The Effects of Different Tooth Brushing Explanations in Fixed Orthodontic Treatment

Yuzuncu Yıl University

Status: Completed

Conditions: Orthodontic Treatment; Dental Plaque Induced Gingival Disease

Treatments: Other: Tooth brushing

Study type: Interventional

Funder types: Other

Identifiers

NCT06436664

2024/01-04

Details and patient eligibility

About

The aim of this study is to investigate the effects of tooth brushing training methods on orthodontic patients and to determine the most effective oral hygiene methods for individuals receiving orthodontic treatment.

Full description

Because orthodontic appliances cause food retention, a good level of oral hygiene is needed to maintain dental health. Inadequate tooth brushing can lead to gingival diseases on periodontal tissue, cavities and white lesions on tooth enamel. Antimicrobial agents and fluoride products are useful but it cannot replace the mechanical removal of plaque. Because the mechanical plaque control is still considered the most important oral hygiene tool during orthodontic treatment.

In the literature, it has been reported that the motivation to maintain oral hygiene during the orthodontic fixed treatment phase has a very positive effect on periodontal health, and in the same studies, plaque index scores increased over time in control groups that were not given repeated oral treatment. If patients are not given repeated and regular oral hygiene motivation in every session in the clinical routine, gum health may deteriorate. More invasive methods may be required to correct this condition. Because poor oral hygiene, if left unchecked, can compromise the outcome of orthodontic treatment.

When performing manual tooth brushing, the modified Bass technique (MBT) is often recommended to provide optimum plaque reduction by protecting oral tissues from mechanical irritation. The problem with this brushing technique is that it consists of a complex sequence of movements. First of all, the toothbrush should be positioned at a 45° angle to the gingival edge. Secondly, the brush should be moved back and forth with small horizontal vibrations. Thirdly, debris must be removed by sweeping the brush towards the occlusal face in a vertical motion (upward in the lower jaw, downwards in the upper jaw). This sequence of movements requires dexterity and attention to technique. Brushing demonstration techniques or sequences have been developed through a brochure, a model, or video.

Enrollment: 80 patients

Sex: All

Ages: 14 to 20 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• The patient with orthodontic attachments at least 4 months
• with permanent dentition

Exclusion criteria

• impacted or atypically erupted teeth
• with prosthetic restorations such as crowns or implants
• open bite
• deep bite
• crowding more than 7 mm or polydiastema cases
• Individuals diagnosed with periodontitis
• ndividuals with cleft lip and palate or other craniofacial anomalies

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Quadruple Blind

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80 participants in 4 patient groups

Control group

Other group

Description:

In patients receiving fixed orthodontic treatment, the orthodontic plaque index, Turesky modified index and gingival index will be recorded at the beginning, 1st and 3rd months. No special instructions will be given to these patients regarding the tooth brushing process.

Treatment:

Other: Tooth brushing

Group 1

Experimental group

Description:

Patients will receive a standard brochure and oral presentation on tooth brushing in the Group 1. The orthodontic plaque index, Turesky modified index and gingival index will be recorded at the beginning, 1st and 3rd months. These patients will receive a standardized brochure for tooth brushing.

Treatment:

Other: Tooth brushing

Group 2

Experimental group

Description:

Patients will receive a standard tooth brushing on a dental model in the Group 2. The orthodontic plaque index, Turesky modified index and gingival index will be recorded at the beginning, 1st and 3rd months.

Treatment:

Other: Tooth brushing

Group 3

Experimental group

Description:

In patients undergoing fixed orthodontic treatment, the orthodontic plaque index, Turesky modified index and gingival index will be recorded at the beginning, 1st and 3rd months. Patients will be taught standard tooth brushing with a video in Group 3.

Treatment:

Other: Tooth brushing