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Effect of fixed appliances on oral malodor
Hasan Babacan1, Oral Sokucu, Ismail Marakoglu
1Department of Periodontics, Faculty of Dentistry, Cumhuriyet University, Sivas, Turkey. babacanhasan@yahoo.com
Summary
Fixed orthodontic appliances significantly increase oral malodor and indices of gingival and plaque health. This suggests oral malodor during orthodontic treatment warrants oral health evaluation and hygiene reinforcement.
Area of Science:
- Dentistry
- Orthodontics
- Periodontology
Background:
- Oral malodor is a common concern.
- Fixed orthodontic appliances are widely used.
- The impact of fixed appliances on oral malodor requires investigation.
Purpose of the Study:
- To evaluate the effect of fixed orthodontic appliances on oral malodor.
- To assess changes in gingival and plaque indexes alongside oral malodor.
Main Methods:
- Forty-one patients were randomized into two groups: fixed orthodontic appliances and controls.
- Oral malodor, gingival, and plaque indexes were measured before, 1 week, and 4 weeks after appliance bonding.
- Measurements were performed by a single periodontist.
Main Results:
- A significant increase in oral malodor, gingival, and plaque indexes was observed 1 week after bonding (P < 0.05).
- Oral malodor showed a further increase at 4 weeks post-bonding (P > 0.05).
- Significant differences between the groups were noted at 1 and 4 weeks post-bonding.
Conclusions:
- Fixed orthodontic treatment can lead to a critical level of oral malodor.
- Increased oral malodor during treatment may signal a need for oral health assessment.
- Patients undergoing orthodontic treatment should be reminded of the importance of maintaining optimal oral hygiene.
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