1Senior Lecturer, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth, Pillayarkuppam Pondicherry, India – 607403
2MDS – Orthodontist, Associate Professor, Department of Dentistry, Raipur Institute of Medical Sciences (RIMS), Raipur, Chhattisgarh, India
3Professor & HOD, Department of Oral & Maxillofacial Surgery, D.Y. Patil Dental School, Lohegaon, Pune, Maharashtra, India
4Associate Professor (Reader), Department of Oral & Maxillofacial Surgery, Inderprastha Dental College and Hospital, Sahibabad, Ghaziabad, Uttar Pradesh - 201010, India
5Postgraduate 3rd year, Department of Orthodontics and Dentofacial Orthopaedics, Sudha Rustagi College of Dental Sciences & Research, Sector-89, Kheri More, Faridabad, Haryana, India
6Professor, Department of Public Health Dentistry, Teerthanker Mahaveer University, Teerthanker Mahaveer Dental College & Research Centre, Moradabad, UP, India
7Department of Oral Medicine and Radiology, School of Dental Sciences, Sharda University, Greater Noida, Uttar Pradesh, India
Corresponding Author: drvikramkarande@gmail.com
Background: Orthodontic treatment with fixed appliances and orthognathic surgery are commonly performed procedures to correct dentofacial deformities and malocclusion. Although these treatments provide significant functional and aesthetic benefits, they may influence oral hygiene maintenance and periodontal health. Fixed orthodontic appliances create plaque-retentive areas that may lead to gingival inflammation, whereas post-orthognathic surgery patients may face temporary challenges in maintaining oral hygiene due to postoperative discomfort. Evaluating and comparing periodontal health in these groups is essential for improving clinical outcomes.
Aim: To compare the oral hygiene status and periodontal health among patients undergoing fixed orthodontic therapy and post-orthognathic surgery patients.
Materials and Methods: This cross-sectional comparative study included 100 participants, divided into two groups: Group I – patients undergoing fixed orthodontic therapy (n = 50) and Group II – post-orthognathic surgery patients (n = 50). Participants aged between 18 and 35 years were selected based on predefined inclusion and exclusion criteria. Oral hygiene and periodontal health were assessed using Plaque Index (PI), Gingival Index (GI), Oral Hygiene Index-Simplified (OHI-S), and Bleeding on Probing (BOP). All clinical examinations were performed using a mouth mirror and periodontal probe under standardized conditions. Data were analyzed using STATA software, and comparisons between groups were performed using the independent t-test, with a p-value <0.05 considered statistically significant.
Results: The orthodontic therapy group demonstrated significantly higher mean scores for plaque index, gingival index, oral hygiene index, and bleeding on probing compared to the post-orthognathic surgery group (p < 0.001). These findings indicated poorer oral hygiene and greater periodontal inflammation among patients undergoing fixed orthodontic treatment.
Conclusion: Patients receiving fixed orthodontic therapy exhibit a greater risk of plaque accumulation and periodontal inflammation compared to post-orthognathic surgery patients. Proper oral hygiene maintenance and regular periodontal monitoring are essential during orthodontic treatment to prevent periodontal complications.
Keywords: Orthodontic therapy, Orthognathic surgery, Oral hygiene status, Periodontal health, Plaque index
How to cite this article: Loganathan A, Quraishi D, Karande V, Gupta S, Singh PJ, Singh V, Kumari A. Comparative Study of Oral Hygiene Status and Periodontal Health in Patients Receiving Fixed Orthodontic Therapy and Post-Orthognathic Surgery Patients. Int J Drug Deliv Technol. 2026;16(13s): 181-188. DOI: 10.25258/ijddt.16.13s.19
Source of support: Nil.
Conflict of interest: None