{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T19:59:16Z","timestamp":1791575956500,"version":"4.3.4"},"reference-count":79,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T00:00:00Z","timestamp":1781136000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T00:00:00Z","timestamp":1781136000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003785","name":"Guangdong Medical Research Foundation","doi-asserted-by":"publisher","award":["A2024302"],"award-info":[{"award-number":["A2024302"]}],"id":[{"id":"10.13039\/501100003785","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dental Hygiene"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>More and more patients with malocclusion are choosing fixed orthodontics to improve their chewing ability, maintain dental health and aesthetics. However, inappropriate timing of treatment, lack of management programmes during treatment and neglect of follow\u2010up strategies after removal of appliances can lead to a succession of oral health problems. Therefore, oral health management throughout the patient's treatment period is necessary. This review systematically synthesises published evidence on oral health management in fixed orthodontic treatment patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Systematically searched the Up to date, the Joanna Briggs Institute (JBI), BMJ Best Practice, the Cochrane Library, Pubmed, Web of Science, CNKI and other resources. Guidelines, expert consensus, evidence summaries, systematic reviews, clinical decision\u2010making on the management of oral health of fixed orthodontic patients were included, which were published from the establishment of each database until October 31, 2023. AGREE II and AMSTAR 2 were used to evaluate literature quality. The JBI evidence Pre\u2010grading and Recommendation level system (2014 edition) was used to classify evidence levels and recommend evidence based on the FAME structure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 2 guidelines and 33 systematic reviews were included, involving 37 evidence concerning assessment, timing of treatment, selection of orthodontic materials, use of fluoride\u2010containing materials, development of an oral health management plan, remote administration and improvement of patient compliance, the use of fluoride toothpaste, mouthwash and toothbrush selection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study summarises the best evidence related to oral health management of fixed orthodontic patients, which can provide reference for healthcare professionals and patients in oral health management, promote patients' participation in self\u2010management and contribute to the improvement of patients' adherence. In clinical practice and application, healthcare professionals need to take the clinical context into account and fully consider the patients' preferences and economic situation in order to develop individualised treatment strategies and management plans for patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/idh.70114","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T04:15:33Z","timestamp":1781237733000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Oral Health Management in Patients With Fixed Orthodontic Treatment: An Evidence\u2010Based Integrated Review"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6684-8834","authenticated-orcid":false,"given":"Xiaowen","family":"Feng","sequence":"first","affiliation":[{"name":"School of Nursing and Health Nanfang College Guangzhou  Guangzhou Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1533-0122","authenticated-orcid":false,"given":"Cuixian","family":"Zhao","sequence":"additional","affiliation":[{"name":"The 5th People\u2019s Hospital of Foshan City, Foshan Rehabilitation Hospital Co., Ltd.  Foshan Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0569-5592","authenticated-orcid":false,"given":"Fang","family":"Shen","sequence":"additional","affiliation":[{"name":"School and Hospital of Stomatology Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Medical University  Guangzhou Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3331-9301","authenticated-orcid":false,"given":"Ziwen","family":"Ye","sequence":"additional","affiliation":[{"name":"Department of Nursing Guangdong Pharmaceutical University  Guangzhou Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7119-0302","authenticated-orcid":false,"given":"Xin","family":"Peng","sequence":"additional","affiliation":[{"name":"Guangdong Clinical Research Academy of Chinese Medicine The First Affiliated Hospital of Guangzhou University of Chinese Medicine  Guangzhou Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wanying","family":"Su","sequence":"additional","affiliation":[{"name":"School and Hospital of Stomatology Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Medical University  Guangzhou Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7115-1699","authenticated-orcid":false,"given":"Liping","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Nursing Guangdong Provincial Key Laboratory of Major Obstetric Diseases, Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology, the Third Affiliated Hospital of Guangzhou Medical University  Guangzhou Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1374-8178","authenticated-orcid":false,"given":"Wei","family":"Xiao","sequence":"additional","affiliation":[{"name":"School and Hospital of Stomatology Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Medical University  Guangzhou Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,11]]},"reference":[{"issue":"2","key":"e_1_2_14_2_1","first-page":"115","article-title":"Worldwide Prevalence of Malocclusion in the Different Stages of Dentition: A Systematic Review and Meta\u2010Analysis","volume":"21","author":"Lombardo G.","year":"2020","journal-title":"European Journal of Paediatric Dentistry"},{"issue":"7","key":"e_1_2_14_3_1","doi-asserted-by":"crossref","first-page":"4871","DOI":"10.1007\/s00784-022-04454-5","article-title":"Management of White Spot Lesions Induced During Orthodontic Treatment With Multibracket Appliance: A National\u2010Based Survey","volume":"26","author":"Weyland M. 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