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Home Association between clinical and salivary microbial parameters during orthodontic treatment with removable...

Association between clinical and salivary microbial parameters during orthodontic treatment with removable appliances with or without use of fluoride mouth rinse

Authors:

  • Z. Zingler
    University Clinic Heidelberg, Department of Orthodontics, Heidelberg, Germany
  • M. Pritsch
    Department of Internal Medicine V, University Clinic Heidelberg, Heidelberg, Germany
  • C. J. Lux
    Head of the Department of Orthodontics, University Clinic Heidelberg, Heidelberg, Germany
  • S. Kneist
    Clinic for Prosthetic Dentistry and Dental Materials, Head of the Biological Laboratory, Hospital Jena, Germany

ABSTRACT


Aim

To evaluate the correlation between clinical and salivary microbial parameters during treatment with removable
orthodontic appliances with or without use of fluoride mouth rinse.

Methods

A group of 48 patients completed this
randomized, controlled, parallel-group, clinical pilot study. 24 patients of the test group (TG) rinsed after tooth brushing with a fluoride
mouth rinse (100 ppm AmF/150 ppm NaF) while 21 patients of the control group (CG) did not. Clinical parameters [Approximal Plaque
Index (API), Papillary Bleeding Index (PBI)] as well as levels of salivary mutans streptococci (MS) and lactobacilli (LB) were assessed at
baseline and after 3, 6, 9 and 12 months. Compliance was documented by participants. Appliance wear-times were estimated
retrospectively by the patients. All participants received the same brushing instructions and were supplied with the same
toothbrush/toothpaste.

Results

A significant correlation of API values with MS levels (p0.0003) or with LB levels
(p0.001) was observed. Furthermore, appliance wear-times were significantly associated with API values (p0.02). The
changes of MS or LB levels between beginning and end of the study did not differ significantly between study groups. The changes of
the API scores showed slightly different median values (-3.5 in the TG vs. 0 in the CG), the difference, however, was not significant.
CONCLUSIONS: The results emphasise the need for a careful monitoring of the oral hygiene status in patients with removable
orthodontic appliances. Larger controlled clinical trials are necessary to investigate treatment options such as use of supplementary
fluoride mouth rinse.

PLUMX METRICS

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Publication date:

Sep /2016

Keywords:

appliance wear times, clinical study, fluoride mouth rinse, removable orthodontic appliances, salivary mutans streptococci and lactobacilli.

Issue:

Vol.17 – n.3/2016

Page:

181 – 187

Publisher:

Ariesdue

Cite:


Harvard: Z. Zingler, M. Pritsch, C. J. Lux, S. Kneist (2016) "Association between clinical and salivary microbial parameters during orthodontic treatment with removable appliances with or without use of fluoride mouth rinse", European Journal of Paediatric Dentistry, 17(3), pp181-187. doi: https://www.ejpd.eu/wp-content/uploads/pdf/EJPD_2016_3_2.pdf
Vancouver: Z. Zingler, M. Pritsch, C. J. Lux, S. Kneist. Association between clinical and salivary microbial parameters during orthodontic treatment with removable appliances with or without use of fluoride mouth rinse. European Journal of Paediatric Dentistry [Internet]. 2016Sep.1 [cited 2025May.24];17(3):181-187. Available from: https://www.ejpd.eu/abstract-pubmed/association-between-clinical-and-salivary-microbial-parameters-during-orthodontic-treatment-with-removable-appliances-with-or-without-use-of-fluoride-mouth-rinse/
MLA: Z. Zingler, M. Pritsch, C. J. Lux, S. Kneist Association between clinical and salivary microbial parameters during orthodontic treatment with removable appliances with or without use of fluoride mouth rinse. European Journal of Paediatric Dentistry. 2016;17(3):181-187

Copyright (c) 2021 Ariesdue

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
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