EFFECTS OF TWO DIFFERENT PERIODONTAL RECALL PROGRAMS ON ORAL HYGIENE AND GINGIVAL HEALTH OF PATIENTS UNDERGOING FIXED ORTHODONTIC TREATMENT:A YEAR FOLLOW UP

Year 2019, Volume: 29 Issue: 2, 182 - 188, 22.03.2019

Filiz Uslu Tuba Köse Oğuz Köse

https://doi.org/10.17567/ataunidfd.495995

Abstract

ABSTRACT

Objective: To compare the effects of two different
periodontal recall programs on gingival health of patients undergoing fixed
orthodontic treatment.

Materials and Methods: Fifty-four adolescents (25 female
and 29 male, mean age is 15,19 ± 0,4 years), who will be undergoing fixed
orthodontic treatment, were divided into two equal groups (Group 1, Group 2).
Group 1 was selected for periodontal recall program consisting of three-month intervals,
and Group 2 was selected for periodontal recall program consisting of four-week
intervals. The periodontal parameters (plaque index [PI], gingival index [GI]
and bleeding on probing [BOP]) were recorded at the baseline and at the all
recall appointments during one year.

Results: All periodontal parameters showed a significant
increase from the baseline to the first recall appointment for either group
(P<0,01). Group 2 had significantly lower PI, GI and BOP values than Group 1
at all recall appointments (P<0,01). 

Conclusions: This study emphasized
that periodontal recall
program consisting of four-week intervals seemed to be more successful than the recall program consisting
of three-month intervals in
terms of periodontal health of patients undergoing fixed orthodontic treatment.

Key
words: Fixed Orthodontics, Oral Hygiene, Periodontal Recall, Listerine

 

Sabit
Ortodontik Tedavi Gören Hastalarda İki Farklı Periodontal Takip Programının
Oral Hijyen ve Dişeti Sağlığına Etkisi: Bir Yıllık Takip

ÖZET

Amaç: Bu çalışmanın amacı iki
farklı periodontal takip programının, sabit ortodontik tedavi gören hastaların
dişeti sağlığı üzerindeki etkilerini karşılaştırmaktır.

Gereç ve Yöntem: Ortodontik tedavi
gören 54 hasta (25
kadın and 29 erkek, ortalama yaş: 15,19 ± 0,4 yıl) Grup 1 ve Grup 2 olarak iki eşit gruba ayrıldı. Dört haftalık
aralıklardan oluşan periodontal takip programı için Grup 2 seçilirken, Grup 1
için üç aylık aralıklardan oluşan periodontal takip programı seçildi.
Periodontal parametreler (Plak İndeksi, Gingival İndeks ve Sondlamada Kanama)
başlangıçta ve 1 yıl boyunca tüm takip randevularında kaydedildi.

Bulgular: Her iki grupta da
başlangıçtan ilk takip randevusuna kadar tüm periodontal parametrelerde
anlamlı artış gözlendi (P<0,01). Grup 2’deki plak indeksi, gingival indeks ve
sondlamada kanama Grup 1’e göre tüm takip randevularında anlamlı düzeyde
düşüktü (P<0,01).

Sonuç: Bu çalışma ortodontik
tedavi gören hastalarda periodontal sağlık yönünden dört haftalık aralıkları
içeren periodontal takip programının üç aylık aralıklarla takip edilen programa
göre daha başarılı olduğunu vurgulamaktadır.

Anahtar Kelimeler: Sabit ortodontik
tedavi, Oral hijyen, Periodontal takip, Listerin

