Assessment of oral hygiene habits and periodontal status of patients during and after orthodontic treatment

Year 2024, Volume: 41 Issue: 3, 94 - 104, 04.09.2024

Tuğba Şahin

https://doi.org/10.17214/gaziaot.1440988

Abstract

OBJECTIVE: This study evaluated the relationship between orthodontic treatment, oral hygiene practices, and periodontal health in individuals undergoing or completed orthodontic treatment.
MATERIALS AND METHOD: Systemically healthy patients undergoing or completed stable orthodontic treatment were included in the study. The periodontal status of 142 participants was determined using a comprehensive oral hygiene questionnaire and clinical oral examinations to assess various periodontal indices. Chi-square and t-tests were used for statistical analyses to compare periodontal status metrics between groups.
RESULTS: Statistical analyses revealed no significant differences between oral hygiene habits, periodontal indices, or periodontal status between the ongoing treatment (OT) and post-orthodontic treatment (PT) groups (p>0.05). However, significant differences
were noted in attachment level, dental visit frequency, and reasons for visits between the OT and PT groups (p<0.05). While participants generally showed similar oral hygiene awareness and practices, differences arose in toothbrushing times during orthodontic treatment and adherence to orthodontist recommendations.
CONCLUSION: This study investigated the effect of OT on oral health and concluded that OT did not change oral hygiene habits but affected attachment levels. Orthodontists should consistently guide patients on oral hygiene and managing clinical attachment loss. In these cases, the patient should be referred to a periodontist when necessary.

Keywords

gingivitis, oral hygiene, orthodontics, questionnaire

Ethical Statement

The Clinical Research Ethics Committee of the Bolu Abant İzzet Baysal University, approved this study (2022/168). Informed consent was obtained from all participants before enrollment in the study.

Supporting Institution

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Thanks

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Ortodontik tedavi sırasında ve sonrasında hastaların ağız hijyeni alışkanlıklarının ve periodontal durumlarının değerlendirilmesi

Abstract

AMAÇ: Bu çalışma ile ortodontik tedavi görmekte olan veya tedavisini tamamlamış bireylerde ağız hijyeni uygulamaları ile periodontal sağlık ve hastalık durumu arasındaki ilişkinin değerlendirilmesi amaçlanmıştır.
GEREÇ VE YÖNTEM: Sabit ortodontik tedavi görmekte olan veya tamamlamış 142 katılımcının periodontal durumları klinik indeksleri incelenerek tespit edilmiştir ve kapsamlı bir anket ile oral hijyen alışkanlıkları hakkında bilgi sahibi olunmuştur. Sistemik olarak sağlıklı, sabit ortodontik tedavi gören veya tamamlanmış hastalar çalışmaya dahil edilmiştir. Gruplar arasında periodontal durumların ölçümlerini karşılaştırmak için istatistiksel analizlerde kikare ve t-testleri kullanılmıştır.
BULGULAR: Ortodontik tedavisi devam eden (OT) ve postortodontik tedavi (PT) zamanında olan gruplar arasında ağız hijyeni alışkanlıkları, periodontal indeksler veya periodontal durum açısından istatistiksel olarak anlamlı farklılık olmadığı bulunmuştur (p>0.05). Bunun yanında OT ve PT arasında ataşman seviyesi, diş hekimi ziyaret sıklığı ve ziyaret nedenleri açısından istatistiksel
olarak anlamlı farklılık kaydedilmiştir (p<0.05). Katılımcılar genel olarak benzer ağız hijyeni farkındalığı ve alışkanlığı gösterirken, OT sırasında diş fırçalama sürelerinde ve diş hekimi tavsiyelerine uymada farklılıklar ortaya çıkmıştır.
SONUÇ: Bu çalışma OT’nin ağız sağlığı üzerindeki etkisini araştırmış ve ağız hijyeni alışkanlıklarını değiştirmediğini ancak klinik ataşman seviyelerini etkilediğini bulmuştur. Ortodontistler, hastalarını ağız hijyeni alışkanlığı kazandırmak ve klinik ataşman kaybını önlemek için periodontologlara yönlendirmelidirler.

Keywords

gingivitis, oral hijyen, ortodonti, anket

Ethical Statement

Bolu Abant İzzet Baysal Üniversitesi Klinik Araştırmalar Etik Kurulu bu çalışmayı onaylamıştır (2022/168). Çalışmaya katılmadan önce tüm katılımcılardan bilgilendirilmiş onam alınmıştır.

Supporting Institution

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Thanks

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