How UK orthodontists advise patients on oral hygiene

In 1993, 1038 UK orthodontists (all the members of the British Association of Orthodontists and the British Society for the Study of Orthodontics) were asked by questionnaire about the oral hygiene advice they gave to patients undergoing routine orthodontic treatment. All the orthodontists gave advice on tooth brushing. Most (89.5 per cent) gave dietary advice and (84 per cent) used disclosing tablets. A fluoride rinse was recommended by 73 per cent and a chlorhexidine mouthwash by 41.9 per cent. Many orthodontists advocate appropriate oral hygiene measures, but the efficacy of such methods is determined by the patient's motivation. The orthodontist therefore requires skills in behavioural management. Oral hygiene measures may be more cost-effective when undertaken by trained auxiliaries.