title: Awareness of orthodontists regarding oral hygiene performance during active orthodontic treatment.
abstract: OBJECTIVE
  The aim of the present study was orthodontist's awareness for maintenance of several home and professional prevention measures during active orthodontic treatment according to patients' report.
  
  
  METHODS
  A structured questionnaire was distributed to 122 patients undergoing active orthodontic treatment with fixed appliances. Patients were treated by 38 different orthodontists. The questionnaire accessed information regarding instructions patients received from their orthodontist concerning maintenance of their oral hygiene during orthodontic treatment.
  
  
  RESULTS
  Most of the patients (94%) reported that their orthodontists informed them at least once about the importance of tooth-brushing, and 74.5% received instructions for correct performance of tooth brushing or alternatively were referred to dental hygienist. However, only 24.5% of the patients reported that their orthodontist instructed them to use the correct fluoride concentration in their toothpaste, to use daily fluoride mouthwash (31.5%) and to brush their teeth once a week with high concentration of fluoride gel (Elmex gel; 10.2%). Only 13.8% received application of high concentration of fluoride gel or varnish at the dental office, and 52% of the patients reported that their orthodontist verified that they attend regular check-ups by their dentist. A significant positive correlation was found between explaining the patients the importance of tooth brushing and the following variables:  instructing them on how to brush their teeth correctly (p<0.0001), explaining them which type of toothbrush is recommended for orthodontic patients (p=0.002), recommending to perform daily fluoride oral rinse (p=0.036) and referring them to periodic check-ups (p=0.024).
  
  
  CONCLUSIONS
  Orthodontists should increase their awareness and commitment for instructing their patient on how to maintain good oral hygiene in order to prevent caries and periodontal disease during orthodontic treatment.
authors.affiliation: Department of Prostodontics, the Goldschleger School of Dental Medicine, Tel Aviv University, Israel.
authors.forename: Y
authors.initials: Y
authors.lastname: Berlin-Broner
authors.forename: L
authors.initials: L
authors.lastname: Levin
authors.forename: M
authors.initials: M
authors.lastname: Ashkenazi
mesh_terms: D000293:Adolescent; D002327:Cariostatic Agents / Q000627:therapeutic use; D016009:Chi-Square Distribution; D002648:Child; D003729:Dental Care / Q000706:statistics & numerical data; D003731:Dental Caries / Q000209:etiology / Q000517:prevention & control; D003773:Dental Plaque / Q000209:etiology / Q000517:prevention & control; D003815:Dentists / Q000523:psychology*; D003959:Diamines / Q000627:therapeutic use; D005260:Female; D005459:Fluorides / Q000627:therapeutic use; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D009910:Oral Hygiene / Q000523:psychology*; D009967:Orthodontic Appliances / Q000009:adverse effects*; D009970:Orthodontics; D009971:Orthodontics, Corrective / Q000009:adverse effects; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D002327:Cariostatic Agents; D003959:Diamines; C495399:Olaflur; D005459:Fluorides