Comparison of oral health status, oral hygiene management behaviours and satisfaction of patients with fixed orthodontic appliance and clear aligner: A quasi-experimental design

IF 1.6 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of dental hygiene Pub Date : 2024-04-24 DOI:10.1111/idh.12813

Jeong-Eun Kim, Soojeong Kim, Da-Hye Kim

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引用次数: 0

Abstract

Objectives

This study aimed to determine the overall oral health statuses of patients with fixed orthodontic appliance and clear aligner, as well as their oral hygiene management behaviours and satisfaction.

Methods

We selected 40 participants (20 each with fixed orthodontic devices and clear aligners) who visited a dental clinic. We conducted a survey to determine the oral hygiene management behaviours of the subjects and their satisfaction with their orthodontic treatment. Three measurements were also conducted at 4-week intervals to determine the oral health statuses of the subjects.

Results

The Löe and Silness gingival index of patients with fixed orthodontic appliances indicated moderate gingivitis (1.1 ± 0.3), and those with clear aligners had mild gingivitis (0.6 ± 0.4) (p < 0.001). The modified O'Leary index also indicated that the degree of dental plaque deposition in the oral cavity was lower in patients treated with a clear aligner (43.0 ± 18.2 points) than in those treated with a fixed orthodontic (28.1 ± 10.9 points) (p = 0.004). Regarding oral hygiene management, the fixed orthodontic group received scaling more frequently (p = 0.006), received more oral health education (p < 0.001) and had a longer brushing time (p = 0.008) than the clear aligner group. No significant difference was observed in satisfaction between the fixed orthodontic appliance and the clear aligner.

Conclusions

Regarding the oral health status by orthodontic appliance type, the clear aligner group had the advantages of reduction in dental plaque attachment and gingival health. The fixed orthodontic group exhibited better oral hygiene management behaviours. Satisfaction with orthodontic treatment was found to be similar for the two device types.

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比较固定矫治器和透明矫治器患者的口腔健康状况、口腔卫生管理行为和满意度：准实验设计

目的：本研究旨在确定固定正畸装置和透明矫治器患者的总体口腔健康状况，以及他们的口腔卫生管理行为和满意度。方法：我们选取了在一家牙科诊所就诊的 40 名受试者（固定正畸装置和透明矫治器各 20 名）。我们对受试者的口腔卫生管理行为及其对正畸治疗的满意度进行了调查。结果使用固定矫治器的患者的 Löe 和 Silness 牙龈指数显示有中度牙龈炎（1.1 ± 0.3），而使用透明矫治器的患者有轻度牙龈炎（0.6 ± 0.4）（p < 0.001）。修正的奥利里指数也表明，使用透明矫治器治疗的患者口腔内牙菌斑沉积程度（43.0 ± 18.2 分）低于使用固定矫治器治疗的患者（28.1 ± 10.9 分）（p = 0.004）。在口腔卫生管理方面，与透明矫治器组相比，固定矫治器组接受洗牙的频率更高（p = 0.006），接受口腔健康教育的次数更多（p < 0.001），刷牙时间更长（p = 0.008）。结论就正畸矫治器类型的口腔健康状况而言，透明矫治器组在减少牙菌斑附着和牙龈健康方面具有优势。固定矫正器组的口腔卫生管理行为更好。两种矫治器类型的患者对矫治治疗的满意度相似。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of dental hygiene DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.00

自引率

8.30%

发文量

审稿时长

>12 weeks

期刊介绍： International Journal of Dental Hygiene is the official scientific peer-reviewed journal of the International Federation of Dental Hygienists (IFDH). The journal brings the latest scientific news, high quality commissioned reviews as well as clinical, professional and educational developmental and legislative news to the profession world-wide. Thus, it acts as a forum for exchange of relevant information and enhancement of the profession with the purpose of promoting oral health for patients and communities. The aim of the International Journal of Dental Hygiene is to provide a forum for exchange of scientific knowledge in the field of oral health and dental hygiene. A further aim is to support and facilitate the application of new knowledge into clinical practice. The journal welcomes original research, reviews and case reports as well as clinical, professional, educational and legislative news to the profession world-wide.