The Effects of Different Tooth Brushing Explanations in Fixed Orthodontic Treatment

NCT06436664 | Completed

• 1 other identifier: 2024/01-04
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to investigate the effects of tooth brushing training methods on orthodontic patients and to determine the most effective oral hygiene methods for individuals receiving orthodontic treatment.

Conditions

Orthodontic Treatment; Dental Plaque Induced Gingival Disease

Keywords

tooth brushing; fixed orthodontic treatment; microbial dental plaque

Outcome Measures

Primary Outcomes (2)

• The Turesky modified index

  The Turesky modified index, plaque on the buccal and lingual surfaces of all teeth. TMQHI scores were recorded as follows: 0, no dental plaque present, 1. isolated areas of dental plaque, 2. A thin dental plaque tape of ≤1 mm, 3. dental plaque covered up to 1/3 of the tooth surface, 4. dental plaque covered between 1/3 and 2/3 of the tooth surface, 5. dental plaque covers ≥2/3 of the tooth surface.

  Baseline, 1st month, 3rd month

• Orthodontic plaque index

  Score 0: No plaque accumulation Score 1: There is plaque accumulation covering one side of the bracket base Score 2: There is plaque accumulation covering two sides of the bracket base Score 3: There is plaque accumulation covering three sides of the bracket base Score 4: There is plaque accumulation covering all four sides of the bracket base. and/or the presence of gingival inflammation

  Baseline, 1st month, 3rd month

Secondary Outcomes (1)

• Gingival Index

  Baseline, 1st month, 3rd month

Study Arms (4)

Control group

OTHER

In patients receiving fixed orthodontic treatment, the orthodontic plaque index, Turesky modified index and gingival index will be recorded at the beginning, 1st and 3rd months. No special instructions will be given to these patients regarding the tooth brushing process.

Other: Tooth brushing

Group 1

EXPERIMENTAL

Patients will receive a standard brochure and oral presentation on tooth brushing in the Group 1. The orthodontic plaque index, Turesky modified index and gingival index will be recorded at the beginning, 1st and 3rd months. These patients will receive a standardized brochure for tooth brushing.

Other: Tooth brushing

Group 2

EXPERIMENTAL

Patients will receive a standard tooth brushing on a dental model in the Group 2. The orthodontic plaque index, Turesky modified index and gingival index will be recorded at the beginning, 1st and 3rd months.

Other: Tooth brushing

Group 3

EXPERIMENTAL

In patients undergoing fixed orthodontic treatment, the orthodontic plaque index, Turesky modified index and gingival index will be recorded at the beginning, 1st and 3rd months. Patients will be taught standard tooth brushing with a video in Group 3.

Other: Tooth brushing

Interventions

Tooth brushing OTHER

Firstly, the toothbrush must be positioned at a 45° angle to the gingival margin. Secondly, the brush should be moved back and forth in small horizontal jerks. Thirdly, with a vertical movement, the brush should be moved in the occlusal direction, i.e. upwards in the lower jaw and downwards in the upper jaw to remove debris.

Control group; Group 1; Group 2; Group 3

Eligibility Criteria

• Age: 14 Years - 20 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• The patient with orthodontic attachments at least 4 months
• with permanent dentition

You may not qualify if:

• impacted or atypically erupted teeth
• with prosthetic restorations such as crowns or implants
• open bite
• deep bite
• crowding more than 7 mm or polydiastema cases
• Individuals diagnosed with periodontitis
• ndividuals with cleft lip and palate or other craniofacial anomalies

Sponsors & Collaborators

• Yuzuncu Yil University: lead

Study Sites (1)

Yasemin TUNCA

Van, 65080, Turkey (Türkiye)

Location

Related Publications (3)

• Cozzani M, Ragazzini G, Delucchi A, Mutinelli S, Barreca C, Rinchuse DJ, Servetto R, Piras V. Oral hygiene compliance in orthodontic patients: a randomized controlled study on the effects of a post-treatment communication. Prog Orthod. 2016 Dec;17(1):41. doi: 10.1186/s40510-016-0154-9. Epub 2016 Dec 19.

  PMID: 27891568 RESULT

• Renton-Harper P, Addy M, Newcombe RG. Video instruction to establish a panel of experts to compare tooth cleaning by 4 electric toothbrushes. J Clin Periodontol. 2001 Oct;28(10):917-22. doi: 10.1034/j.1600-051x.2001.028010917.x.

  PMID: 11686809 RESULT

• Diamanti-Kipioti A, Gusberti FA, Lang NP. Clinical and microbiological effects of fixed orthodontic appliances. J Clin Periodontol. 1987 Jul;14(6):326-33. doi: 10.1111/j.1600-051x.1987.tb00979.x.

  PMID: 3509967 RESULT

MeSH Terms

Interventions

Toothbrushing

Intervention Hierarchy (Ancestors)

Oral Hygiene; Preventive Dentistry; Dentistry

Study Officials

• Yasemin TUNCA, PhD

  Yuzuncu Yil University

  PRINCIPAL INVESTIGATOR

• Dicle ALTINDAL, DDS

  Yuzuncu Yil University

  STUDY DIRECTOR

• Nihal FAHRZADEH, PhD

  Yuzuncu Yil University

  STUDY CHAIR

• Murat Tunca, PhD

  Yuzuncu Yil University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD, DDS, Assistant Professor

Study Record Dates

• First Submitted: May 24, 2024
• First Posted: May 31, 2024
• Study Start: January 15, 2024
• Primary Completion: March 4, 2024
• Study Completion: July 15, 2024
• Last Updated: July 31, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)