Brackets, bands, ligatures and wires in patients receiving orthodontic treatment with fixed appliances are areas that trap food and impede oral hygiene. An ecological environment facilitating the growth of microorganisms (Actinobacillus, Bacteroides, Prevotella etc.) emerges in the mouth and may cause caries, enamel white spots, gingival inflammation and halitosis. Despite the use of specialized orthodontic brushes, interdental brushes, mouthwashes and topical fluorides, plaque removal remains inadequate in patients with fixed orthodontic appliances. On the other hand, patients undergoing orthodontic treatment with aligners have been found to have better oral hygiene because of less plaque accumulation in their mouth. Probiotics are defined as non-pathogenic bacteria that can benefit the host's general health when taken in sufficient amounts through nutrition. Nowadays probiotics can be used to enhance oral health as they are found to reduce dental bioļ¬lm formation, prevent and decrease halitosis in children, adolescents and adults. To date, there are few randomized controlled trials (RCTs) examining the efļ¬cacy of oral probiotics in patients with fixed orthodontic appliances and none reporting the incidence of halitosis and the effect of probiotics in orthodontic patients wearing aligners.
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Modified Silness and Lƶe plaque index (PI-M)
Timeframe: baseline-1 month
Modified Silness and Lƶe plaque index (PI-M)
Timeframe: 1 month- 3 month
Modified Gingival index (GI-M)
Timeframe: baseline-1 month
Modified Gingival index (GI-M)
Timeframe: 1 month- 3 month
Halitosis/ VSCs levels
Timeframe: baseline-1 month
Halitosis/ VSCs levels
Timeframe: 1 month- 3 month