Comparative analysis of individual oral hygiene during treatment with bracket systems and aligners
https://doi.org/10.33925/1683-3031-2022-22-3-170-176
Abstract
Relevance. Individual oral hygiene is the primary way to prevent major dental diseases. Fixed orthodontic appliances (braces) may become a barrier to good individual oral care. Aligners can provide an alternative to braces, allowing adequate toothbrushing when removed.
Aim. To compare hygiene levels among patients undergoing orthodontic treatment with conventional bracket systems and aligners.
Materials and methods. The study assessed oral hygiene levels at the baseline, two weeks and three months after the beginning of orthodontic treatment. The study used the PHP index to evaluate oral hygiene levels..
Results. Three months later, the comparative analysis revealed that 10% of patients with braces had good oral hygiene, 30% had acceptable oral hygiene, and 60% had poor. Twenty per cent of patients with aligners had good oral hygiene, 60% had acceptable oral hygiene, and 20% had poor.
Conclusions. Individual oral hygiene level in patients with fixed orthodontic appliances is significantly lower than in patients with removable appliances.
About the Authors
D. V. PodoplelovaRussian Federation
Daria V. Podoplelova, PhD student of E.V. Borovsky Institute of Dentistry
Moscow
O. I. Admakin
Russian Federation
Oleg I. Admakin, DMD, PhD, DSc, Honoured Doctor of the Russian Federation, Professor, Head of the Department of Preventive and Communal Dentistry, E. V. Borovsky Institute of Dentistry
Moscow
I. V. Startсeva
Russian Federation
Inna V. Startсeva, student of E.V. Borovsky Institute of Dentistry
Moscow
M. I. Agakishieva
Russian Federation
Mayahanym I. Agakishieva, student of E.V. Borovsky Institute of Dentistry
Moscow
K. A. Ozden
Russian Federation
Kazim A Ozden, student of E.V. Borovsky Institute of Dentistry
Moscow
A. A. Ivanenko
Russian Federation
Anastasia A. Ivanenko, student of E.V. Borovsky Institute of Dentistry
Moscow
References
1. Hitz Lindenmüller I, Lambrecht JT. Oral care. Curr Probl Dermatol. 2011;40:107-115. doi: 10.1159/000321060
2. Salakhov AK, Ksembaev SS, Baykeev RF, Silagadze EM. Dental morbidity in Russia. Kazan medical journal. 2020;101(5):713-718 (In Russ.). doi: 10.17816/KMJ2020-713
3. Daurova AZ, Lapina NV, Izhnina EV, Kochurova EV, Seferyan KG, Starchenko TP. Oral hygiene in patients with fixed orthodontic appliances. Russian Journal of Dentistry. 2020;24 (2):104-108. doi: 10.17816/1728-2802-2020-24-2-104-108
4. Antezack A, Monnet-Corti V. Hygiène orale et parodontale chez les patients porteurs de dispositifs orthodontiques [Oral and periodontal hygiene in orthodontic patients]. Orthod Fr. 2018;89(2):181-190. doi: 10.1051/orthodfr/2018015
5. Melsen B. What are the Limits of Orthodontic Treatment?In: Melsen B, editor. Adult Orthodontics. Blackwell Publishing;2012. pp. 382-383 doi: 10.1002/9781118702925.ch20
6. Amkhadova MA, Zorina OA, Boriskina OA, Petrukhina NB, Nechaev AA. Features of spatial localization of dental plaque during orthodontic treatment on braces. Russian Journal of Dentistry. 2020.24(3):141-145. doi: 10.17816/1728-2802-2020-24-3-141-145
7. Huang J, Yao Y, Jiang J, Li C. Effects of motivational methods on oral hygiene of orthodontic patients: A systematic review and meta-analysis. Medicine (Baltimore). 2018;97(47):e13182. doi: 10.1097/MD.0000000000013182
8. Kumar M, Kumari S, Chandna A, Singf DP, Singh R. Assessment of enamel decalcification in orthodontic patients. University journal of dental sciences. 2020;6(1):28-30 doi:10.21276/ujds.2020.6.1.20
