正畸医生对正畸治疗过程中口腔卫生保健行为的认知。

Awareness of orthodontists regarding oral hygiene performance during active orthodontic treatment.

机构信息

Department of Prostodontics, the Goldschleger School of Dental Medicine, Tel Aviv University, Israel.

出版信息

Eur J Paediatr Dent. 2012 Sep;13(3):187-91.

Abstract

AIM

The aim of the present study was orthodontist's awareness for maintenance of several home and professional prevention measures during active orthodontic treatment according to patients' report.

MATERIALS AND METHODS

A structured questionnaire was distributed to 122 patients undergoing active orthodontic treatment with fixed appliances. Patients were treated by 38 different orthodontists. The questionnaire accessed information regarding instructions patients received from their orthodontist concerning maintenance of their oral hygiene during orthodontic treatment.

RESULTS

Most of the patients (94%) reported that their orthodontists informed them at least once about the importance of tooth-brushing, and 74.5% received instructions for correct performance of tooth brushing or alternatively were referred to dental hygienist. However, only 24.5% of the patients reported that their orthodontist instructed them to use the correct fluoride concentration in their toothpaste, to use daily fluoride mouthwash (31.5%) and to brush their teeth once a week with high concentration of fluoride gel (Elmex gel; 10.2%). Only 13.8% received application of high concentration of fluoride gel or varnish at the dental office, and 52% of the patients reported that their orthodontist verified that they attend regular check-ups by their dentist. A significant positive correlation was found between explaining the patients the importance of tooth brushing and the following variables: instructing them on how to brush their teeth correctly (p<0.0001), explaining them which type of toothbrush is recommended for orthodontic patients (p=0.002), recommending to perform daily fluoride oral rinse (p=0.036) and referring them to periodic check-ups (p=0.024).

CONCLUSION

Orthodontists should increase their awareness and commitment for instructing their patient on how to maintain good oral hygiene in order to prevent caries and periodontal disease during orthodontic treatment.

摘要

目的

本研究的目的是评估正畸医生根据患者报告对维持多种家庭和专业预防措施的意识，这些预防措施是在正畸治疗过程中进行的。

材料和方法

对 122 名正在接受固定矫治器正畸治疗的患者进行了一项结构问卷调查。患者由 38 名不同的正畸医生治疗。问卷评估了患者从正畸医生那里获得的有关在正畸治疗期间保持口腔卫生的信息。

结果

大多数患者（94%）报告称，他们的正畸医生至少一次告知他们刷牙的重要性，74.5%的患者接受了正确刷牙方法的指导，或者被转诊给口腔卫生师。然而，只有 24.5%的患者报告称他们的正畸医生指导他们使用正确氟浓度的牙膏、每天使用含氟漱口水（31.5%）和每周用高浓度氟凝胶（Elmex 凝胶；10.2%）刷牙一次。只有 13.8%的患者在牙医办公室接受高浓度氟凝胶或漆的应用，52%的患者报告称他们的正畸医生确认他们定期去看牙医。解释患者刷牙的重要性与以下变量呈显著正相关：正确指导他们刷牙的方法（p<0.0001）、向他们解释哪种类型的牙刷推荐用于正畸患者（p=0.002）、推荐他们每天使用含氟口腔冲洗液（p=0.036）和定期检查（p=0.024）。