Effectiveness of Waterpik® for oral hygiene maintenance in orthodontic fixed appliance patients: A randomised controlled trial

被引:8
作者
Tyler, Daniel [1 ]
Kang, Jing [2 ]
Goh, Hock Hoe [3 ]
机构
[1] Univ Leeds, Leeds Dent Inst, Dept Orthodont, Worsley Bldg,Clarendon Way, Leeds LS2 9LU, England
[2] Univ Leeds, Dept Biostat, Leeds, England
[3] York Hosp, Dept Orthodont, York, England
关键词
orthodontics; fixed braces; fixed appliances; fixed orthodontics; oral hygiene; Waterpik (R); oral irrigator; water jet; cleaning; PLAQUE; REPRODUCIBILITY; RELIABILITY;
D O I
10.1177/14653125231173708
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Objective: To establish whether the use of a WaterPik (R) alongside a manual toothbrush (WaterPik (R) + MTB) is more effective for maintaining oral hygiene compared to the use of a manual toothbrush alone (MTB) in patients wearing fixed orthodontic appliances. Design: A single-centre, two-arm, parallel-group, single-blind, randomised controlled clinical trial with a 1:1 allocation ratio. Setting: Orthodontic department at York Hospital, York Teaching Hospitals NHS Foundation Trust, UK. Participants: A total of 40 fit and well participants aged 10-20 years being treated with upper and lower fixed orthodontic appliances. Methods: Participants were randomly allocated, using stratified block randomisation, to the control group (MTB) or intervention group '(Waterpik (R) + MTB)'. Plaque, gingival and interdental bleeding indices were recorded at baseline, 8 weeks, 32 weeks and 56 weeks. A generalised linear mixed model was used to assess differences between groups. Results: An interim analysis of results was performed with 40 patients recruited and 85% of data collected. The overall mean differences between the groups were as follows: plaque index = 0.199 (P = 0.88, 95% confidence interval [CI] -0.24 to 0.27); gingival index = -0.008 (P = 0.94, 95% CI -0.22 to 0.20); and interdental bleeding index = 5.60 (P = 0.563, 95% CI -13.22 to 24.42). No statistical difference between the two groups was found for any variable. The trial was stopped at this point. Conclusions: In terms of oral hygiene, our study did not find evidence to support the claim of benefit of using a Waterpik (R) in addition to a manual toothbrush for patients wearing fixed orthodontic appliances.
引用
收藏
页码:367 / 377
页数:11
相关论文
共 42 条
[1]  
Al-Teen R M A, 2006, Int J Dent Hyg, V4, P189, DOI 10.1111/j.1601-5037.2006.00208.x
[2]  
Anuwongnukroh N., 2017, DENTISTRY, V7, P10, DOI DOI 10.4172/2161-1122.1000457
[3]  
Berglund L J, 1990, J Clin Orthod, V24, P315
[4]   EXAMINER RELIABILITY FOR AN INVASIVE GINGIVAL BLEEDING INDEX [J].
BLIEDEN, TM ;
CATON, JG ;
PROSKIN, HM ;
STEIN, SH ;
WAGENER, CJ .
JOURNAL OF CLINICAL PERIODONTOLOGY, 1992, 19 (04) :262-267
[5]   Plaque control effectiveness and handling of interdental brushes during multibracket treatment-a randomized clinical trial [J].
Bock, Niko C. ;
von Bremen, Julia ;
Kraft, Miriam ;
Ruf, Sabine .
EUROPEAN JOURNAL OF ORTHODONTICS, 2010, 32 (04) :408-413
[6]   EFFECT OF PERSONAL ORAL HYGIENE ON BLEEDING INTERDENTAL GINGIVA - HISTOLOGIC-CHANGES [J].
BOUWSMA, O ;
CATON, J ;
POLSON, A ;
ESPELAND, M .
JOURNAL OF PERIODONTOLOGY, 1988, 59 (02) :80-86
[7]   ASSOCIATIONS BETWEEN BLEEDING AND VISUAL SIGNS OF INTERDENTAL GINGIVAL INFLAMMATION [J].
CATON, J ;
POLSON, A ;
BOUWSMA, O ;
BLIEDEN, T ;
FRANTZ, B ;
ESPELAND, M .
JOURNAL OF PERIODONTOLOGY, 1988, 59 (11) :722-727
[8]  
Caton J G, 1985, Compend Contin Educ Dent, V6, P90
[9]   A practice-based randomised controlled trial of the efficacy of an electric and a manual toothbrush on gingival health in patients with fixed orthodontic appliances [J].
Clerehugh, V ;
Williams, P ;
Shaw, WC ;
Worthington, HV ;
Warren, P .
JOURNAL OF DENTISTRY, 1998, 26 (08) :633-639
[10]  
Currie C., 2011, HLTH BEHAV SCH AGED