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The effects of the repetitive and reinforced oral hygiene motivation methods on plaque and inflammation markers of adolescents with fixed appliances

Yıl 2011, Cilt: 2 Sayı: 1, 16 - 24, 16.07.2011

Öz

Abstract
Objective: High standard of oral hygiene is essential for patients undergoing fixed orthodontic treatment. The aim of this study is to investigate whether the repetitive and reinforced oral hygiene motivation methods (OHMM) will result in lower plaque index (PI), gingival index (GI) and bleeding on probing (BOP) scores in adolescents with fixed orthodontic appliances.
Methods: The study group, composed of 90 patients, was divided into three groups; Group I: Only verbal information (n=30), Group II: Verbal information with demonstration on model and self application by the patient under supervision (n=30), Group III: Verbal information using the illustration catalogue and self application by the patient under supervision (n=30). The periodontal parameters (PI, GI and BOP) were recorded at the baseline, first and fourth week after. The patients received the same OHMM repetitively on the first and fourth weeks.
Results: All of the groups have shown significant decreases in parameters when compared to the baseline values at the fourth week (P<0.05). The GI, PI and BOP values were significantly lower in Group III than the other groups (P<0.05) at the fourth week.
Discussion: We suggest that the repetitive and reinforced OHMM in this study with the application under the supervision of the dentists/orthodontists can be realized easily in adolescents. These OHMM should be applied with tool(s) and equipment(s) which is (are) familiar to the adolescents and other target groups.

Kaynakça

  • Heasman P, Wilson Z, Mac Gregor I, Kelly P. Comparative study of electric and manual toothbrushes in patients with fixed orthodontic appliances. Am J Orthod Dentofac Orthop 1998;114:45-49.
  • Clerehugh V, Williams P, Shaw WC, Worthington HV, Warren P. A practice-based randomised controlled trial of the efficacy of an electric and a manual toothbrush on gingival health in patients with fixed orthodontic appliances. J Dent 1998;26:633
  • Thienpont V, Dermaut LR, Van Maele G. Comparative study of 2 electric and 2 manual toothbrushes in patients with fixed orthodontic Dentofacial Orthop 2001;120:353-360. Am J Orthod
  • 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 ;72:135-140. Olympio KPK, Bardal PAP, de M Bastos JR, Buzalaf MAR. Effectiveness of a chlorhexidine patients: a randomized-controlled trial. J Clin Periodontol 2006;33:421-426. in orthodontic
  • Ogaard B, Alm AA, Larsson E, Adolfsson U. A prospective, randomized clinical study on the effects of an amine fluoride/stannous toothpaste/mouthrinse on plaque, gingivitis and initial caries lesion development in orthodontic patients. Eur J Orthod 2006;28:8- fluoride
  • Pontier JP, Pine C, Jackson DL, DiDonato AK, Close J, Moore PA. Efficacy of a prebrushing rinse for orthodontic patients. Clin Prev Dent 1990;12:12-17.
  • Ramaglia L, Sbordone L, Ciaglia RN, Barone A, Martina R. A clinical comparison of the efficacy and efficiency of two professional orthodontic ;21:423-428. procedures J Eur Orthod 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 ;106:121-126. Dentofacial Orthop Attarzadeh F. Water irrigating devices for the orthodontic patient. Int J Orthod ;28:17-22. orthodontists advise patients on oral hygiene. Br J Orthod 1998;25(1):64-6.
  • 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. hygiene program for orthodontic patients. Am
  • J Orthod Dentofac Orthop 1989;96:208-213. system for self-monitoring plaque control effectiveness in orthodontic patients. J Clin Periodontol 1983;10:380-388.
  • McGlynn FD, Le Compte EJ, Thomas RG, Courts FJ, Melamed BG. Effect of behavioral self-management on oral hygiene adherence among orthodontic patients. Am J Orthod 1987;91:321-327.
  • 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.
  • Ay ZY, Sayin MO, Ozat Y, Goster T, Atilla AO, Bozkurt FY. Appropriate oral hygiene motivation method for patients with fixed ;77(6):1085-1089. pregnancy. II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand 1964;22:121–135. pregnancy. I. Prevalence and severity. Acta Odontol Scand 1963;21:533–551. proposals for recording gingivitis and plaque. Int Dent J 1975;25:229-235.
  • Tsamtsouris A, White GE, Clark ER. The effect of instruction and supervised toothbrushing on the reduction of dental plaque in kindergarten children. ASDC J Dent Child 1979;46(3):204-9.
  • Feldman SM, Scheetz JP. The value of repetition and reinforcement in improving oral hygiene ;51(4):228-34. N. Dental health education for adolescents: assessing attitude and knowledge following two educational approaches. Can J Public Health 1989;80(5):339-344.
  • Borgklint G. The effect of different dental health individuals. A longitudinal evaluation of knowledge and behaviour including cost aspects. Swed Dent J 2003;27(3):115-130.
  • ET, Machado AL, Jorge JH, Garcia PP. Effect of oral hygiene education and motivation on removable longitudinal ;26(2):150-156. orthodontic patients. Br J Orthod 1986;13:95- mutans orthodontic chlorhexidine ;9:109-116. of early caries lesions in enamel. J Dent Res ;65:2–11. Epidemiol 1981;9(6):251-255. J Periodontol
  • Dent Oral Epidemiol 1984;12:160–164. N. toothbrushing
  • Walsh TF, Glenwright HD. Relative Heasman PA, Heyndrickx I, De Jager M, Sturm D. Influence of a controlled pressure system on tooth brushing behavior. J Clin Dent 2001;10:1–5. single-use plaque removal by toothbrushes of different ;23:1112–1116.
  • PG, Smith D. Psychological interventions to improve instructions in adults with periodontal diseases. Cochrane Database Syst Rev ;18:1–17. Kawanami M. Systematic cognitive behavioral approach for oral hygiene instruction: a short- term ;74(2):191-196. J Clin Periodontol Renz A, Ide M, Newton T, Robinson adherence to oral hygiene Kakudate N, Morita M, Sugai M, study. Patient Educ Couns

