Clinical Study on the Effect of Sodium Fluoride Mouthrinse /Gel and Toothpaste in Combination with Chlorohexidine Mouth Wash on Plaque and Gingivitis in Orthodontic Patients

Abstract

This study is to examine which one is most effective the use of NaF mouthrinse and toothpaste with chlorohexidine mouthwash or the use of NaF gel with Naf toothpaste and chlorohexidine mouth wash on the plaque and gingivitis of maxillary anterior teeth that occurs in orthodontic patients during the treatment of fixed appliance. A prospective, randomized, double-blind study with 60 orthodontic patients (16 males and 44 females, average age from 15 to 25 ) was designed . All the patients were instruct to brush with NaF tooth past three times in the day and to use chlorohexidine mouth wash at night . Visible plaque index (VPI) and gingival bleeding index (GBI) were recorded on the six maxillary anterior teeth at bonding and after one, two and three months and evaluated with t tests .Then the patients that began to have plaque and gingivi tis were divided into two groups A and B , In group A they wer e instruct to use NaF gel (1500 ppm) in addition to NaF(145 0ppm) toothpaste and 2% chlorohexidine mouth wash while gr oup B used Naf (250 ppm) mouth rinse in addition to NaF toot hpaste and chlorohexidine . There was a significant differences( P<0.05) between bonding and debonding after 3 months recorded for VPI and there was also a significant difference between gr oup A and B for the VPI and for the GBI after six weeks of th e treatment . It was concluded that the combined use of an NaF toothpaste/gel and chlorohexidine mouthwash had a slightly more inhibitory effect on the development of , plaque and gingivitis on maxillary anterior teeth during fixed orthodont ic treatment compared with NaF mouth rinse / toothpaste with ch lorohexidine mouthwash .