Periodontal evaluation of different toothbrushing techniques in patients with fixed orthodontic appliances

Patricia Oehlmeyer NASSAR, Carolina Grando BOMBARDELLI, Carolina Schmitt WALKER, Karyne Vargas NEVES, Karine TONET, Rodolfo Nishimoto NISHI, Roberto BOMBONATTI, Carlos Augusto NASSAR

Introduction: Plaque control is the major consensus during orthodontic treatment to prevent the occurrence of cavities and periodontal inlammation. The mechanic resource of greater efectiveness and frequent use in this control is the oral hygiene. The tooth brushing techniques most used in orthodontic patients are: Ramjord’s method, Modiied Stillman technique and Bass method. Objective: Since control studies evaluating the efectiveness of usual tooth brushing techniques do not show clear advantage, the objective of this study was to evaluate the efectiveness of three brushing methods, through periodontal clinical parameters of patients with ixed orthodontic appliances. Methods: Thirty patients were selected, with ages between 14 and 22 years old, with ixed orthodontic appliances. Ater basic periodontal treatment the following factors were evaluated: 1 – Plaque index and 2 – Gingival index and each patient was randomly included in one of the three selected groups according to the brushing technique: Group 1 – Scrubbing technique; Group 2 – Modiied Stillman technique and Group 3 – Bass technique. Patients were evaluated for 9 months. Results: The results showed a signiicant reduction of clinical parameters by the end of this period, however there was a very signiicant reduction of Gingival index on group 3 (13.6%) when compared to the other groups. Conclusion: Thus, it can be suggested that the Bass technique can be efective on the reduction of periodontal clinical parameters of Plaque index and Gingival index in patients with ixed orthodontic appliances.

Keywords: Dental plaque. Tooth brushing. Orthodontic appliances.

How to cite: Nassar PO, Bombardelli CG, Walker CS, Neves KV, Tonet K, Nishi RN, Bombonatti R, Nassar CA. Periodontal evaluation of different toothbrushing techniques in patients with fixed orthodontic appliances. Dental Press J Orthod. 2013 Jan-Feb; 18(1):76-80.

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