Effects of orthodontic attachments on the gingival health of permanent second molars

Alexander, Stanley A.

doi:10.1016/0889-5406(91)70071-4

Cited by 160 publications

(147 citation statements)

References 10 publications

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“…Inadequate oral hygiene usually leads to gingivitis and can progress to periodontitis. [3][4][5][6][7][8] In the present study, the amount of dental plaque and gingival bleeding was significantly higher in the FOA group, which confirms the finding of the previous studies. The grooming of children and adolescents with FOA should therefore be monitored throughout the treatment period and frequent recall appointments should be scheduled for evaluating oral hygiene and to see if nutritional recommendations are adhered to.…”

Section: Discussionsupporting

confidence: 82%

“…2 It has been observed that in several patients, multiband or multibracket appliances result in development of marginal gingivitis and or gingival hyperplasia. [3][4][5][6][7][8] These changes are primarily attributed to increased plaque accumulation, [9][10][11][12][13] as FOAs increase the difficulty in maintaining oral hygiene and behave as niches for plaque retention. 7,14 In addition to irritation of the periodontal tissues from FOA, there is an increased risk of decalcification of the tooth structure that is caused by the prolonged adhesion of food debris and increased plaque accumulation.…”

Section: Introductionmentioning

confidence: 99%

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Oral Hygiene and Dietary Habits in Adolescents With Fixed Orthodontic Appliances: A cross-sectional Study

Azaripour¹,

Willershausen²,

Hassan³

et al. 2016

The Journal of Contemporary Dental Practice

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Objectives: Fixed orthodontic appliances (FOAs) may cause a temporary deterioration of oral hygiene with corresponding gingival inflammatory changes. Optimal oral hygiene and dietary changes are essential in order to avoid periodontal inflammation. The present study investigates to what extent the recommendations made by the orthodontist are followed by young patients. Materials and methods:A total of 67 adolescent patients with FOA were examined and interviewed. The control group consisted of 70 patients of the same age who had not undergone any orthodontic treatment. A specific questionnaire (assessing dietary habits, oral hygiene measures) was used and comprehensive oral findings along with oral hygiene status were evaluated. Results:The analysis of the data showed that despite intensive oral hygiene and dietary advice in the patients with FOA, there was no change in diet or oral hygiene habits. There were significantly higher signs of gingival inflammation and amount of dental plaque in FOA patients. Nutritional recommendations and oral hygiene measures for young people with FOA were not adequately enforced. Conclusion:The findings indicate that frequent recalls should be scheduled with repeated reinforcement of oral hygiene and dietary modifications in FOA patients. Keywords

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Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Oral Hygiene and Dietary Habits in Adolescents With Fixed Orthodontic Appliances: A cross-sectional Study

Azaripour¹,

Willershausen²,

Hassan³

et al. 2016

The Journal of Contemporary Dental Practice

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“…Furthermore, reported cases from the literature show that undesirable complications associated with orthodontic treatment include apical root resorption and periodontal problems. 9 A treatment challenge can be imposed while performing orthodontic tooth movement on the endodontically restored teeth. Endodontically treated teeth might be present due to deep carious lesion or trauma.…”

Section: Discussionmentioning

confidence: 99%

Assessment of the Effect of Orthodontic Treatment on the Periodontal Health of Endodontically Restored Tooth

