Abstract
Aim: The aim of this study was to investigate the effect of different mouth washes and to study the effect of text message reminder on the oral health status of orthodontic patients treated with fixed appliances. Methods: This study was a clinical trial with pre-test and post-test control group design, conducted on 24 patients undergoing fixed orthodontic treatment aged 15-30 years. The patients randomly divided into two groups; one received a weekly telephone text massage reminder for the instructions of brushing and rinsing while the second group did not receive any messages. Ortho-plaque index and gingival index were used to evaluate the patient’s oral hygiene status. The reading indices after brushing only were regarded as a control, then the patients were instructed to use two mouth washes, one containing sodium fluoride with cetylpyridinium chloride, the second containing chlorhexidine digluconate with cetylpyridinium chloride and Aloe Vera. Each one was used routinely for 4 weeks with the same amount and method. The washout period between the two types mouth washes was 4 weeks with a standardized toothbrush and paste. Results: Ortho-plaque index values decreased over the time between first, second and third visits. However, this index raised up at the fourth visit and again dropdown at the fifth visit. Similar results were detected for gingival index. Also, significant interaction between messages and the assessments was recorded for gingival index with a significant difference between the group of text messages and without text messages group (p<0.05). Conclusions: The results of this study showed that the combination of sodium fluoride with cetylpyridinium chloride was more potent for plaque control, while chlorhexidine digluconate with cetylpyridinium chloride and Aloe Vera combination showed a better gingival improvement. Moreover, the text messages reminder could enhance, but not replace direct oral hygiene instruction in orthodontic patients.
Highlights
Malocclusion is considered as one of the important problems in dental health which is usually relieved by orthodontic treatment[1]
Aim: The aim of this study was to investigate the effect of different mouth washes and to study the effect of text message reminder on the oral health status of orthodontic patients treated with fixed appliances
The results of this study showed that the combination of sodium fluoride with cetylpyridinium chloride was more potent for plaque control, while chlorhexidine digluconate with cetylpyridinium chloride and Aloe Vera combination showed a better gingival improvement
Summary
Malocclusion is considered as one of the important problems in dental health which is usually relieved by orthodontic treatment[1] This procedure encourages the accumulation of dental plaque that increases the risk of dental caries and periodontal diseases[2,3]. During orthodontic treatment, these problems can be controlled via maintaining effective oral hygiene. The use of chemical agents as an adjunct to mechanical tooth cleaning has been shown to be useful in plaque control for patients[4] Chemotherapeutic agents such as mouth washes and dentifrices can act as a clinical adjunct for reducing the dental health problems during the active phase of orthodontic treatment[5,6]. CHX mouth rinses have some drawbacks such as reversible discoloration of the teeth and tongue, desquamation of the oral mucosa, burning sensation and dryness of the mouth[8]
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