Cleanliness drive: Straight wire appliance or Begg's appliance???

Abstract

Context: Plaque is a major etiological factor in causation of periodontal disease. Orthodontic appliances are known to accumulate plaque owing to their complex configuration. Aim: The aim of this study was to evaluate difference in plaque accumulation both quantitatively and qualitatively, and oral hygiene maintenance, between Begg's and Straight Wire appliances. Subjects and Methods: Eighty patients (40 of Begs and 40 of MBT) aged between 13 and 23 years were subjected to oral prophylaxis to bring the plaque score to zero before the start of study and were asked to report every 2 weeks to identify the microbial shift in plaque sample. The disclosing solution was applied on labial and lingual tooth surfaces and plaque was scored with the help of Quigly and Heins index. The plaque samples were collected in 2 ml of saline containing test tubes. Data were analyzed using IBM-SPSS software version 22. P Results and Conclusion: Significant difference between Beggs group and MBT group for variables V1 (plaque index) and V2 (spirochetes count) at each time point existed. Furthermore, MBT group patients showed an increase in plaque index value at each point. In spite of maintaining same environment, plaque accumulation and spirochetes are more in Straight Wire appliance than Begg's.