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ARTICLE
Year : 2006  |  Volume : 4  |  Issue : 7  |  Page : 70-76

Clinical efficacy of regular versus orthodontic tooth brush in fixed orthodontic tooth brush in fixed orthodontic appliance patients, assessed with bacterial culture changes - a short randomized controlled clinical trial (3 Month Study)



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Prevention of periodontal problem and decalcification during orthodontic treatment demands oral hygiene maintenance and use of special toothbrushes. The study was conducted in the department of orthodontics and dentofacial orthopedics, MCODS Manipal to determine the efficacy of orthodontic versus the regular tooth brush in fixed orthodontic appliance patients. Plaque samples, oral hygiene samples, and bonded bracket index were recorded at pretreatment, after 24 hours of banding and bonding and 3 months in treatment. The plaque was cultured on Mitis salivarius agar and lactobacillus agar. The results and observations of the study showed that both the orthodontic and regular tooth brush were equally effective in maintaining the oral hygiene and in controlling the levels of Streptococcus mutans and Lactobacillus acidophilus in orthodontic patients. Orthodontic tooth brush showed more fraying and wear compared to the regular tooth brush. The patient's motivation as well as compliance was the main factor, which determines the outcome of orthodontic treatment, including the maintenance of oral hygiene.


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