Universität zu Köln

Schaefer, Isabelle and Braumann, Bert (2010). Halitosis, Oral Health and Quality of Life during Treatment with Invisalign(A (R)) and the Effect of a Low-dose Chlorhexidine Solution. J. Orofac. Orthop., 71 (6). S. 430 - 442. MUNICH: URBAN & VOGEL. ISSN 1434-5293

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Abstract

This study examined how halitosis, oral dryness and general oral health were impacted during treatment with the Invisalign(A (R)) system. Furthermore, the effect of a lowdose chlorhexidine solution (CHX) was evaluated. Thirtyone patients with good periodontal health participated in this crossover study and were divided into two groups (group 1: CHX/no CHX, group 2: no CHX/CHX). The following parameters were recorded during the first 8 months of Invisalign(A (R)) treatment: stimulated saliva flow rate, organoleptic index, tongue coating index, measurement of the oral volatile sulfur compound level (ppb), modified gingival and plaque index and bleeding on probing index. Professional oral cleaning was performed at the beginning of each period lasting 3 months. The patients received a questionnaire at the first, third, fourth, sixth and eighth control visits. The very low volatile sulfur compound level was significantly decreased by CHX (0.06%) during the first examination period (p = 0.02), i.e. for the first group of patients only. Neither halitosis, nor oral dryness, nor high plaque or gingival index measurements were observed. Oral health-related quality of life was hardly influenced by wearing aligners and oral hygiene habits were very good. This study provides evidence that Invisalign(A (R)) treatment is characterized by only minimal impairment of overall oral health and the associated quality of life. Consequently, it appears unnecessary to recommend the general adjunctive use of a low-dose chlorhexidine mouthwash during treatment with Invisalign(A (R)).

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Schaefer, Isabelle UNSPECIFIED UNSPECIFIED UNSPECIFIED Braumann, Bert UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-493637
DOI:	10.1007/s00056-010-1040-6
Journal or Publication Title:	J. Orofac. Orthop.
Volume:	71
Number:	6
Page Range:	S. 430 - 442
Date:	2010
Publisher:	URBAN & VOGEL
Place of Publication:	MUNICH
ISSN:	1434-5293
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MORNING BREATH; MALODOR; MOUTHRINSES; MICROFLORA; PLAQUE; ODOR Multiple languages Dentistry, Oral Surgery & Medicine Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/49363