ABSTRACT:
Aim: This study is designed to find out the spirochaete (Treponema denticola ) load in orthodontic patients and evaluate the benefit of mouth rinses containing chlorhexidine and hydrogen peroxide in reducing the bacterial load in the mouth. Objective : Orthodontic procedures are always long with the patients having the appliances placed in the mouth for longer duration. This will compromise the oral hygiene of the patients. Oral prophylaxis is very important to prevent the complications during the treatment period. Physical removal of the debris and plaque is difficult in orthodontic patients. In such case mouth rinses are widely used by many patients. Among the bacteria that colonises the mouth, treponemes dominate because they proliferate rapidly in devitalised tissue with the availability of simple source of nutrient. This study is done to know the presence of spirochetes and to evaluate the effects of mouth rinses containing chlorhexidine and hydrogen peroxide on reducing the spirochetes. Background: Placing orthodontic appliance leads increase in oral microbiota. The spirochetes present in mouth increases due to incomplete removal by normal brushing mechanism henceforth mouth washes provide a safe, effective means of reducing or eliminating the spirochetes found in oral cavity. Materials and methods : Patients undergoing orthodontic treatment are subjected in this study, they were made into three groups, group A:control group (orthodontic patients not taking antibiotics or mouth wash) group B using hydrogen per oxide local smear and group C chlorhexidine mouth wash Samples were collected using sterile tooth picks and transferred to glass slabs and smears are microscopically examined. Result: The variation in the effect of two different disinfectants over the spirochete count in oral flora of orthodontic patients wearing intra oral appliance is evaluated .