正畸医生对可摘和固定正畸矫治器患者口腔卫生的指导。

Orthodontists' instructions for oral hygiene in patients with removable and fixed orthodontic appliances.

机构信息

Department of Orthodontics, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.

Institute for Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Centre of the Johannes Gutenberg-University, Mainz, Germany.

出版信息

Int J Dent Hyg. 2024 May;22(2):329-336. doi: 10.1111/idh.12763. Epub 2023 Oct 16.

DOI:10.1111/idh.12763

PMID:37845796

Abstract

INTRODUCTION

The aim of this questionnaire-based survey was to evaluate information on frequencies, instructions and products relating to oral hygiene (OH) in orthodontic practices.

METHODS

Using a computer-generated randomization list, 1000 orthodontists were selected and sent a questionnaire. The size and number of inhabitants of the federal states of Germany were considered. The federal states with the highest return rate (Baden-Wuerttemberg [BW], Bavaria [B], Hesse [H], Lower Saxony [LS], Nordrhein-Westphalia [NRW]) were considered and differences between the 16 federal states were divided into North, South, East and Central Germany.

RESULTS

The response rate of the questionnaires was 52.4%. The majority (53.8%) worked in one practice alone. Most (59.1%) have been orthodontists for 5-25 years. For vestibular multibracket appliances (MBA) in BW, B, H and LS over 90% recommended interdental brushes (IDB). In NRW 91.4% recommend fluoride gel. In B and H more than 80% chose electric toothbrush (ETB), in BW, LS and NRW more than 80% manual toothbrush (MTB). For lingual MBA (LMBA) in BW, H, LS and NRW with approximately 50% each fluoride gel, IDB and MTB were chosen. In B fluoride gel, IDB and ETB. For removable apparatus (RA), five federal states recommended MTB (>80%) and ETB (BW, B, H > 80%; NRW > 70%; LS > 60%).

CONCLUSION

Electric toothbrushes are recommended for the use with all appliances, only with removable appliances manual toothbrushes are favoured. For vestibular MBA it is strongly advised to use IDB additionally.

摘要

简介

本问卷调查旨在评估正畸实践中与口腔卫生（OH）相关的频率、指导和产品信息。

方法

采用计算机生成的随机列表，选择了 1000 名正畸医生并发送问卷。考虑了德国联邦州的大小和居民数量。考虑了回复率最高的联邦州（巴登-符腾堡州[BW]、巴伐利亚州[B]、黑森州[H]、下萨克森州[LS]、北莱茵-威斯特法伦州[NRW]），并将 16 个联邦州之间的差异分为北部、南部、东部和中部德国。

结果

问卷的回复率为 52.4%。大多数（53.8%）单独在一个诊所工作。大多数（59.1%）已经从事正畸工作 5-25 年。在 BW、B、H 和 LS，超过 90%的人推荐使用邻间刷（IDB）来清洁颊面管多用途托槽（MBA）。在 NRW，91.4%推荐使用氟化物凝胶。在 B 和 H，超过 80%的人选择电动牙刷（ETB），在 BW、LS 和 NRW，超过 80%的人选择手动牙刷（MTB）。对于 BW、H、LS 和 NRW 的舌侧 MBA（LMBA），约有 50%的人选择了氟化物凝胶、IDB 和 MTB。在 B 中，氟化物凝胶、IDB 和 ETB。对于可摘矫治器（RA），有五个联邦州推荐 MTB（>80%）和 ETB（BW、B、H>80%；NRW>70%；LS>60%）。