Toothpaste and mouthwash impact on orthodontic

The effect of orthokin toothpaste and mouthwash on periodontal characteristics of patients undergoing fixed orthodontic treatment

One of the concerns of patients and dentists following orthodontic treatments is the increasing incidence of dental caries and periodontal diseases. Orthodontic appliances have always been considered a deterrent to oral health and gum health and are an obstacle to microbial plaque removal. According to clinical research, microbial plaque is known to be the first etiologic agent in gingivitis, and poor oral hygiene may result in plaque build-up around the brackets and brackets and simultaneously alter microbial oral flora and eventually cause gingival and periodontal disease.

Gum disease continues from a simple redness and swelling of the gums until bleeding, gingival enlargement, the formation of periodontal pouches, and eventually destruction of the supporting bone tissue. Today, the link between periodontal discomfort with preterm birth, cardiovascular disease and diabetes has been established, so effective removal of dental plaque is essential to maintain oral and dental health.

At present, the most common method of controlling plaque in the developed countries is the use of mechanical tools, especially the use of toothpaste with toothpaste. Of course, the effective role of the chemical along with the mechanical means has been proven and chlorhexidine gluconate is the best antiseptic to combat biofilm in the gingival segments.

There has been a great deal of research on the effects of different toothbrushes and the role of chlorhexidine-containing products in patients with fixed orthodontics, but to date, the effects of toothpaste and toothpaste and chlorhexidine-containing toothpaste have not been evaluated concurrently. Due to the increasing need for orthodontic treatments and treatments resulting from untreated or untreated treatments, we decided to evaluate the effect of using both types of oral and mechanical hygiene tools on plaque reduction and periodontal markers. Examine the patients referred to the orthodontics department of Islamic Azad University Dental School.

The positive effect of chlorhexidine on periodontal indices has been proven in many studies, but the ability to create this dye has prevented its long-term use, so in addition to investigating the effect of low concentration chlorhexidine on periodontal indices, the amount of grain color created Patients have also been evaluated in patients undergoing fixed orthodontic treatment.

materials and methods

This study was performed by cross-over method in single blind randomized clinical trial in 4 patients (2-5 years old) referred to orthodontics department of Dental School of Islamic Azad University of Tehran. The way of conducting the research was that at the beginning of the research the executor was trained by the relevant expert in terms of ability to measure and evaluate the desired indicators and after several training sessions was confirmed by the evaluation performed by the relevant expert. Then, according to the following conditions, 5 patients were considered.

Inclusion criteria included:

People are systemically healthy and do not take any particular medication.
Acceptable co-operation (based on patient, patient, and physician referrals)
Periodontal health is mild in gingivitis and their envelope depth is less than 2, with no attachment loss and no oral ulcers and lesions.
Do not have dental caries.
Do not smoke.
Don’t be pregnant.
At least in each quadrant, have fully erectable and assessable teeth (without crowns and bridges).
At least 6 months have elapsed since the start of orthodontic treatment.
Patients undergo Non Ext orthodontic treatment.
How to fasten the wire to the brackets in them is Ooring.
The band used for gluing brackets is of the light type.
The bracket should not be near the gingival margin.

The bracket mounting condition is acceptable in terms of their bonding strength.

They have not used mouthwash for the past month.

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