Volume 7, Issue 1 (3-2018)                   3dj 2018, 7(1): 13-22 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Afsari Erdchi E, Aryanian S, Ashouri Moghaddam A, Irannezhad A, Kazem Nezhad Leyli E. Comparing the Effect of Multimedia and Practical Education on the Oral Hygiene of Orthodontic Patients. 3dj 2018; 7 (1) :13-22
URL: http://3dj.gums.ac.ir/article-1-304-en.html
1- Assistant Professor, Department of Orthodontics, School of Dentistry, Anzali International Campus, Guilan University of Medical Sciences, Rasht, Iran.
2- Dentist, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran.
3- Assistant Professor, Department of Periodontics, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran.
4- Postgraduate Student, Department of Orthodontics, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran. , azin_irannezhad@yahoo.com
5- Associate Professor, Road Trauma Research Center, Department of Biostatistics, Guilan University of Medical Sciences, Rasht, Iran.
Abstract:   (2630 Views)
Introduction: Brackets and other fixed orthodontic appliances not only make tooth brushing more difficult, but also provide a suitable environment for the accumulation of plaque. To prevent this situation, dentists usually educate their patients to control the plaque formation and maintain good oral hygiene. This study aims to compare the effect of multimedia and practical education on the knowledge and practice of oral hygiene in patients with the fixed orthodontics appliances.
Materials and Methods: In this educational trial study, based on inclusion criteria, 60 patients aged 12-35 years with orthodontic brackets bonded to their upper jaw teeth for less than 6 months were consecutively selected from referrals to the specialty dental clinic of the International Branch of Guilan University of Medical Sciences. The samples were randomly divided in two groups of 30 subjects: practical education group and multimedia education group. Plaque and gingival indices and knowledge of the patients before and 2 months after the training were compared. To compare the knowledge score, gingival index and plaque index before and after the training and also to compare the changes in these variables in the two groups, t-test analysis was performed.
Results: The knowledge level, the gingival index and plaque index of both educational groups improved after education compared to before the education (P<0.001). There was no significant difference between two groups with regard to changes in the variables of knowledge level (P=0.823), plaque index (P=0.66), and gingival index (P=0.292).
Conclusion: Both educational methods improved the hygiene and the awareness of the dental practice. Therefore, learning by a validated multimedia in the presence of an expert to answer the questions is as effective as the practical approach for the oral health and hygiene of orthodontic patients.
Full-Text [PDF 797 kb]   (729 Downloads) |   |   Full-Text (HTML)  (714 Views)  
Type of Study: Original article | Subject: Pathology
Received: 2017/10/13 | Accepted: 2018/02/5 | Published: 2018/03/1