9. Abbate GM, Caria MP, Montanari P, Mannu C, Orrù G, Caprioglio A, et al. Periodontal health in teenagers treated with removable aligners and fixed orthodontic appliances. J Orofac Orthop. 2015;76(3):240-250. doi: 10.1007/s00056-015-0285-5
10. Chhibber A, Agarwal S, Yadav S, Kuo CL, Upadhyay M. Which orthodontic appliance is best for oral hygiene? A randomized clinical trial. Am J Orthod Dentofacial Orthop. 2018;153(2):175-183. doi: 10.1016/j.ajodo.2017.10.009
11. Sivakumar A, Sharan J, Sivakumar I, Kumar Jena A. Orthodontic appliances and oral hygiene: Are we asking the right questions? American Journal of Orthodontics and Dentofacial Orthopedics. 2018;154(2):155-156. doi:10.1016/j.ajodo.2018.04.019
12. Oikonomou E, Foros P, Tagkli A, Rahiotis C, Eliades T, Koletsi D. Impact of Aligners and Fixed Appliances on Oral Health during Orthodontic Treatment: A Systematic Review and Meta-Analysis. Oral Health Prev Dent. 2021;19(1):659-672. doi: 10.3290/j.ohpd.b2403661
13. Azaripour A, Weusmann J, Mahmoodi B, Peppas D, Gerhold-Ay,Van Noorden CJF, et al. Braces versus Invisalign®: gingival parameters and patients' satisfaction during treatment: a cross-sectional study. BMC Oral Health. 2015;15:69. doi:10.1186/s12903-015-0060-4
14. Taher A. The Importance of Oral Health in Orthodontic Treatment. J Orthod Endod. 2017,3:2. doi: 10.21767/2469-2980.100040
15. Mulla Issa FHK, Mulla Issa ZHK, Rabah AF, Hu L. Periodontal parameters in adult patients with clear aligners orthodontics treatment versus three other types of brackets: A cross-sectional study. J Orthod Sci. 2020;9:4. doi: 10.4103/jos.JOS_54_17
16. Wu Y, Cao L, Cong J. The periodontal status of removable appliances vs fixed appliances: A comparative meta-analysis. Medicine (Baltimore). 2020;99(50):e23165. doi: 10.1097/MD.0000000000023165
17. Buschang PH, Chastain D, Keylor CL, Crosby D, Julien KC. Incidence of white spot lesions among patients treated with clear aligners and traditional braces. Angle Orthod. 2019;89(3):359-364. doi: 10.2319/073118-553.1
18. Contaldo M, Lucchese A, Lajolo C, Rupe C, Di Stasio D, Romano A, et al. The Oral Microbiota Changes in Orthodontic Patients and Effects on Oral Health: An Overview. J Clin Med. 2021;10(4):780. doi: 10.3390/jcm10040780
19. Sfondrini MF; Butera A, Di Michele P, Luccisano C, Ottini B, Sangalli E, et al. Microbiological Changes during Orthodontic Aligner Therapy: A Prospective Clinical Trial. Appl. Sci. 2021;11:6758. doi: 10.3390/app11156758
20. Pratsinis H, Papageorgiou SN, Panayi N, Iliadi A, Eliades T, Kletsas D. Cytotoxicity and estrogenicity of a novel 3-dimensional printed orthodontic aligner. Am J Orthod Dentofacial Orthop. 2022;162(3):e116-e122. doi: 10.1016/j.ajodo.2022.06.014
21. Francisco I, Paula AB, Ribeiro M, Marques F, Travassos R, Nunes C, Pereira F, Marto CM, Carrilho E, Vale F. The Biological Effects of 3D Resins Used in Orthodontics: A Systematic Review. Bioengineering (Basel). 2022;9(1):15. doi: 10.3390/bioengineering9010015
22. Twomley J, Wang Y, Wen Z, Yu Q, Ballard R, Armbruster P, et al. Formulation and characterization of antibacterial orthodontic adhesive. Dental Press J Orthod. 2019;24(4):73-79. doi: 10.1590/2177-6709.24.4.073-079.oar
Review
For citations:
Podoplelova D.V., Admakin O.I., Startсeva I.V., Agakishieva M.I., Ozden K.A., Ivanenko A.A. Comparative analysis of individual oral hygiene during treatment with bracket systems and aligners. Pediatric dentistry and dental prophylaxis. 2022;22(3):170-176. (In Russ.) https://doi.org/10.33925/1683-3031-2022-22-3-170-176