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Baumer C, Schmidtmann I, Ohlendorf D, Ferrari Peron P, Wehrbein H, Erbe C. Orthodontists' instructions for oral hygiene in patients with removable and fixed orthodontic appliances. Int J Dent Hyg 2024; 22:329-336. [PMID: 37845796 DOI: 10.1111/idh.12763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Revised: 09/01/2023] [Accepted: 09/03/2023] [Indexed: 10/18/2023]
Abstract
INTRODUCTION The aim of this questionnaire-based survey was to evaluate information on frequencies, instructions and products relating to oral hygiene (OH) in orthodontic practices. METHODS Using a computer-generated randomization list, 1000 orthodontists were selected and sent a questionnaire. The size and number of inhabitants of the federal states of Germany were considered. The federal states with the highest return rate (Baden-Wuerttemberg [BW], Bavaria [B], Hesse [H], Lower Saxony [LS], Nordrhein-Westphalia [NRW]) were considered and differences between the 16 federal states were divided into North, South, East and Central Germany. RESULTS The response rate of the questionnaires was 52.4%. The majority (53.8%) worked in one practice alone. Most (59.1%) have been orthodontists for 5-25 years. For vestibular multibracket appliances (MBA) in BW, B, H and LS over 90% recommended interdental brushes (IDB). In NRW 91.4% recommend fluoride gel. In B and H more than 80% chose electric toothbrush (ETB), in BW, LS and NRW more than 80% manual toothbrush (MTB). For lingual MBA (LMBA) in BW, H, LS and NRW with approximately 50% each fluoride gel, IDB and MTB were chosen. In B fluoride gel, IDB and ETB. For removable apparatus (RA), five federal states recommended MTB (>80%) and ETB (BW, B, H > 80%; NRW > 70%; LS > 60%). CONCLUSION Electric toothbrushes are recommended for the use with all appliances, only with removable appliances manual toothbrushes are favoured. For vestibular MBA it is strongly advised to use IDB additionally.
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Affiliation(s)
- Christina Baumer
- Department of Orthodontics, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany
| | - Irene Schmidtmann
- Institute for Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Centre of the Johannes Gutenberg-University, Mainz, Germany
| | - Daniela Ohlendorf
- Social Medicine and Environmental Medicine, Institute of Occupational Medicine, Goethe-University, Frankfurt am Main, Germany
| | - Priscila Ferrari Peron
- Department of Orthodontics, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany
| | - Heinrich Wehrbein
- Department of Orthodontics, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany
| | - Christina Erbe
- Department of Orthodontics, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany
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Influence of Joint Flexibility, Hand Grip Strength and Pain on Oral Hygiene in Musculoskeletal Disorders—A Non-Interventional Clinical Study. J Clin Med 2023; 12:jcm12062190. [PMID: 36983192 PMCID: PMC10051188 DOI: 10.3390/jcm12062190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2023] [Revised: 03/06/2023] [Accepted: 03/09/2023] [Indexed: 03/16/2023] Open
Abstract
Diseases of the oral cavity and musculoskeletal disorders (MSDs) are common occurrences. They are commonly linked with partial mobility, resulting in limited visits to dentists for routine oral care, causing poor periodontal condition, bleeding, gingival inflammation, and increased depth of periodontal pockets. The present study was conducted to measure joint movements, hand grip strength, and pain in joints and their association with oral health. Materials and methods: The study included 200 subjects, half suffering from back, neck, shoulder, elbow, and wrist problems, belonging to different age groups and professions; 100 had joint pain, and 100 were without joint pain. The study assessed individuals exposed to oral health issues by measuring the strength of hand grip, flexibility, and pain score of the back, neck, shoulder, elbow, and wrist. The strength of the hand grip and the angle of the elbow and shoulder were measured in addition to a questionnaire to assess the relationship between back pain and oral health. To evaluate dental health status and oral hygiene, the total number of decayed, missing, and filled teeth (DMF/T) and Oral Hygiene Index—Simplified (OHI-S) indices were used. Results: The difference between all demographic parameters was statistically significant (p < 0.05). It was observed that there was a significant difference in calculus, debris, and dental caries scores in both groups, with significantly lower scores and better oral hygiene in patients without joint pain. Concerning pain score and joint movements, the group without joint pain showed a significantly better range of movements and less pain than patients suffering from joint pain, and statistically a significant difference (p < 0.05) was observed between both groups. Conclusion: The present study revealed that musculoskeletal disorders, pain in the neck and hand, and restricted movements were common among professionals. We observed that pain in joints, neck, and hands, with restricted movements, caused a serious impact on the maintenance of oral hygiene practices among subjects of different professions.
