Volume 26, Issue 120, February 2022

Plaque deposition around conventional and self-ligating brackets in patients undergoing orthodontic treatment

Mustafa Azhar Al-okbi^1♦, Tamara Kosyreva², Imad Katbeh³, Nikolay Tuturov⁴, Olga Voeykova⁵, Alexey Birukov⁶

¹B.D.S. Department of Pediatric Dentistry and Orthodontics, RUDN University (Peoples’ Friendship University of Russia), Moscow, Russia
²DSc. Professor, The Head of the Department of Paediatric Dentistry and Orthodontics, RUDN University (Peoples’ Friendship University of Russia), Moscow, Russia
³PhD. Assistant Professor, Department of Pediatric Dentistry and Orthodontics, RUDN University (Peoples’ Friendship University of Russia), Moscow, Russia
⁴PhD. Associate Professor, Department of Pediatric Dentistry and Orthodontics, RUDN University (Peoples’ Friendship University of Russia), Moscow, Russia
⁵PhD student, Department of Pediatric Dentistry and Orthodontics, RUDN University (Peoples’ Friendship University of Russia), Moscow, Russia
⁶PhD. Department of Pediatric Dentistry and Orthodontics, RUDN University (Peoples’ Friendship University of Russia), Moscow, Russia

^♦Corresponding author
Mustafa azhar Al-okbi, B.D.S. Department of Pediatric Dentistry and Orthodontics, RUDN University (Peoples’ Friendship University of Russia), Moscow, Russia

ABSTRACT

Aim: The purpose of this study was to compare and evaluate the accumulation of plaque around brackets, colonization of S. mutans and other microorganisms on brackets that self-ligated or ligated with elastomeric ligation in fixed appliance. Patients' self-esteem improves as a result of enhanced esthetics and a more appealing smile provided by orthodontic therapy. On the other hand the tour of orthodontic treatment raised the risk of teeth decalcification as a result of plaque accumulation near the brackets, which can result in white spot lesions. Materials and Methods: Three hundred twenty orthodontic patients from males and females aged from (15-45 years old) were prepared for fixed orthodontic treatment. Self-ligation orthodontic brackets (Damon) and conventional type brackets (Dantaurum) were used. Filtek 4gr 3M composite material was used; all patients used the same type of adhesive (3M Unitek). The accumulation of microbial and periodontal plaque was recorded twice: T1 after three months and T2 after six months. Microbiological examinations of the oral microbiota were used to provide a quantitative analysis for streptococcus mutans, Staphylococcus aureus, Streptococcus mitis and Streptococcus oralis. Results: When comparing the conventional with self-ligating brackets, The results showed that accumulation of S. mutans in conventional ligature was 4.9 times higher than Self-ligating, colony forming units (P<0.05). Conclusion: Self-ligating brackets appliance system showed superior plaque control and reduced bacterial colonization as compared with conventional ligation approach.

Keywords: plaque control, biofilm retention, randomized clinical study, selfligation, Streptococcus mutans

Medical Science, 2022, 26, ms44e2059

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DOI: https://doi.org/10.54905/disssi/v26i120/ms44e2059

Published: 26 January 2022