Clinical trial NCT06436664: The Effects of Different Tooth Brushing Explanations in Fixed Orthodontic Treatment
Official title: Evaluation of the Effects of Different Tooth Brushing Explanations on Oral Hygiene in Patients With Fixed Orthodontic Treatment
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Orthodontic Treatment
Dental Plaque Induced Gingival Disease
Keywords: tooth brushing
fixed orthodontic treatment
microbial dental plaque
Lead sponsor: Yuzuncu Yıl University
Sponsor class: OTHER
First posted: 2024-05-31
Enrollment: 80
Sex: ALL
Minimum age (years): 14
Maximum age (years): 20
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: TREATMENT

Brief summary: The aim of this study is to investigate the effects of tooth brushing training methods on orthodontic patients and to determine the most effective oral hygiene methods for individuals receiving orthodontic treatment.

Detailed description: Because orthodontic appliances cause food retention, a good level of oral hygiene is needed to maintain dental health. Inadequate tooth brushing can lead to gingival diseases on periodontal tissue, cavities and white lesions on tooth enamel. Antimicrobial agents and fluoride products are useful but it cannot replace the mechanical removal of plaque. Because the mechanical plaque control is still considered the most important oral hygiene tool during orthodontic treatment.

In the literature, it has been reported that the motivation to maintain oral hygiene during the orthodontic fixed treatment phase has a very positive effect on periodontal health, and in the same studies, plaque index scores increased over time in control groups that were not given repeated oral treatment. If patients are not given repeated and regular oral hygiene motivation in every session in the clinical routine, gum health may deteriorate. More invasive methods may be required to correct this condition. Because poor oral hygiene, if left unchecked, can compromise the outcome of orthodontic treatment.

When performing manual tooth brushing, the modified Bass technique (MBT) is often recommended to provide optimum plaque reduction by protecting oral tissues from mechanical irritation. The problem with this brushing technique is that it consists of a complex sequence of movements. First of all, the toothbrush should be positioned at a 45° angle to the gingival edge. Secondly, the brush should be moved back and forth with small horizontal vibrations. Thirdly, debris must be removed by sweeping the brush towards the occlusal face in a vertical motion (upward in the lower jaw, downwards in the upper jaw). This sequence of movements requires dexterity and attention to technique. Brushing demonstration techniques or sequences have been developed through a brochure, a model, or video.

Eligibility criteria: Inclusion Criteria:

* The patient with orthodontic attachments at least 4 months
* with permanent dentition

Exclusion Criteria:

* impacted or atypically erupted teeth
* with prosthetic restorations such as crowns or implants
* open bite
* deep bite
* crowding more than 7 mm or polydiastema cases
* Individuals diagnosed with periodontitis
* ndividuals with cleft lip and palate or other craniofacial anomalies

Primary outcomes:
measure: The Turesky modified index
timeFrame: Baseline, 1st month, 3rd month
measure: Orthodontic plaque index
timeFrame: Baseline, 1st month, 3rd month
Secondary outcomes:
measure: Gingival Index
timeFrame: Baseline, 1st month, 3rd month
Other outcomes:
Locations:
city: Van
country: Turkey
facility: Yasemin TUNCA
Study officials:
affiliation: Yuzuncu Yıl University
name: Yasemin TUNCA, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Yuzuncu Yıl University
name: Dicle ALTINDAL, DDS
role: STUDY_DIRECTOR
affiliation: Yuzuncu Yıl University
name: Nihal FAHRZADEH, PhD
role: STUDY_CHAIR
affiliation: Yuzuncu Yıl University
name: Murat Tunca, PhD
role: STUDY_CHAIR
References:
citation: Cozzani M, Ragazzini G, Delucchi A, Mutinelli S, Barreca C, Rinchuse DJ, Servetto R, Piras V. Oral hygiene compliance in orthodontic patients: a randomized controlled study on the effects of a post-treatment communication. Prog Orthod. 2016 Dec;17(1):41. doi: 10.1186/s40510-016-0154-9. Epub 2016 Dec 19.
citation: Renton-Harper P, Addy M, Newcombe RG. Video instruction to establish a panel of experts to compare tooth cleaning by 4 electric toothbrushes. J Clin Periodontol. 2001 Oct;28(10):917-22. doi: 10.1034/j.1600-051x.2001.028010917.x.
citation: Diamanti-Kipioti A, Gusberti FA, Lang NP. Clinical and microbiological effects of fixed orthodontic appliances. J Clin Periodontol. 1987 Jul;14(6):326-33. doi: 10.1111/j.1600-051x.1987.tb00979.x.