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Hepyukselen BG, Cesur MG. Comparison of the microbial flora from different orthodontic archwires using a cultivation method and PCR: A prospective study. Orthod Craniofac Res 2019; 22:354-360. [PMID: 31294901 DOI: 10.1111/ocr.12335] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2019] [Revised: 07/02/2019] [Accepted: 07/07/2019] [Indexed: 11/30/2022]
Abstract
OBJECTIVE The aim of this study was to evaluate the effects of superelastic nickel-titanium (SE NiTi), copper-nickel-titanium (CuNiTi) and titanium-molybdenum alloy (TMA) archwires with different surface properties on dental plaque retention and microbial colonization. SETTING AND SAMPLE POPULATION Totally 25 individuals, consisting of 16 girls and nine boys with mean age of 15.69 ± 1.70, were included in this study. MATERIAL AND METHODS The effects of the SE NiTi, CuNiTi and TMA archwires with different surface properties on the amount of Streptoccocus sp and Lactobacillus sp were investigated with three different parameters including clinical periodontal indexes, microbial swab and archwire samples. Phenotypic isolation was performed from microbial swab and archwire samples using culture method; genotypic isolations were performed by the polymerase chain reaction method. RESULTS There was no statistically significant difference between SE NiTi, CuNiTi and TMA archwires in terms of periodontal parameters (P > .05). When microbial swabs and archwires samples from different archwire groups were evaluated by culture method, no statistically significant difference was found between the groups (P > .05). A statistically significant difference was found between the amount of Lactobacillus sp in the swab samples of the CuNiTi archwire after the purification period (P = .023). S mutans were found to be more quantity than other bacterial types in all archwires. CONCLUSION The amount of microbial involvement was found to be lower in CuNiTi archwires than in the post-purification period. This may be due to the antimicrobial effect of copper.
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Affiliation(s)
| | - Mine Gecgelen Cesur
- Department of Orthodontics, Faculty of Dentistry, Adnan Menderes University, Aydın, Turkey
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Sijari Z, Romano F, Ciardo G, Martella V, Maggiora M, Bottone M, Aimetti M. Effect of two post‐surgical cleansing protocols on early periodontal wound healing and cytokine levels following osseous resective surgery: A randomized controlled study. Int J Dent Hyg 2019; 17:300-308. [DOI: 10.1111/idh.12395] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2018] [Revised: 03/12/2019] [Accepted: 03/17/2019] [Indexed: 12/01/2022]
Affiliation(s)
- Ziad Sijari
- Postgraduate Program in Periodontology University of Turin Turin Italy
| | - Federica Romano
- Department of Surgical Sciences, C.I.R. Dental School University of Turin Turin Italy
| | | | | | - Marina Maggiora
- Department of Clinical and Biological Sciences University of Turin Turin Italy
| | - Mario Bottone
- Department of Surgical Sciences, C.I.R. Dental School University of Turin Turin Italy
| | - Mario Aimetti
- Department of Surgical Sciences, C.I.R. Dental School University of Turin Turin Italy
