Combined orthodontic-periodontal treatment in periodontal patients with anteriorly displaced incisors

Cao, Tian; Xu, Li; Shi, Jie; Zhou, Yanheng

doi:10.1016/j.ajodo.2015.05.026

Cited by 50 publications

(56 citation statements)

References 19 publications

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“…Thirteen studies were included in this systematic review (Tables 1 through 4). 35‐47 Two were interventional, 35,37 and 11 were observational studies 36,38‐47 . In total, 422 patients were evaluated, and all studies were published in full.…”

Section: Resultsmentioning

confidence: 99%

“…Both interventional trials included in the review (randomized clinical trial and controlled clinical trial) were considered to be high risk of bias 35,37 (see supplementary Figure 2 in online Journal of Periodontology ). Regarding the included observational studies, one was considered to be high quality, 43 two of medium quality, 42,45 and the remaining studies of low methodologic quality 36,38‐41,44,46,47 (Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

“…Both treatment approaches led to similar reductions in the buccolingual thickness of the alveolar bone plate, but the authors reported the development of infraosseous defects at the extraction sites, in particular in the mandible 42 . In addition, one study 41 evaluated the effect of circumferential supracrestal fiberotomy + maxillary incisor retraction/intrusion within periodontally compromised patients presenting pathologic tooth migration. For those patients, the proposed treatment approach promoted a significant gain in the buccal bone thickness at the apical level, but at the same time it led to a proportional reduction of the palatal bone thickness 41 …”

Section: Resultsmentioning

confidence: 99%

“…In addition, one study 41 evaluated the effect of circumferential supracrestal fiberotomy + maxillary incisor retraction/intrusion within periodontally compromised patients presenting pathologic tooth migration. For those patients, the proposed treatment approach promoted a significant gain in the buccal bone thickness at the apical level, but at the same time it led to a proportional reduction of the palatal bone thickness 41 …”

Section: Resultsmentioning

confidence: 99%

“…These outcomes seemed more pronounced for patients with thin pretreatment cortical bone. In addition, none of the included studies 35‐47 compared the accuracy of images acquired by 3D versus 2D (this issue seemed directly associated with the fact that 2D radiographs are not capable of measuring buccal plate changes and that those could be used only to evaluate crestal bone changes) 9,11 …”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Cone‐Beam Computed Tomography and Interdisciplinary Dentofacial Therapy: An American Academy of Periodontology Best Evidence Review Focusing on Risk Assessment of the Dentoalveolar Bone Changes Influenced by Tooth Movement

Mandelaris

Neiva

Chambrone

2017

Journal of Periodontology

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CBCT imaging can improve the periodontal diagnostic acumen regarding alveolar bone alterations influenced by orthodontic tooth movement and can help determine risk assessment prior to such intervention. Clinicians are also better informed to determine risk assessment and develop preventative or plan interceptive periodontal augmentation (soft tissue and/or bone augmentation) therapies for patients undergoing orthodontic tooth movement. These considerations are recognized as being especially critical for treatment approaches in patients where buccal tooth movement (expansion) is planned in the anterior mandible or involving the maxillary premolars.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Cone‐Beam Computed Tomography and Interdisciplinary Dentofacial Therapy: An American Academy of Periodontology Best Evidence Review Focusing on Risk Assessment of the Dentoalveolar Bone Changes Influenced by Tooth Movement

Mandelaris

Neiva

Chambrone

2017

Journal of Periodontology

View full text Add to dashboard Cite

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Orthodontic treatment in periodontal patients: The use of periodontal gold standards to overcome the “grey zone”

Prato¹

2019

Journal of Periodontology

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The adult orthodontic patient over 40 years of age: association between periodontal bone loss, incisor irregularity, and increased orthodontic treatment need

Meyer-Marcotty¹,

Klenke²,

Knocks³

et al. 2021

Clin Oral Invest

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Objectives Adult orthodontic treatment, especially in patients over 40 years, is steadily increasing. One causal factor for the treatment need in this age group is periodontal breakdown. The aim of this study was to detect correlations between periodontal problems and orthodontic parameters in interdisciplinary patients. Methods This observational, cross-sectional study included 118 patients over 40 years (51 men/67 women; mean age, 58.03 years) classified into three groups according to periodontal breakdown (group I, controls; group II, moderate periodontitis; group III, severe periodontitis). Clinical periodontal and orthodontic parameters as well as the index of orthodontic treatment need (IOTN) were assessed and compared between the groups. Results A gradual deterioration of all periodontal and orthodontic parameters according to periodontal bone loss (lowest values in group I; highest values in group III) was observed. Especially groups I and III differed significantly regarding the overjet (p < 0.001) and the little indices of the maxilla (p < 0.001) and mandible (p < 0.010). The IOTN was highest in group III: 90% of the patients with severe periodontitis were classified to have moderate to very great treatment need. Conclusions The higher the degree of periodontal breakdown was, the more severe were overjet, overbite, irregularity of the anterior teeth, and the orthodontic treatment need. Clinical relevance Adult patients over 40 years represent a challenge for an orthodontic/periodontal treatment approach with high incidence of pathologic tooth migration, orthodontic treatment need, and periodontal breakdown. Therefore, this special patient collective requires a focus in clinical orthodontics and research.

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Combined orthodontic-periodontal treatment in periodontal patients with anteriorly displaced incisors

Cited by 50 publications

References 19 publications

Cone‐Beam Computed Tomography and Interdisciplinary Dentofacial Therapy: An American Academy of Periodontology Best Evidence Review Focusing on Risk Assessment of the Dentoalveolar Bone Changes Influenced by Tooth Movement

Cone‐Beam Computed Tomography and Interdisciplinary Dentofacial Therapy: An American Academy of Periodontology Best Evidence Review Focusing on Risk Assessment of the Dentoalveolar Bone Changes Influenced by Tooth Movement

Orthodontic treatment in periodontal patients: The use of periodontal gold standards to overcome the “grey zone”

The adult orthodontic patient over 40 years of age: association between periodontal bone loss, incisor irregularity, and increased orthodontic treatment need

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