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Year : 2015  |  Volume : 3  |  Issue : 1  |  Page : 4-10

Study of the effects of oral irrigation and automatic tooth brush use in orthodontic patients with fixed appliances

1 Department of Orthodontics and Dentofacial Orthopaedics, Ahmedabad Municipal Corporation Dental College and Hospital, Ahmedabad, Gujarat, India
2 Department of Orthodontics and Dentofacial Orthopaedics, Government Dental College and Hospital, Ahmedabad, Gujarat, India
3 Department of Orthodontics, College of Dental Sciences and Research Center, Ahmedabad, Gujarat, India
4 Ahmedabad Dental College, Gujarat, India
5 Graduate student of MPH in Epidemiology, University of Texas Science Health Centre, Houston, Texas, USA

Correspondence Address:
Nishit Mehta
1, Gyandip Society, Dhumketu Road, Paldi, Ahmedabad - 380 007, Gujarat
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2321-3825.147973

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Objective: To compare effectiveness of: 1) Conventional tooth brush alone (control) 2) Powered tooth brush alone 3) Conventional tooth brushing with oral irrigation device 4) Powered tooth brush with oral irrigation device, as home use oral hygiene methods in adult fixed orthodontic patients. Materials and methods: Sixty orthodontic patients with fixed orthodontic appliances were divided into four study groups: (A) brushing with automatic tooth brush twice daily (n = 15); (B) oral irrigation with manual toothbrushing, (n = 15); (C) oral irrigation with automatic tooth brushing, (n = 15); (D) control group with continued normal tooth brushing only, (n = 15). Gingival and plaque indices, bleeding after probing, and gingival sulcus depths were assessed at baseline, 1-month, and 2-month periods. Results: Paired t test was used for within group analysis. Tukey's honestly significant difference (HSD) statistical analysis was used for the inter-group multiple comparisons. Level of significance was at P < 0.05. Within group comparison reveal that there are no statistically significant differences between the groups regarding reductions in gingival index mean scores in all 3 time durations except for group C (P = 0.68) and group D (P = 0.93) in the time period of 1 month to 2 months. After 1 to 2 months use of the automatic tooth brush, there was a significant reduction in plaque when compared with the control group who used only the manual tooth brush (P = 0.04). For this population of orthodontic patients, powered brushes alone or along with oral irrigation do not have additional beneficial effect when comparisons are made with other groups. Conclusion: All plaque control methods evaluated in the study provides significant improvement in reduction of plaque accumulation and gingival inflammation. Powered brushes alone or along with oral irrigation do not seem to be additionally beneficial when comparisons are made with other groups.

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