Effect of Dental Waterjet on Oral Hygiene for Patients With Braces

Subjects will be randomized into two groups. The first group will receive a dental water jet and the second group will receive dental floss. Plaque accumulation using plaque index and gingival health using gingival index will be measured at baseline and after four weeks for each group and then, results will be compared.

• Dental Water Jet (Device): Dental Water Jet will be used by subjects to clean their teeth in the interproximal areas.
• Dental Floss (Device): Dental Floss will be used by subjects to clean their teeth in the interproximal areas.

Primary outcomes

• Change in plaque index [At baseline and after 4 weeks.]: Plaque index: 0, no plaque, 1, plaque seen on the tip of the explorer or with disclosing agent, 2. plaque seen with the naked eye, 3, abundance of plaque.
• Change in gingival index [At baseline and after 4 weeks.]: Gingival index: 0, normal gingiva, 1, mild inflammation - slight change in color, slight edema and no bleeding on probing, 2, moderate inflammation - redness, edema and glazing and bleeding on probing, 3, severe inflammation - marked redness and edema, ulceration and tendency to spontaneous bleeding.

Sex: All, ages: 12 Years to any, accepts healthy volunteers

Inclusion Criteria:

* Subjects having orthodontic fixed appliance.
* Subjects aged 12 years old and above who own mobile phones and no mental or physical disabilities.
* Subjects willing to comply with given oral hygiene instructions.

• Omar AlKadhi, BDS, MS, Principal investigator, Riyadh Colleges of Dentistry and Pharmacy