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KMID : 0355420100340020150
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Journal of Korean Academy of Oral Health
2010 Volume.34 No. 2 p.150 ~ p.160
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The application of critical pathway on oral hygiene management of patients with fixed orthodontic appliance
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Son Woo-Sung
Kim Jin-Bom
Kim Yong-Il
Song Hyo-Kyung
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Abstract
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Objectives. The purpose of this study is to evaluate the effect of the oral hygiene education using the newly designed clinical pathway improving the oral hygiene capability of patients with fixed orthodontic appliance to manage oral hygiene.
Methods. The study was conducted on patients beginning orthodontic therapy with fixed orthodontic appliance in Department of Orthodontics, P University Hospital. We applied the newly designed critical pathway on test group (each twenty male/female patients in their teens and twenties) and regular oral hygiene education on control group (each twenty male/female patients in their teens and twenties) and evaluated their capability of oral hygiene management by plaque index and gingival bleeding index. We also evaluated it by age, gender, and period of attaching orthodontic appliance. Independnet t-test and ANOVA were used for statistical analysis.
Results. The plaque indices of the test group were lower than those of the control group one, two, three month after bonding the brackets. There were no significant differences in the gingival bleeding indices between test and control group one, two, three month after bonding the brackets. At one month after bonding the brackets, the plaque indices decreased greatly, but 3 months later, the plaque indices became similar to those before orthodontic treatment.
Conclusions. Education of oral hygiene management with critical pathway is more effective than the traditional method for the reduction of dental plaque. Education is necessary every 3 months to maintain the oral hygiene abilities continuously.
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KEYWORD
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clinical pathway, dental plaque index, fixed orthodontic appliance, gingival bleeding index
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