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Dommisch H, Skora P, Hirschfeld J, Olk G, Hildebrandt L, Jepsen S. The guardians of the periodontium—sequential and differential expression of antimicrobial peptides during gingival inflammation. Results from in vivo and in vitro studies. J Clin Periodontol 2019; 46:276-285. [DOI: 10.1111/jcpe.13084] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2018] [Revised: 01/22/2019] [Accepted: 02/10/2019] [Indexed: 12/13/2022]
Affiliation(s)
- Henrik Dommisch
- Department of Periodontology and Synoptic DentistryCharité – Universitätsmedizin Berlin Berlin Germany
- Department of Oral Health SciencesUniversity of Washington Seattle Washington
| | - Philipp Skora
- Department of Periodontology, Operative and Preventive DentistryUniversity Hospital Bonn Bonn Germany
| | - Josefine Hirschfeld
- Department of Periodontology, Operative and Preventive DentistryUniversity Hospital Bonn Bonn Germany
- College of Medical and Dental SciencesPeriodontal Research GroupUniversity of Birmingham Birmingham UK
| | - Gabriela Olk
- Department of Periodontology, Operative and Preventive DentistryUniversity Hospital Bonn Bonn Germany
| | - Laura Hildebrandt
- Department of Periodontology, Operative and Preventive DentistryUniversity Hospital Bonn Bonn Germany
| | - Søren Jepsen
- Department of Periodontology, Operative and Preventive DentistryUniversity Hospital Bonn Bonn Germany
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García-Carrillo A, Jover A, Plá R, Martorell A, Sota C, Gómez-Moreno G, Figuero E, Sanz M, Herrera D. Manual versus
sonic powered toothbrushing in patients with intellectual disability: a cluster-randomized clinical trial. J Clin Periodontol 2016; 43:684-93. [DOI: 10.1111/jcpe.12567] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/17/2016] [Indexed: 11/28/2022]
Affiliation(s)
| | - Antonio Jover
- Section of Graduate Periodontology; Faculty of Odontology; University Complutense; Madrid Spain
| | - Rafael Plá
- Section of Graduate Periodontology; Faculty of Odontology; University Complutense; Madrid Spain
| | | | | | | | - Elena Figuero
- ETEP (Etiology and Therapy of Periodontal Diseases) Research Group; Faculty of Odontology; University Complutense; Madrid Spain
| | - Mariano Sanz
- ETEP (Etiology and Therapy of Periodontal Diseases) Research Group; Faculty of Odontology; University Complutense; Madrid Spain
| | - David Herrera
- ETEP (Etiology and Therapy of Periodontal Diseases) Research Group; Faculty of Odontology; University Complutense; Madrid Spain
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Niazi F, Naseem M, Khurshid Z, Zafar MS, Almas K. Role of Salvadora persica chewing stick (miswak): A natural toothbrush for holistic oral health. Eur J Dent 2016; 10:301-308. [PMID: 27095914 PMCID: PMC4813453 DOI: 10.4103/1305-7456.178297] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
From an ancient tool to a modern way of improving oral health, miswak (chewing stick) has proven to be an effective tool for oral health. The miswak removes the bacterial plaque by mechanical and chemical actions. It provides a cheap and easily accessible way of improving oral health of the individuals and populations. The use of miswak was promoted centuries ago by Prophet Muhammad (Peace be Upon Him). In the modern era, the beneficial role of using miswak such as antiseptic, antimicrobial, anticariogenic and analgesic effects have been proven scientifically. This article reviews the various oral health benefits of miswak in the light of religious, scientific and social evidences.
