HASTALARIN BAKIŞ AÇISINDAN ORTODONTİK TEDAVİ VE ORAL HİJYEN

Year 2022, Volume: 6 Issue: 2, 67 - 72, 31.12.2022

Burcu Yerli , Yasemin Bahar Acar

https://doi.org/10.29228/erd.28

Abstract

Amaç: Bu çalışma, hastaların ağız hijyeni alışkanlıklarını, ortodontik tedavi ile periodontal sağlık arasındaki ilişkiye bakış açılarını ve ağız hijyeni eğitiminin (AHE) etkinliğini araştırmayı amaçlamaktadır.
Gereç ve Yöntemler: Bu kesitsel çalışmada denekler aktif sabit ortodontik tedavi gören hastalar arasından rastgele seçilmiştir. Ortalama yaşı 16,4 yıl (dağılım: 13-28 yıl) olan 100 hasta dahil edildi. Hastalardan rutin ortodontik seanslarının sonunda 20 soruluk kağıt tabanlı bir ankete katılmaları istendi. Anketin sonunda A grubu, ortodontik ve interdental diş fırçaları kullanan bir diş modelinde geleneksel olarak AHE aldı; B grubu, AHE'yi bir kişisel dijital asistan (PDA) üzerinde dijital bir video ile görsel olarak aldı. Eğitimden anahtar kavramların akılda tutulmasını değerlendirmek için hastalardan AHE'den sonraki son soruyu yanıtlamaları istendi.
Bulgular: %46'sı ortodontik malzemelerin ağız sağlığına zararlı olduğuna inanırken, %39'u ortodontik tedavi ve ağız hijyeninin bağımsız olduğunu düşündü. %36'sı AHE aldığını doğruladı ve bu hastaların %25'i AHE'nin ortodontik tedavilerine yardımcı olduğunu düşünmüyor. Hastaların %88'i anket sonunda verilen AHE'nin faydalı olduğunu belirtirken, kalan %12'si yararsız bulmuştur.
Sonuç: Hastalar ilk bonding seansında AHE'nin faydalarını yeterince anlayamadıkları görüldü. Kısa dijital videolar gibi görsel-işitsel animasyonların kullanılmasının hasta eğitiminde geleneksel yöntemlere göre daha etkili bir yöntem olduğu görüldü.

Keywords

ortodonti, ağız hijyeni, sağlık anketleri, odyovizüel araçlar

Orthodontic Treatment And Oral Hygiene From The Patients’ Perspective

Abstract

Objective: Present study aims to investigate patients’ oral hygiene habits, their perspective of the relationship between orthodontic treatment and periodontal health, and the effectiveness of oral hygiene education (OHE).
Materials and Methods: In this cross-sectional study, subjects were randomly selected among the patients who were under active fixed orthodontic treatment. 100 patients with a mean age of 16,4 years (range: 13-28 years) was included. Patients were asked to join a paper-based survey of 20 questions at the end of their routine orthodontic session. At the end of survey, group A received OHE conventionally on a dental model using orthodontic and interdental toothbrushes; group B received OHE visually with a digital video on a personal digital assistant (PDA). Patients were asked to reply the last question after the OHE to assess the retention of key concepts from the education.
Results: 46% believed that orthodontic materials are harmful for their oral health and 39% thought that orthodontic treatment and oral hygiene are independent. 36% confirmed that they received OHE, and 25% of these patients do not think that OHE helps with their orthodontic treatment. 88% of the patients stated that the OHE given at the end of the survey was beneficial while the remaining 12% found it unhelpful.
Conclusion: Patients were unable to realize the benefits of OHE adequately at the first bonding session. The use of audiovisual animations like short digital videos were found to be more effective method for patient education compared to conventional methods.

