Journal of AdvancedMedical and Dental Sciences Research

Background: Orthodontic treatment can significantly impact oral health maintenance, as it introduces challenges related to plaque accumulation and gingival inflammation. Understanding the effects of orthodontic treatment on oral health is crucial for improving patient care. Methods: In this prospective study, 500 patients undergoing orthodontic treatment were assessed over 24 months. Clinical examinations measured Plaque Index (PI) and Gingival Index (GI) scores at baseline and at 6, 12, and 24 months. Patient questionnaires evaluated oral hygiene practices and compliance. Statistical analyses were conducted to identify trends and correlations. Results: PI and GI scores consistently increased over time, indicating higher plaque accumulation and gingival inflammation. Patient compliance with recommended oral hygiene practices declined, with inadequate compliance rising from 55% to 68% over 24 months. Oral lesions and discomfort increased, reaching 20% and 32%, respectively, at 24 months. Conclusion: Orthodontic treatment is associated with increased plaque accumulation, gingival inflammation, and decreased patient compliance with recommended oral hygiene practices. This study emphasizes the importance of patient education, regular check-ups, interdental cleaning devices, and motivational support to enhance oral health maintenance during orthodontic treatment. Selecting appropriate orthodontic appliances is also essential, and patient collaboration is pivotal in achieving optimal oral health outcomes.