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High standards of professional hygiene must be ensured at all times, including good operator hand hygiene before/after patient contact, adequate use of personal protective equipment, probe covers, etc., as required.
Furthermore, after periodontal examinations, patients received professional hygiene prophylaxis treatment prior to orthodontic treatment, and were also enrolled in a recall system including professional cleaning every six months.
Patients were monitored at 6 month recall visits if no mucositis was present; otherwise, they received hygiene instructions and professional hygiene and were visited again after a month.
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The most important aspects in healthcare performance in the A&E from the patient's perspective dealt with competence of professionals, hygiene and expectations.
According to the patients, the three most important aspects in healthcare performance in the A&E were: trust in the competence of the healthcare professionals, hygiene in the A&E and patients' health care expectations.
Each subject underwent a session of professional oral hygiene and received oral hygiene instructions; 2 weeks later, a fixed orthodontic appliance was placed on the maxillary arch.
Every 3 months during active orthodontic treatment, all subjects underwent professional oral hygiene maintenance; more frequent hygienic check-ups were scheduled in the presence of clinical signs of unhealthy gingival conditions.
All patients had to undergo a professional dental hygiene treatment in advance.
All patients had professional oral hygiene 3 days before bonding, and then both arches were bonded, including the first molars.
Before the beginning of treatment, all patients underwent meticulous professional oral hygiene at the Department of Periodontology, University of Bologna, Italy; no clinical signs of unhealthy gingival conditions (probing pocket depths exceeding 3 mm and bleeding on probing) were present at that time.
Each subject was pretreated for a week with professional dental hygiene.
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