Effect of patients' attitude and perception of oral hygiene on white spot lesion development and plaque accumulation during orthodontic treatment : A survey of patients with fixed appliances.

IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Lina Sharab, Carli Loss, Alex Kluemper, Hiroko Nagaoka, Gregory Hawk, Cynthia Beeman
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引用次数: 0

Abstract

Purpose: To explore the impact of oral hygiene practices, as well as beliefs and attitudes toward orthodontic treatment on white spot lesion (WSL) development and plaque accumulation in orthodontic patients.

Materials and methods: A total of 106 individuals (61 female, 45 male) patients aged 10-49 years who were treated with fixed appliances treatment completed a 14-question survey regarding aspects of their oral hygiene (OH) and orthodontic visits. The number of teeth with WSL and the plaque indexes were recorded for each patient. Poisson regression and linear regression models were used to analyze the association of survey responses with the observed WSLs and plaque accumulation, respectively.

Results: Participants of both sexes reported similar beliefs about OH (66% agreed to the importance of OH statements), practiced proper OH (69% good practices), and reported a similar perception regarding the quality of their OH routine and of their orthodontic treatment. However, in total, none of the findings was significantly related to the development of WSLs or plaque accumulation. Significantly fewer WSLs were observed in male patients who perceived themselves as having good control over OH. Female participants reported significantly higher expectations regarding posttreatment smile improvement compared to males. Overall, responses by male participants were deemed to be more accurate than those by female participants when related to WSL development and plaque accumulation.

Conclusion: Our survey hints at a possible relationship between WSL formation and patients' sense of control over OH routine in males. Future studies should further explore the effect of sex on the attitude toward and perception of OH in orthodontic patients. This survey highlights the multifactorial nature of WSL development in orthodontic patients and the complexity of predicting patient compliance.

Abstract Image

正畸治疗期间患者的口腔卫生态度和认知对白斑病变发展和牙菌斑积累的影响 :对固定矫治器患者的调查。
目的:探讨口腔卫生习惯以及对正畸治疗的信念和态度对正畸患者白斑病变(WSL)发展和牙菌斑积累的影响:共有 106 名 10-49 岁接受固定矫治器治疗的患者(61 名女性,45 名男性)完成了一项包含 14 个问题的调查,内容涉及他们的口腔卫生(OH)和正畸就诊情况。记录了每位患者有WSL的牙齿数量和牙菌斑指数。泊松回归和线性回归模型分别用于分析调查回答与观察到的WSL和牙菌斑累积之间的关联:男女受试者对口腔卫生的看法相似(66%的受试者同意口腔卫生声明的重要性),口腔卫生实践正确(69%的受试者有良好的口腔卫生实践),对口腔卫生常规和正畸治疗质量的看法相似。然而,总的来说,没有一项研究结果与WSL的形成或牙菌斑的积累有明显的关系。在自认为对口腔卫生控制良好的男性患者中,观察到的WSL明显较少。与男性相比,女性参与者对治疗后微笑改善的期望明显更高。总体而言,在WSL发展和牙菌斑累积方面,男性参与者的回答被认为比女性参与者更准确:我们的调查提示,WSL的形成与男性患者对OH常规的控制感之间可能存在关系。今后的研究应进一步探讨性别对正畸患者对口腔卫生的态度和认知的影响。这项调查强调了正畸患者WSL形成的多因素性质以及预测患者依从性的复杂性。
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来源期刊
CiteScore
3.90
自引率
0.00%
发文量
64
审稿时长
>12 weeks
期刊介绍: The Journal of Orofacial Orthopedics provides orthodontists and dentists who are also actively interested in orthodontics, whether in university clinics or private practice, with highly authoritative and up-to-date information based on experimental and clinical research. The journal is one of the leading publications for the promulgation of the results of original work both in the areas of scientific and clinical orthodontics and related areas. All articles undergo peer review before publication. The German Society of Orthodontics (DGKFO) also publishes in the journal important communications, statements and announcements.
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