The effect of orthodontic banding on gingival health of first permanent molars.

Abstract

Objective: To determine the effect of orthodontic banding on gingival health of first permanent molars. Study Design: Quasi Experimental. Setting: Khyber College of Dentistry, Peshawar. Period: 15^th December 2020 to 15^th June 2021. Material & Methods: This study was conducted on 70 patients by non-probability consecutive sampling technique. Both genders, adult (age 18-40 years) needing orthodontic fixed treatment and having all first permanent molars were included. Patients with medications and medical conditions affecting gingival health and history of periodontal disease were excluded. The gingival health was assessed using gingival and plaque indices before and six months after banding of molars. Paired t test was used for comparing the gingival and plaque indices before and six months of treatment. Results: The mean age was 27±10.12 years. The males were 29(41.42%) and female were 41(58.58%). The mean gingival index score was 1.09±1.10 before banding and was 1.87±1.63 after six months and was statistically significant (p=0.001). Similarly the change in plaque index was very highly statistically significant (p<0.001). Both gingival (p=0.02) and plaque (p=0.04) indices were statistically significantly aggravated in those not brushing their teeth. Similarly the patients who are not using any sort of interdental aids had significantly increased plaque (p=0.01) and gingival (p=0.03) indices. Conclusion: Orthodontic banding can adversely affect the gingival health in patients receiving fixed appliance treatment. Lack of proper oral hygiene maintenance further aggravates poor gingival health.