Periodontal health during clear aligners treatment: a systematic review

Rossini, Gabriele; Parrini, Simone; Castroflorio, Tommaso; Deregibus, Andrea; Debernardi, C

doi:10.1093/ejo/cju083

Cited by 140 publications

(123 citation statements)

References 20 publications

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“…The primary factor is plaque accumulation, which is the main risk factor for periodontal diseases during orthodontic treatment. Rossini et al did a systematic review and concluded that periodontal health indexes were significantly improved during clear aligner treatment based on a moderate level of evidence for all the studies they selected (Rossini et al, ). In this study, we found that after 6‐month Invisalign treatment, the PI scores of patients significantly decreased, while BOP and PPD did not obviously change.…”

Section: Discussionmentioning

confidence: 99%

“…Recent years have witnessed a growing number of orthodontic patients who seek Invisalign treatment for esthetic and convenience considerations. Moreover, it has been reported that compared to conventional fixed orthodontic treatment, Invisalign appliances do little harm to oral hygiene (Miethke & Vogt , Rossini, Parrini, Castroflorio, Deregibus, & Debernardi, ). A large amount of previous literature has shown that fixed orthodontic treatment poses a great threat to oral health of orthodontic patients, causing moderate to severe complications, such as white lesions, caries, periodontitis, and halitosis (Heymann & Grauer , Ren, Jongsma, Mei, Mei, & Busscher, ).…”

Section: Introductionmentioning

confidence: 99%

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The dynamics of the oral microbiome and oral health among patients receiving clear aligner orthodontic treatment

et al. 2020

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Objectives This 6‐month prospective clinical study assessed the impacts of Invisalign appliances on the oral bacterial community and oral health of patients. Methods Salivary samples were obtained from twenty‐five adult patients receiving Invisalign aligner treatment before the treatment (Group B) and at a 6‐month follow‐up (Group P). The bacterial composition of each sample was determined using Illumina MiSeq sequencing of the bacterial 16S rRNA. Intra‐ and intergroup biodiversity was analyzed. Clinical periodontal parameters and daily oral hygiene habits were recorded. Results Reduction in plaque, increased daily brushing frequency, and decreased dessert intake were observed in Group P compared with that in Group B. A total of 1,853,952 valid reads were obtained from the 50 salivary samples, with 37,904 sequences per sample. No significant differences were detected in the intra‐ and intergroup biodiversity comparisons between the two groups. By clustering, 8,885 OTUs were identified and categorized into six major phyla: Firmicutes, Proteobacteria, Bacteroidetes, Fusobacteria, Actinobacteria, and Candidate_division_TM7_norank. At the genus level, compared with Group B, Group P demonstrated significantly increased Bacillus abundance and decreased Prevotella abundance. Conclusions Our results suggested that the general biodiversity and salivary microbial community structure did not change significantly and that patients had increased beneficial oral hygiene habits and awareness during the first six months of Invisalign treatment. Hence, on the basis of this study, it appears that Invisalign aligner treatment did not induce deterioration of oral health nor significant biodiversity changes in oral bacterial communities, assuming that detailed oral hygiene instructions for both teeth and aligners were provided.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The dynamics of the oral microbiome and oral health among patients receiving clear aligner orthodontic treatment

et al. 2020

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“…Another significant variable for microbiota alterations is the amount of time the appliance is worn in the oral cavity, with removable appliances having significantly less impact on oral bacteria than fixed appliances [61]. …”

Section: Discussionmentioning

confidence: 99%

“…Less devastating results from changes in the oral microbiota emerged from studies on functional appliances and on aligners, which are used up to 22 h a day [61]. So, it seems more important to be able to remove the appliance and wash both it and the teeth rather than the length of time the device is worn.…”

Section: Discussionmentioning

confidence: 99%

Changes in oral microbiota due to orthodontic appliances: a systematic review

Lucchese

Bondemark

Marcolina

et al. 2018

Journal of Oral Microbiology

131

115

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Background: Oral microbiota has been at the center of cultural attention in recent years. In daily clinical practice, orthodontic appliances may be associated with an increased cariogenic risk and a worsening of preexisting periodontal diseases.Objective: The purpose of this review is to investigate the available evidence regarding the association between orthodontic appliances and changes in the quality and quantity of the oral microbiota.Design: The research included every article published up to October 2017 featuring the keywords ‘Orthodontic appliance* AND (microbiological colonization OR periodontal pathogen* OR Streptococcus mutans OR Lactobacillus spp. OR Candida OR Tannerella forsythia OR Treponema denticola OR Fusobacterium nucleatum OR Aggregatibacter actinomycetemcomitans OR Prevotella intermedia OR Prevotella nigrescens OR Porphyromonas gingivalis)’ and was conducted in the major medical databases. The methodological quality of selected papers was scored using the ‘Swedish Council on Technology Assessment in Health Care Criteria for Grading Assessed Studies’ (SBU) method.Results: Orthodontic appliances influence the oral microbiota with an increase in the counts of S. mutans and Lactobacillus spp. and in the percentage of potentially pathogenic gram-negative bacteria.Conclusions: There is moderate/high evidence regarding the association between orthodontic appliances and changes in the oral microbiota.PROSPERO registration number CRD42018091589.

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“…In addition, the current concept of an optimal force in orthodontics is based on the theory that a force of a certain magnitude and duration would be capable of producing a maximum rate of tooth movement without tissue damage . Tooth movement with the Invisalign system is distance‐based, as opposed to forced‐based with the fixed appliance systems.…”

Section: Discussionmentioning

confidence: 99%

Efficiency, effectiveness and treatment stability of clear aligners: A systematic review and meta‐analysis

Zheng

Liu

et al. 2017

Orthod Craniofacial Res

188

116

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Periodontal health during clear aligners treatment: a systematic review

Abstract: Periodontal health indexes were significantly improved during CAT. The results of this review should be interpreted with some caution because of the number, quality, and heterogeneity of the included studies.

Cited by 140 publications

References 20 publications

The dynamics of the oral microbiome and oral health among patients receiving clear aligner orthodontic treatment

The dynamics of the oral microbiome and oral health among patients receiving clear aligner orthodontic treatment

Changes in oral microbiota due to orthodontic appliances: a systematic review

Efficiency, effectiveness and treatment stability of clear aligners: A systematic review and meta‐analysis

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