Abstract
INTRODUCTION: Orthodontic treatment significantly improves dental aesthetics, occlusal function, and overall oral health. However, maintaining optimal oral hygiene during treatment is challenging because of plaque accumulation around brackets, wires, and bands, which increases the risk of dental caries. Patient perceptions of caries risk and preventive strategies influence their adherence to oral hygiene measures. This study aimed to assess orthodontic patients' perceptions of dental caries risk, adherence to preventive measures, and effectiveness of oral hygiene instructions provided by orthodontists. MATERIALS AND METHODS: A cross-sectional survey was conducted at the Department of Orthodontics, India, for over 10 months (January 2024-October 2024). This study included 168 patients who had completed fixed orthodontic treatment and underwent bracket debonding. A structured, self-administered questionnaire was used to collect data on demographic details, perception of caries risk, adherence to oral hygiene measures, preventive strategies, and effectiveness of orthodontist-provided instructions. Chi-square tests were used for associations (p < 0.05, considered significant). RESULTS: One hundred twenty-eight (76.19%) participants reported difficulty in maintaining oral hygiene, and 132 (78.57%) experienced white spot lesions or early caries. Only 90 (52.38%) were aware of the role of fluoride in caries prevention, whereas 104 (62.50%) believed that orthodontists provided adequate oral hygiene instructions. After treatment, 144 (86.31%) felt confident in maintaining oral hygiene, but many emphasized the need for better patient education. Statistical analysis revealed a significant association (p = 0.001) between caries experience and fluoride awareness, oral hygiene adherence, and dietary modification. CONCLUSION: Orthodontic patients face significant challenges in maintaining oral hygiene, with gaps in fluoride awareness and dietary adherence. Enhanced patient education, including fluoride use, dietary counseling, and behavioral reinforcement strategies, is essential. Structured oral hygiene guidance during orthodontic treatment is crucial to reduce caries risk and improve long-term oral health outcomes.