scholarly journals Supplemental vibrational force does not reduce pain experience during initial alignment with fixed orthodontic appliances: a multicenter randomized clinical trial

2015 ◽  
Vol 5 (1) ◽  
Author(s):  
Neil R. Woodhouse ◽  
Andrew T. DiBiase ◽  
Spyridon N. Papageorgiou ◽  
Nicola Johnson ◽  
Carmel Slipper ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Orthodontic Appliances ◽  
Initial Alignment ◽  
Pain Experience ◽  
Fixed Orthodontic Appliances

scholarly journals Impact of Mouthwashes on Antibacterial Activity of Subjects with Fixed Orthodontic Appliances: A Randomized Clinical Trial

2017 ◽  
Vol 18 (12) ◽  
pp. 1112-1116
Author(s):  
A Nishad ◽  
NS Sreesan ◽  
Joseph Joy ◽  
Lakshmi Lakshmanan ◽  
Joyce Thomas ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Antibacterial Activity ◽  
Randomized Clinical Trial ◽  
Control Group ◽  
Orthodontic Appliances ◽  
Group I ◽  
Fixed Orthodontic Appliances ◽  
Significant Difference ◽  
The Impact ◽  
Experimental Group

ABSTRACT Aim The study aimed to assess the impact of mouthwashes on antibacterial activity of individuals with fixed orthodontic appliances. Materials and methods A total of 60 individuals were considered in the study. Sixty (20 each group) nonextraction class I individuals were randomly divided into experimental and control groups. Group I: Experimental group [chlorhexidine (CHX) mouthwash], group II: Experimental group (neem mouthwash), group III: Control group (distilled water). All the clinical examinations were done at baseline and 30th day respectively, after the start of orthodontic treatment. The mean differences between the different experimental groups were calculated using one-way analysis of variance (ANOVA) test. Results There was no statistical significance at baseline mean plaque index (PI), gingival index (GI) scores, and Streptococcus mutans (SM) colony count between groups. The PI and GI scores among CHX and neem mouthwash groups (p = 0.002, p = 0.032 respectively) were significantly reduced after intervention and also the SM colonies count was reduced in CHX and neem mouthwash groups and there was significant difference between the groups. Conclusion As both mouthwashes showed significant effectiveness on antibacterial activity in individuals with fixed orthodontic appliances, neem mouthwash can be used as an alternative to CHX. Clinical significance It is better to have a sound knowledge regarding the use of mouthwash in long term as fixed orthodontics are associated with accumulation of SM, enamel demineralization, and an increased number of carious lesions, predominantly in sites adjacent to bracket. How to cite this article Nishad A, Sreesan NS, Joy J, Lakshmanan L, Thomas J, Anjali VA. Impact of Mouthwashes on Antibacterial Activity of Subjects with Fixed Orthodontic Appliances: A Randomized Clinical Trial. J Contemp Dent Pract 2017;18(12):1112-1116.

scholarly journals Comparison of self-ligating Damon3 and conventional MBT brackets regarding alignment efficiency and pain experience: A randomized clinical trial

2019 ◽  
Vol 13 (4) ◽  
pp. 281-288
Author(s):  
Arezoo Jahanbin ◽  
Nadia Hasanzadeh ◽  
Sara Khaki ◽  
Hooman Shafaee
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Frictional Resistance ◽  
Initial Alignment ◽  
Analog Scale ◽  
Pain Experience ◽  
Irregularity Index ◽  
Conventional Brackets ◽  
Monthly Visit ◽  
Extraction Treatment

