IADR Abstract Archives
Fluoride Mouthrinse Use In Orthodontic Patients With Fixed Appliances
Objectives: (1)To assess if orthodontic patients wearing fixed appliances recall receiving advice regarding daily use of a fluoride mouthrinse and whether delivery of advice was recorded in the clinical notes;
(2) To evaluate reported compliance with this advice.
Gold Standards
(1) All patients should be advised verbally by the treating clinician about the daily use of a fluoride mouthrinse at the time of fixed appliance bond-up and this should be documented in the clinical notes.
(2) All patients should report compliance with daily use of fluoride mouthrinse.
Methods: From January 23rd 2023 to February 15th 2023, 100 consecutive patients wearing fixed appliances were invited to complete a pre-piloted paper questionnaire at their routine fixed appliance adjustment appointment. All recorded data were collated on a Microsoft Excel spreadsheet and analysed.
Results: All invited patients participated (51 females; 49 males). The average time since bond up was 15.2 months. 72% of patients reported being advised by the treating clinician regarding daily use of a fluoride mouthrinse during treatment. The recommendation for daily use of a fluoride mouthrinse during fixed appliance treatment was recorded in 43% of clinical notes.
77% of patients reported using a fluoride mouthrinse with 24% reporting use once a day, 29% twice a day and 3% more than twice a day. 14% used a fluoride mouthrinse a few times per week.
Of those who reported use of a fluoride mouthrinse, 53% did so after brushing. The concentration of fluoride in the mouthrinses used varied greatly between patients (0ppm to 450ppm).
Conclusions: None of the Gold Standards were met.
Recommendations:
Bond-up appointments should be highlighted on the computer system to flag the need for relevant patient information leaflets and verbal advice regarding daily use of a fluoride mouthrinse, both of which should be documented in the clinical notes.
Re-audit in one year after these changes have been implemented.
(2) To evaluate reported compliance with this advice.
Gold Standards
(1) All patients should be advised verbally by the treating clinician about the daily use of a fluoride mouthrinse at the time of fixed appliance bond-up and this should be documented in the clinical notes.
(2) All patients should report compliance with daily use of fluoride mouthrinse.
Methods: From January 23rd 2023 to February 15th 2023, 100 consecutive patients wearing fixed appliances were invited to complete a pre-piloted paper questionnaire at their routine fixed appliance adjustment appointment. All recorded data were collated on a Microsoft Excel spreadsheet and analysed.
Results: All invited patients participated (51 females; 49 males). The average time since bond up was 15.2 months. 72% of patients reported being advised by the treating clinician regarding daily use of a fluoride mouthrinse during treatment. The recommendation for daily use of a fluoride mouthrinse during fixed appliance treatment was recorded in 43% of clinical notes.
77% of patients reported using a fluoride mouthrinse with 24% reporting use once a day, 29% twice a day and 3% more than twice a day. 14% used a fluoride mouthrinse a few times per week.
Of those who reported use of a fluoride mouthrinse, 53% did so after brushing. The concentration of fluoride in the mouthrinses used varied greatly between patients (0ppm to 450ppm).
Conclusions: None of the Gold Standards were met.
Recommendations:
Bond-up appointments should be highlighted on the computer system to flag the need for relevant patient information leaflets and verbal advice regarding daily use of a fluoride mouthrinse, both of which should be documented in the clinical notes.
Re-audit in one year after these changes have been implemented.