Keywords

orthodontics, oral hygiene, health survey, audiovisual aids

References

• 1. Bollen, A.M., Cunha-Cruz, J., Bakko, D.W., Huang, G.J. and Hujoel, P.P. The effects of orthodontic therapy on periodontal health: a systematic review of controlled evidence. J Am Dent Assoc, 2013;139:413–22.
• 2. Weltman, B., Vig, K.W., Fields, H.W., Shanker, S. and Kaizar, E.E. Root resorption associated with orthodontic tooth movement: a systematic review. Am J Orthod Dentofacial Orthop, 2010;137:462–76; discussion 12A.
• 3. Höchli, D., Hersberger-Zurfluh, M., Papageorgiou, S.N. and Eliades, T. Interventions for orthodontically induced white spot lesions: a systematic review and meta-analysis. Eur J Orthod, 2017; 39: 122–33.
• 4. van Gastel, J., Quirynen, M., Teughels, W., Coucke, W. and Carels, C. Longitudinal changes in microbiology and clinical periodontal variables after placement of fixed orthodontic appliances. J Periodontol, 2008;79:2078–86.
• 5. van Gastel, J., Quirynen, M., Teughels, W., Coucke, W. and Carels, C. Influence of bracket design on microbial and periodontal parameters in vivo. J Clin Periodontol, 2007;34:423–31.
• 6. Gomes, S.C., Varela, C.C., da Veiga, S.L., R.sing, C.K. and Oppermann, R.V. Periodontal conditions in subjects following orthodontic therapy. A preliminary study. Eur J Orthod. 2007; 29:477–81.
• 7. Brock TP, Smith SR. Using digital videos displayed on personal digital assistants (PDAs) to enhance patient education in clinical settings. Int J Med Inform. 2007;76(11-12):829-835.
• 8. Paillaud E, Soubeyran P, Caillet P, Cudennec T, Brain E, Terret C, Etchepare F, Mourey L, Aparicio T, Pamoukdjian F, Audisio RA, Rostoft S, Hurria A, Bellera C, Mathoulin-Pélissier S; G-CODE collaborators. Multidisciplinary development of the Geriatric Core Dataset for clinical research in older patients with cancer: A French initiative with international survey. Eur J Cancer. 2018;103:61-8.
• 9. Obeidat RF, Qan'ir Y, Turaani H. The relationship between perceived competence and perceived workplace bullying among registered nurses: A cross sectional survey. Int J Nurs Stud. 2018 ;88:71-8.
• 10. Fleming PS, Cunningham SJ, Benson PE, Jauhar P, Millett D. Extraction of premolars for orthodontic reasons on the decline? A cross-sectional survey of BOS members. J Orthod. 2018;7:1-6.
• 11. Mafla AC, Herrera-López HM, Villalobos-Galvis FH. Psychometric approach of the revised Illness Perception Questionnaire for Oral Health (IPQ-R-OH) in patients with periodontal disease. J Periodontol. 2019; 90:177-188.
• 12. Baiju RM, Peter E, Varghese NO, Anju P. Patient Reported Outcome Assessment of Periodontal Therapy: A Systematic Review. J Clin Diagn Res. 2017;11:14-9.
• 13. V.E. Stone, J.W. Hogan, P. Schuman, A.M. Rompalo, A.A. Howard, C. Korkontzelou, et al., Antiretroviral regimen complexity, self-reported adherence, and HIV patients’ understanding of their regimens: survey of women in the HER study, J. Acquir. Immune Defic. Syndr. 2001;124–31.
• 14. C.K. Fairley, R. Levy, C.R. Rayner, K. Allardice, K. Costello, C. Thomas, et al., Randomized trial of an adherence programme for clients with HIV, Int. J. STD AIDS 2003;14:805–9.
• 15. M.R. Di Matteo, P.J. Giordani, H.S. Lepper, Patient adherence and medical treatment outcomes: a meta analysis, Med. Care 2002;40:794–881.
• 16. J.M. Simoni, P.A. Frick, D.W. Pantalone, B.J. Turner, Antiretroviral adherence interventions: a review of current literature and ongoing studies, Top. HIV Med. 2003;11:185–98.
• 17. S.M. Edworthy, G.M. Devins, and the patient education study group. Improving medication adherence through patient education distinguishing between appropriate and inappropriate utilization, J. Rheumatol. 1999;26:1793–1801.
• 18. S.R. Smith, J.C. Rublein, C. Marcus, T.P. Brock, M.A. Chesney, A medication self-management program to improve adherence to HIV therapy regimens, Patient Educ. Couns. 2003;50:187–99.
• 19. Mehra T, Nanda RS, Sinha PK. Orthodontists' assessment and management of patient compliance. Angle Orthod. 1998;68:115-22.