Vol. 11, Issue 1, Part B (2025)

Background: Fixed orthodontic treatment significantly improves dental aesthetics and function but can also predispose patients to gingival problems due to challenges in maintaining oral hygiene. This study aims to analyze and evaluate the prevalence and types of gingival problems among patients undergoing fixed orthodontic treatment.

Materials and Methods: A questionnaire-based survey was conducted among 200 patients undergoing fixed orthodontic treatment at a tertiary dental care center. The questionnaire assessed oral hygiene practices, awareness of gingival health, and the prevalence of symptoms such as gingival swelling, bleeding, and discomfort. Clinical examination data, including plaque index and gingival index, were recorded to correlate self-reported symptoms with clinical findings.

Results; Out of 200 participants, 75% reported at least one gingival symptom, with 40% experiencing gingival swelling and 30% reporting bleeding gums. The average plaque index score was 2.1±0.3, and the gingival index score was 1.8±0.4, indicating moderate gingival inflammation in most patients. Patients with poor oral hygiene practices were significantly more likely to exhibit severe gingival issues (p<0.05).

Conclusion: Gingival problems are highly prevalent among patients undergoing fixed orthodontic treatment, largely due to inadequate oral hygiene. Regular professional care and enhanced patient education on oral hygiene maintenance are crucial in minimizing these complications.