Manual versus powered tooth brushing in orthodontic patients

INTERVENTION: Patients are randomised to two groups: intervention and control groups The intervention group will be instructed to use a powered toothbrush, twice a day for the whole period they are in braces, whereas the control group will use a manual toothbrush, twice a day for the whole period they are in braces. Participants in both groups are followed up 1 month after fixed appliance placement (T1), 6 months (T2), 12 months (T3) months and at debond (T4). CONDITION: Best type of toothbrush for orthodontic patients ; Oral Health PRIMARY OUTCOME: To compare the means of the two groups with respect to the plaque and gingivitis indices at 1, 6, 12 months and at the debond appointment. Levels of decalcification will also be measured at the debond appointment SECONDARY OUTCOME: Whether the results at 1 month can serve as a predictor of how a patients plaque control and gum health will be like, as well as be a forecaster of enamel decalcification at the end of treatment. INCLUSION CRITERIA: 1. Patients aged 12‐18 years at start of treatment 2. Upper and lower preadjusted Edgewise appliances 3. Brushing at least once a day 4. Good general health 5. Non smokers