Objective: To determine the effect of bracket type on halitosis, periodontal status, and microbial colonization. Materials and Methods: Forty-six patients scheduled for fixed orthodontic treatment (age 11-16 years) were selected from the orthodontic department of Suleyman Demirel University. Patients were divided into two groups with random distribution of brackets; 23 patients were treated with self-ligating brackets (group SLBs), the others with conventional brackets (group CBs). Halitosis measurements and periodontal and microbial records were obtained before the placement of brackets (T0), 1 week later (T1), and 5 weeks after bonding (T2). Periodontal parameters, including plaque index (PI), gingival index (GI), and bleeding on probing index (BOP), were obtained from all the bonded teeth. Halitosis measurements were performed at the same time. Microbial samples were obtained from the buccal surfaces of all the bonded teeth. Data were analyzed by using a repeated-measurement analysis of variance test for the comparison of parameters between groups and times. Results: Periodontal parameters and halitosis results were higher in the CBs group than in the SLBs group (P , .05). In the SLBs group, halitosis and BOP values revealed no pronounced changes between T1 and T2 (P . .05). Intra-and intergroup comparisons showed that there were no statistically significant differences for microbial colonization between all the time intervals (P . .05). Conclusion: Bracket type has an effect on halitosis and periodontal status. Therefore, self-ligating brackets may be advised in order to prevent patients from developing halitosis and to increase the likelihood of good oral hygiene during orthodontic treatment. (Angle Orthod. 2014;84:479-485.)
The OHMM applied by the patients under the supervision of the clinician seemed to be more successful in the elimination of plaque and inflammatory symptoms in patients with fixed appliances.
Objectives:The aim of this study was to compare the demographic and clinical features of tooth sensitivity (TS) in subjects with and without fluorosis.Methods:A total of 2249 subjects (378 subjects with fluorosis and 1871 subjects without fluorosis) were examined for TS during a study period of one year and TS was determined in 122 subjects. The level of TS was evaluated on a visual analogue scale (VAS). The sensitivity evaluation was made by applying tactile and cold air stimuli. In teeth sensitive to any stimuli, the plaque index (PI), gingival index (GI), gingival recession (GR) and periodontal pocket depth (PPD) were recorded. Fluorosis was assessed using the Dean Index.Results:One hundred and twenty-two participants were found to have TS (5.42%). The frequency of TS in subjects with fluorosis was 9.26%, while the frequency of TS in subjects without fluorosis was 4.65%. There was a statistically significant difference between the groups in terms of TS frequency (P=0.0003). In contrast, there were no significant differences between the groups for periodontal parameters except PI.Conclusions:The results of the study showed that the subjects with fluorosis may have been suffering from TS more than the subjects with normal dentition. Further studies are necessary to determine the factors that contribute to sensitivity of teeth with fluorosis.
Periodontologlar ve ortodontistler arasındaki sinerji, her iki disiplini de ilgilendiren kombine terapilerin klinik sonuçlarını geliştirmek için önemli fırsatlar yaratır. YÖNTEMLER: Bu iki uzmanlık alanının işbirliği, ortodontik tedaviye bağlı olarak periodontal sağlığın daha iyi düzeye ulaşmasına ve buna karşılık doğru periodontal idame ile ortodontik terapinin başarısının artmasına yol açar. Periodontoloji ve ortodontinin beraberliği konvansiyonel tedavilerin yanı sıra, 'periodontal olarak hızlandırılmış osteojenik ortodonti™ (PAHOO)' gibi yeni gelişen tedavi alternatifleri açısından da önemli rol oynar. BULGULAR: PAHOO™ tekniği, 'ortodontik tedavi ile kombine edilmiş alveolar kortikotomiye ilave olarak kemik ogmentasyonuna yönelik gretfleme' olarak tanımlanır. Sağlıklı dokulardaki deminerilizasyon-reminerilizasyon süreçlerinin çabuk ve geçici doğasına dayalı destekleyici ve umut veren bir teknik olarak PAHOO™, alveolar kortikotomi ile labial ve palatinal/lingual yüzeylerin kemik greftlemesini takiben ortodontik kuvvet uygulanmasından oluşur. Azalmış ortodontik tedavi süresi, artmış kemik hacmi ve post-ortodontik stabilite PAHOO™ tekniğinin en önemli avantajları olarak sıralanmaktadır. Kortikotomi-yardımlı ortodontinin tarihsel kökenleri 1800'lü yıllara kadar dayansa da, literatürde az sayıda hayvan deneyi ve klinik olgu sunumu izlenmekte ve bu tekniğin uzun dönem başarısını doğrulamak için kontrollü, prospektif ve histolojik araştırmalara ihtiyaç duyulmaktadır. SONUÇ: Bu bağlamda derlememizin amacı PAHOO™ tekniğini tarihsel gelişim, biyolojik esaslar ve klinik düşünceler çerçevesinde gözden geçirmektir.
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