CHANGES IN GINGIVAL HEALTH WITH DIFFERENT ORAL HYGIENE PROTOCOLS IN ADULT PATIENTS WITH FIXED ORTHODONTIC APPLIANCE: A RANDOMIZED CLINICAL TRIAL

Document Type : Original Article

Authors

1 Department of Orthodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt

2 Professor, Department of Orthodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt.

3 Lecturer, Department of Orthodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt.

Abstract

Aim: This study aimed to evaluate the impact of three distinct oral hygiene protocols on the gingival health of adult patients undergoing treatment with fixed orthodontic appliances
Materials and methods: A total of 27 participants who met the eligibility requirements were randomly assigned to three distinct groups, i.e., Group I (conventional soft toothbrushing using fluoridated toothpaste), Group II (Conventional soft toothbrushing in addition to interdental brushes) and Group III (Conventional soft toothbrushing in addition to interdental brushes and chlorhexidine mouthwash). Gingival index (GI) was determined by gingival color and bleeding on probing with score 0-3. Score 0, when gingiva has natural coral pink color, 1 indicates mild inflammation, 2 indicates moderate inflammation and 3 indicates severe inflammation. The baseline data of the gingival index were recorded on the day of bonding (T0) and one month later (T1). Comparison of gingival index percentage change between the three groups were calculated.
Results: T1 vs. T0: The three various oral hygiene protocols exhibited no significant changes, either within the groups or across different groups.
Conclusion: There is no privilege for using either interdental brushes only or combined with chlorhexidine mouthwash over the conventional manual toothbrushing regarding the gingival health in patients with fixed orthodontic appliance.

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Advanced Dental Journal
Volume 7, Issue 3
July 2025
Pages 563-576

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