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J Orthod Sci. 2014 Oct;3(4):125-31. doi: 10.4103/2278-0203.143233.

Orthodontic bracket designs and their impact on microbial profile and periodontal disease: A clinical trial.

Journal of orthodontic science

Nikesh N Moolya, Arvind Shetty, Neha Gupta, Anvesha Gupta, Vivek Jalan, Rashmi Sharma

Affiliations

  1. Department of Periodontics, Padmashree Dr. D. Y. Patil Dental College and Hospital, Nerul, Navi Mumbai, Maharashtra, India.
  2. Department of Prosthodontics, Padmashree Dr. D. Y. Patil Dental College and Hospital, Nerul, Navi Mumbai, Maharashtra, India.
  3. Department of Conservative Dentistry and Endodontics, Padmashree Dr. D. Y. Patil Dental College and Hospital, Nerul, Navi Mumbai, Maharashtra, India.

PMID: 25426456 PMCID: PMC4238080 DOI: 10.4103/2278-0203.143233

Abstract

AIM: The aim of the present study was to compare the undisturbed plaque formation on teeth bonded with Preadjusted (Captain Ortho, Libral Traders, Mumbai, India) and Begg Brackets (Captain Ortho, Libral Traders, Mumbai, India) with nonbonded control sites via a de novo plaque growth over a period of 7 days.

MATERIALS AND METHODS: A clinical trial with the split-mouth design was set up enrolling 10 dental students. Within each subject sites with (Preadjusted) (P-site), Begg brackets (B-site) and control sites were followed. Plaque index and gingival index were recorded on days 3 and 7. Supra-gingival and sub-gingival plaque samples were taken from the brackets and the teeth on days 3 and 7, and were sent for aerobic and anaerobic culturing. The total number of bacterial colony forming units (CFU) was assessed for each sample using a colony counter. Tukeys and Dunnett test then statistically analyzed data.

RESULTS: The mean plaque index and gingival index increased on P-site and B-site on the third and 7(th) day. The shift from aerobic to anaerobic species was observed earlier in P-sites than in B-sites. The CFU were significantly higher for all sites on day 7 when compared with day 3. The aerobe/anaerobe CFU ratio was significantly lower in P-sites than in B-sites and then control showing an increase in the number of anaerobic species on the 3(rd) and 7(th) day (P < 0.05). Based on observed means, the mean difference was significant (P < 0.05).

CONCLUSION: The present data suggest that Preadjusted brackets accumulated more plaque than Begg brackets. Bracket design can have a significant impact on bacterial load and on periodontal parameters.

Keywords: Beggs; colony forming units; preadjusted

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