None listed
Conditions
Brief summary
Traditional tooth brushing techniques, such as the Modified Bass technique, are designed and aimed at the general population without orthodontic appliances. An effective tooth brushing technique for patients wearing orthodontic fixed appliances is still lacking. We will design an Orthodontic tooth brushing technique to enhance the oral hygiene of patients with fixed orthodontic appliances, and compare its efficacy with that of the traditional Modified Bass technique. This study will be conducted as a single blind randomised controlled clinical trial with two parallel arms. We will aim to recruit 60 patients. Plaque index (PI) and Gingival index (GI) will be used to assess the oral hygiene of participants. Outcome measurements will be taken at baseline (T0) and one-month (T1), two-month (T2), and three-month (T3) after the intervention.
Interventions
Intervention group will be taught the orthodontic toothbrushing technique, which is designed by combining the horizontal strokes and a bite and wiggle motion behind arch wires.
Briefly, the toothbrush was firstly placed gingival to the brackets and angled 45 degrees towards the occlusal surface. The same motion was repeated with the bristles perpendicular to the labial surface of the brackets. Lastly, with the toothbrush perpendicular to the occlusal area of the brackets, the individual was ask
Intervention group will be taught the orthodontic toothbrushing technique, which is designed by combining the horizontal strokes and a bite and wiggle motion behind arch wires. Briefly, the toothbrush was firstly placed gingival to the brackets and angled 45 degrees towards the occlusal surface. The same motion was repeated with the bristles perpendicular to the labial surface of the brackets. Lastly, with the toothbrush perpendicular to the occlusal area of the brackets, the individual was asked to bite and wiggle. By biting on the toothbrush head, bristles entered into the space behind the arch wires and between the brackets. An orthodontist will teach the toothbrushing techniques to participants during individual consultation at baseline. Each participants will be required to brush their teeth for 2 minutes and twice daily (in the morning and before sleeping) for 3 months. Patient's compliance will be assessed and monitored by checking the wear of their toothbrushes.
Sponsors
Faculty of Dentistry, University of Otago
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
11 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
1. aged between 11 and 40 years, 2. undergoing orthodontic treatment with fixed appliances, 3. residual treatment duration of at least 3 months, 4. presence of 20 natural teeth or more.
Exclusion criteria
1. fixed lingual orthodontic appliances, 2. systemic diseases that may affect oral hygiene or gingival health, 3. periodontal disease, 4. extensive dental restorations.
Outcome results
None listed