Clinical Evaluation Of The Periodontal Condition During Fixed Orthodontic Treatment

Abstract

Throughout orthodontic treatment, oral hygiene is particularly important and must be rigorously controlled throughout therapeutic act. The aim of our clinical study was to examine the periodontal status of patients before, during and after orthodontic appliances are used. 50 patients were selected, plaque index, gingival index, modified papillae bleeding index and clinical probing depth was evaluated on anchorage teeth, separately those with orthodontic bands and tubes. One of the most common findings during this kind of treatment is gingival alteration in the posterior region. Our practical observations showed a different status of these alterations at patients wearing bands on the anchorage teeth versus those with buccal tubes. Using some of the indices which describes the periodontal status at adult and adolescent patients, we found out that adolescents present a higher plaque index, and the accumulation of dental plaque is more severe when bands are used in both categories. Another finding, which is very important in everyday practice is that gingival inflammation and plaque accumulation decrease one month after debonding. Keywords: Orthodontic treatment, periodontal condition IntroductionThe accumulation of plaque is influenced by numerous factors such as diet, oral hygiene, fluoride exposure, saliva, the composition of the microbial flora and immunological factors.

Effectiveness and Efficiency of Orthodontic Treatment Using Fixed Appliances Versus Aligners: A Systematic Review

“…Gingival inflammatory processes occur in the first 3 months of orthodontic treatment with fixed appliances, and then these, along with plaque accumulation, diminish as early as 1 month after debonding [24]. This suggests that the periodontal changes involved in orthodontic treatment with fixed appliances are not permanent, and can return to normal, provided that patients practice effective oral hygiene.…”