Status quo of plaque removal in adolescent patients undergoing fixed orthodontics in a ClassⅢstomatology hospital in Shanghai
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3760/cma.j.issn.1674-2907.2019.27.011
   		
        
        	
        		- VernacularTitle:上海市某三级口腔医院青少年固定正畸患者的菌斑清除状况调查
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Xiaofen LIU
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Yongmei HUA
			        		
			        		;
		        		
		        		
		        		
			        		Liqun CAO
			        		
			        		;
		        		
		        		
		        		
			        		Yuanyuan SONG
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. 同济大学附属口腔医院护理部,上海 200072
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Stomatology;
			        		
			        		
			        		
				        		? Orthodontics;
			        		
			        		
			        		
				        		? Dental plaque;
			        		
			        		
			        		
				        		? Adolescent;
			        		
			        		
			        		
				        		? Oral health;
			        		
			        		
			        		
				        		? Orthodontic plaque index
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Journal of Modern Nursing
	            		
	            		 2019;25(27):3484-3488
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
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		        	Abstract:
			       	
			       		
				        
				        	Objective? To explore the status quo of plaque removal in adolescent patients undergoing fixed orthodontics in a ClassⅢ stomatology hospital in Shanghai, and to provide a reference for formulating precise oral health education measures and improving patients' health self-management ability. Methods? Totally 220 patients undergoing fixed orthodontics in a ClassⅢ stomatology hospital in Shanghai between September and November 2018 were selected by convenient sampling. The plaque disclosing agent was used to stain the plaque. A 5-degree method was used to collect and record the patients' orthodontic plaque index which was calculated according to the plaque area on the dental face. Statistical analysis was employed to analyze the differences in the plaque index between different locations, quadrants, tooth positions, teeth in different shapes and different areas on the dental or lip face in patients with different characteristics. Results? The orthodontic plaque index of the 220 patients undergoing fixed orthodontics was (1.58±0.66), ranging 0.31-3.33. There were statistically significant difference in the plaque index between different locations, quadrants, tooth positions, teeth in differents shapes and different areas on the dental or lip face (F=99.432, 6.552, 3.862, 25.887; P<0.05). There were statistically significant differences in the plaque index between patients with different gender, age or time of orthodontics (F/t=5.681, 3.159, 2.947; P<0.05). Compared with the teeth in the other 3 shapes, grinded teeth showed the highest plaque index. The plaque removal effect of mandibular teeth was better than that of maxillary teeth. The plaque removal of lateral incisors and areas under the arch wire on both right and left orthodontic brackets as well as the mesial and distal areas of the gingiva was not satisfactory. Conclusions? The plaque removal in adolescent patients undergoing fixed orthodontics is not satisfactory. Targeted health education should be provided based on the collected orthodontic plaque index.