Guidelines for periodontal care and follow-up during orthodontic treatment in adolescents and young adults

Abstract

Aggressive periodontitis is characterized by non-contributory medical history, rapid attachment loss and bone destruction and familial aggregation of cases. Aggressive periodontitis (both localized and generalized) is usually diagnosed in a young population. This is frequently the age that an orthodontic care is provided to this population. The aim of the present paper is to draw guidelines for periodontal evaluation and monitoring prior to and during active orthodontic treatment. Strict adherence to these guidelines as a routine protocol for periodontal examination prior, during and following orthodontic treatment may dramatically decrease the severity and improve the prognosis of patients with aggressive periodontitis in orthodontic clinics.

Periodontal status among adolescents in Georgia. A pathfinder study

“…The high prevalence of aggressive periodontitis reported among young adolescents as well as our current findings of high prevalence of deep periodontal pockets in 15-year-olds might warrant both pediatric and general dentists to increase their awareness to diagnose the disease as early as possible. Since the disease usually appears at a younger age, the importance of early detection is paramount in order to avoid tooth loss in early childhood or adolescence (Levin et al, 2012; Levin, 2011). …”

THE INFLUENCE OF DENTAL HYGIENE ON ANATOMICAL STRUCTURES OF THE PERIODONTIUM; La influencia de la higiene dental en las estructuras anatomicas del periodontium

“…There is also a need for cooperation between the attending dentist and dental hygienist. When these conditions are (Levin et al, 2012). Slovakia is among the countries with a high prevalence of untreated periodontitis.…”

“…The orthodontic appliances usually have a negative effect on the oral hygiene. It should be kept in mind that orthodontic retainers, both removable and fixed, are potentially plaque retentive devices and as such have potential risk for periodontal tissues (Levin et al, 2012). The orthodontic treatment plan, biomechanics, and appliance system may need to be modified to deal with the teeth having reduced periodontal support.…”

Microbial Changes in Subgingival Plaque and Polymicrobial Intracellular Flora in Buccal Cells after Fixed Orthodontic Appliance Therapy: A Preliminary Study

“…In addition, progression of the therapy may enhance the proliferation of bacterial species. Other works have suggested that the microbial colonization of the PP, in the course of orthodontic treatment, could be modulated, controlled, and also diminished through a tight control on the patient's domiciliary oral hygiene [7, 12]. In this work, it is possible to observe how the modification of the oral ecosystem and, in particular, the increase or decrease of Tf are strictly linked to both the fixed orthodontic treatment and also the presence of oral hygiene motivation.…”

“…In fact, the effects of stress on the periodontal tissues, the difficulties in maintaining an adequate standard of oral hygiene in the presence of brackets and bands, and the frequent abrasions and ulcerations of the soft tissues, which increase the capacity of periodontal bacteria to penetrate epithelial cells, could probably be mitigated by the strict control and conditioning of specific domiciliary oral hygiene protocols [10, 11]. Although a strict control of oral hygiene would contrast the negative influence of the device [2, 9], there is no work in the literature that describes the effect of oral hygiene motivation on BEC during fixed orthodontic treatment [6, 8, 10–12]. …”