A Comparison of Three Different Modalities in Improving Oral Hygiene

Launched by AGA KHAN UNIVERSITY · May 9, 2020

Keywords

ClinConnect Summary

It has been demonstrated that a rapid decline in oral hygiene compliance occurs after the initial bonding of fixed appliances, as orthodontic brackets favor plaque accumulation by hindering routine oral hygiene procedures such as tooth brushing and flossing. Tooth brush access to the buccal surfaces of teeth becomes problematic and predisposes plaque buildup around brackets. Inefficient removal of supra-gingival plaque leads to the development of gingival inflammation and hyperplasia.

SAMPLE SIZE:

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Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients undergoing orthodontic treatment with fixed appliance (FAT) since 6 months
• • Patients of both gender, aged 18-36 years. As, chances of declining periodontal status increases after 36 years of age.
• • Patients having an Andriod phone with Whatsapp application installed..
• • Patients with all bonded teeth mesial to the first molars.
• • Healthy patients with no co-morbids such as rheumatic fever, blood dyscrasias, congenital heart disease or diabetes mellitus.
• • Subjects with gingivitis as assessed by bleeding index (score ≤1), orthodontic plaque index (score ≤2) and gingival index (score ≤1) as assessed by Williams -Probe.
• • All patients who will give consent for participation.
• Exclusion Criteria:
• • Subjects with clinical attachment loss of greater than 2 mm on two sites.
• • Pregnant or lactating females.
• • Subjects with removable/fixed dental prosthesis or banded teeth.
• • History of surgical or nonsurgical periodontal therapy in the last 6 months.
• • Current smokers or smokeless tobacco users. (According to glossary of Centers for Disease Control and Prevention, an adult who has smoked 100 cigarettes in his or her lifetime and who currently smokes cigarettes is considered to be current smoker).
• • Patients having systemic reasons for periodontal diseases for example uncontrolled diabetes, hypertension.