Clinical and Salivary Findings in Patients with Different Types of Orthodontic Brackets

Aim: Data regarding different types of orthodontic brackets and ligation and various clinical and salivary findings are scarce. Therefore, the aim of this study was to compare clinical and salivary findings in patients with different types of fixed orthodontic appliances. Subjects and methods: Decay...

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Main Authors: Antonija Jurela, Karlo Sudarević, Ana Budimir, Vlaho Brailo, Božana Lončar Brzak, Bernard Janković
Format: Article
Language:English
Published: University of Zagreb. School of Dental Medicine 2019-01-01
Series:Acta Stomatologica Croatica
Subjects:
Online Access:https://hrcak.srce.hr/file/328860
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author Antonija Jurela
Karlo Sudarević
Ana Budimir
Vlaho Brailo
Božana Lončar Brzak
Bernard Janković
author_facet Antonija Jurela
Karlo Sudarević
Ana Budimir
Vlaho Brailo
Božana Lončar Brzak
Bernard Janković
author_sort Antonija Jurela
collection DOAJ
description Aim: Data regarding different types of orthodontic brackets and ligation and various clinical and salivary findings are scarce. Therefore, the aim of this study was to compare clinical and salivary findings in patients with different types of fixed orthodontic appliances. Subjects and methods: Decayed, missing and filled teeth index (DMFT) and plaque index, salivary flow rate, salivary pH and prevalence of white spot lesions were determined in 83 patients with different types of orthodontic brackets and ligation (metal passive self-ligating brackets, conventional metal brackets, mono-crystal brackets and polycrystalline active self-ligating brackets), before and six months after the beginning of fixed orthodontic treatment. The patients were recruited in a private dental office, in the period of two years. The group comprised 83 patients (mean age: 15.14 ± 1.66 years), including 52 women (mean age: 15.08 ± 1.68) and 31 men (15.24 ± 1.64). Statistical analysis was performed by use of dependent and independent samples t-test as well as one way ANOVA, Wilcoxon signed rank test and the Kruskal Wallis test. P-values below 0.05 (p<0.05) were considered significant. Results: DMFT and salivary flow have shown a significant increase, while salivary pH has shown a significant decrease in the observed time interval, in all patients irrespective of type of brackets and ligation. Among patients with different bracket material, no significant differences were found in any of the observed parameters. Conclusion: Although salivary flow rate is increased in patients with fixed orthodontic appliances which can have caries-protective effect, DMFT also increases and salivary pH decreases six months after the beginning of the treatment independently of bracket material or ligation type. All patients should receive instructions for precise oral hygiene and dietary habits before the beginning of fixed orthodontic therapy and at every dental check-up.
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spelling doaj.art-901b139a8014444d90fc501f1ccb372a2024-04-15T15:45:36ZengUniversity of Zagreb. School of Dental MedicineActa Stomatologica Croatica0001-70191846-04102019-01-0153322423010.15644/asc53/3/4Clinical and Salivary Findings in Patients with Different Types of Orthodontic BracketsAntonija Jurela0Karlo Sudarević1Ana Budimir2Vlaho Brailo3Božana Lončar Brzak4Bernard Janković5Private dental practice, Zagreb, CroatiaPrivate dental practice, Zagreb, CroatiaDepartment of Clinical and Molecular Microbiology, University Hospital Centre Zagreb, School of Medicine University of Zagreb, Zagreb, CroatiaDepartment of Oral Medicine, School of Dental Medicine, University of Zagreb, Zagreb, CroatiaDepartment of Oral Medicine, School of Dental Medicine, University of Zagreb, Zagreb, CroatiaDepartment of Restorative Dentistry, School of Dental Medicine, University of Zagreb, Zagreb, CroatiaAim: Data regarding different types of orthodontic brackets and ligation and various clinical and salivary findings are scarce. Therefore, the aim of this study was to compare clinical and salivary findings in patients with different types of fixed orthodontic appliances. Subjects and methods: Decayed, missing and filled teeth index (DMFT) and plaque index, salivary flow rate, salivary pH and prevalence of white spot lesions were determined in 83 patients with different types of orthodontic brackets and ligation (metal passive self-ligating brackets, conventional metal brackets, mono-crystal brackets and polycrystalline active self-ligating brackets), before and six months after the beginning of fixed orthodontic treatment. The patients were recruited in a private dental office, in the period of two years. The group comprised 83 patients (mean age: 15.14 ± 1.66 years), including 52 women (mean age: 15.08 ± 1.68) and 31 men (15.24 ± 1.64). Statistical analysis was performed by use of dependent and independent samples t-test as well as one way ANOVA, Wilcoxon signed rank test and the Kruskal Wallis test. P-values below 0.05 (p<0.05) were considered significant. Results: DMFT and salivary flow have shown a significant increase, while salivary pH has shown a significant decrease in the observed time interval, in all patients irrespective of type of brackets and ligation. Among patients with different bracket material, no significant differences were found in any of the observed parameters. Conclusion: Although salivary flow rate is increased in patients with fixed orthodontic appliances which can have caries-protective effect, DMFT also increases and salivary pH decreases six months after the beginning of the treatment independently of bracket material or ligation type. All patients should receive instructions for precise oral hygiene and dietary habits before the beginning of fixed orthodontic therapy and at every dental check-up.https://hrcak.srce.hr/file/328860Orthodontic AppliancesOrthodontic BracketsSalivaHydrogen-Ion ConcentrationDMF IndexDental Plaque Index
spellingShingle Antonija Jurela
Karlo Sudarević
Ana Budimir
Vlaho Brailo
Božana Lončar Brzak
Bernard Janković
Clinical and Salivary Findings in Patients with Different Types of Orthodontic Brackets
Acta Stomatologica Croatica
Orthodontic Appliances
Orthodontic Brackets
Saliva
Hydrogen-Ion Concentration
DMF Index
Dental Plaque Index
title Clinical and Salivary Findings in Patients with Different Types of Orthodontic Brackets
title_full Clinical and Salivary Findings in Patients with Different Types of Orthodontic Brackets
title_fullStr Clinical and Salivary Findings in Patients with Different Types of Orthodontic Brackets
title_full_unstemmed Clinical and Salivary Findings in Patients with Different Types of Orthodontic Brackets
title_short Clinical and Salivary Findings in Patients with Different Types of Orthodontic Brackets
title_sort clinical and salivary findings in patients with different types of orthodontic brackets
topic Orthodontic Appliances
Orthodontic Brackets
Saliva
Hydrogen-Ion Concentration
DMF Index
Dental Plaque Index
url https://hrcak.srce.hr/file/328860
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