Musa Hamsah, Pașca Ioana Georgiana, Popa Malina, Bălean Octavia, Dumitrescu Ramona, Roșianu Ruxadra Sava, Gălușcan Atena, Oancea Roxana
Doctoral School, Faculty of Dental Medicine, "Victor Babes" University of Medicine and Pharmacy Timisoara, Revolutiei Boulevard 9, 300041 Timisoara, Romania.
Department of Pediatric Dentistry, Faculty of Dental Medicine, "Victor Babes" University of Medicine and Pharmacy Timisoara, Revolutiei Boulevard 9, 300041 Timisoara, Romania.
Medicina (Kaunas). 2025 Apr 28;61(5):815. doi: 10.3390/medicina61050815.
: Halitosis is common among orthodontic patients, potentially exacerbated by plaque retention around brackets. It was hypothesized that patients using sonic toothbrushes would report lower halitosis impact scores compared to those using traditional or rotative toothbrushes. This study aimed to compare the Halitosis-Associated Life Quality Test (HALT) and Short Form (SF-36) domains among different toothbrush users and to evaluate mouthwash subgroups and "during" vs. "after" appliance removal. : Based on a power calculation (effect size f = 0.30, α = 0.05, 1 - β = 0.80), 174 patients were required. A total of 174 orthodontic patients (57 traditional, 64 rotative, and 53 sonic; mean age 18.0 ± 1.5 years) completed the Halitosis-Associated Life Quality Test (HALT), SF-36, and organoleptic assessments. : Sonic toothbrush users reported significantly lower HALT scores (34.8 ± 5.8) vs. rotative (38.1 ± 6.0) and traditional (42.7 ± 6.2) toothbrush users. Spearman's correlation (r = -0.49 to +0.54) demonstrated that sonic brushing had a moderate negative relationship with halitosis scores, indicating lower malodor for this technique. Patients using chlorhexidine-based mouthwash had the most favorable HALT (34.3 ± 5.7) and organoleptic (1.5 ± 0.4) scores. Those who completed orthodontic treatment showed better outcomes than active treatment patients. : Optimized plaque control with sonic brushing and chlorhexidine-based mouthwash correlates with reduced halitosis and improved quality of life during orthodontic treatment.
口臭在正畸患者中很常见，托槽周围的牙菌斑堆积可能会加重口臭。据推测，与使用传统牙刷或旋转式牙刷的患者相比，使用声波牙刷的患者报告的口臭影响得分更低。本研究旨在比较不同牙刷使用者的口臭相关生活质量测试（HALT）和简短健康调查问卷（SF - 36）领域，并评估漱口水亚组以及矫治器拆除“期间”与“之后”的情况。：根据功效计算（效应量f = 0.30，α = 0.05，1 - β = 0.80），需要174名患者。共有174名正畸患者（57名使用传统牙刷，64名使用旋转式牙刷，53名使用声波牙刷；平均年龄18.0 ± 1.5岁）完成了口臭相关生活质量测试（HALT）、SF - 36和感官评估。：与旋转式牙刷使用者（38.1 ± 6.0）和传统牙刷使用者（42.7 ± 6.2）相比，声波牙刷使用者报告的HALT得分显著更低（34.8 ± 5.8）。Spearman相关性分析（r = -0.49至+0.54）表明，声波刷牙与口臭得分呈中度负相关，表明该技术产生的口臭较少。使用氯己定漱口水的患者的HALT得分（34.3 ± 5.7）和感官得分（1.5 ± 0.4）最为理想。完成正畸治疗的患者比正在接受正畸治疗的患者效果更好。：通过声波刷牙和氯己定漱口水进行优化的牙菌斑控制与正畸治疗期间口臭减轻和生活质量改善相关。
