مشخصات پژوهش

صفحه نخست /Evidence - based caries ...
عنوان
Evidence - based caries preventive measures applied in orthodontic practices in Iran
نوع پژوهش مقاله چاپ شده
کلیدواژه‌ها
orthodontics, prevention, oral health
چکیده
Introduction: One of the most common clinical problems in orthodontic treatments is development of primary caries around fixed appliances especially in patients with poor oral hygiene. There is little information on preventive measures which orthodontists apply in practice. This study was executed to survey measures used in orthodontic practices to prevent decalcifications during fixed appliance treatment, and to compare these measures with the available evidence-based information. Methods: In this cross-sectional study 125 orthodontists practicing in Iran and attending the 10th annual meeting of orthodontists were assessed. Information was collected by a 30 item questionnaire which it was validated by a panel consisted of 10 reviewers, and reliability was measured before the study (Alpha Cronbach= 0.5 to 0.6). Data were analyzed with descriptive statistics and correlation tests. Results: In total 104 completed questionnaires were returned (Response rate: 83%). Mean age of respondents was 41.95 ± 9.2 (SD) (Min=26 & Max=73) and mean years of practice experience was 10.3 ± 7.75 (SD). At the start of the treatment 59 (56.7%) of the orthodontists always used a basic protocol for caries prevention but during treatment 47 (45.2), and after treatment 33 (31.7) of respondents said that they always used a protocol. The additional use of chlorhexidine (which has been demonstrated to have an inhibitive effect) was prescribed always by 5.8% at the start and 4.8% at the end of treatment. Fluoride mouthwash was prescribed always by 66% before treatment although there is small amount of high-quality, long-term study that demonstrates a caries preventive effect in orthodontic patients. In addition regarding the high preventive effects of fluoride varnish and tooth paste with high fluoride concentration, 61 (61.1%) of the orthodontists did not prescribe fluoride varnish for their patients during treatment and only 10.2% recommended tooth paste to their patients. 31.3% of the orthodo
پژوهشگران نسرین فرهادیان لنگرودی (نفر اول)، امیر فرهنگ میر اسماعیلی (نفر دوم)