The Effect of an Educational/ Preventive Program on Adolescents Undergoing Fixed Orthodontic Treatment: A Clinical Study

M. Provenzano, Tuane-Mertz Lucietto, G. Santin, Sandra-Kiss Moura, Adilson-Luiz Ramos
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Abstract

Aim: To evaluate the effect of educational/preventive measures in adolescents who wore fixed orthodontic appliances. Study Design: Prospective, controlled, and randomized clinical study. Place and Duration of Study: The adolescents were evaluated in a private dental clinic in the city of Ibiporã - PR for 12 weeks in 2015. Methodology: A randomized design, with records of plaque, gingival and bleeding indices. In total 40 adolescent patients, with an average age of 14 years, of both genders were selected at a private orthodontic clinic. Mechanical biofilm control was performed and oral hygiene kits were distributed. Clinical evaluations were made at the beginning of the study (baseline) and at time intervals of 30, 60 and 90 days, in a total of 12 weeks. Means of indices were compared throughout the study period. Among the educational/preventive measures used were photograph albums, verbal oral hygiene guidance and disclosing of dental plaque. Records were made of the participants’ oral hygiene habits. Results: The girls presented a higher dental plaque reduction value of 30.8% whereas the boys presented 25.3%. The plaque index showed significant reduction in the initial evaluation (baseline) and in the following re-evaluations at 30, 60 and 90 days. Conclusion: The educational/preventive measures used were shown to be effective, in view of the significant reduction in gingival inflammation and dental plaque indices, with improvement in the oral health of adolescents who wore fixed orthodontic appliances.
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教育/预防计划对接受固定正畸治疗的青少年的影响:临床研究
目的:评估教育/预防措施对佩戴固定矫正器的青少年的影响。研究设计:前瞻性、对照和随机临床研究。研究地点和时间:2015 年,在伊比波朗市的一家私人牙科诊所对青少年进行了为期 12 周的评估。研究方法:随机设计,记录牙菌斑、牙龈和出血指数。在一家私人正畸诊所共选取了 40 名青少年患者,平均年龄为 14 岁,男女均有。他们进行了机械生物膜控制,并分发了口腔卫生工具包。在研究开始时(基线)以及每隔 30 天、60 天和 90 天(共 12 周)进行临床评估。在整个研究期间,对各项指标的平均值进行了比较。所采用的教育/预防措施包括相册、口头口腔卫生指导和公布牙菌斑。对参与者的口腔卫生习惯进行了记录。结果显示女孩的牙菌斑减少率为 30.8%,男孩为 25.3%。牙菌斑指数在初次评估(基线)以及随后的 30 天、60 天和 90 天的再次评估中均有明显下降。结论是从牙龈炎症和牙菌斑指数的显著降低来看,所采用的教育/预防措施是有效的,佩戴固定矫治器的青少年的口腔健康得到了改善。
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