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Plaque on brackets: problems and solutions

Patrick R Schmidlin1, Andrin D Schmidlin1, Andrea Gubler1

  • 1Klinik für Zahnerhaltung und Präventivzahnmedizin, Zentrum für Zahnmedizin der Universität Zürich, Schweiz.

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Orthodontic brackets complicate oral hygiene, increasing risks of cavities and gum disease with poor plaque control. Modified hygiene assessments are needed for patients with braces.

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Kieferorthopädiefestsitzende ApparaturenReinigung

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Area of Science:

  • Dentistry
  • Orthodontics
  • Periodontology

Background:

  • Orthodontic appliances, particularly those with brackets, present significant challenges to maintaining optimal oral hygiene.
  • Inadequate mechanical plaque control around brackets elevates the risk of developing dental caries and gingivitis over time.

Purpose of the Study:

  • To highlight the challenges in oral hygiene for patients undergoing orthodontic treatment with brackets.
  • To discuss the limitations of traditional oral hygiene indices in assessing plaque control in orthodontically treated patients.

Main Methods:

  • Review of existing literature on oral hygiene practices and challenges associated with orthodontic appliances.
  • Analysis of the shortcomings of standard oral hygiene indices when applied to teeth with brackets.

Main Results:

  • Orthodontic brackets create complex surfaces that hinder effective plaque removal, increasing susceptibility to oral diseases.
  • Existing oral hygiene indices, designed for natural dentition, do not adequately capture the specific hygiene issues encountered with brackets.

Conclusions:

  • Effective plaque control is crucial for preventing caries and gingivitis in patients with orthodontic brackets.
  • Modifications to oral hygiene assessment tools are necessary to accurately evaluate the oral cleanliness of individuals with orthodontic appliances.