Petker-Jung Waldemar, Ruf Sabine, Bock Niko C
Department of Orthodontics, Justus-Liebig-University Giessen, Schlangenzahl 14, Giessen, 35392, Germany.
BMC Oral Health. 2025 Apr 2;25(1):472. doi: 10.1186/s12903-025-05843-4.
Accomplishing good oral hygiene represents a major challenge during multibracket appliance (MBA) treatment. In Germany, children, and adolescents between 6 and 18 years of age can attend an individual prophylaxis (IP) program free of charge twice a year. As part of this, they undergo training and receive recommendations to enhance oral hygiene. However, it remains unclear whether the general dentist feels responsible for prophylaxis during MBA treatment and how they adapt the IP sessions compared to patients without fixed appliances.
To assess how general dentists manage IP in children and adolescents undergoing MBA treatment.
A questionnaire was sent to 2744 general dental practices in the region of Hesse, Germany. Dentists were asked regarding their opinion on the responsibility for prophylaxis during MBA treatment, the oral hygiene recommendations given to those patients and how they adapt the prophylaxis sessions to special MBA needs.
The response rate was 37.0% (n = 1014). While only 8% of the respondents consider the orthodontist as primarily responsible for IP in MBA patients, the majority considers the general dentist (46%) or both, the general dentist and the orthodontist (46%) to be responsible for IP in MBA patients. The vast majority of respondents answered that compared to patients without fixed appliances, MBA patients receive different oral hygiene recommendations during IP sessions. These recommendations are mostly related to 1. a longer toothbrushing duration (> 3 min) and 2. the use of additional tools for mechanical plaque removal (interdental brushes).
The majority of respondents perceive the general dentist as having primary or shared responsibility for IP during MBA treatment and adapt oral hygiene recommendations to the special requirements. However, the large proportion of perceived shared responsibility also suggests considerable room for improvement. Furthermore, analysis showed a large range regarding oral hygiene recommendations, indicating the need for standardized clinical guidelines.
在多托槽矫治器（MBA）治疗期间，实现良好的口腔卫生是一项重大挑战。在德国，6至18岁的儿童和青少年每年可免费参加两次个人预防（IP）项目。作为该项目的一部分，他们接受培训并获得改善口腔卫生的建议。然而，尚不清楚普通牙医在MBA治疗期间是否认为自己有预防的责任，以及与没有固定矫治器的患者相比，他们如何调整IP课程。
评估普通牙医如何管理接受MBA治疗的儿童和青少年的IP。
向德国黑森州地区的2744家普通牙科诊所发送了一份问卷。询问牙医对MBA治疗期间预防责任的看法、给予这些患者的口腔卫生建议，以及他们如何根据MBA的特殊需求调整预防课程。
回复率为37.0%（n = 1014）。虽然只有8%的受访者认为正畸医生对MBA患者的IP负有主要责任，但大多数人认为普通牙医（46%）或普通牙医和正畸医生两者（46%）对MBA患者的IP负有责任。绝大多数受访者回答说，与没有固定矫治器的患者相比，MBA患者在IP课程中会收到不同的口腔卫生建议。这些建议主要涉及1. 更长的刷牙时间（> 3分钟）和2. 使用额外的机械清除牙菌斑工具（牙间隙刷）。
大多数受访者认为普通牙医在MBA治疗期间对IP负有主要或共同责任，并根据特殊要求调整口腔卫生建议。然而，很大比例的共同责任认知也表明有很大的改进空间。此外，分析显示口腔卫生建议的范围很广，表明需要标准化的临床指南。
