Division of Orthodontics, Department of Oral Health Science, University of Kentucky, Lexington, KY, USA.
, 800 Rose St. Suite D 416, 40536, Lexington, KY, USA.
J Orofac Orthop. 2024 May;85(Suppl 1):34-40. doi: 10.1007/s00056-023-00463-5. Epub 2023 Mar 9.
To explore the impact of oral hygiene practices, as well as beliefs and attitudes toward orthodontic treatment on white spot lesion (WSL) development and plaque accumulation in orthodontic patients.
A total of 106 individuals (61 female, 45 male) patients aged 10-49 years who were treated with fixed appliances treatment completed a 14-question survey regarding aspects of their oral hygiene (OH) and orthodontic visits. The number of teeth with WSL and the plaque indexes were recorded for each patient. Poisson regression and linear regression models were used to analyze the association of survey responses with the observed WSLs and plaque accumulation, respectively.
Participants of both sexes reported similar beliefs about OH (66% agreed to the importance of OH statements), practiced proper OH (69% good practices), and reported a similar perception regarding the quality of their OH routine and of their orthodontic treatment. However, in total, none of the findings was significantly related to the development of WSLs or plaque accumulation. Significantly fewer WSLs were observed in male patients who perceived themselves as having good control over OH. Female participants reported significantly higher expectations regarding posttreatment smile improvement compared to males. Overall, responses by male participants were deemed to be more accurate than those by female participants when related to WSL development and plaque accumulation.
Our survey hints at a possible relationship between WSL formation and patients' sense of control over OH routine in males. Future studies should further explore the effect of sex on the attitude toward and perception of OH in orthodontic patients. This survey highlights the multifactorial nature of WSL development in orthodontic patients and the complexity of predicting patient compliance.
探讨口腔卫生习惯、对正畸治疗的信念和态度对正畸患者白斑（WSL）发展和菌斑积累的影响。
共 106 名年龄在 10-49 岁之间的个体（61 名女性，45 名男性）接受固定矫治器治疗，他们完成了一份关于口腔卫生（OH）和正畸就诊方面的 14 个问题的调查。每位患者记录 WSL 牙数和菌斑指数。使用泊松回归和线性回归模型分析调查结果与观察到的 WSL 和菌斑积累的相关性。
男女参与者对 OH 的信念相似（66%同意 OH 重要性的陈述），实践了适当的 OH（69%良好实践），并对其 OH 常规和正畸治疗质量有相似的感知。然而，总体而言，没有任何发现与 WSL 的发展或菌斑积累显著相关。自我感觉 OH 控制良好的男性患者 WSL 数量明显较少。女性参与者报告对治疗后笑容改善的期望明显高于男性。总的来说，与 WSL 发展和菌斑积累相关时，男性参与者的反应被认为比女性参与者更准确。
我们的调查提示，男性患者对 OH 常规的控制感可能与 WSL 的形成有关。未来的研究应进一步探讨性别对正畸患者对 OH 的态度和感知的影响。本调查突出了正畸患者 WSL 发展的多因素性质和预测患者依从性的复杂性。
