Foundation University College of Dentistry and Hospital Foundation University Islamabad, Rawalpindi, Pakistan.
BMC Oral Health. 2024 Aug 6;24(1):903. doi: 10.1186/s12903-024-04678-9.
Orthodontic treatment requires good oral hygiene for successful completion of treatment. As protocol, patients are usually given instructions for oral hygiene and diet at the start of treatment, however, they are not fully followed. Different methods are employed in order to increase patient compliance including digital means, however, these are not possible in teaching hospitals with high burden of patient care and limited resources. The present study aims to correlate the patient reported behavior with their clinical findings and treatment need. This will enable us to identify potential sources of motivation which will be incorporated in daily practice and enable us to improve methods to enhance patient's behavior.
A cross-sectional study was conducted in the orthodontic department of a semi-government teaching hospital from August to October 2023 using a modified questionnaire. The clinical examination was done using a Community Periodontal Index for Treatment Need-C (CPITN-C) probe. The diagnosis of presenting clinical conditions and treatment need was done using Community Periodontal Index for Treatment Need (CPITN) and Gingival Bleeding Index (BI). Data collected was analyzed for frequencies and correlation was done using Spearman Correlation Coefficient. P- value ≤ 0.05 was taken as statistically significant.
The sample size consisted of 110 patients of which 60% were entitled to receive treatment. The predominant age group was 15-20 years (39.1%). Approximately 70% patients were in code 1 for CPITN and GI and in need of oral hygiene instructions. Overall patients' showed good level of awareness, however, they were not compliant in behavior.
Although patients showed a good level of awareness towards oral hygiene practices, there was a lack of compliance in following them. Patients were more concerned for being affected by dental caries due to poor oral hygiene than its effect on overall treatment outcome.
正畸治疗需要良好的口腔卫生才能成功完成治疗。按照常规，患者在开始治疗时通常会接受口腔卫生和饮食方面的指导，但这些指导并不完全被遵守。为了提高患者的依从性，已经采用了各种方法，包括数字手段，但在患者护理负担重且资源有限的教学医院中，这些方法并不适用。本研究旨在将患者报告的行为与其临床发现和治疗需求相关联。这将使我们能够确定潜在的激励来源，并将其纳入日常实践中，从而改进提高患者行为的方法。
2023 年 8 月至 10 月，在一家半政府教学医院的正畸科进行了一项横断面研究，使用了改良后的问卷。临床检查使用改良的社区牙周指数治疗需要指数-C（CPITN-C）探针进行。使用社区牙周指数治疗需要（CPITN）和牙龈出血指数（BI）对现有临床状况和治疗需要的诊断。收集的数据进行了频率分析，并使用 Spearman 相关系数进行了相关性分析。P 值≤0.05 被认为具有统计学意义。
样本量包括 110 名患者，其中 60%有资格接受治疗。主要年龄组为 15-20 岁（39.1%）。大约 70%的患者 CPITN 和 GI 为 1 级，需要接受口腔卫生指导。总体而言，患者对口腔卫生实践有较好的认识，但在行为上并不遵守。
尽管患者对口腔卫生实践表现出较好的认识水平，但在遵守方面存在不足。患者更关心由于口腔卫生不良而导致龋齿的影响，而不是其对整体治疗结果的影响。
