Which of the following are typical and acceptable preventive and therapeutic measures for dealing with the periodontal problems during fixed appliance therapy?
# Which of the following are typical and acceptable preventive and therapeutic measures for dealing with the periodontal problems during fixed appliance therapy?
A. Elimination of gingivitis prior to placing orthodontic appliances
B. Home care instructions regarding the use of toothbrush and water pik during orthodontic treatment
C. Megavitamin therapy
D. Scaling and curettage immediately after appliance removal
The correct answer is A. Elimination of gingivitis prior to placing orthodontic appliances.
The mean value of visible plaque and visible inflammation showed significant increases during orthodontic treatment. Therefore, prior to orthodontic treatment, patients should have a high level of periodontal health and it should be maintained during the treatment period. Considering the relationship between orthodontic treatment and gingival health, patients, orthodontists and periodontists should cooperate during orthodontic treatment.
Reference: Boke F, Gazioglu C, Akkaya S, Akkaya M. Relationship between orthodontic treatment and gingival health: A retrospective study. Eur J Dent. 2014;8(3):373-380. doi:10.4103/1305-7456.137651
Hi there, I think it should be B, because it is mentioned (during) and (therapeutic) in the question
ReplyDeleteThe question asks about problems arising during fixed orthodontic treatment, not the continuous process of delivering the therapeutic measure. Home care is preventive but it is not therapeutic; once gingivitis has developed, simply by brushing and water pik won't treat it. It was discussed and cross checked too. The answer is A. Thank you for letting me clear your confusion.
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