Tyler, D, Kang, J orcid.org/0000-0002-2770-1099 and Goh, HH (2023) Effectiveness of Waterpik® for oral hygiene maintenance in orthodontic fixed appliance patients: A randomised controlled trial. Journal of Orthodontics, 50 (4). pp. 367-377. ISSN 1465-3125
Abstract
Objective:
To establish whether the use of a WaterPik® alongside a manual toothbrush (WaterPik® + MTB) is more effective for maintaining oral hygiene compared to the use of a manual toothbrush alone (MTB) in patients wearing fixed orthodontic appliances.
Design:
A single-centre, two-arm, parallel-group, single-blind, randomised controlled clinical trial with a 1:1 allocation ratio.
Setting:
Orthodontic department at York Hospital, York Teaching Hospitals NHS Foundation Trust, UK.
Participants:
A total of 40 fit and well participants aged 10–20 years being treated with upper and lower fixed orthodontic appliances.
Methods:
Participants were randomly allocated, using stratified block randomisation, to the control group (MTB) or intervention group ‘(Waterpik® + MTB)’. Plaque, gingival and interdental bleeding indices were recorded at baseline, 8 weeks, 32 weeks and 56 weeks. A generalised linear mixed model was used to assess differences between groups.
Results:
An interim analysis of results was performed with 40 patients recruited and 85% of data collected. The overall mean differences between the groups were as follows: plaque index = 0.199 (P = 0.88, 95% confidence interval [CI] −0.24 to 0.27); gingival index = −0.008 (P = 0.94, 95% CI −0.22 to 0.20); and interdental bleeding index = 5.60 (P = 0.563, 95% CI −13.22 to 24.42). No statistical difference between the two groups was found for any variable. The trial was stopped at this point.
Conclusions:
In terms of oral hygiene, our study did not find evidence to support the claim of benefit of using a Waterpik® in addition to a manual toothbrush for patients wearing fixed orthodontic appliances.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s) 2023. This is an open access article published under the terms of the Creative Commons Attribution License (CC-BY 4.0), which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited. |
Keywords: | Waterpik®; cleaning; fixed appliances; fixed braces; fixed orthodontics; oral hygiene; oral irrigator; orthodontics; water jet |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Dentistry (Leeds) > Oral Biology (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 26 Jul 2023 10:13 |
Last Modified: | 15 Nov 2024 17:32 |
Status: | Published |
Publisher: | SAGE |
Identification Number: | 10.1177/14653125231173708 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:200035 |