An orthodontic tooth brushing technique to enhance oral hygiene in patients wearing fixed orthodontic appliances: A randomized controlled trial.
modified Bass technique
oral hygiene
tooth brushing
Journal
International journal of dental hygiene
ISSN: 1601-5037
Titre abrégé: Int J Dent Hyg
Pays: England
ID NLM: 101168070
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
revised:
24
01
2023
received:
16
08
2021
accepted:
02
04
2023
medline:
21
7
2023
pubmed:
27
4
2023
entrez:
27
4
2023
Statut:
ppublish
Résumé
An effective tooth brushing technique is essential in maintaining oral hygiene, especially for patients wearing fixed orthodontic appliances. Traditional tooth brushing techniques are mainly designed for the general population without orthodontic appliances, which may not account for the oral condition of orthodontic patients due to the increased biofilm formation. The aim of this study was to design an orthodontic tooth brushing technique and compare its effectiveness with the traditional modified Bass technique. Sixty patients wearing fixed orthodontic appliances were included in this two-arm paralleling randomized controlled trial. Thirty patients were assigned to the modified Bass technique group and 30 patients were assigned to the orthodontic tooth brushing technique group. The orthodontic tooth brushing technique involved a biting motion on the head of toothbrush in order to place the toothbrush bristles behind the archwires and around the brackets. Plaque index (PI) and gingival index (GI) were used to assess oral hygiene. Outcome measurements were taken at baseline and 1 month after the intervention. The new orthodontic tooth brushing technique significantly reduced PI (average PI reduction = 0.42 ± 0.13), especially in the gingival (0.53 ± 0.15) and interproximal (0.52 ± 0.18) areas (p < 0.05 for all). No significant reduction was found for the GI (p > 0.05 for all). The new orthodontic tooth brushing technique showed a promising result in reducing PI in patients wearing fixed orthodontic appliances.
Sections du résumé
BACKGROUND
BACKGROUND
An effective tooth brushing technique is essential in maintaining oral hygiene, especially for patients wearing fixed orthodontic appliances. Traditional tooth brushing techniques are mainly designed for the general population without orthodontic appliances, which may not account for the oral condition of orthodontic patients due to the increased biofilm formation. The aim of this study was to design an orthodontic tooth brushing technique and compare its effectiveness with the traditional modified Bass technique.
METHODS
METHODS
Sixty patients wearing fixed orthodontic appliances were included in this two-arm paralleling randomized controlled trial. Thirty patients were assigned to the modified Bass technique group and 30 patients were assigned to the orthodontic tooth brushing technique group. The orthodontic tooth brushing technique involved a biting motion on the head of toothbrush in order to place the toothbrush bristles behind the archwires and around the brackets. Plaque index (PI) and gingival index (GI) were used to assess oral hygiene. Outcome measurements were taken at baseline and 1 month after the intervention.
RESULTS
RESULTS
The new orthodontic tooth brushing technique significantly reduced PI (average PI reduction = 0.42 ± 0.13), especially in the gingival (0.53 ± 0.15) and interproximal (0.52 ± 0.18) areas (p < 0.05 for all). No significant reduction was found for the GI (p > 0.05 for all).
CONCLUSION
CONCLUSIONS
The new orthodontic tooth brushing technique showed a promising result in reducing PI in patients wearing fixed orthodontic appliances.
Types de publication
Randomized Controlled Trial
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
634-640Informations de copyright
© 2023 The Authors. International Journal of Dental Hygiene published by John Wiley & Sons Ltd.
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