The role of different adjunctive plaque control modalities in orthodontic patients with gingivitis

الملخص

The plaque accumulation is the main cause of gingivitis, patients who wear fixed orthodontic appliances must practice meticulous oral hygiene procedures to prevent a range of problem, such as tooth decay, gingival inflammation, excessive gingival growth, and periodontal disease. manual tooth brush alone insufficient for orthodontic patient, so additional cleaning aids need like interdental brush, single tufted brush and water irrigator, the gingival health can be evaluated by periodontal parameters like plaque index, bleeding on probing and gingival index or by estimation the salivary or GCF concentration of cytokine by Enzyme-linked immunosorbent assay ELISA.