Jalaluddin

Goyal²,

Naqvi

et al. 2017

The Journal of Contemporary Dental Practice

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Intorduction Patients usually undergo orthodontic treatment for achieving ideal interocclusal relationship between the dental tissue and bony tissue along with improving the speech, mastication, and facial esthetic appearance. Literature quotes paucity in the studies evaluating the effect of orthodontic treatment on the periodontal health of endodontically treated teeth. Hence, we planned the present study to assess the effect of orthodontic treatment on the periodontal health of endodontically restored tooth. Materials and methods The present study included assessment of 80 patients who underwent orthodontic treatment. All the patients were divided broadly into two study groups: groups I and II. Group I included patients with the absence of endodontically treated teeth, while group II included patients which maxillary central incisors were resorted endodontically. Examination of the periodontal health of the patients was done using the community periodontal index of treatment need (CPITN) around the selected teeth. All the values were recorded during the preorthodontic time, postorthodontic time, and after the first 6 months of starting of the orthodontic treatment. All the results were recorded separately and analyzed. Results In the groups I and II, 28 and 25 patients respectively, had score of 1, while 10 patients in group I and 12 patients in group II had score of 2. Nonsignificant results were obtained while comparing the CPITN score in between the two study groups when measured at the pre-, intra-, and postortho time. Conclusion In patients undergoing orthodontic treatment, having endodontically resorted teeth, no difference exists in relation to the periodontal health. Clinical significance Orthodontic treatment can be safely carried in patients with endodontically restored teeth. How to cite this article Jalaluddin M, Goyal V, Naqvi ZA, Gupta B, Asnani MM, Sonigra HM. Assessment of the Effect of Orthodontic Treatment on the Periodontal Health of Endodontically Restored Tooth. J Contemp Dent Pract 2017;18(7):587-590.

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“…Permanent second molars are often misaligned and therefore are included in the treatment plan, thus increasing the potential for gingival inflammation. 7,14 Technical and bonding difficulties often arise, leading professionals to resort to the use of bands. 2,7,14 Gingivitis, especially in the region of the interdental papilla, has been observed in teeth banded for orthodontic purposes.…”

Section: Introductionmentioning

confidence: 99%

“…6 Various factors have been suggested to explain these observations, such as the larger size of the clinical crown of adult teeth resulting from passive eruption, which allows brackets to be positioned farther away from the gingival margin. 2 On the other hand, orthodontic appliances and accessories (bands, brackets, archwires, elastics, and springs) increase the number of areas of dental plaque retention and consequently hinder hygiene, [7][8][9][10][11][12][13] particularly in the posterior segments of the oral cavity, given their difficult access. Permanent second molars are often misaligned and therefore are included in the treatment plan, thus increasing the potential for gingival inflammation.…”

Section: Introductionmentioning

confidence: 99%

Risk factors for periodontal changes in adult patients with banded second molars during orthodontic treatment

Melo¹,

Cardoso

Faber

et al. 2012

The Angle Orthodontist

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Objective: To identify the risk factors for periodontal changes in adult patients during orthodontic treatment by evaluating the periodontal status of banded second molars using the gingival index (GI). Material and Methods: The sample consisted of 100 adult patients divided into two groups: the Orthodontics group, undergoing corrective treatment with fixed appliances and bands cemented to the four second molars, and the Control group, with no prior history of orthodontic treatment, age and sex matched. Group GI values were compared using the Wilcoxon test. Additionally, a multivariate logistic regression was performed to study the risk factors for increases in the GI. Results: Individuals in the Orthodontics group showed a significantly higher GI than those in the Control group. Logistic regression revealed that among the risk factors found to increase GI, the following proved significant (in order of importance): plaque index, subgingival encroachment of the cervical margins of bands, probing depth, and length of orthodontic treatment. Conclusions: Banded second molars of adult patients during orthodontic treatment showed more clinical signs of gingival inflammation than those of untreated individuals. Moreover, major risk factors identified included the presence of plaque and the presence of subgingival band margins. (Angle Orthod. 2012;82:224-228.)

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Effects of orthodontic attachments on the gingival health of permanent second molars

Cited by 160 publications

References 10 publications

Oral Hygiene and Dietary Habits in Adolescents With Fixed Orthodontic Appliances: A cross-sectional Study

Oral Hygiene and Dietary Habits in Adolescents With Fixed Orthodontic Appliances: A cross-sectional Study

Assessment of the Effect of Orthodontic Treatment on the Periodontal Health of Endodontically Restored Tooth

Risk factors for periodontal changes in adult patients with banded second molars during orthodontic treatment

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