Abstract
Introduction: Attaining improved aesthetics and proper occlusion are main reasons for commencing orthodontic treatment in any patient. However it is anticipated that orthodontic treatment increases the risk of carious lesions. Objective: To analyze prevalence of dental caries in relation to gender, age group, duration of orthodontic treatment and malocclusion type; and to assess oral hygiene and food habit practice in Nepalese orthodontic patients. Materials & Method: A cross sectional study was done in 212 orthodontic patients (age range 11-30 years) having fixed appliance for at least six months duration. A survey form based on ‘Dentition Status & Treatment Need, WHO’ was used to depict DMFT Index and prevalence of dental caries. A questionnaire was used to assess the practice of oral hygiene measures and food habits of the orthodontic patients. The association between dental caries and gender, age group, duration of orthodontic treatment and malocclusion type were analyzed using chi-square test (p<0.05). Result: The prevalence of dental caries (DMFT) was 79.2% and mean DMFT value was 2.87 among Nepalese orthodontic patients. Occurrence of dental caries among male and female patients was 69.44% and 60% respectively. Caries occurrence was highest in age group 16-20 years (72.22%), in more than 18 months treatment duration group (63.92%) and in Class I malocclusion group (68.38%). Similarly, 30.2% consume sweets foodstuff, 26.9% consume junk food and 14.2% consume snacks in between meals frequently. Conclusion: Fairly good proportion of Nepalese orthodontic patients practice normal oral hygiene methods but very few use special oral hygiene measures. The study showed no association between dental caries occurrence and gender groups, age groups, duration of orthodontic treatment and malocclusion types. DOI: http://dx.doi.org/10.3126/ojn.v3i1.9279 Orthodontic Journal of Nepal, Vol.3, No.1, 2013: 31-36
Highlights
Attaining improved aesthetics and proper occlusion are main reasons for commencing orthodontic treatment in any patient
The present study aims to assess oral hygiene habits, food habits and prevalence of dental caries among Nepalese orthodontic patients
The prevalence of dental caries according to Nepal National Oral Health Pathfinder Survey[16] (DMFT Index) was 25.6% in 12-13 year, 26.3% in 15-16year and 57.5% in 35-45year cohorts
Summary
Attaining improved aesthetics and proper occlusion are main reasons for commencing orthodontic treatment in any patient. Objective: To analyze prevalence of dental caries in relation to gender, age group, duration of orthodontic treatment and malocclusion type; and to assess oral hygiene and food habit practice in Nepalese orthodontic patients. The study showed no association between dental caries occurrence and gender groups, age groups, duration of orthodontic treatment and malocclusion types. Dental caries is an infectious multifactorial microbiological disease that results in localized dissolution and destruction of calcified tissues of the teeth.[1] The orthodontic treatment can ascribe to inadequate removal or elimination of plaque and food debris from the restricted areas for clearance due to the appliance.[2,3] it needs more than the regular practice of brushing to maintain the oral hygiene in orthodontic patients. The ‘tooth’ with braces, especially in young individuals offer plaque retention areas,7 ‘substrate’ represent poor oral hygiene, lower clearance rate, more frequency of eating, high consumption of sticky and sweet food, low salivary pH8,9 and ‘flora’ is characterized by the accumulation of plaque with
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