Are the Effects of Fixed Orthodontic Treatment on Gingival Health Similar in Adolescents and Young Adults?

Karacaoĝlu, Fatma; Akkaya, Sevil; Akkaya, Murat

doi:10.4172/2254-609x.100049

Cited by 4 publications

(4 citation statements)

References 14 publications

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“…This finding is in agreement with other studies (Marsh et al, 2017) who perform their study on age (14-26) years and were in contrast with Nsour, 2013. On the other hand, the increase of visible inflammation and gingival recession among young adults was found statistically significant after treatment whereas the average visible plaque and inflammation values of the adolescents proved to be statistically significant after treatment who perform their study on age (12-17) and (18-32) (Karacaoglu et al, 2016).…”

Section: Discussionmentioning

confidence: 85%

Assessment of Gingival Health Status among Patients with Fixed Orthodontic Appliance

Hussein

Hassan

2021

Polytechnic j.

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Fixed orthodontic appliances corrupt plaque removal, proper oral hygiene, and gingival health so periodontal evaluation is important to be checked in every appointment. The aim of the present study was to assess gingival health among patients with a fixed orthodontic appliance. A clinical comparative study conducted on 25 patients with an aged ranged from 15 to 25 years. Clinical parameters included plaque index (PI), gingival index (GI), and bleeding on probing (BOP) were recorded at base line before starting orthodontic treatment and after 1 month of treatment. A double paired t-test was applied to the data collected for statistical analysis. The mean value of PI (1.11), GI (1.155), and BOP (0.600) scores was increased after placement of fixed orthodontic appliance, but with no statistically significant difference with base line for PI (P-value = 0.596), GI (P-value = 0.355), and BOP (P-value = 0.256), respectively. Regarding age group, mean PI (1.46), GI (1.22), and BOP (0.875) were increased with increasing age, patients who age’s ≥20 showed statistical significant difference for gingival and plaque means P-value = 0.006 and P-value = 0.03) for ≥20, respectively. The finding of this study had shown that patients with fixed orthodontic appliances had non-significant increase in the mean value of plaque, gingival, and BOP indices scores. All mean scores were increased with increasing age, but with non-significantly for BOP only.

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Section: Discussionmentioning

confidence: 85%

Assessment of Gingival Health Status among Patients with Fixed Orthodontic Appliance

Hussein

Hassan

2021

Polytechnic j.

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“…Moreover, the force used in the treatment tends to activate the gingival soft tissue response. Clinical consequences such as persistent infection, inflammatory hyperplasia, gingival recession, attachment loss, or GO may arise after the device is placed [ 12 ]. To prevent GE, educational initiatives should be undertaken to achieve orthodontic therapy with gingival health.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to having a negative impact on periodontal health and esthetics, excessive gingival tissue can also impair masticatory function by reducing the protective barrier against trauma. The majority of patients receiving orthodontic treatment are younger people who are more self-conscious about their appearance, and gingival hyperplasia is an unsightly condition [ 12 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

Management of Orthodontic Therapy-Associated Gingival Overgrowth for Esthetic Consideration in Anterior Maxillary Region: A Case Report

Thakare,

Shirbhate,

Bajaj

et al. 2024

Cureus

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Gingival inflammation and fibrous type of overgrowth, or a combination of both can lead to gingival enlargement (GE), and this negatively affects mainly masticatory function and esthetics, and sometimes causes psychological issues in patients. A typical characteristic of gingival diseases is gingival overgrowth, which can be brought on by fibrous overgrowth, gingival inflammation, or a combination of the two. It is a complex ailment arising from interactions between the environment and the host or different stimuli. Patients frequently have misaligned teeth, which encourages the buildup of bacterial plaque and unintentionally fuels gingival inflammation. Fixed orthodontic equipment can rectify this misalignment but they may also promote plaque buildup and the ensuing development of GE, gingival invaginations, and generalized hyperplastic gingivitis. The attachment of application and the rise in the amount of discernible supra- and subgingival plaque cause changes in microbial growth. Moreover, the force used in the treatment tends to activate the gingival soft tissue response. Clinical consequences such as persistent infection, inflammatory hyperplasia, gingival recession, attachment loss, or gingival overgrowth may arise after the device is placed. 'Plaque-induced' and 'non-plaque-induced' gingival disorders, such as gingival overgrowth, can be distinguished; however, a more precise fundamental etiology is frequently discernible. Several hereditary, systemic, or infectious diseases do not depend on plaque induction. Accompanying plaque accumulation in certain circumstances may make the clinical appearance worse. The case described here is of a 21-year-old female patient presenting with anterior maxillary GE associated with lateral incisors with orthodontic therapy. Surgical therapy was carried out to provide an excellent esthetic outcome for the patient.

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“…As part of their research, Karacoglu et al prove that the number of patients suffering from gingivitis has increased during orthodontic therapy and that this is associated merely with the fact that the maintenance of oral hygiene is difficult and insufficient due to the presence of orthodontic appliances 20 .…”

Section: Discussionmentioning

confidence: 99%

Assessment of oral health in patients referred for an orthodontic examination to the Orthodontic Department of the Sarajevo Faculty of Dentistry

Redžepagić-Vražalica,

Jelešković,

Mujić-Jahić

et al. 2023

Balkan J Dent Med

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Background/Aim: The objective of this research was to evaluate the level of oral hygiene, the prevalence of caries, and the condition of the soft tissues in children and adolescents referred for their first orthodontic examination. Material and Methods: The research was conducted at the Department of Orthodontics of Sarajevo University - at the Faculty of Dentistry with the Dental Clinical Center. A total of 300 patients with mixed and permanent dentition who were referred for their first orthodontic examination were included in the study. The patients were offered to sign a Letter of Informed Consent for this study. All patients were assigned a Decayed, Missing, and Filled Teeth (dmft/DMFT) index. Periodontal indices were evaluated on all first permanent molars and all permanent central incisors. The periodontal indices included the determination of PI,CI,GI, PBI. Results: The results were processed with the application of standard statistical methods, by using the SPSS computer program for statistical analyses (SPSS-Statistical Package for Social Sciences) Version 21.0. The results of this study show a high dmft and DMFT indices in patients referred for orthodontic examination. The dmft index value in the respondents with mixed dentition was 3.0 (1.0 - 6.0). The DMFT index value in the respondents with permanent dentition was 4.0 (0.0 - 6.0), while in the respondents with mixed dentition, it was 1.0 (0.0 - 3.0). Our research also shows that out of 300 patients referred to an orthodontist for their first orthodontic examination, 250 of them (83.33%) have demonstrated an increased value of the Plaque index. Conclusions: The results of this research should be peculiarly alarming for pedodontists and general dentists, cautioning them to implement caries prevention measures more intensively and make referrals to an orthodontist only in case of those patients who have been cured previously.

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Are the Effects of Fixed Orthodontic Treatment on Gingival Health Similar in Adolescents and Young Adults?

Cited by 4 publications

References 14 publications

Assessment of Gingival Health Status among Patients with Fixed Orthodontic Appliance

Assessment of Gingival Health Status among Patients with Fixed Orthodontic Appliance

Management of Orthodontic Therapy-Associated Gingival Overgrowth for Esthetic Consideration in Anterior Maxillary Region: A Case Report

Assessment of oral health in patients referred for an orthodontic examination to the Orthodontic Department of the Sarajevo Faculty of Dentistry

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