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

OBJECTIVE: To establish whether the use of a WaterPik(®) alongside a manual toothbrush (WaterPik(®) + 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, paralle...

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Autores principales: Tyler, Daniel, Kang, Jing, Goh, Hock Hoe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693741/
https://www.ncbi.nlm.nih.gov/pubmed/37203873
http://dx.doi.org/10.1177/14653125231173708
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author Tyler, Daniel
Kang, Jing
Goh, Hock Hoe
author_facet Tyler, Daniel
Kang, Jing
Goh, Hock Hoe
author_sort Tyler, Daniel
collection PubMed
description OBJECTIVE: To establish whether the use of a WaterPik(®) alongside a manual toothbrush (WaterPik(®) + 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(®) + 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(®) in addition to a manual toothbrush for patients wearing fixed orthodontic appliances.
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spelling pubmed-106937412023-12-04 Effectiveness of Waterpik(®) for oral hygiene maintenance in orthodontic fixed appliance patients: A randomised controlled trial Tyler, Daniel Kang, Jing Goh, Hock Hoe J Orthod Scientific Section OBJECTIVE: To establish whether the use of a WaterPik(®) alongside a manual toothbrush (WaterPik(®) + 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(®) + 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(®) in addition to a manual toothbrush for patients wearing fixed orthodontic appliances. SAGE Publications 2023-05-19 2023-12 /pmc/articles/PMC10693741/ /pubmed/37203873 http://dx.doi.org/10.1177/14653125231173708 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Scientific Section
Tyler, Daniel
Kang, Jing
Goh, Hock Hoe
Effectiveness of Waterpik(®) for oral hygiene maintenance in orthodontic fixed appliance patients: A randomised controlled trial
title Effectiveness of Waterpik(®) for oral hygiene maintenance in orthodontic fixed appliance patients: A randomised controlled trial
title_full Effectiveness of Waterpik(®) for oral hygiene maintenance in orthodontic fixed appliance patients: A randomised controlled trial
title_fullStr Effectiveness of Waterpik(®) for oral hygiene maintenance in orthodontic fixed appliance patients: A randomised controlled trial
title_full_unstemmed Effectiveness of Waterpik(®) for oral hygiene maintenance in orthodontic fixed appliance patients: A randomised controlled trial
title_short Effectiveness of Waterpik(®) for oral hygiene maintenance in orthodontic fixed appliance patients: A randomised controlled trial
title_sort effectiveness of waterpik(®) for oral hygiene maintenance in orthodontic fixed appliance patients: a randomised controlled trial
topic Scientific Section
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693741/
https://www.ncbi.nlm.nih.gov/pubmed/37203873
http://dx.doi.org/10.1177/14653125231173708
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