BACKGROUND: In the course of orthodontic treatment, it is difficult to clean the teeth because of the stimulation of bonding materials and the rings of teeth, as well as the treatment components, thus, it is often appeared the symptoms of gingivitis, such as inflamed gums and bleeding on probing.
OBJECTIVE: To analyze the effects of oral health education and regular periodontal scaling on gingivitis in the young people with fixed orthodontic treatment.
METHODS: Databases of CNKI, Wanfang, VIP Chinese periodical database, CBM, Medline (Ovid), and science direct were searched for studies of the relationships between oral health education and periodontal scaling to gingivitis in the young people with fixed orthodontic treatment, which were published in recent two decades. Meta analysis was used to comprehensive quantitatively analyze the probing depth (PD), sulcular bleeding index (SBI), plaque index (PLI) and gingival index (GI) after health-education and regular periodontal scaling in the young people with fixed orthodontic treatment. According to homogeneity test, random effect model was adopted to calculate weighted mean different (WMD) and 95% confidence interval. Revman5.0 was used for data management.
RESULTS AND CONCLUSION: Four studies with 292 patients were included. Homogeneity test showed that PD, SBI, PLI and GI (I2≥50%) were significant heterogeneity, so random effect model was adopted. Result of Meta analysis showed that, the WMD value and 95% confidence interval of the PD, SBI, PLI and GI had significant statistical difference. It suggested that the young people with fixed orthodontic treatment, who take the regular periodontal scaling, can better control the occurrence of gingivitis than simply oral health education.