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正畸患者牙菌斑化学 - 机械控制程序的有效性

Effectiveness of procedures for the chemical-mechanical control of dental biofilm in orthodontic patients.

作者信息

Alves Karla Magalhães, Goursand Daniela, Zenobio Elton Gonçalves, Cruz Roberval Almeida

出版信息

J Contemp Dent Pract. 2010 Mar 1;11(2):041-8.

Abstract

AIM

Assess the effectiveness of chemical-mechanical control associated with orientation and motivation for the control of dental biofilm in orthodontic patients.

METHODS AND MATERIALS

Thirty patients between 12 and 21 years of age wearing a fixed orthodontic appliance were divided into three groups. The control group (G1) received orientation regarding oral hygiene. The experimental groups (G2 and G3) received orientation regarding oral hygiene and diet as well as a hygiene kit and mouthwash; the mouthwash given to G2 was a placebo and that given to G3 contained essential oils (Listerine).

RESULTS

In the comparison between T0 and T60, vestibular gingivitis was worse in G1 (p<0.05), with no statistically significant differences regarding lingual gingivitis and biofilm. G2 and G3 exhibited a significant improvement in clinical conditions. In the comparison between groups, G3 had undergone a significantly greater improvement than the other groups.

CONCLUSION

The use of the commercial mouthwash, together with mechanical oral hygiene, orientation, and motivation, proved to be adequate conduct for the maintenance of oral health in orthodontic patients.

CLINICAL SIGNIFICANCE

The present study contributes toward the maintenance of oral health in patients who wear a fixed orthodontic appliance through the prevention of dental biofilm buildup.

摘要

目的

评估化学 - 机械控制联合指导与激励对正畸患者牙菌斑控制的有效性。

方法和材料

30名年龄在12至21岁之间佩戴固定正畸矫治器的患者被分为三组。对照组(G1)接受口腔卫生指导。实验组(G2和G3)接受口腔卫生和饮食指导以及一套卫生用品和漱口水;给G2的漱口水是安慰剂,给G3的漱口水含有精油(李施德林)。

结果

在T0和T60的比较中,G1的前庭龈炎更严重(p<0.05),舌侧龈炎和牙菌斑方面无统计学显著差异。G2和G3在临床状况上有显著改善。在组间比较中,G3的改善明显大于其他组。

结论

使用商用漱口水,结合机械口腔卫生、指导和激励,被证明是维持正畸患者口腔健康的适当措施。

临床意义

本研究通过预防牙菌斑积聚,有助于佩戴固定正畸矫治器患者的口腔健康维护。

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