Factors Affecting Dental Biofilm in Patients Wearing Fixed Orthodontic Appliances

Overview

Journal Prog Orthod

Publisher Springer

Specialty Dentistry

Date 2017 Jan 31

PMID 28133715

Citations 26

Authors

Li Mei

Joyce Chieng

Connie Wong

Gareth Benic

Mauro Farella

Affiliations

Soon will be listed here.

Abstract

Background: The aim of this study is to investigate the amount and the distribution of biofilm in patients wearing fixed appliances and its relation with age, gender, frequency of tooth brushing, and patient motivation.

Methods: The sample comprised 52 patients (15.5 ± 3.6 years old, 30 females and 22 males) wearing fixed orthodontic appliances. Dental biofilm was assessed using a modified plaque index (PI). A questionnaire was used to collect patient's information, including gender, age, treatment motivation, and frequency of tooth brushing.

Results: Gingival (PI score = 0.9 ± 0.7), mesial (0.8 ± 0.6), and distal (0.8 ± 0.5) areas accumulated more biofilm than occlusal areas (0.3 ± 0.3) (P < 0.038). The maxillary lateral incisors (1.1 ± 0.8) and maxillary canines (1.0 ± 0.8) had more biofilm than other teeth (P < 0.05). The maxillary arch (0.8 ± 0.7) had significantly more biofilm than mandibular arch (0.6 ± 0.6) (P = 0.042). No significant difference was found between the right side (0.7 ± 0.7) and left side (0.7 ± 0.6) (P = 0.627). Less biofilm was found in females (0.6 ± 0.5), adults (0.3 ± 0.3), and "self-motivated" patients (0.3 ± 0.3), compared with males (0.9 ± 0.5), children (0.8 ± 0.6), and "family-motivated" patients (1.1 ± 0.5) (P < 0.001). The amount of biofilm was associated with self-report of the frequency of daily tooth brushing (P < 0.001).

Conclusions: Patients wearing fixed orthodontic appliances have the highest biofilm accumulation on the maxillary lateral incisors and maxillary canines, particularly in the gingival area and areas behind arch wires. Less biofilm was observed in female and adult patients and in those who were self-motivated and brushed their teeth more often.

Citing Articles

Wang J, Huang Y, Chen F, Li W Front Physiol. 2024; 15:1460168.

PMID: 39308977 PMC: 11412856. DOI: 10.3389/fphys.2024.1460168.

Assessment of Motivations, Treatment Risks, and Oral Health in Adults with Fixed Orthodontic Care: A Cross-Sectional Study.

Tadin A, Badrov M, Mikelic Vitasovic B, Gavic L Medicina (Kaunas). 2024; 60(7).

PMID: 39064578 PMC: 11278680. DOI: 10.3390/medicina60071149.

Use of Antimicrobial Silver Coatings on Fixed Orthodontic Appliances, Including Archwires, Brackets, and Microimplants: A Systematic Review.

Sycinska-Dziarnowska M, Szyszka-Sommerfeld L, Ziabka M, Spagnuolo G, Wozniak K Med Sci Monit. 2024; 30:e944255.

PMID: 38843112 PMC: 11166089. DOI: 10.12659/MSM.944255.

Changes in the pH and the Flow Rate of Saliva During Orthodontic Treatment with Fixed Orthodontic Appliances: A Systematic Review.

Jakavice R, Zaroviene A Turk J Orthod. 2023; 36(3):199-207.

PMID: 37782023 PMC: 10548056. DOI: 10.4274/TurkJOrthod.2022.2022.66.

Clinical outcomes of arch expansion with Invisalign: a systematic review.

Ma S, Wang Y BMC Oral Health. 2023; 23(1):587.

PMID: 37620781 PMC: 10464440. DOI: 10.1186/s12903-023-03302-6.

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