Keywords

Fixed Orthodontics, Oral Hygiene, Periodontal Recall

References

• 1. Feliu JL. Long-term benefits of orthodontic treatment on oral hygiene. Am J Orthod 1982; 82(6): 473-477.
• 2. Kessler M. Interrelationships between orthodontics and periodontics. Am J Orthod 1976; 70: 154-172.
• 3. Lusterman EA. Clinical significance of periodontic orthodontic interrelationships. NY State Dent J 1974; 40: 147-156.
• 4. Alstad S, Zachrisson BU. Longitudinal study of periodontal condition associated with orthodontic treatment in adolescents. Am J Orthod 1979; 76: 277-286.
• 5. Boyd RL, Baumrind S. Periodontal consideration in the use of bonds or bands on molars in adolescents and adults. Angle Orthod 1992; 62: 117-126.
• 6. Hamp SE, Lundström F, Nyman S. Periodontal conditions in adolescents subjected to multiband orthodontic treatment with controlled oral hygiene. Eur J Orthod 1982; 4: 77-86.
• 7. Tufekci E, Dixon JS, Gunsolley JC, Lindauer SJ. Prevalence of white spot lesions during orthodontic treatment with fixed appliances. Angle Orthod 2011; 81: 206-210.
• 8. Øgaard B. White spot lesions during orthodontic treatment: mechanisms and fluoride preventive aspects. Semin Orthod 2008; 14: 183-193.
• 9. O’Reilly MM, Featherstone JDB. Demineralization and remineralization around orthodontic appliances: an in vivo study. Am J Orthod Dentofacial Orthop 1987; 92: 33-40.
• 10. Huber SJ, Vernino AR, Nanda RS. Professional prophylaxis and its effect on the periodontium of full-banded orthodontic patients. Angle Orthod. 1972; 42: 26-34.
• 11. Yeung SC, Howell S, Fahey P. Oral hygiene program for orthodontic patients. Am J Orthod Dentofacial Orthop. 1989; 96: 208-213.
• 12. Albino JE, Lawrence SD, Lopes CE, Nash LB, Tedesco LA. Cooperation of adolescents in orthodontic treatment. J Behav Med 1991; 14: 53-70.
• 13. Lees A, Rock WP. A comparison between written, verbal, and videotape oral hygiene instruction for patients with fixed appliances. J Orthod 2000; 27: 323-328.
• 14. Matic S, Ivanovic M, Mandic J, Nikolic P. Possibilities to prevent gingivitis during fixed orthodontic appliance therapy. Stom Glas S 2008; 55: 122-132
• 15. Al-Jewair TS, Suri S, Tompson BD. Predictors of adolescent compliance with oral hygiene instructions during two-arch multibracket fixed orthodontic treatment. Angle Orthod 2011; 81: 525-531.
• 16. Acharya S, Goyal A, Utreja AK, Mohanty U. Effect of three different motivational techniques on oral hygiene and gingival health of patients undergoing multibracketed orthodontics. Angle Orthod 2011; 81: 884-888.
• 17. Pontier JP, Pine C, Jackson DL, Di Donato AK, Close J, Moore PA. Efficacy of a prebrushing rinse for orthodontic patients. Clin Prev Dent 1990; 12: 12-17.
• 18. Burch JG, Lanese R, Ngan P. A two-month study of the effects of oral irrigation and automatic toothbrush use in an adult orthodontic population with fixed appliances. Am J Orthod Dentofacial Orthop 1994; 106: 121-126.
• 19. Kilicoglu H, Yildirim M, Polater H. Comparison of the effectiveness of two types of toothbrushes on the oral hygiene of patients undergoing orthodontic treatment with fixed appliances. Am J Orthod Dentofacial Orthop 1997; 111: 591-594
• 20. Heasman P, Wilson Z, MacGregor I, Kelly P. Comparative study of electric and manual toothbrushes in patients with fixed orthodontic appliances. Am J Orthod Dentofacial Orthop 1998; 114: 45-49.
• 21. Ramaglia L, Sbordone L, Ciaglia RN, Barone A, Martina R. A clinical comparison of the efficacy and efficiency of two professional prophylaxis procedures in orthodontic patients. Eur J Orthod 1999; 21: 423-428.
• 22. Thienpont V, Dermaut LR, Van Maele G. Comparative study of 2 electric and 2 manual toothbrushes in patients with fixed orthodontic appliances. Am J Orthod Dentofacial Orthop 2001; 120: 353-360.
• 23. Hickman J, Millett DT, Sander L, Brown E, Love J. Powered vs manual tooth brushing in fixed appliance patients: a short term randomized clinical trial. Angle Orthod 2002; 72: 135-140.
