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To determine the effect of different cleaning methods and devices in reducing halitosis during active orthodontic treatment.
. Observer - blind clinical trial, randomly divided into four groups, A, B, C and D. each group will undergo clinical evaluation and oral malodor assessment and they will be assigned electric or manual toothbrushes with super floss or water floss respectively.clinical evaluation will include plaque index (PI), gingival bleeding index (GBI), bracket index.and halitosis will be measured by halimeter .
Measurements and time frame: Initial measurements (T0), after two weeks (T1), and after four weeks (T2) ( according to previous studies that uses the same period of time for measurements),17, 18 plaque index (PI), gingival bleeding index (GBI), bracket index and halimeter reading .
During the first week after the start of the study (T0)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ManualTB+Floss | Active Comparator | Cleaning teeth with a manual toothbrush and a dental floss three times a day. |
|
| ManualTB+Waterjet | Experimental | Cleaning teeth with a manual toothbrush and a waterjet three times a day. |
|
| Electric TB+Floss | Experimental | Cleaning teeth with an electric toothbrush and dental floss three times a day . |
|
| Electric TB +Waterjet | Experimental | Cleaning teeth with an electric toothbrush and a waterjet three times a day . |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Manual Toothbrush | Device | A manual toothbrush is used to clean teeth surfaces. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in volatile sulphur compounds causing halitosis at four weeks. | Tanita Breath Checker HC-312SF Fitscan to measures volatile sulphur compounds with six levels of odor. | At baseline then and after four weeks then |
| Change in volatile sulphur compounds causing halitosis at eight weeks. | Tanita Breath Checker HC-312SF Fitscan to measures volatile sulphur compounds with six levels of odor. | At four weeks from baseline and after eight weeks then |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Omar H AlKadhi, BDS, MSc | Contact | +966505154754 | omar.alkadhi@riyadh.edu.sa |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Riyadh Elm University | Recruiting | Riyadh | Riyadh Region | 11681 | Saudi Arabia |
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| ID | Term |
|---|---|
| D006209 | Halitosis |
| ID | Term |
|---|---|
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D003742 | Dental Devices, Home Care |
| ID | Term |
|---|---|
| D003748 | Dental Equipment |
| D003813 | Dentistry |
| D009910 | Oral Hygiene |
| D011313 | Preventive Dentistry |
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| Dental floss | Device | A dental floss is used to clean inter-proximal areas. |
|
| Waterjet | Device | A waterjet is used to clean inter-proximal areas. |
|
| Electric Toothbrush | Device | An electric toothbrush is used to clean teeth surfaces. |
|
| D004864 |
| Equipment and Supplies |