1. Yá ez Vico RM, Iglesias Linares A, Ballesta Mudarra S, Ortiz Ariza E, Solano Reina E, Perea EJ. Short-term effect of removal of fixed orthodontic appliances on gingival health and subgingival microbiota: A prospective cohort study. Acta Odontol Scand. 2015; 73(7):496-502. [DOI:10.3109/00016357.2014.993701] [PMID] [DOI:10.3109/00016357.2014.993701]
2. Freitas AO, Marquezan M, Nojima Mda C, Alviano DS, Maia LC. The influence of orthodontic fixed appliances on the oral microbiota: A systematic review. Dental Press Journal of Orthodontics. 2014; 19(2):46-55. [DOI:10.1590/2176-9451.19.2.046-055.oar] [PMID] [PMCID] [DOI:10.1590/2176-9451.19.2.046-055.oar]
3. Smiech Slomkowska G, Jablonska Zrobek J. The effect of oral health education on dental plaque development and the level of caries-related Streptococcus Mutans and Lactobacillus spp. European Journal of Orthodontics. 2007; 29(2):157-60. [DOI:10.1093/ejo/cjm001] [PMID] [DOI:10.1093/ejo/cjm001]
4. Acharya S, Goyal A, Utreja AK, Mohanty U. Effect of three different motivational techniques on oral hygiene and gingival health of patients undergoing multibracketed orthodontics. The Angle Orthodontist. 2011; 81(5):884-8. [DOI:10.2319/112210-680.1] [PMID] [DOI:10.2319/112210-680.1]
5. Mei L, Chieng J, Wong C, Benic G, Farella M. Factors affecting dental biofilm in patients wearing fixed orthodontic appliances. Progress in Orthodontics. 2017; 18(1):4. [DOI:10.1186/s40510-016-0158-5] [PMID] [PMCID] [DOI:10.1186/s40510-016-0158-5]
6. Islam ZU, Shaikh A, Fida M. Plaque index in multi-bracket fixed appliances. Journal of College of Physicians and Surgeons Pakistan. 2014; 24(11):791-5. [PMID] [PMID]
7. Nalçacı R, Özat Y, Çokakoğlu S, Türkkahraman H, Önal S, Kaya S. Effect of bracket type on halitosis, periodontal status, and microbial colonization. The Angle Orthodontist. 2014; 84(3):479-85. [DOI:10.2319/061913-461.1] [PMID] [DOI:10.2319/061913-461.1]
8. Hadler Olsen S, Sandvik K, El Agroudi MA, Ogaard B. The incidence of caries and white spot lesions in orthodontically treated adolescents with a comprehensive caries prophylactic regimen-a prospective study. European Journal of Orthodontics. 2011; 34(5):633-9. [DOI:10.1093/ejo/cjr068] [PMID] [DOI:10.1093/ejo/cjr068]
9. Van Gastel J, Quirynen M, Teughels W, Coucke W, Carels C. Longitudinal changes in microbiology and clinical periodontal parameters after removal of fixed orthodontic appliances. European Journal of Orthodontics. 2011; 33(1):15-21. [DOI:10.1093/ejo/cjq032] [PMID] [DOI:10.1093/ejo/cjq032]
10. Peng Y, Wu R, Qu W, Wu W, Chen J, Fang J, et al. Effect of visual method vs plaque disclosure in enhancing oral hygiene in adolescents and young adults: A single-blind randomized controlled trial. American Journal of Orthodontics and Dentofacial Orthopedics. 2014; 145(3):280-6. [DOI:10.1016/j.ajodo.2013.10.021] [PMID] [DOI:10.1016/j.ajodo.2013.10.021]
11. Øgaard B. White spot lesions during orthodontic treatment: Mechanisms and fluoride preventive aspects. Seminars in Orthodontics. 2008; 14(3):183-93. [DOI:10.1053/j.sodo.2008.03.003]
12. Alves KM, Goursand D, Zenobio EG, Cruz RA. Effectiveness of procedures for the chemical-mechanical control of dental biofilm in orthodontic patients. The Journal of Contemporary Dental Practice. 2010; 11(2):041-8. [PMID]
13. Ristic M, Vlahovic Svabic M, Sasic M, Zelic O. Clinical and microbiological effects of fixed orthodontic appliances on periodontal tissues in adolescents. Orthodontics & Craniofacial Research. 2007; 10(4):187-95. [DOI:10.1111/j.1601-6343.2007.00396.x] [PMID] [DOI:10.1111/j.1601-6343.2007.00396.x]
14. Marini I, Bortolotti F, Parenti SI, Gatto MR, Bonetti GA. Combined effects of repeated oral hygiene motivation and type of toothbrush on orthodontic patients: A blind randomized clinical trial. The Angle Orthodontist. 2014; 84(5):896-901. [DOI:10.2319/112113-856.1] [PMID] [DOI:10.2319/112113-856.1]
15. Leal SC, Bezerra AC, de Toledo OA. Effectiveness of teaching methods for toothbrushing in preschool children. Brazilian Dental Journal. 2002; 13(2):133-6. [DOI:10.1590/S0103-64402002000200011] [PMID] [DOI:10.1590/S0103-64402002000200011]
16. Lim LP, Davies WI, Yuen KW, Ma MH. Comparison of modes of oral hygiene instruction in improving gingival health. Journal of Clinical Periodontology. 1996; 23(7):693-7. [DOI:10.1111/j.1600-051X.1996.tb00595.x] [PMID] [DOI:10.1111/j.1600-051X.1996.tb00595.x]
17. Ay ZY, Sayin MO, Ozat Y, Goster T, Atilla AO, Bozkurt FY. Appropriate oral hygiene motivation method for patients with fixed appliances. The Angle Orthodontist. 2007; 77(6):1085-9. [DOI:10.2319/101806-428.1] [PMID] [DOI:10.2319/101806-428.1]
18. Harnacke D, Mitter S, Lehner M, Munzert J, Deinzer R. Improving oral hygiene skills by computer-based training: A randomized controlled comparison of the modified Bass and the Fones techniques. PLOS One. 2012; 7(5):e37072. [DOI:10.1371/journal.pone.0037072] [PMID] [PMCID] [DOI:10.1371/journal.pone.0037072]
19. Saffari M, Shojaeezadeh D, Mahmoodi M, Hosseini SSR. [A comparison between two health education methods on diet: Lecture versus videotape (Persian)]. Payesh. 2011; 10(1):63-71.
20. Vargas EA. The triad of science foundations, instructional technology, and organizational structure. The Spanish Journal of Psychology. 2004; 7(2):141-52. [DOI:10.1017/S1138741600004844] [PMID] [DOI:10.1017/S1138741600004844]
21. Nielsen E, Sheppard MA. Television as a patient education tool: A review of its effectiveness. Patient Education and Counseling. 1988; 11(1):3-16. [DOI:10.1016/0738-3991(88)90072-9] [DOI:10.1016/0738-3991(88)90072-9]
22. Lees A, Rock WP. A comparison between written, verbal, and videotape oral hygiene instruction for patients with fixed appliances. Journal of Orthodontics. 2000; 27(4):323-8. [DOI:10.1093/ortho/27.4.323] [PMID] [DOI:10.1093/ortho/27.4.323]
23. Zotti F, Dalessandri D, Salgarello S, Piancino M, Bonetti S, Visconti L, et al. Usefulness of an app in improving oral hygiene compliance in adolescent orthodontic patients. The Angle Orthodontist. 2016; 86(1):101-7. [DOI:10.2319/010915-19.1] [PMID] [DOI:10.2319/010915-19.1]

Add your comments about this article : Your username or Email:

Send email to the article author

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

© 2022 CC BY-NC 4.0 | Journal of Dentomaxillofacial

Designed & Developed by : Yektaweb