• 24. Olympio KPK, Bardal PAP, de M Bastos JR, Buzalaf MAR. Effectiveness of a chlorhexidine dentrifrice in orthodontic patients: a randomized-controlled trial. J Clin Periodontol 2006; 33: 421-426.
• 25. Wang S, Yang Y, Chang H. The effect of an oral hygiene instruction intervention on plaque control by orthodontic patients. J Dent Sci 2007; 2(1): 45-51.
• 26. Yetkin Ay Z,, Sayın MO, Ozat Y, Goster T, Atilla AO, Bozkurt FY. Appropriate Oral Hygiene Motivation Method for Patients with Fixed Appliances. Angle Orthod 2007; 77(6): 1085-1089.
• 27. Arici S, Alkan A, Arici N. Comparison of different toothbrushing protocols in poor-toothbrushing orthodontic patients. Eur J Orthod 2007; 29: 488-492
• 28. Tufekci E, Casagrande ZA, Lindauer SJ, Fowler CE, Williams KT. Effectiveness of an Essential Oil Mouthrinse in Improving Oral Health in Orthodontic Patients. Angle Orthod 2008; 78(2): 294-298
• 29. Ay ZY, Esenlik E, Çağlar F. Effect of different oral hygiene motivation methods on halitosis levels of patients treated by fixed orthodontic therapy. J Dent Fac Atatürk Uni 2013; 23(3): 307-312
• 30. Silness J, Löe H. Periodontal disease in pregnancy. II. Correlation between oral hygiene and oral condition. Acta Odontol Scand 1964; 22: 121-135.
• 31. Löe H. The gingival index, plaque index and the retention index systems. J Periodontol 1967; 38: 610-616.
• 32. Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J 1975; 25(4): 229-235.
• 33. Alkadhi OH, Zahid MN, Almanea RS, Althaqeb HK, Alharbi TH, Ajwa NM. The effect of using mobile applications for improving oral hygiene in patients with orthodontic fixed appliances: a randomised controlled trial. J Orthod. 2017; 44(3): 157-163.
• 34. Migliorati M, Isaia L, Cassaro A, Rivetti A, Silvestrini-Biavati F, Gastaldo L, Piccardo I, Dalessandri D, Silvestrini-Biavati A. Efficacy of professional hygiene and prophylaxis on preventing plaque increase in orthodontic patients with multibracket appliances: a systematic review. Eur J Orthod. 2015; 37(3): 297-307.
• 35. Shulman J. Clinical evaluation of the phase contrast microscope as a motivational aid in oral hygiene. J Am Dent Assoc 1976; 92: 759-765.
• 36. Bowen TB, Rinchuse DJ, Zullo T, DeMaria ME. The influence of text messaging on oral hygiene effectiveness. Angle Orthod. 2015; 85(4): 543-8.
• 37. Marini I, Bortolotti F, Parenti SI, Gatto MR, Bonetti GA. Combined effects of repeated oral hygiene motivation and type of toothbrush on orthodontic patients: a blind randomized clinical trial. Angle Orthod. 2014; 84(5): 896-901.
• 38. Boyd RL. Enhancing the value of orthodontic treatment: Incorporating effective preventive dentistry into treatment. Am J Orthod Dentofacial Orthop 2000; 117(5): 601-603.
• 39. Bauroth K, Charles CH, Mankodi SM, Simmons K, Zhao Q, Kumar LD. The efficacy of an essential oil antiseptic mouthrinse vs. dental floss in controlling interproximal gingivitis: a comparative study. J Am Dent Assoc 2003; 134: 359-365.
• 40. Fine DH. Reducing bacteria in dental aerosols: preprocedural use of an antiseptic mouth rinse. J Am Dent Assoc 1993; 124: 56-58.
• 41. Sharma R, Trehan M, Sharma S, Jharwal V, Rathore N. Comparison of Effectiveness of Manual Orthodontic, Powered and Sonic Toothbrushes on Oral Hygiene of Fixed Orthodontic Patients. Int J Clin Pediatr Dent 2015 ;8(3): 181-189.
• 42. Mehra T, Nanda RS, Sinha PK. Orthodontists’ assessment and management of patient compliance. Angle Orthod 1998; 68: 115-122.
• 43. Whittle JG. Attendance patterns and dental health of parents and children. Community Dent Health 1993; 10: 235-242.
• 44. Sergl HG, Klages U, Pempera J. On the prediction of dentist-evaluated patient compliance in orthodontics. Eur J Orthod 1992; 14: 463-468.
• 45. Al-Anezi SA, Harradine NWT. Quantifying plaque during orthodontic treatment: A systematic review. Angle Orthod 2012; 82: 748-753.