Department of Stomatology, Sichuan Provincial Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu, China.
Department of Oral Sciences, Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.
Can J Dent Hyg. 2020 Oct 1;54(3):124-132.
The oral hygiene habits of clients wearing fixed orthodontic appliances is poorly understood. Assessment of oral hygiene behavioural patterns is essential for understanding clients' oral health care needs. The aim of this study was to investigate orthodontic clients' oral hygiene behaviours, brushing techniques, and oral hygiene awareness.
A total of 200 orthodontic clients wearing fixed orthodontic appliances were consecutively recruited from the Sichuan Provincial Hospital, Chengdu, China, and the Faculty of Dentistry, University of Otago, Dunedin, New Zealand. A 47-item questionnaire was used to survey study participants.
The survey had a 92% response rate, with 67.5% of respondents being female and 32.5% male. Most were non-smokers (94.2%) and the majority (80.0%) brushed their teeth twice daily. Most (80.4%) brushed their teeth for 1 to 2 minutes, and 68.7% positioned their toothbrush both horizontally and vertically, with horizontal being the preferred direction of motion. One-third (33.5%) did not use any auxiliary oral hygiene aids; most snacked between meals; only 31.4% received professional tooth cleaning during orthodontic treatment; and 56.8% experienced an increased level of halitosis after appliance placement. Most respondents (79.4%) thought their oral hygiene was good, but 51.0% reported bleeding gums during tooth brushing, 31.4% found they rarely bled, and only 17.6% reported no bleeding. Most respondents agreed that good oral health was very important for orthodontic treatment and that their own efforts were the most important factors.
Client awareness of the importance of oral hygiene during orthodontic treatment requires improvement. Clinician reinforcement of oral hygiene should become a priority for orthodontic clients.
佩戴固定正畸矫治器的患者的口腔卫生习惯了解甚少。评估口腔卫生行为模式对于了解患者的口腔卫生保健需求至关重要。本研究旨在调查正畸患者的口腔卫生行为、刷牙技术和口腔卫生意识。
本研究共连续招募了 200 名佩戴固定正畸矫治器的正畸患者，分别来自中国四川省医院和新西兰奥塔哥大学牙科学院。使用 47 项问卷对研究参与者进行调查。
调查的应答率为 92%，其中 67.5%的受访者为女性，32.5%为男性。大多数为非吸烟者（94.2%），大多数（80.0%）每天刷牙两次。大多数（80.4%）刷牙时间为 1 至 2 分钟，68.7%的人刷牙时牙刷呈水平和垂直方向，水平方向是首选的运动方向。三分之一（33.5%）的人不使用任何辅助口腔卫生用具；大多数人在两餐之间吃零食；只有 31.4%的人在正畸治疗期间接受专业洁牙；56.8%的人在佩戴矫治器后口气异味加重。大多数受访者（79.4%）认为自己的口腔卫生状况良好，但 51.0%的人在刷牙时牙龈出血，31.4%的人很少出血，只有 17.6%的人没有出血。大多数受访者认为良好的口腔健康对正畸治疗非常重要，并且他们自己的努力是最重要的因素。
患者在正畸治疗期间对口腔卫生重要性的认识需要提高。临床医生应优先加强对正畸患者的口腔卫生教育。
