAL AND METHODS METHODS
The study design was single-blinded RCT with a split mouth protocol. Each patient followed a personal cleaning protocol using a DWJ in addition to traditional brushing only on one side while just brushing on the control side. The side on which was decided to use the DWJ was chosen randomly and the dental hygienist who took the measurements was blind. Plaque and gingival indexes were evaluated at baseline and at one, three and six-months follow-up.
RESULTS RESULTS
It did not emerge any difference in the plaque and gingival indexes trend between the two groups. Patients initially reported an worsening of the indexes at one month evaluation, then they set at baseline levels at three and six months.
CONCLUSIONS CONCLUSIONS
The dental water jet does not improve significantly the efficacy of home oral hygiene in orthodontic patients wearing a multi-bracket fixed appliance. Patients did not show the traditional worsening during the whole orthodontic therapy.

Identifiants

pubmed: 31700567
doi: 10.4317/jced.55411
pii: 55411
pmc: PMC6825727
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e957-e963

Informations de copyright

Copyright: © 2019 Medicina Oral S.L.

Déclaration de conflit d'intérêts

Conflict of interest statement:The authors have declared that no conflict of interest exist.

Références

J Periodontol. 1990 Jul;61(7):427-33
pubmed: 2388139
Am J Orthod Dentofacial Orthop. 2008 Apr;133(4):565-71; quiz 628.e1-2
pubmed: 18405821
Am J Orthod Dentofacial Orthop. 2011 May;139(5):e463-70
pubmed: 21536188
New Microbiol. 1997 Jan;20(1):55-62
pubmed: 9037669
Compend Contin Educ Dent. 2012 Apr;33(4):278-80, 282
pubmed: 22536661
J Periodontol. 1990 Nov;61(11):663-9
pubmed: 2254831
Angle Orthod. 2017 Sep;87(5):651-657
pubmed: 28686092
Am J Dent. 1997 Apr;10(2):107-10
pubmed: 9545899
J Clin Periodontol. 1995 Jun;22(6):427-33
pubmed: 7560220
Eur J Orthod. 2017 Nov 30;39(6):660-664
pubmed: 28402422
Angle Orthod. 1972 Jan;42(1):26-34
pubmed: 4500561
J Microbiol. 2005 Jun;43(3):260-5
pubmed: 15995644
Eur J Dent. 2014 Jul;8(3):373-380
pubmed: 25202219
J Clin Periodontol. 2002 Apr;29(4):295-300
pubmed: 11966926
J Periodontol. 1969 May;40(5):268-70
pubmed: 5255340
Am J Orthod Dentofacial Orthop. 1994 Aug;106(2):121-6
pubmed: 8059746
Angle Orthod. 1973 Oct;43(4):402-11
pubmed: 4517973
J Periodontol. 1994 Jan;65(1):30-6
pubmed: 8133413
J Am Dent Assoc. 2008 Apr;139(4):413-22
pubmed: 18385025
J Dent Hyg. 2010 Summer;84(3):114-20
pubmed: 20579423
J Am Dent Assoc. 1970 Sep;81(3):678-82
pubmed: 4915770
Prev Assist Dent. 1991 Mar-Apr;17(2):39-43
pubmed: 1857661
J Contemp Dent Pract. 2010 Jul 01;11(4):E025-32
pubmed: 20953561
Angle Orthod. 2011 Jul;81(4):609-15
pubmed: 21306224
J Clin Periodontol. 2008 Sep;35(8 Suppl):346-61
pubmed: 18724862

Auteurs

Sergio Mazzoleni (S)

Associate Professor, Department of Neuroscience, University of Padua. Via Giustiniani 2 - 35100 - Padua (Italy).

Alberto De Stefani (A)

DDS, Department of Neuroscience, University of Padua. Via Giustiniani 2 - 35100 - Padua (Italy).

Carola Bordin (C)

Dental Hygienist, Department of Neuroscience, University of Padua. Via Giustiniani 2 - 35100 - Padua (Italy).

Paolo Balasso (P)

Department of Engineering and Management, University of Padua. Via Giustiniani 2 - 35100 - Padua (Italy).

Giovanni Bruno (G)

DDS, Department of Neuroscience, University of Padua. Via Giustiniani 2 - 35100 - Padua (Italy).

Antonio Gracco (A)

Associate Professor, Department of Neuroscience, University of Padua. Via Giustiniani 2 - 35100 - Padua (Italy).

Classifications MeSH