Orthodontic Appliance Complication
Conditions
Keywords
oral microbiota, essix retainer, periodontal assessment
Brief summary
The aim of this study is to investigate the bacterial loads present on essix retainers in patients' contention therapy. Patients are randomly divided into three groups, depending on the product used for the cleansing of the retainers: Geldis, Polident tablets and water. Microbiological samples were taken from the retainers at the baseline, after 1 and after 2 months, together with Bleeding Index, Plaque Index, BEWE Index and Schiff Air Sensitivity test.
Detailed description
The aim of this study is to investigate the bacterial loads present on essix retainers in patients' contention therapy. Patients who wear essix retainers for contention therapy are randomly divided into three groups, depending on the product used for the cleansing of the retainers: Geldis, Polident tablets and water. Periodontal evaluation and microbiological samples are conducted at the baseline, after 1 and after 2 months. Bacterial loads are collected from essix retainers, whereas Bleeding Index, Plaque Index, BEWE Index and Schiff Air Sensitivity test are assessed from the patients' mouth.
Interventions
OTHERRetainers' Cleansing with Geldis®
Patients will clean their essix retainers with Geldis® using a toothbrush every night for 2 months.
OTHERRetainers' Cleansing with tablets
Patients will leave their essix retainers in a glass with water and Polident tablets every night for 2 months.
OTHERRetainers' cleansing with water
Patients will brush their essix retainers with a toothbrush under water every night for 2 months.
Sponsors
University of Pavia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients who completed orthodontic treatment and under Essix retainers phase.
Exclusion criteria
* Patients under orthodontic treatment with fixed appliances or clear aligners. * Non-orthodontic patients.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in PCR% - Plaque Control Record (percentage) | Study begin, 1 and 2 months | % assessment of the amount of plaque on dental surfaces; it is detected on 4 surfaces: distal, mesial, vestibular, lingual / palatal. The number of sites with plaque is divided by the total number of sites available in the mouth and multiplied by 100. Results indicate the index as a percentage. |
| Change in BOP - Bleeding on Probing (percentage) | Study begin, 1 and 2 months | Site-specific assessment of the presence or absence of gum bleeding after the insertion of the periodontal probe for the detection of PPD, detected on 4 sites (mesial, distal, vestibular, palatal/lingual). Percentage of sites with bleeding on probing determines the BOP%. |
| Change in Schiff Air Index - Dental sensitivity test | Study begin, 1 and 2 months | Scoring criteria: * 0: the subject did not respond to air blasting; * 1: the subject responded to air blasting; * 2: the subject responded to air blasting and requested discontinuation; * 3: the subject responded to air blasting, requested discontinuation and considered the stimulus to be painful. |
| Change of the BEWE Index - Basic Erosive Wear Examination (Barlet et al., 2008) | Study begin, 1 and 2 months | Scoring criteria: 0: no erosive tooth wear; 1. initial loss of surface texture; 2. distinct defect, hard tissue loss \< 50% of the surface area; 3. hard tissue loss ≥ 50% of the surface area. |
| Change in microbiological loads of clear aligners | Study begin, 1 and 2 months | Microbiological assessment of the following loads: * Porphyromonas gingivalis * Tannarella forsythensis * Treponema denticola * Peptostreptococcus micros * Total bacterial load |
Countries
Italy
Outcome results
None listed