Background. Self-ligating brackets might be more efficient than conventional appliance systems during the initial alignment stage of orthodontic treatment due to reduced frictional resistance. This study aimed to compare the alignment efficiency and pain experience of Damon3 self-ligating and MBT pre-adjusted brackets in the initial alignment stage. Methods. In this randomized clinical trial, 30 patients aged 14‒20 years, who needed non-extraction treatment in both maxillary and mandibular arches, were randomly assigned to two groups; 15 patients were treated with MBT pre-adjusted brackets, and 15 patients received Damon3 self-ligating brackets, both with 0.022-in slots. Alginate impressions were taken at the start of treatment (T0) and four monthly visits (T1, T2, T3, and T4). Little’s irregularity index (LII) was used to assess the tooth displacements. The patients rated their pain experience immediately after the insertion of the archwire, 4 hours, 24 hours, 3 days, 7 days, and at each monthly visit using a visual analog scale (VAS). Results. The rate of upper dental alignment between T0 and T4 was significantly higher with the Damon3 compared to MBT brackets (P=0.015). Although significantly more changes in the lower LII scores were observed during the first three months with the Damon3 system, the rate of improvement in the irregularity of lower teeth over the 4-month period was not significantly different between the two groups (P=0.50). The patients’ pain experience was not significantly different between the bracket groups (P=0.29). Conclusion. During the four-month alignment stage, significantly more improvement in the upper dental irregularity was observed with self-ligating compared to conventional brackets. The bracket type had no effect on pain experience during the alignment stage.

Clinical efficacy of an Aloe Vera gel versus a 0.12% chlorhexidine gel in preventing traumatic ulcers in patients with fixed orthodontic appliances: a double-blind randomized clinical trial

Odontology ◽  
2019 ◽  
Vol 108 (3) ◽  
pp. 470-478 ◽  
Author(s):  
Cristina Leiva-Cala ◽  
Alejandro Ismael Lorenzo-Pouso ◽  
Belén Centenera-Centenera ◽  
Juan López-Palafox ◽  
Pilar Gándara-Vila ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Clinical Efficacy ◽  
Aloe Vera ◽  
Orthodontic Appliances ◽  
Double Blind ◽  
Aloe Vera Gel ◽  
Fixed Orthodontic Appliances ◽  
Chlorhexidine Gel

scholarly journals Orthodontic patients’ oral hygiene compliance by utilizing a smartphone application (Brush DJ): a randomized clinical trial

BDJ Open ◽  
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Homa Farhadifard ◽  
Sepideh Soheilifar ◽  
Maryam Farhadian ◽  
Hadi Kokabi ◽  
Anahita Bakhshaei
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Oral Hygiene ◽  
Intervention Group ◽  
Smartphone App ◽  
Orthodontic Appliances ◽  
Fixed Orthodontic Appliances ◽  
Orthodontic Patients ◽  
Hygiene Compliance ◽  
Oral Hygiene Instruction

AbstractConsidering the widespread use of smartphones and their applications (apps), as well as the undeniable role of reminders and apps in behavioral interventions, this study aimed to assess the efficacy of a smartphone app (Brush DJ) for oral hygiene compliance of patients with fixed orthodontic appliances. In this randomized clinical trial, 120 patients between 15 to 25 years who had just started fixed orthodontic treatment were randomly divided into two groups (n = 60). Control patients received conventional oral hygiene instruction, while patients in the intervention group were asked to use the Brush DJ smartphone app, after receiving conventional oral hygiene instruction. The plaque index (PI) and gingival index (GI) were measured at baseline (T0), and at 4 weeks (T1), 8 weeks (T2) and 12 weeks (T3) after the onset of study. A questionnaire was given to all patients to assess the frequency and duration of tooth brushing per day, and the frequency of app usage and reminder noticing in the intervention group. Improvements in PI and GI were noted in the intervention group; while these parameters increased in the control group. Significant differences were noted in PI and GI changes between the two groups (p < 0.001). Brushing frequency and duration were positively correlated with app usage during the follow-up period. Ultimately, we believe that smartphone apps, as motivators and reminders, can greatly help in improving the orthodontic patients’ oral hygiene compliance, especially in adolescents

scholarly journals A clinical comparison of three aligning archwires in terms of alignment efficiency: A prospective clinical trial

