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Effects of remote digital monitoring on oral hygiene of orthodontic patients: a prospective study.
Sangalli, Linda; Savoldi, Fabio; Dalessandri, Domenico; Bonetti, Stefano; Gu, Min; Signoroni, Alberto; Paganelli, Corrado.
  • Sangalli L; Department of Information Engineering, Faculty of Engineering, University of Brescia, Via Branze 38, 25123, Brescia, Italy.
  • Savoldi F; Division of Orofacial Pain, College of Dentistry, University of Kentucky, 740 S. Limestone, Lexington, KY, 40536, USA.
  • Dalessandri D; Division of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, 2/F, Prince Philip Dental Hospital, The University of Hong Kong, 34 Hospital Road, Sai Ying Pun, Hong Kong SAR.
  • Bonetti S; Dental School, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy.
  • Gu M; Dental School, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy.
  • Signoroni A; Division of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, 2/F, Prince Philip Dental Hospital, The University of Hong Kong, 34 Hospital Road, Sai Ying Pun, Hong Kong SAR. drgumin@hku.hk.
  • Paganelli C; Department of Information Engineering, Faculty of Engineering, University of Brescia, Via Branze 38, 25123, Brescia, Italy.
BMC Oral Health ; 21(1): 435, 2021 09 07.
Article in English | MEDLINE | ID: covidwho-1398856
ABSTRACT

BACKGROUND:

Remote digital monitoring during orthodontic treatment can help patients in improving their oral hygiene performance and reducing the number of appointments due to emergency reasons, especially in time of COVID-19 pandemic where non-urgent appointments might be discouraged.

METHODS:

Thirty patients scheduled to start an orthodontic treatment were divided into two groups of fifteen. Compared to controls, study group patients were provided with scan box and cheek retractor (Dental Monitoring®) and were instructed to take monthly intra-oral scans. Plaque Index (PI), Gingival Index (GI), and White Spot Lesions (WSL) were recorded for both groups at baseline (t0), every month for the first 3 months (t1, t2, t3), and at 6 months (t4). Carious Lesions Onset (CLO) and Emergency Appointments (EA) were also recorded during the observation period. Inter-group differences were assessed with Student's t test and Chi-square test, intra-group differences were assessed with Cochran's Q-test (significance α = 0.05).

RESULTS:

Study group patients showed a significant improvement in plaque control at t3 (p = 0.010) and t4 (p = 0.039), compared to control group. No significant difference was observed in the number of WSL between the two groups. No cavities were detected in the study group, while five CLO were diagnosed in the control group (p = 0.049). A decreased number of EA was observed in the study group, but the difference was not significant.

CONCLUSIONS:

Integration of a remote monitoring system during orthodontic treatment was effective in improving plaque control and reducing carious lesions onset. The present findings encourage orthodontists to consider this technology to help maintaining optimal oral health of patients, especially in times of health emergency crisis.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Oral Hygiene / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: BMC Oral Health Journal subject: Dentistry Year: 2021 Document Type: Article Affiliation country: S12903-021-01793-9

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Oral Hygiene / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: BMC Oral Health Journal subject: Dentistry Year: 2021 Document Type: Article Affiliation country: S12903-021-01793-9