Tekrarlı oral hijyen motivasyon yöntemlerinin sabit ortodontik tedavi gören adölesanların plak ve inflamasyon belirteçleri üzerine etkisi

Yıl 2011, Cilt: 2 Sayı: 1, 16 - 24, 16.07.2011

Öz

Amaç: Sabit ortodontik tedavi gören hastalarda oral hijyen girişimlerinin yüksek standartta olması vazgeçilmezdir. Bu çalışmanın amacı, tekrarlı oral hijyen motivasyon (OHM) yöntemlerinin sabit ortodontik tedavi gören adölesanlarda plak indeksi (Pİ), gingival indeks (Gİ) ve sondlamada kanama (SK) skorlarında azalmayla sonuçlanıp sonuçlanmadığının araştırılmasıdır. Yöntem:Çalışma grubu 90 kişiden oluşmaktaydı ve üç alt gruba ayrıldı: Grup I: yalnız sözel bilgilendirme (n=30), Grup II: Model üzerinde OHM yönteminin demonstrasyonu ve hastaya gözetim altında uygulatılması (n=30), Grup III: Katalog üzerinde bilgilendirme ve hastaya gözetim altında uygulatılması (n=30). Periodontal parametreler (Pİ, Gİ ve SK) başlangıç, motivasyon sonrası 1. ve 4. haftalarda kaydedilmiş ve OHM yöntemleri bu seanslarda kaydedildi ve tekrarlandı. Sonuçlar: Dördüncü hafta bulguları başlangıç ile karşılaştırıldığında tüm gruplarda tüm parametrelerde anlamlı düşüş bulundu (P