2014 ◽  
Vol 85 (3) ◽  
pp. 434-439 ◽  
Author(s):  
Reem Sh. Abdelrahman ◽  
Kazem S. Al-Nimri ◽  
Emad F. Al Maaitah
Keyword(s):  
Nonparametric Test ◽  
Rate Of Change ◽  
Orthodontic Appliances ◽  
Initial Alignment ◽  
Chi Square ◽  
Fixed Appliance ◽  
Irregularity Index ◽  
Fixed Orthodontic Appliances ◽  
Wilks Lambda ◽  
The Difference

ABSTRACT Objectives:  To clinically evaluate the effectiveness of three orthodontic aligning archwires in relation to tooth alignment speed during the initial alignment stage of treatment. Materials and Methods:  A consecutive sample of 74 patients requiring lower only or upper and lower fixed orthodontic appliances were randomly allocated into three different archwires (0.014-inch superelastic nickel-titanium [NiTi], 0.014-inch thermoelastic NiTi, or 0.014-inch conventional NiTi). Good quality impressions were taken of the lower arch before archwire placement (T0) and at designated serial stages of alignment (every 2 weeks: T2, T4, T6, …, T16). The change in tooth alignment was measured in millimeters from the resultant casts using Little's irregularity index. Demographic and clinical differences among the three groups were compared with the chi-square or analysis of variance (ANOVA) test. The difference in the change of lower anterior tooth alignment over time among the three groups was explored with a Split Plot ANOVA (SPANOVA, or within- and between-groups ANOVA). The Kruskal-Wallis nonparametric test was used when data were not normally distributed. Results:  The SPANOVA and Wilks Lambda Multivariate test confirmed that the wire type had no influence on the rate of change in alignment (P  =  .98). Conclusion:  The three forms of NiTi wires were similar in terms of their alignment efficiency during the initial aligning stage of orthodontic fixed appliance therapy.

scholarly journals A prospective randomized split-mouth study on pain experience during chairside archwire manipulation in self-ligating and conventional brackets

2012 ◽  
Vol 83 (2) ◽  
pp. 292-297 ◽  
Author(s):  
Michael H. Bertl ◽  
Kanji Onodera ◽  
Aleš G. Čelar
Keyword(s):  
Treatment Satisfaction ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Nickel Titanium ◽  
Orthodontic Appliances ◽  
Pain Experience ◽  
Fixed Orthodontic Appliances ◽  
Conventional Brackets ◽  
Engagement And Disengagement ◽  
Numeric Rating

ABSTRACT Objective: To investigate patient discomfort during archwire engagement and disengagement in patients treated with self-ligating and conventional brackets using a split-mouth design. Materials and Methods: Eighteen consecutive patients (15 female, 3 male; age: 22.2 ± 6.4 years) who requested treatment with fixed orthodontic appliances were randomly assigned for bonding with SmartClip self-ligating brackets on one side of the dentition and conventional standard edgewise brackets on the other. During the course of treatment, patients rated the discomfort experienced during every archwire engagement and disengagement using a numeric rating scale. Results were evaluated for round and rectangular nickel titanium and rectangular stainless steel, titanium molybdenum, and Elgiloy archwires. Patients also rated their overall experience retrospectively for both bracket systems. Results: Regardless of archwire type, disengagement was rated as being significantly more painful on the SmartClip side (P  =  .027). For rigid, rectangular archwires, engagement and disengagement were rated as being significantly more painful on the SmartClip side (P  =  .031; P  =  .004). Retrospective ratings favored conventional brackets beyond ratings recorded during treatment. Conclusion: Engagement and disengagement of rigid rectangular archwires caused more pain with SmartClip self-ligating brackets than with conventional ones. Careful archwire manipulation and patience during full alignment are essential for limiting chairside pain. Low pain levels will help ensure treatment satisfaction and compliance.

Sign in / Sign up

Export Citation Format

Share Document