Reminders improve oral hygiene and adherence to appointments in orthodontic patients: a systematic review and meta-analysis

2018 ◽  
Vol 41 (2) ◽  
pp. 204-213 ◽  
Author(s):  
Hisham Mohammed ◽  
Mumen Z Rizk ◽  
Khaled Wafaie ◽  
Aman Ulhaq ◽  
Mohammed Almuzian
2021 ◽  
Vol 10 (13) ◽  
pp. 2873
Author(s):  
Cornelia Melinda Adi Santoso ◽  
Fera Ketti ◽  
Taufan Bramantoro ◽  
Judit Zsuga ◽  
Attila Nagy

Emerging evidence has linked poor oral hygiene to metabolic syndrome (MetS), but previously, no summary of evidence has been conducted on the topic. This systematic review and meta-analysis aims to evaluate the associations of oral hygiene status and care with MetS. A systematic search of the PubMed and Web of Science databases from inception to March 17, 2021, and examination of reference lists was conducted to identify eligible observational studies. A random-effects model was applied to pool the effects of oral hygiene status and care on MetS. Thirteen studies met the inclusion criteria and had sufficient methodological quality. Good oral hygiene status (OR = 0.30 (0.13–0.66); I2 = 91%), frequent tooth brushing (OR = 0.68 (0.58–0.80); I2 = 89%), and frequent interdental cleaning (OR = 0.89 (0.81–0.99); I2 = 27%) were associated with a lower risk of MetS. Only one study examined the association between dental visits and MetS (OR = 1.10 (0.77–1.55)). Our findings suggested that there might be inverse associations of oral hygiene status, tooth-brushing frequency, and interdental cleaning with MetS. However, substantial heterogeneity for tooth-brushing frequency and inconsistent results for oral hygiene status in subgroup analyses were observed. There was insufficient evidence for the association between dental visits and MetS. Further longitudinal studies are needed to investigate these associations.


2021 ◽  
Vol 15 (1) ◽  
pp. 151-159
Author(s):  
Aravinthrajkumar Govindaraj ◽  
S.P. Saravana Dinesh

Aim: The aim of this study is to critically review the studies that studied the effect of Chlorhexidine varnish and fluoride varnish on White Spot Lesion (WSL) in patients undergoing orthodontic treatment. Materials and Methods: The electronic database PubMed, The Cochrane Library, Medline, Embase, Google Scholar, Web of Knowledge along with a complimentary manual search of all orthodontic journals till the first week of December 2019 was searched. English language study performed on humans, randomized or nonrandomized clinical trials, comparing the effect of fluoride and chlorhexidine varnish on WSL was included in the review. Quality assessment of included studies was performed. Clinical Significance: The need for an adjunct oral hygiene aid to reduce the incidence and prevalence of white spot lesions in orthodontic patients is necessary. The use of these varnishes will aid in the same and thus make the adverse effects of fixed orthodontic treatment negligible. Review of Literature: Enamel demineralization is a significant risk associated with orthodontic treatment when oral hygiene is poor. Prevention of demineralization during orthodontic treatment is one of the greatest challenges faced by clinicians despite modern advances in caries prevention. The development of White Spot Lesions (WSLs) is attributed to prolonged plaque accumulation around the brackets. Results: The search identified a total of 3 studies that were included in this review. One study had Low risk of bias and the remaining 2 studies had moderate overall risk. Results showed that there was a reduction in the incidence of white spot lesions in orthodontic patients after application of chlorhexidine and Fluoride varnish. Conclusion: Low level evidence is available to conclude that the use of chlorhexidine varnishes and fluoride varnishes reduces the prevalence of white spot lesions in patients undergoing fixed orthodontic treatment. Due to its limitations, the results of this systematic review should be handled with caution and further well-planned Randomized Clinical Trial (RCT) are needed to provide a discrete conclusion.


2017 ◽  
Vol 67 (6) ◽  
pp. 332-343 ◽  
Author(s):  
Attawood Lertpimonchai ◽  
Sasivimol Rattanasiri ◽  
Sakda Arj-Ong Vallibhakara ◽  
John Attia ◽  
Ammarin Thakkinstian

2019 ◽  
Vol 46 (3) ◽  
pp. 297-309 ◽  
Author(s):  
Mirian P. Toniazzo ◽  
Daniela Nodari ◽  
Francisco Wilker Mustafa Gomes Muniz ◽  
Patricia Weidlich

2020 ◽  
Author(s):  
Sakineh Dadipoor ◽  
Mohtasham Ghaffari ◽  
Mahsa Mortazavi New ◽  
Abbas Alipour ◽  
Ali Safari-Moradabadi

Abstract Background: The objective of this study is to evaluate the effects of school based oral health interventions programs on students’ oral hygiene, in developing countries through systematic review and meta-analysis. Methods: Our investigation was conducted in electronic databases including MEDLINE Ovid), Embase Ovid, Scopus), Web of Science from 2000 to march 2018.The data were extracted based on a standard data collection form specific to observational studies, and entered into RevMan 2014. Inclusion criteria included individually randomized controlled trials (RCTs) or cluster-RCTs including quasi- experimental studies that were related to oral health interventions. Software RevMan 2014was used for meta-analysis. A meta-analysis was carried out using random-effects models. Results: Twelve studies of students in this review finally entered the study including five individual RCTs, four cluster-RCTs, and three quasi-experimental studies. The intervention study period ranged from 1 month to 9 month. Interventions described in the studies briefly included oral health education with activities such as lectures, albums, slides, pamphlets, posters, and role playing. Meta-analyses showed a significant difference in knowledge (SMD 3.31, 95% CI 2.52 to 4.11; I 2 = 98; P < 0.001), attitude (SMD 1.99, 95% CI 0. 43 to 3.54; I 2 = 99; P < 0.001), behavior (SMD 4.74, 95% CI 3.70 to 5.77; I 2 = 99; P < 0.001), plaque index (SMD -1.01, 95% CI -1.50 to -0. 51; I 2 = 97; P < 0.001) and Gingival index (SMD 0. 33, 95% CI -0. 36 to 1. 02; I 2 = 98; P = 0.34) for students receiving educational interventions compared to those receiving usual care . Discussion: The systematic review concludes that educational interventions are effective for improving oral health knowledge, attitudes, behaviors, etc., which could potentially lead to improved oral health, reduced oral diseases, and reduced costs from treating oral diseases.


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