Abstract

BackgroundThe current study evaluated the effects of fixed and removable space-maintainers on halitosis and oral health of children.MethodsForty-three patients randomly selected between the ages 4–10 whom fixed or removable space maintainers were indicated in Gazi University, Faculty of Dentistry, Department of Pedodontics. The inclusing criteria were: caries-free (with/without restorations), with absence of periodontal diseases, without systematic disease, no mouth breathing and no use of antibiotics the 2-months period before the study. The patients were subdivided into two groups: the group treated with fixed space maintainers (group 1, n = 27), the group treated with removable space maintainers (group 2, n = 16). The the plaque index (PI), gingival index (GI), periodontal screening index (PSI), tongue coating index (TCI) records and the halitosis measurements were obtained at three time periods (T1: immediately after application, T2: 1 week after application, T3: 5 weeks after application). The measurement values of T1 served as control.ResultsNo statistically significant difference was found in the PI, GI, PSI, TCI and halitosis measurements between T1–T2, T2–T3 and T1–T3 in both appliance groups and between the groups (p > 0.05).ConclusionsThe fixed and removable space maintainers did not affect oral health status and halitosis significantly.

Highlights

  • The current study evaluated the effects of fixed and removable space-maintainers on halitosis and oral health of children

  • No statistically significant difference was found in the plaque index (PI), gingival index (GI), periodontal screening index (PSI) and tongue coating index (TCI) variable between T1–T2, T2–T3 and T1–T3 in both appliance groups and between the groups (Chi-Square, p = 1.00 > 0.05)

  • Grade 1 of the plaque index was found with 26 of 27 patients and one of the patients recorded as grade 2 in fixed space maintainer group, and all af the patients with removable space maintainer recorded as grade 1 at T1

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Summary

Introduction

The current study evaluated the effects of fixed and removable space-maintainers on halitosis and oral health of children. Halitosis or oral malodor is an unlikeable or bad odor arising from the oral cavity, which is a common problem that effects social relationships [1]. The etiological factors of halitosis include extrinsic and intrinsic causes [2, 3]. The extrinsic causes are using tobacco, alcohol and some foods [4,5,6]. The intrinsic causes contain intra-oral and extra-oral causes [7]. Extra-oral causes are systemic diseases and some medications that effects the oral odor [1, 8, 11]. Oral conditions are responsible for halitosis in nearly 90 % of all cases [2, 12]

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