Kaynakça

  • Heasman P, Wilson Z, Mac Gregor I, Kelly P. Comparative study of electric and manual toothbrushes in patients with fixed orthodontic appliances. Am J Orthod Dentofac Orthop 1998;114:45-49.
  • Clerehugh V, Williams P, Shaw WC, Worthington HV, Warren P. A practice-based randomised controlled trial of the efficacy of an electric and a manual toothbrush on gingival health in patients with fixed orthodontic appliances. J Dent 1998;26:633
  • Thienpont V, Dermaut LR, Van Maele G. Comparative study of 2 electric and 2 manual toothbrushes in patients with fixed orthodontic Dentofacial Orthop 2001;120:353-360. Am J Orthod
  • 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 ;72:135-140. Olympio KPK, Bardal PAP, de M Bastos JR, Buzalaf MAR. Effectiveness of a chlorhexidine patients: a randomized-controlled trial. J Clin Periodontol 2006;33:421-426. in orthodontic
  • Ogaard B, Alm AA, Larsson E, Adolfsson U. A prospective, randomized clinical study on the effects of an amine fluoride/stannous toothpaste/mouthrinse on plaque, gingivitis and initial caries lesion development in orthodontic patients. Eur J Orthod 2006;28:8- fluoride
  • Pontier JP, Pine C, Jackson DL, DiDonato AK, Close J, Moore PA. Efficacy of a prebrushing rinse for orthodontic patients. Clin Prev Dent 1990;12:12-17.
  • Ramaglia L, Sbordone L, Ciaglia RN, Barone A, Martina R. A clinical comparison of the efficacy and efficiency of two professional orthodontic ;21:423-428. procedures J Eur Orthod 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 ;106:121-126. Dentofacial Orthop Attarzadeh F. Water irrigating devices for the orthodontic patient. Int J Orthod ;28:17-22. orthodontists advise patients on oral hygiene. Br J Orthod 1998;25(1):64-6.
  • 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. hygiene program for orthodontic patients. Am
  • J Orthod Dentofac Orthop 1989;96:208-213. system for self-monitoring plaque control effectiveness in orthodontic patients. J Clin Periodontol 1983;10:380-388.
  • McGlynn FD, Le Compte EJ, Thomas RG, Courts FJ, Melamed BG. Effect of behavioral self-management on oral hygiene adherence among orthodontic patients. Am J Orthod 1987;91:321-327.
  • 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.
  • Ay ZY, Sayin MO, Ozat Y, Goster T, Atilla AO, Bozkurt FY. Appropriate oral hygiene motivation method for patients with fixed ;77(6):1085-1089. pregnancy. II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand 1964;22:121–135. pregnancy. I. Prevalence and severity. Acta Odontol Scand 1963;21:533–551. proposals for recording gingivitis and plaque. Int Dent J 1975;25:229-235.
  • Tsamtsouris A, White GE, Clark ER. The effect of instruction and supervised toothbrushing on the reduction of dental plaque in kindergarten children. ASDC J Dent Child 1979;46(3):204-9.
  • Feldman SM, Scheetz JP. The value of repetition and reinforcement in improving oral hygiene ;51(4):228-34. N. Dental health education for adolescents: assessing attitude and knowledge following two educational approaches. Can J Public Health 1989;80(5):339-344.
  • Borgklint G. The effect of different dental health individuals. A longitudinal evaluation of knowledge and behaviour including cost aspects. Swed Dent J 2003;27(3):115-130.
  • ET, Machado AL, Jorge JH, Garcia PP. Effect of oral hygiene education and motivation on removable longitudinal ;26(2):150-156. orthodontic patients. Br J Orthod 1986;13:95- mutans orthodontic chlorhexidine ;9:109-116. of early caries lesions in enamel. J Dent Res ;65:2–11. Epidemiol 1981;9(6):251-255. J Periodontol
  • Dent Oral Epidemiol 1984;12:160–164. N. toothbrushing
  • Walsh TF, Glenwright HD. Relative Heasman PA, Heyndrickx I, De Jager M, Sturm D. Influence of a controlled pressure system on tooth brushing behavior. J Clin Dent 2001;10:1–5. single-use plaque removal by toothbrushes of different ;23:1112–1116.
  • PG, Smith D. Psychological interventions to improve instructions in adults with periodontal diseases. Cochrane Database Syst Rev ;18:1–17. Kawanami M. Systematic cognitive behavioral approach for oral hygiene instruction: a short- term ;74(2):191-196. J Clin Periodontol Renz A, Ide M, Newton T, Robinson adherence to oral hygiene Kakudate N, Morita M, Sugai M, study. Patient Educ Couns
Toplam 19 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Araştırma Makaleleri
Yazarlar

Zuhal Yetkin Ay

M. Sayın Bu kişi benim

Yener Özat Bu kişi benim

Tuba Sert Bu kişi benim

F. Kırzıoğlu Bu kişi benim

- - Bu kişi benim

Yayımlanma Tarihi 16 Temmuz 2011
Gönderilme Tarihi 7 Mart 2011
Yayımlandığı Sayı Yıl 2011 Cilt: 2 Sayı: 1

Kaynak Göster

Vancouver Yetkin Ay Z, Sayın M, Özat Y, Sert T, Kırzıoğlu F, - -. The effects of the repetitive and reinforced oral hygiene motivation methods on plaque and inflammation markers of adolescents with fixed appliances. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2011;2(1):16-24.

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