Effect of a dental water jet with orthodontic tip on plaque and bleeding in adolescent patients with fixed orthodontic appliances

American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics
Naresh C SharmaReinhard Schuller

Abstract

Effective self-care is difficult for people with orthodontic appliances because of the inherent design of brackets and archwires. It is not uncommon to have increases in plaque and gingivitis after placement of fixed appliances. The purpose of this study was to evaluate the effect of using a dental water jet (DWJ) with a specialized tip (orthodontic) on plaque and bleeding in adolescent orthodontic patients with fixed appliances. One hundred six subjects were enrolled in this single blind, parallel clinical study. They were randomly assigned to 1 of 3 treatment groups: group 1, once daily irrigation with a DWJ and orthodontic jet tip plus a manual toothbrush; group 2, once daily flossing (FL) plus a manual toothbrush; group 3, manual toothbrush (MT) only. Plaque index (PI) and bleeding index (BI) scores were recorded at baseline, and at 2 and 4 weeks. All groups showed statistically significant reductions in PI (whole mouth and interproximal) at 2 and 4 weeks (P <.001). In group 1, the DWJ was statistically more effective at reducing whole-mouth and interproximal plaque than the methods in the other groups (P >.001) at both 2 and 4 weeks, whereas the FL protocol in group 2 was significantly more effective than the MT protocol i...Continue Reading

References

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Citations

Apr 3, 2010·L' Orthodontie française·Jean-Marc Dersot
Nov 3, 2011·The Angle Orthodontist·Saud A Al-Anezi, Nigel W T Harradine
May 4, 2011·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Malgorzata KlukowskaHeiner Wehrbein
Dec 1, 2017·European Journal of Orthodontics·Salem Abdulraheem, Lars Bondemark
Aug 5, 2020·Odontology·Marcela Moreira SallesHelena de Freitas Oliveira Paranhos
Jun 4, 2019·International Journal of Dental Hygiene·Avie Jackie SmithRebecca S Wilder
Apr 17, 2021·Complementary Therapies in Clinical Practice·Eiba G EltayMona O A Awadelkarim
Jul 15, 2020·The Journal of Oral Implantology·Marcela Moreira SallesHelena de Freitas de Oliveira Paranhos

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