Publicação
Eficácia das escovas de dentes ortodôntica e convencional em doentes ortodônticos portadores de fenda lábio-palatina
| Resumo: | Introduction: Patients with cleft lip and/or palate have changes in the craniofacial growthand dental anomalies that may predispose to the accumulation of bacterial plaquemaking it difficult to brush teeth and the natural cleaning action of saliva and tongue. Thisstudy aimed to compare the effectiveness of plaque removal between orthodontic andconventional toothbrush in orthodontic patients with cleft lip and/or palate.Materials and methods: The recruitment of the sample of this study was carried out atthe Institute of Orthodontics of Faculty of Medicine of University of Coimbra and includedpatients with cleft lip and/or palate with bimaxillary fixed orthodontic appliances. Patientswere randomly divided into two groups: orthodontic toothbrush (experimental group) andconventional toothbrush (control group). Subsequently, the evaluation of bacterial plaquewas carried out through the modification of the Silness and Loe modification index andthe periodontal evaluation was performed with Papillary Bleeding Index. Additionally, thetoothbrushing was timed. These evaluations occurred in two moments evaluation times:T0- patients selection and initial registration; T1 – control after 1 month.Results: The final sample was constituted of 15 individuals, 8 females and 7 males. Inthe control group, there was an improvement in the plaque index from T0 to T1, with themean value decreasing from 1,81 to 1,57, with the exception of one patient. In theexperimental group, the results showed a decrease of oral hygiene between the twoevaluation moments, with the mean value increasing from 1,06 to 1,33, with theexception of two patients. The lowest mean value for the papillary bleeding index wasregistered at T1 of control group. Regarding the experimental group, a decrease in meanvalues was also observed. In relation to brushing time, there was an increase from T0 toT1 in both groups.Discussion and Conclusion: Conducting regular hygiene instruction and motivationimproves the adoption and execution of the brushing technique, contributing to theimprovement of the plaque index and papillary bleeding index. The conventionaltoothbrush appears to be more effective than orthodontic toothbrush. |
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| Autores principais: | Marques, Sara Andreia Carreira |
| Assunto: | Fenda palatina Ortodontia Aparelhos ortodônticos fixos Higiene Oral Escova de dentes Cleft palate Orthodontics Orthodontic Appliances, Fixed Oral Hygiene Toothbrush |
| Ano: | 2022 |
| País: | Portugal |
| Tipo de documento: | dissertação de mestrado |
| Tipo de acesso: | acesso embargado |
| Instituição associada: | Universidade de Coimbra |
| Idioma: | português |
| Origem: | Estudo Geral - Universidade de Coimbra |
| Resumo: | Introduction: Patients with cleft lip and/or palate have changes in the craniofacial growthand dental anomalies that may predispose to the accumulation of bacterial plaquemaking it difficult to brush teeth and the natural cleaning action of saliva and tongue. Thisstudy aimed to compare the effectiveness of plaque removal between orthodontic andconventional toothbrush in orthodontic patients with cleft lip and/or palate.Materials and methods: The recruitment of the sample of this study was carried out atthe Institute of Orthodontics of Faculty of Medicine of University of Coimbra and includedpatients with cleft lip and/or palate with bimaxillary fixed orthodontic appliances. Patientswere randomly divided into two groups: orthodontic toothbrush (experimental group) andconventional toothbrush (control group). Subsequently, the evaluation of bacterial plaquewas carried out through the modification of the Silness and Loe modification index andthe periodontal evaluation was performed with Papillary Bleeding Index. Additionally, thetoothbrushing was timed. These evaluations occurred in two moments evaluation times:T0- patients selection and initial registration; T1 – control after 1 month.Results: The final sample was constituted of 15 individuals, 8 females and 7 males. Inthe control group, there was an improvement in the plaque index from T0 to T1, with themean value decreasing from 1,81 to 1,57, with the exception of one patient. In theexperimental group, the results showed a decrease of oral hygiene between the twoevaluation moments, with the mean value increasing from 1,06 to 1,33, with theexception of two patients. The lowest mean value for the papillary bleeding index wasregistered at T1 of control group. Regarding the experimental group, a decrease in meanvalues was also observed. In relation to brushing time, there was an increase from T0 toT1 in both groups.Discussion and Conclusion: Conducting regular hygiene instruction and motivationimproves the adoption and execution of the brushing technique, contributing to theimprovement of the plaque index and papillary bleeding index. The conventionaltoothbrush appears to be more effective than orthodontic toothbrush. |
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