Periodontal status of adult patients treated with fixed buccal appliances and removable aligners over one year of active orthodontic therapy

Karkhanechi, Marzieh; Chow, Denise; Sipkin, Jennifer; Sherman, David A.; Boylan, Robert; Norman, Robert G.; Craig, Ronald G.; Cisneros, George J.

doi:10.2319/031212-217.1

Cited by 128 publications

(120 citation statements)

References 32 publications

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“…Although a direct comparison is not possible, our results are similar to those of a previous study showing that lower numbers of anaerobic bacteria, less plaque accumulation, and improved periodontal conditions were found with removable aligners compared with fixed appliances. 24 The present study shows that removal of fixed appliances does not significantly reduce all periodontal pathogens during the initial retention period. Therefore, our null hypothesis was partly accepted.…”

Section: Discussionmentioning

confidence: 76%

Changes in salivary periodontal pathogens after orthodontic treatment: An in vivo prospective study

Kim

Jung

Cho

et al. 2015

The Angle Orthodontist

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Objective: To analyze the initial changes in salivary levels of periodontal pathogens after orthodontic treatment with fixed appliances. Materials and Methods: The subjects consisted of 54 adult patients. The Simplified Oral Hygiene Index, Plaque Index, and Gingival Index were measured as periodontal parameters. Both the plaque and gingival indexes were obtained from the central and lateral incisors and first molars of both arches. Whole saliva and periodontal parameters were obtained at the following four time points: immediately before debonding (T1), 1 week after debonding (T2), 5 weeks after debonding (T3), and 13 weeks after debonding (T4). Repeated measures analysis of variance was used to determine salivary bacterial levels and periodontal parameters among the four time points after quantifying salivary levels of Aggregatibacter actinomycetemcomitans (Aa), Fusobacterium nucleatum (Fn), Porphyromonas gingivalis (Pg), Prevotella intermedia (Pi), Tannerella forsythia (Tf), and total bacteria using the real-time polymerase chain reaction. Results: All periodontal parameters were significantly decreased immediately after debonding (T2). The salivary levels of total bacteria and Pg were decreased at T3, while Pi and Tf levels were decreased at T4. However, the amount of Aa and Fn remained at similar levels in saliva during the experimental period. Interestingly, Aa and Fn were present in saliva at higher levels than were Pg, Pi, and Tf. Conclusion: The higher salivary levels of Aa and Fn after debonding suggests that the risk of periodontal problems cannot be completely eliminated by the removal of fixed orthodontic appliances during the initial retention period, despite improved oral hygiene. (Angle Orthod. 2016;86:998-1003.)

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Section: Discussionmentioning

confidence: 76%

Changes in salivary periodontal pathogens after orthodontic treatment: An in vivo prospective study

Kim

Jung

Cho

et al. 2015

The Angle Orthodontist

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“…Pada tahap akut, rawatan ortodontik boleh menyebabkan kesakitan dan keradangan gusi (Erdinç & Dinçer 2004;Long et al 2013;Tecco et al 2009), mengganggu pertuturan (Long et al 2013) dan menyebabkan penyakit periodontal (Karkhanechi et al 2013). Walau bagaimanapun, kajian terhadap kesan jangka masa panjang rawatan ortodontik menunjukkan tiada perbezaan yang ketara dalam kejadian karies, penyakit periodontal atau kehilangan gigi antara individu yang mendapatkan dan tidak mendapatkan rawatan ortodontik (Thomson 2002) .…”

Section: Pendahuluanunclassified

Penyerapan Akar Gigi Apeks Luaran Hasil Rawatan Ortodontik Pada Enam dan 12 Bulan

Arifin¹,

Din

Yamamoto

et al. 2017

JSM

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“…However, during its course gingival hypertrophy, accumulation of plaque and calculus formation can occur 14 , increasing the levels of periodontopathogenic lationship between orthodontic treatment and NUG. Lira et al have reported the therapeutic success of using 500mg of metronidazole and chlorhexidine 0.12% mouthwashes in a patient with NUG and under orthodontic treatment 4 .…”

Section: Discussionmentioning

confidence: 99%

Clinical diagnosis and treatment of necrotizing ulcerative gingivitis in the orthodontic patient. A case report.

2016

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Introduction: About 0.1% of the population suffers from necrotizing ulcerative gingivitis, a disease of rapid progression and acute manifestation, which may progress to necrotizing ulcerative periodontitis and eventually to bone sequestration and loss of gingival tissue. Case report: A 21-year-old female patient undergoing orthodontic treatment for six months, diagnosed with necrotizing ulcerative gingivitis due to acute pain in the gingival tissue, spontaneous bleeding, halitosis and abundant plaque. The treatment was conservative and effective, obtaining total remission of the lesion after seven days and three months of postoperative follow-up. Conclusion: Today there are no epidemiological or clinical reports that support the relationship of necrotizing ulcerative gingivitis and orthodontic treatment. Prevention is critical to the success of the treatment, which is why the dentist should recognize the clinical features of necrotizing ulcerative gingivitis to raise awareness of its risks in the orthodontic patient.

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Periodontal status of adult patients treated with fixed buccal appliances and removable aligners over one year of active orthodontic therapy

Abstract: These results suggest treatment with fixed buccal orthodontic appliances is associated with decreased periodontal status and increased levels of periodontopathic bacteria when compared to treatment with removable aligners over the 12-month study duration.

Cited by 128 publications

References 32 publications

Changes in salivary periodontal pathogens after orthodontic treatment: An in vivo prospective study

Changes in salivary periodontal pathogens after orthodontic treatment: An in vivo prospective study

Penyerapan Akar Gigi Apeks Luaran Hasil Rawatan Ortodontik Pada Enam dan 12 Bulan

Clinical diagnosis and treatment of necrotizing ulcerative gingivitis in the orthodontic patient. A case report.

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