Oral Hygiene status among patients treated with fixed orthodontic appliance in the Department of Orthodontics in BSMMU

Ali Kawsar, Marina Akhtar, Ahsan Habib, Zafrina Islam, Nurul Islam
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Abstract

Background: Oral hygiene maintenance is difficult for patients who are receiving fixed orthodontic treatment. Objective: The aim of the study was to find out deterioration of oral hygiene status during treatment of fixed orthodontic appliances in the Department of Orthodontics in BSMMU. Methodology: This cross sectional study was carried out in the Department of Orthodontics at Bang-  abandhu Sheikh Mujib Medical University, Dhaka from July 2013 to July 2014. All the patients taking treatment with fixed orthodontic appliances for more than 6 months were included as study population. During treatment in the OPD all the information of the patients’ oral hygiene maintenance like brush-  ing, dental floss use, use of mouthwash, and history of sugar consumption, taking sticky food were recorded.  The  Orthodontic  Plaque  Index  (OPI)  was  calculated  and  recorded.  In  addition  to  that frequency of brushing, type of tooth brush, technique of brushing and inter dental brush were also considered. Result: A total number of 100 patients were studied. Mean OPI was 81.78 (22.97). Mean value of OPI was 86.35 (13.27) among patients who brushed their teeth once a day but it was decreased gradually as the  patients  increased  frequency  of  toothbrush  use  per  day  and  became  85.74  (±26.12)  among  the patients who brushed their teeth thrice a day. Mean value of OPI was 81.98 (±23.27) who did not use dental floss and 75.00 (±7.00) who used dental floss once a day. Mean value of OPI was 84.65 (±23.10) who used inter dental brush irregularly but 35.00 (±0.00) who used it thrice a day. Mean value of OPI was 85.70 (±22.43) who did not use mouth wash whereas it reduced to 46.00 (±0.00) among them who used mouth wash thrice a day.  Conclusion: All the indexes of oral hygiene are increased in patients treated with fixed orthodontic appliances in the Department of Orthodontics in BSMMU. Ban J Orthod & Dentofac Orthop, April 2017; Vol-7 (1-2), P.16-19
BSMMU正畸科固定矫治器患者口腔卫生状况调查
背景:固定正畸治疗患者口腔卫生维护困难。目的:了解我院正畸科在固定矫治器治疗过程中口腔卫生状况的恶化情况。方法:本横断面研究于2013年7月至2014年7月在达卡Bang- abandhu Sheikh Mujib医科大学正畸科进行。所有使用固定正畸器治疗6个月以上的患者均为研究人群。在门诊治疗期间记录患者的口腔卫生维护情况,如刷牙、牙线使用情况、漱口水使用情况、食糖史、食用粘性食物等。计算并记录正畸菌斑指数(OPI)。除了刷牙的频率,牙刷的类型,刷牙技术和牙间刷也被考虑在内。结果:共研究100例患者。平均OPI为81.78(22.97)。每天刷牙1次的患者OPI均值为86.35(13.27),随着每天使用牙刷频率的增加,OPI均值逐渐下降,每天刷牙3次的患者OPI均值为85.74(±26.12)。未使用牙线组平均OPI为81.98(±23.27),每天使用一次牙线组平均OPI为75.00(±7.00)。不定期使用牙间刷组的OPI平均值为84.65(±23.10),每天使用三次的OPI平均值为35.00(±0.00)。不使用漱口水组的OPI平均值为85.70(±22.43),而每天使用三次漱口水组的OPI平均值为46.00(±0.00)。结论:BSMMU正畸科使用固定矫治器患者口腔卫生各项指标均有提高。Ban J Orthod & dentoface Orthop, 2017年4月;第7卷(1-2),P.16-19
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