Features of spatial localization of dental plaque during orthodontic treatment on braces

The aim of the study was to evaluate the features of spatial localization of dental plaque in patients with braces, depending on the type of toothbrush used. We enrolled 63 patients from 11 to 18 years old, needing orthodontic treatment on a bracket system due to the tight position of the teeth in unilateral cleft palate and lip (Q37.1 according to ICD-10) after reconstructive surgery, in combination with mesial occlusion (K07.2 according to ICD-10).

Material and methods: We evenly divided all participants into three groups depending on the type of brush used. Group 1 (n = 21) patients used an orthodontic manual toothbrush (“Professor persin,” Spazzolificio Piave S. p.A, Italy). Group 2 (n = 22) patients used an ultrasonic toothbrush (Emmi-dent, EMAG AG, Germany) and group 3 (n = 20) used an electric toothbrush (“Oral-B Pro-Expert,” Procter & Gamble, USA). To assess the level of hygiene and determine the spatial accumulation of plaque, we used the Silness & Loe index in the modification of Williams P. et al. (1991) at various stages. These included one week after professional hygiene after fixing both arcs. Then, six, and twelve months of wearing them.

Material and methods: Group I contained the most pronounced deterioration in the hygienic state of the oral cavity during orthodontic treatment using a manual brush. Predominantly, the plaque accumulated in pricesavvy region. Uneven distribution of dental plaque relative to orthodontic techniques in group 1 was found in all quadrants of the upper and lower jaw.
Conclusion: When assessing the spatial distribution of dental plaque relative to the bracket systems, it was possible to identify an additional advantage of using an ultrasonic brush. In comparison with an electric brush, we observed slight expressions in plaque accumulation on the four surfaces of the tooth., In the posterior area, plaque accumulated without pronounced deviations from the other areas of the tooth.