دورية أكاديمية
أعرض في EDS

The effectiveness of water jet flossing and interdental flossing for oral hygiene in orthodontic patients with fixed appliances: a randomized clinical trial.

التفاصيل البيبلوغرافية
العنوان: The effectiveness of water jet flossing and interdental flossing for oral hygiene in orthodontic patients with fixed appliances: a randomized clinical trial.
المؤلفون: AlMoharib HS; Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia., Alqasem A; College of Dentistry, King Saud University, Riyadh, Saudi Arabia. afyaaalqassim@gmail.com., Almusfer G; College of Dentistry, King Saud University, Riyadh, Saudi Arabia., Aldosari MA; Orthodontics and Pediatric Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia., Almadhoon HW; Faculty of Dentistry, Al-Azhar University-Gaza, Gaza Strip, Palestine.
المصدر: BMC oral health [BMC Oral Health] 2024 Apr 27; Vol. 24 (1), pp. 498. Date of Electronic Publication: 2024 Apr 27.
نوع المنشور: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088684 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6831 (Electronic) Linking ISSN: 14726831 NLM ISO Abbreviation: BMC Oral Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Dental Devices, Home Care* , Oral Hygiene*/instrumentation , Oral Hygiene*/methods , Periodontal Index* , Dental Plaque Index*, Humans ; Female ; Single-Blind Method ; Male ; Adolescent ; Orthodontic Appliances, Fixed ; Dental Plaque ; Young Adult ; Toothbrushing/instrumentation ; Water ; Adult
مستخلص: Background: Orthodontic treatment presents challenges with plaque accumulation around brackets, archwires, and elastics, leading to retained plaque and gingival inflammation. Conventional toothbrushing may not be enough, requiring additional oral hygiene aids like interproximal brushes, dental flosses, and water flossers. Limited research exists on comparing water flossing and interdental flossing in orthodontic patients. Therefore, this study aims to assess their effectiveness in maintaining oral hygiene during active orthodontic treatment.
Methods: A single-blind, randomized, parallel clinical study recruited orthodontic patients with full-mouth brackets and archwires. Thirty participants were randomly assigned to either water jet flossing or interdental flossing groups. All participants were instructed to brush twice daily with a provided toothbrush and toothpaste and use the assigned intervention once daily at night. Clinical measures, including the Gingival Bleeding Index (BI), Plaque Index (PI), and Gingival Index (GI), were recorded at baseline and day 14. Descriptive statistics and statistical tests were performed using SPSS software.
Results: The water jet flossing group demonstrated a slightly higher, albeit non-significant, benefit in plaque removal (median difference of 6.79%%, P = 0.279) and bleeding reduction (median difference of 5.21%%, P = 0.172) compared to the interdental flossing group after two weeks. Both groups showed significant reductions in gingival bleeding index and plaque index from baseline to the 2-week follow-up. The interdental flossing group had median mean percentage differences of 16.13%% (plaque index) and 23.57% (gingival bleeding index), while the water jet flossing group had median percentage differences of 21.87% (plaque index) and 32.29% (gingival bleeding index). No significant changes in gingival index grades were observed in either group.
Conclusion: Both water jet flossing and interdental flossing were effective in reducing plaque accumulation and gingival bleeding among orthodontic patients. While no significant differences were found between the two methods, water jet flossing showed a potential advantage. Further research is needed to validate its effectiveness, assess long-term impact, and understand its benefits for orthodontic patients.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Dental floss; Gingivitis; Orthodontic treatment; Plaque index; Water jet
المشرفين على المادة: 059QF0KO0R (Water)
تواريخ الأحداث: Date Created: 20240427 Date Completed: 20240427 Latest Revision: 20240614
رمز التحديث: 20240615
مُعرف محوري في PubMed: PMC11055227
DOI: 10.1186/s12903-024-04166-0
PMID: 38678246
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6831
DOI:10.1186/s12903-024-04166-0