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Affiliation(s)
- Fayez Niazi
- Department of Oral Biology, Liaquat College of Medicine and Dentistry, Karachi, Pakistan
| | - Mustafa Naseem
- Department of Community and Preventive Dentistry, Ziauddin College of Dentistry, Karachi, Pakistan
| | - Zohaib Khurshid
- Department of Biomaterials, School of Metallurgy and Materials, University of Birmingham, Birmingham, UK
| | - Muhammad S. Zafar
- Department of Restorative Dentistry, College of Dentistry, Taibah University, Madinah Al Munawwarah, Saudi Arabia
| | - Khalid Almas
- Department of Periodontology, College of Dentistry, University of Dammam, Dammam, Saudi Arabia
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Levrini L, Novara F, Margherini S, Tenconi C, Raspanti M. Scanning electron microscopy analysis of the growth of dental plaque on the surfaces of removable orthodontic aligners after the use of different cleaning methods. Clin Cosmet Investig Dent 2015; 7:125-31. [PMID: 26719726 PMCID: PMC4687621 DOI: 10.2147/ccide.s95814] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Background Advances in orthodontics are leading to the use of minimally invasive technologies, such as transparent removable aligners, and are able to meet high demands in terms of performance and esthetics. However, the most correct method of cleaning these appliances, in order to minimize the effects of microbial colonization, remains to be determined. Purpose The aim of the present study was to identify the most effective method of cleaning removable orthodontic aligners, analyzing the growth of dental plaque as observed under scanning electron microscopy. Methods Twelve subjects were selected for the study. All were free from caries and periodontal disease and were candidates for orthodontic therapy with invisible orthodontic aligners. The trial had a duration of 6 weeks, divided into three 2-week stages, during which three sets of aligners were used. In each stage, the subjects were asked to use a different method of cleaning their aligners: 1) running water (control condition); 2) effervescent tablets containing sodium carbonate and sulfate crystals followed by brushing with a toothbrush; and 3) brushing alone (with a toothbrush and toothpaste). At the end of each 2-week stage, the surfaces of the aligners were analyzed under scanning electron microscopy. Results The best results were obtained with brushing combined with the use of sodium carbonate and sulfate crystals; brushing alone gave slightly inferior results. Conclusion On the basis of previous literature results relating to devices in resin, studies evaluating the reliability of domestic ultrasonic baths for domestic use should be encouraged. At present, pending the availability of experimental evidence, it can be suggested that dental hygienists should strongly advise patients wearing orthodontic aligners to clean them using a combination of brushing and commercially available tablets for cleaning oral appliances.
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Affiliation(s)
- Luca Levrini
- Department of Surgical and Morphological Sciences, Dental Hygiene School, Research Centre Cranio Facial Disease and Medicine, University of Insubria, Varese, Italy
| | - Francesca Novara
- Department of Surgical and Morphological Sciences, Dental Hygiene School, Research Centre Cranio Facial Disease and Medicine, University of Insubria, Varese, Italy
| | - Silvia Margherini
- Department of Surgical and Morphological Sciences, Dental Hygiene School, Research Centre Cranio Facial Disease and Medicine, University of Insubria, Varese, Italy
| | - Camilla Tenconi
- Department of Surgical and Morphological Sciences, Dental Hygiene School, Research Centre Cranio Facial Disease and Medicine, University of Insubria, Varese, Italy
| | - Mario Raspanti
- Department of Surgical and Morphological Sciences, Dental Hygiene School, Research Centre Cranio Facial Disease and Medicine, University of Insubria, Varese, Italy
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Zingler S, Pritsch M, Wrede DJ, Ludwig B, Bister D, Kneist S, Lux CJ. A randomized clinical trial comparing the impact of different oral hygiene protocols and sealant applications on plaque, gingival, and caries index scores. Eur J Orthod 2013; 36:150-63. [DOI: 10.1093/ejo/cjt043] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Kelsey JL, Lamster IB. Influence of musculoskeletal conditions on oral health among older adults. Am J Public Health 2008; 98:1177-83. [PMID: 18511715 DOI: 10.2105/ajph.2007.129429] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Both musculoskeletal disorders and diseases of the oral cavity are common and potentially serious problems among older persons, yet little attention has been given to the links between them. Several musculoskeletal diseases, including osteoporosis, Paget's disease, and arthritic disorders, may directly involve the oral cavity and contiguous structures. Drugs used to treat musculoskeletal diseases, including corticosteroids and bisphosphonates, increase the risk of suppression of the immune system and osteonecrosis of the jaw, respectively. Many people with disabling osteoarthritis, rheumatoid arthritis, and other conditions have difficulty practicing good oral hygiene and traveling to dental offices for professional help. Various inexpensive measures can help such individuals, including education of their caregivers and provision of antimicrobial mouthwashes and special toothbrushes.
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Affiliation(s)
- Jennifer L Kelsey
- Department of Medicine, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA 01655, USA.
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