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ORIGINAL ARTICLE
Year : 2019  |  Volume : 53  |  Issue : 1  |  Page : 43-48

A Comparative assessment of the effect of professional oral hygiene measures on the periodontal health of patients undergoing fixed orthodontic appliance therapy


1 Principal, Prof. and Head, Department of Orthodontics and Dentofacial Orthopedics, MES Dental College, Perinthalmanna, Kerala, India
2 Additional Prof., Department of Orthodontics and Dentofacial Orthopedics, Government Dental College, Thrissur, Kerala, India
3 Prof., Department of Orthodontics and Dentofacial Orthopedics, MES Dental College, Perinthalmanna, Kerala, India
4 Formerly Reader, Department of Periodontics, MES Dental College, Perinthalmanna, Kerala, India
5 Formerly Reader, Department of Orthodontics and Dentofacial Orthopedics, MES Dental College, Perinthalmanna, Kerala, India
6 Formerly Senior Lecturer, Department of Orthodontics and Dentofacial Orthopedics, MES Dental College, Perinthalmanna, Kerala, India

Correspondence Address:
Dr. Prathapan Parayaruthottam
209 C, Hilite Residency, Hilite City, Kozhikode - 673 014, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jios.jios_21_18

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Objective: Maintaining good oral hygiene during fixed orthodontic treatment will help keep good periodontal health, which will reflect in the final outcome of orthodontic treatment. Hence, we undertook this study to find out whether doing professional prophylaxis midway during fixed orthodontic treatment will reduce adverse changes on the gingival and periodontal apparatus due to poor oral hygiene maintenance when compared to homecare measures only. Materials and Methods: This prospective study involved twenty patients who underwent fixed orthodontic therapy, in the Orthodontics Department of a teaching institution. The effect of regular home care measures only as compared to professional prophylaxis midway during orthodontic treatment in addition to regular home care on the periodontal health was evaluated on two separate visits over a 9-month period. Results: The clinical parameters indicating periodontal conditions during fixed orthodontic treatment, such as plaque, gingival, bonded bracket plaque indices and probing depth, were evaluated. The results revealed that an oral prophylaxis done in the 5th month during a 9-month study drastically improved the gingival and periodontal health of patients. Conclusions: The present study was done to understand the importance of professional prophylaxis and proper instructions in oral hygiene maintenance during orthodontic treatment in our target population. Results showed a significant improvement of gingival and periodontal health in the present study, with an improvement in plaque control with professional prophylaxis which was in accordance with most of the previous studies. Hence, it can be concluded that plaque control with professional prophylaxis in orthodontic patients is a very important adjunct in the maintenance of proper periodontal health and prevention of periodontal disease.


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