Research Article
Volume 17 Issue 4 - 2018
Evaluation of Malodor and its Association with Periodontitis in Orthodontic Patients
Priyanka Duhan1, Seema Grover2*, MS Sidhu3, Vikas Malik4 and Namrata Dogra5
1Private Practitioner, Haryana, India
2Professor, Department of Orthodontics and Dentofacial Orthopedics, SGT Dental College, Gurgaon, Haryana, India
3Professor and Head, Department of Orthodontics and Dentofacial Orthopedics, SGT Dental College, Gurgaon, Haryana, India
4Reader, Department of Orthodontics and Dentofacial Orthopedics, SGT Dental College, Gurgaon, Haryana, India
5Senior Lecturer, Department of Orthodontics and Dentofacial Orthopedics, SGT Dental College, Gurgaon, Haryana, India
*Corresponding Author: Seema Grover, Professor, Department of Orthodontics and Dentofacial Orthopedics, SGT Dental College, Gurgaon, Haryana, India.
Received: January 18, 2018; Published: March 01, 2018
Citation: Seema Grover., et al. “Evaluation of Malodor and its Association with Periodontitis in Orthodontic Patients”. EC Dental Science 17.4 (2018): 274-285.
Abstract
Objectives: Halitosis; an offensive mouth odor is most commonly observed in orthodontic patients and volatile sulfur compounds have been primarily responsible for oral malodour. Aim of this study was to evaluate and determine presence of malodor in orthodontic patients undergoing fixed and removable appliance treatment.
Materials and Methods: Total 107 patients with age range of 12 - 25 years were included in study which were divided in two groups: Group I (n = 72) fixed mechanotherapy, and Group II (n = 35) removable appliances. Study was undertaken to quantify increase in halitosis in patients undergoing orthodontic treatment using Halimeter. Halimeter recordings, Gingival index (GI) and Plaque index (PI) were clinical parameters recorded at baseline (T0), one week (T1), four weeks (T2), 6 weeks (T3), and 8 weeks (T4) intervals respectively. After T4, patient was asked to rinse with 10 ml of 0.2% Chlorhexidine gluconate mouth rinse for 60 seconds 2 times until fifth appointment.
Results: There was significant increase in halimeter recordings in both fixed and removable appliance patients from baseline to one week (T0) and four weeks (T2) intervals respectively and decreased thereafter. Statistically significant (p < 0.001) increase in volatile sulphur compounds and malodour at all time intervals was observed except T1-T2 when no change was found in halimeter reading Gingival index and plaque index increased from baseline up to 6 weeks in Group I and decreased thereafter. Halimeter readings, gingival and plaque index were significantly higher in fixed mechanotherapy patients as compared to removable appliance patients.
Conclusion: Halimeter reading was found to be very convenient, highly sensitive and accurate for detection of oral malodour. Hence it is highly recommended to evaluate halitosis in orthodontic patients.
Keywords: Malodor; Periodontium; Halimeter; Gingival Index; Plaque Index; Orthodontics
Copyright: © 2018 Seema Grover., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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